Abstract: A device for reliably and non-invasively measuring respiration rates and effort by encircling the patient's chest with a device having a large section of inelastic belt attached to a small section of elastic material. The elastic material having two magnetic tapes with wire windings thereon proximate each other with an insulation material therebetween. The wire windings are electrically connected to each other. The magnetic tapes have opposite ends attached to the elastic material such that when the elastic material expands and contracts the wire windings move relative to each. A toroidal transformer is connected to the wire windings. When a carrier signal is introduced to the transformer and the magnetic tapes move relative to each other on the elastic material when the patient breathes a mutual inductance in the wire windings modulates the carrier signal and thus measures the expansion and contraction of the patient's chest which is directly related to the patient's respiration rate.

Abstract: A pressure transducer arrangement featuring a holding element for a number of pressure transducers. For each pressure transducer a group of electronic counter-contacts is provided on the holding element that are in contact with the contacts of the pressure transducer while it is attached to the holding element. All counter-contacts are connected to one common signal transfer device.

Abstract: A catheter device with disposable bladder is provided for intrauterine use and comprises a reusable introducer, a disposable bladder subassembly, a liquid source for pressurizing the bladder with a liquid, and a heater for heating the liquid enclosed within the bladder to a desired treatment temperature. The reusable introducer includes a catheter with a proximal end portion thereof carrying the heater. The disposable bladder subassembly includes a distendable balloon that terminates in a hollow, elongated rigid sleeve. A contact seal exists between the disposable balloon and the introducer. The device is especially well suited for effecting necrosis of substantially all of the tissue lining human uterus, and is specifically configured for intrauterine use.

Abstract: A heated fluid surgical instrument including a palm-sized handpiece having a cannula adapted to be inserted into a patient's body by way of a natural access (e.g., mouth) or a small incision. A channel is provided within the handpiece and the cannula for permitting the passage of a surgical accessory implement to the surgical site. Additional, channels are provided for passing fluid pumped into the handpiece from a remote fluid source to the surgical site. An irrigation control valve assembly on the handpiece permits a surgeon to selectively direct the flow of fluid through the handpiece and into one of two fluid flow paths. One of the paths heats the fluid and passes it to the surgical site to effect a therapeutic result. The other path sends the fluid directly to the surgical site.

Abstract: A lung sound diagnostic system for use in collecting, organizing and analyzing lung sounds associated with the inspiration(s) and expiration(s) of a patient. The system includes a plurality of transducers that may be placed at various sites around the patient's chest. The microphones are coupled to signal processing circuitry and A/D converters which digitize the data and preferably provides the digital data to a computer station. A data collection and organization program, executing on the computer station, organizes and formats the data into a combination display for display or printing. The combinational display includes at least two display elements. In a first display element, the data is shown for both inspiration and expiration combined in a first time scale. In a second display element, the data for inspiration and expiration are shown individually in a second time scale that is time-expanded relative to the first time scale.

Abstract: A respiratory ventilator and methodology thereof for automatically calibrating respiration gas flow delivery. The ventilator includes a gas flow calibration member having a reader component for recording inspiratory and exhalation gas volume with exhalation time, and for measuring a plurality of incremental exhalation gas flow values in a plurality of incremental time periods during a single exhalation. The gas flow calibration member includes a composite calculator component for determining an average of consecutive composite flow values, and a scanner calculator component for scanning in reverse order the plurality of consecutive composite flow values and calculating a new flow calibration value where a preselected number of consecutive composite flow values fall within a pre-selected flow rate. Thereafter, the gas delivery member is calibrated in accord with the determined new flow calibration value.

Abstract: Method and apparatus are provided for propagating microwave energy into heart tissues to produce a desired temperature profile therein at tissue depths sufficient for thermally ablating arrhythmogenic cardiac tissue to treat ventricular tachycardia and other arrhythmias while preventing excessive heating of surrounding tissues, organs, and blood. A wide bandwidth double-disk antenna (700) is effective for this purpose over a bandwidth of about six gigahertz. A computer simulation provides initial screening capabilities for an antenna such as antenna, frequency, power level, and power application duration. The simulation also allows optimization of techniques for specific patients or conditions. In operation, microwave energy between about 1 Gigahertz and 12 Gigahertz is applied to monopole microwave radiator (600) having a surface wave limiter (606).

