Abstract: A method for scaling the impedance measured during the course of an electrophysiology study accounts for impedance drifts. By scaling the impedance there is greater assurance that previously recorded positional information can be used to accurately relocate an electrode at a prior visited position. The scale factor may be based upon a mean value across several sensing electrodes. Alternatively, the scale factor may be calculated specifically with respect to an orientation of a dipole pair of driven electrodes.

Abstract: A system and methods that provide for visualization and/or characterization of manometry data. Visual representations of pressure information represent pressure information measured over time by sensors positioned within an organism. Markers may be provided on the visual representations. Using the system and methods described herein, various characteristics of an organism and/or events that occur within the organism may be determined.

Abstract: A safety device is presented for securely stowing a double sharp-ended needle. The device comprises a tubular adapter with a longitudinally-elongated channel. A needle holder is located in the channel to move from a distal orientation, in which one needle end projects from a distal adapter opening, and a proximal orientation, in which both needle ends are enclosed within the adapter body. A top plate transitions from a distal orientation, in which the plate is distal from a proximal adapter opening, and a proximal orientation, in which the top plate obstructs the proximal adapter opening. An actuator plate is attached to the adapter body to transition from a first position where the actuator plate retains the needle holder and top plate in distal orientations, and a second position where the needle holder and top plate move to proximal orientations.

Abstract: A piercing system has a carrier band carrying piercing elements with test elements disposed in-between. The carrier band holder, which is coupled to a piercing drive, holds a segment of the carrier band and moves together with the segment and a piercing element at the segment during lancing. A wind-up roll displaces the band in a band transport direction. A measuring device measures analyte concentration of a bodily fluid sample received by a test element. A segment of the band having an unused test element is guided past a carrier band segment disposed in the holder or behind the holder in the band transport direction. The two carrier band segments are pressed against each other for transferring the sample from the piercing element to the test element. A method for transferring a bodily fluid sample from a piercing element to a test element is described.

Abstract: An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.

Abstract: A body fluid sampling device includes a firing mechanism that is configured to be automatically cocked and fired. In one form, the device includes an electric motor that is operable to cock the firing mechanism and fire an integrated lancet/sampling device to form an incision in skin. Subsequent to formation of the incision, the integrated lancet device is temporarily removed from the skin to promote bleeding from the incision. After a specified period of time, the integrated lancet device is then repositioned against the skin in order to collect a fluid sample.

Abstract: The invention is directed to tissue cutting members and biopsy devices with such tissue cutting member for separating a tissue specimen from a patient's body at a target site. The tissue cutting member is slidably disposed within an inner lumen of an elongated probe member of the biopsy device to cut a tissue specimen drawn into the interior of an outer cannula of the biopsy device through a tissue receiving aperture in the probe. The tissue cutting member has a tubular distal portion with a distal tip having an outer tissue cutting edge, an inner tissue receiving aperture, and a longitudinally oriented opening with a closed proximal end and open distal end which opens to the inner tissue receiving aperture to facilitate flaring of the distal tubular portion. The cutting member has at least one opening in a wall of the tubular portion to maintain a vacuum during use.

Abstract: A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site. Some embodiments of the surgical access system may be particularly suited for establishing an operative corridor to a surgical target site in the spine. Such an operative corridor may be established through the retroperitoneal space and the psoas muscle during a direct lateral, retroperitoneal approach to the spine.

Abstract: Systems, methods and devices to measure and potentially promote thermogenesis, preferably non-exercise activity thermogenesis are disclosed. In the various embodiments, the present invention may rely on one or more sensors that detect a subject's body posture and/or activity. Feedback regarding the subject's posture and/or activity (relative to preferred postures and/or activity levels) may preferably be provided after the data is retrieved and analyzed. A power interlock may also be used to control delivery of electrical energy based on a subject's posture and/or activity level.

Abstract: The present invention relates to a measuring device, insertable into a living body. The device includes an elongated flexible member in the form of a thick-walled hollow tube with a proximal end and a distal end. The tube defines a central lumen with an inner wall. The lumen may contain a core and an insulating material provided between the core and the inner wall. The core may be made of an electrically conductive material and may be of essentially constant diameter over its entire length. Alternatively, the lumen may contain at least two electrical leads. An electrical sensor is attached to the distal end of the elongated flexible member and is electrically connected to the core.