Abstract: A device and method are disclosed for electronically measuring the degree of pulsus paradoxus in a patient from a single patient data source. The single data source may be any device that outputs a waveform indicative of patient pulsatile cardiovascular behavior such as an optical plethysmograph, a pulse oximeter, or a blood pressure monitor. The invention is useful for rapidly assessing the status of a patient in acute respiratory distress for the purpose of objectively determining the severity of their condition.

Abstract: A cold therapy pad includes a flexible envelope containing a high thermal capacity gel which will remain cold for a period of time after being frozen and a flexible permanent magnet contained within the envelope. According to a presently preferred embodiment, the envelope is made of a flexible polymer such as vinyl, the thermal gel is made of silicate, and the permanent magnet is made of molten metal hardened in an electric field. The magnet may be embedded in the gel so that it is substantially centrally located relative to the envelope. If desired, the magnet may be located between the envelope and the gel. The basic construction of the invention lends itself to many geometric configurations and sizes. In different embodiments, the therapy pad is dimensioned to overlie particular body parts such as joints, limbs, the neck, the waist, the chest, and the eyes. In some embodiments VELCRO.RTM. strips are provided to affix the therapy pad to a body part.

Abstract: The hematocrit of blood (i.e., the percentage of whole blood volume occupied by red blood cells) perfusing a finger is determined by stimulating the finger with two current frequencies, one relatively high (e.g., 10 MHZ) and the other relatively low (e.g., 100 KHz). Voltages induced in the finger in response to the two current frequencies are then captured and separated into baseline and pulsatile components. The hematocrit is determined as a function of the ratio of the high frequency pulsatile component to the low frequency pulsatile component, multiplied by the ratio of the square of the low frequency baseline component to the square of the high frequency baseline component. The signal-to-noise ratio of the captured voltages can be enhanced by the application of external pressure to the finger, such as by applying a pressure cuff to the finger.

Abstract: An article for the identification of the premature rupture of a membrane during pregnancy is disclosed. The article comprises a pad having an upper outer layer, a lower outer layer, and an intermediate pH-responsive component. A double-sided adhesive strip is attached to the lower outer layer. The upper outer layer is composed of a liquid permeable material. Intermediate of the upper out layer and the inner outer layer is a pH-sensitive component. This intermediate layer is a pH-sensitive material and may be one of a variety of such materials, although a preferred material is nitrazine paper. In the presence of an alkaline fluid, such as amniotic fluid, the pH-sensitive material responds by turning to a purple-blue color. The change in color acts as a visual indicator to the wearer of the possible presence of amniotic fluid outside of the amniotic sac.

Abstract: A weight-bearing apparatus such as a cushion, prosthetic device, or bed mattress includes a support surface having a shaped or sculpted portion that conforms to the shape of a body portion being supported. The shaped portion fits to the body portion, thereby to position the body portion so as to situate one or more weight-bearing parts of the body portion over specific zones of the support surface that are cooled below normal body temperature. The reduced temperature applied to the zones of the support surface removes heat from the weight-bearing areas, thereby reducing the risk of injury to tissue in those areas.

Abstract: The present invention relates to disposable thermal neck wraps having one or more thermal packs comprising a unified structure having at least one continuous layer of semirigid material, which has different stiffness characteristics over a range of temperatures, and a plurality of heat cells, wherein the heat energy is applied to specific areas of the upper back, neck and shoulders. More particularly, the present invention relates to disposable thermal neck wraps having good conformity to user's upper back, neck, and shoulders which provides consistent, convenient, and comfortable heat application.