Abstract: A subsurface wound measuring device and method are provided for measuring a subsurface wound or cavity of a patient, the device including a flexible strip having a first and second section, said sections having a first and second ends respectively with an intermediate bend being located between the first and second ends. The first end is adapted for being located internally to a patient, the second end being adapted for being located externally to the patient. The first and second sections have generally concave shaped cross-sections with measuring indicia being located along at least one of the sections. The device also optionally includes a measuring strip and a receiver mounted on the second end for receiving the measuring strip, where the measuring strip and the flexible strip form complementary structure for measuring a subsurface wound or cavity.

Abstract: The present invention relates to an apparatus for producing optical pulses of a desired wavelength. The apparatus includes an optical pulse source operable to generate input optical pulses at a first wavelength. The apparatus further includes a higher order mode (HOM) fiber module operable to receive the input optical pulses at the first wavelength, and thereafter to produce output optical pulses at the desired wavelength by soliton self-frequency shift (SSFS). The present invention also relates to a method of producing optical pulses having a desired wavelength. This method includes generating input optical pulses using an optical pulse source, where the input optical pulses have a first wavelength and a first spatial mode.

Abstract: A biopsy needle for collecting a tissue specimen includes a housing; an outer cannula that is at least partially received within the housing; and an inner tube received within the outer cannula and is configured to receive a stylet. The needle also includes a snare coil that is formed as part of the inner tube and is coupled to the outer cannula. The needle has a first actuation stage and a second actuation stage that is automatically activated as a result of activation of the first actuation stage. During the first actuation stage, a first mechanism contained at least partially within the housing is actuated to longitudinally and axially advance both the outer cannula and the inner tube as well as causing the outer cannula and the inner tube to simultaneously rotate in unison as the two are longitudinally advanced.

Abstract: An automatic apparatus for obtaining and analyzing a blood sample contains a supply of lancets and test strips, which are located alternately on a carrier band. A lancet or alternatively a test strip may be clamped on a holder, which is mounted so it is movable. The movement controller of the holder comprises a three-dimensional control curve and a guide element, which engages at different depths in the control curve as a function of its relative position. The control curve comprises two guide paths, which run on different parallel planes. The contour of the first guide path determines the movement path of the lancet and the contour of the second guide path determines the movement path of the test strip. The test strip executes a transverse offset perpendicular to the puncture axis of the lancet.

Abstract: A tissue stimulation system that generates an electrical tissue stimulation signal configured to reduce tissue impedance and increase depth of signal penetration. The use of leads is dynamically controlled and altered between conducting biopotential voltages, conducting electrical tissue stimulation signals, and grounding, in response to a computational analysis of biopotential data acquired from a region of tissue to be stimulated.

Abstract: A handle for controlling a steerable catheter can be aligned so that the direction of movement of the catheter is aligned with the orientation of an image on a monitor. In one embodiment, the handle is axially symmetric, allowing a physician to grasp it such that the movement of the catheter is aligned with an image displayed. In another embodiment, the handle is a grip that is rotatable with respect to the controls of a steerable catheter in order to align the movement with the image displayed.

Abstract: The invention is directed to devices and methods for separating and collecting a tissue specimen from a patient's target site. The device includes a probe member with a penetrating distal tip and a tissue receiving aperture, and a tissue cutting member which is rotatable disposed within the probe member to cut a tissue specimen drawn into the interior of the device through the aperture. The longitudinal edges of the aperture are preferably sharpened to engage the cutting edges of the tissue cutting member. Vacuum may be provided in the inner lumen of the cutting member to transport tissue therethrough. Rotation, rotational oscillation and/or longitudinal reciprocation of the tissue cutting member is effective to separate a tissue specimen from surrounding tissue. An accessing cannula having an tissue receiving aperture may be concentrically disposed within the probe member and about the tissue cutting member.

Abstract: A blood testing device that can perform blood testing having lighting intensity independent of the number of times of piercing. The blood testing device (21) has a cover unit (20) removably installed on negative pressure chambers (25a, 25b). The cover unit (20) has a circular tube section (20b) surrounding the optical axis of a laser unit (26) and having a predetermined length in the direction of the optical axis, a cover glass (20d) placed on the optical axis of the laser unit (26) so as to be located at that end of the circular tube section (20b) which is on the laser unit (26) side, and a slit (20e) for interconnecting the inside of the circular tube section (20b) and the negative pressure chamber (25a) outside the circular tube section (20b).

Abstract: A patient monitoring system including a migration sensor that includes a compressible member that defines a chamber at least partially filled with fluid and a pressure sensor in fluid communication with the member. The member is attached to the mattress at a selected location to detect movement of the patient. The monitoring system includes a controller that monitors the pressure sensor, and is adapted to notify a care giver upon detecting a selected pressure change within the member.

Abstract: An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.