Abstract: To heat horizontal surfaces on which patients are placed after surgery, an irradiation apparatus with halogen lamps is provided, the radiation of which is directed toward the horizontal surface to heat it. The surface temperature prevailing in the irradiated area of the horizontal resting surface is detected by a pyrometric sensor as long-wave infrared radiation. This temperature value is used as the controlled variable and is compared with a predetermined nominal value, such as 37.degree. C. In the event of a deviation, a control signal corrects the irradiation intensity by adjusting the power supply to the halogen lamps.

Abstract: A catheter-based physiological pressure sensing device, which can be calibrated in vivo, is disposed in the distal end of a catheter, and is preferably in the form of a bulb-like device. The pressure sensing device includes a pressure sensor tip and pressure sensor element disposed in the pressure sensor tip. The pressure sensor element has first and second opposing surfaces which form separate and isolatable first and second chambers. An aperture is formed in an external wall of the pressure sensor tip to provide a passageway into the first chamber and expose the first surface of the pressure sensor element to a physiological pressure. A blocking element, such as a balloon, is disposed in the first chamber and is adapted for selectively blocking the aperture.

Abstract: An externally guidable intervertebral disc apparatus manipulates disc tissue at a selected location of an intervertebral disc. The apparatus comprises a catheter having a distal end, a proximal end and a longitudinal axis. The catheter has an intradiscal section at its distal end. The intradiscal section is extendible into the disc, has sufficient rigidity to be advanceable through the nucleus pulposus and around the annulus fibrosus of the disc under a force applied longitudinally to the proximal end, has sufficient flexibility in a direction of the disc plane to be compliant with the inner wall, and has insufficient penetration ability to be advanceable out through the annulus fibrosus under the applied force. A thermal energy delivery device is located in the intradiscal section for preferentially heating the selected location of the disc. The apparatus is used to locally and controllably heat but not char or burn tissue in a disc. Such heat shrinks the collagen component.

Abstract: Flexible multijoint thermal therapy pads which are dimensioned and structured to promote effective thermal therapy by promoting increased flexibility, comfort, convenience and heat transfer when applied to a range of joints in the body. Pads according to the present invention feature distinct members each of which corresponds to and may be applied to conform to a limb or body part surrounding the knee, shoulder and other joints. The pads connect these members using at least one conduit that is not substantially centered on the kneecap or top of the shoulder when they are applied for thermal therapy on the knee or shoulder, respectively. The pads thus do not blindly adhere to traditional multijoint notions of symmetry, but instead opt for increased flexibility, prevention of undesired blockage or occlusion during joint flexure and restriction of range of motion.

Abstract: A medical device for estimation of pulmonary wedge pressure wherein a non-occluded pulmonary artery blood pressure measurement is utilized to directly estimate the pulmonary wedge pressure. A neural network is trained with occlusion-obtained data, whereafter the trained coefficients are utilized to implement the wedge pressure estimator. A flow-directed catheter is utilized to transduce the pressure waveform, which is then input to the processing computer through a analog-to-digital data acquisition board. The data is preprocessed in the computer in order to present the neural network with 11 samples of blood pressure data and 11 samples of time-correlated first derivatives of the blood pressure data as well as an indication of the length in time of the heartbeat. The trained neural network then directly outputs the estimated wedge pressure.

Abstract: There is disclosed a home care system in which a center terminal and a patient terminal are detachably connected to each other through communication lines, such as a public telephone line, an ISDN (integrated services digital network), a CATV (cable television), a radio and the like, and further to center terminals and patient terminals which constitute such a home care system. The patient terminal has an urgency transmitter device for transmitting a predetermined urgency code to the center terminal, and the center terminal comprises an urgency receiver device for receiving, while connected to a first patient terminal, the urgency code transmitted from a second patient terminal, and an urgency alarm device for informing of the fact that the urgency code has been received.

Abstract: A method and apparatus for assessing a person's disease status is provided using a plurality of disease prediction factors for that person and applying a multivariate disease prediction equation to the data to assess the disease status of that person. The multivariate disease prediction equation includes the contribution for each disease prediction factor in a comprehensive set of disease prediction factors. Each of the plurality of disease prediction factors for which data are available from the test person is included in the comprehensive set.