Abstract: Embodiments of the present disclosure are directed to a system and method for automated medical treatment. Specifically, the disclosure is directed to a first controller capable of monitoring a physiological parameter of a patient and supplying the patient with a delivery parameter based at least in part on the physiological parameter to control the physiological parameter. Further, present embodiments include a second controller capable of determining a therapeutic procedure to be performed on the patient based at least in part on analysis of the delivery parameter, and automatically initiating an alert indicative of the therapeutic procedure and/or automatically performing the therapeutic procedure.

Abstract: A neural network is used to combine one or more estimates of a physiologic parameter with one or more associated signal quality metrics, creating a more accurate estimate of said physiologic parameter, as well as a second estimate of the accuracy of said physiologic parameter estimate.

Abstract: Adjusting a pulse qualification criterion includes receiving a signal representing a plurality of pulses, where the signal is generated in response to detecting light scattered from blood perfused tissue. A characteristic is determined. A pulse qualification criterion used for qualifying a pulse is adjusted in accordance with the characteristic. The pulses are evaluated according to the pulse qualification criterion.

Abstract: The disclosure provides a method for controlling the delivery of a breathing gas to a patient including automatic lung recruitment maneuvers. The method may include regulating the FiO2 and the PEEP of the breathing gas delivered to the patient, determining a blood oxygenation level of the patient, automatically adjusting the FiO2 of the breathing gas delivered to the patient based on at least the blood oxygenation level of the patient, and in response to determining that the FiO2 of the breathing gas delivered to the patient exceeds a pre-determined value: automatically initiating a lung recruitment maneuver; and automatically increasing the PEEP of the breathing gas delivered to the patient.

Abstract: Embodiments disclosed herein may describe systems and methods for reducing nuisance alarms using probability and/or accuracy of a measured physiological parameter, such as the pulse rate or SpO2 measurement generated by a pulse oximeter. Embodiments may include methods for adjusting a predetermined alarm threshold based on the probability distribution of the estimated pulse rate and/or oxygen saturation of a patient's blood.

Abstract: The disclosure provides a method for controlling the delivery of a breathing gas to a patient. The method may include regulating the delivery of the breathing gas delivered to the patient, determining a value for a first ventilation parameter, comparing the determined value of the first ventilation parameter to a pre-determined target value for the first ventilation parameter, automatically adjusting the breathing gas delivered to the patient in response to the comparison between the determined value of the first ventilation parameter and the pre-determined target value for the first ventilation parameter, and automatically determining a new target value for the first ventilation parameter based at least in part on the determined value of the first ventilation parameter.

Abstract: The disclosure provides a method for controlling the delivery of a breathing gas to a patient. The method may include regulating the fractional inspired oxygen (FiO2) of the breathing gas delivered to the patient, determining a blood oxygenation level of the patient, determining a ventilation parameter, and automatically adjusting the FiO2 of the breathing gas delivered to the patient based on the determined blood oxygenation level and the determined ventilation parameter.

Abstract: Embodiments disclosed herein may include systems and methods for determining a patient's respiratory effort and blood oxygen saturation based on data acquired from a pulse oximetry sensor and analyzing the parameters in conjunction with each other. For example, the respiratory effort may be determined based on a photo-plethysmographic waveform generated from light attenuation detected by the sensor, and the blood oxygen saturation may be a pulse-based estimate of arterial blood oxygen saturation determined from the detected attenuation. Analysis of the parameters may enable detection and classification of apnea (e.g., obstructive or central) or another underlying cause for respiratory instability. Furthermore, the measured respiratory effort may be compared to respiratory effort supplied by a ventilator to ensure proper sensor placement before enabling automatic adjustment of ventilator settings.

Abstract: A pulse oximeter which determines multiple heart rates, and selects between them based on the metrics of only one of the heart rate calculations. A primary heart rate calculation method is selected, and is used unless its metrics indicate questionable accuracy, in which case an alternative rate calculation is available and is used instead.

Abstract: Embodiments disclosed herein may include a method and system for determining patient-specific alarm thresholds for monitoring the patient's physiological parameters. For example, in an embodiment, the patient's age, weight, height, diagnosis, medications and/or other factors may affect his or her normal heart rate, blood oxygen saturation, and/or other physiological parameters. Accordingly, in an embodiment, information specific to or generally applicable to the patient may be supplied to a monitoring system to enable determination of the appropriate maximum and minimum thresholds. In an embodiment, if the patient exceeds one of the personalized thresholds, the monitoring system may alert a caregiver that there is a problem.

Abstract: Embodiments disclosed herein may include a patient sensor which has a low-friction exterior coating. In an embodiment, the exterior surface of the sensor may come into contact with external items, such as, for example, bed linens, clothing, unintended parts of the patient's body, or other people. The low-friction coating disposed on the exterior of the sensor may include a material having a relatively low coefficient of friction with respect to these external items. In an embodiment, the low-friction material may include, for example, a fluoropolymer, a polypropylene, or a polyethylene. Additionally, in an embodiment, an internal surface of the sensor that is in contact with the patient may have a relatively high-friction coating, such as an adhesive. In an embodiment, a stack of adhesive layers may be disposed on the internal surface around one or more light emitting and/or detecting optics.

Abstract: Embodiments disclosed may include a sensor which may be adapted to provide information related to its position on a patient's tissue. A sensor may be provided with tissue contact sensors which may relay a signal related to the sensor's proper placement adjacent a patient's tissue. Such a sensor may be useful for providing information to a clinician about the status of a sensor, such as if a sensor may be located more closely to the tissue in order to provide improved measurements.

Abstract: In an embodiment, a sensor may be adapted to provide information related to its position on a patient's tissue. postioned adjacenta sensor may be provided with tissue contact sensors which may relay a signal related to the proper placement of the sensor relative to the tissue of a patient. Such a sensor may be useful for providing information to a clinician regarding the location of the sensor in relation to the skin of apatient in order to provide improved measurements.

Abstract: A pulse oximeter which determines multiple heart rates, and selects between them based on the metrics of only one of the heart rate calculations. A primary heart rate calculation method is selected, and is used unless its metrics indicate questionable accuracy, in which case an alternative rate calculation is available and is used instead.

Abstract: A method and a system for ensemble averaging signals in a pulse oximeter, including receiving first and second electromagnetic radiation signals from a blood perfused tissue portion corresponding to two different wavelengths of light, obtaining an assessment of the signal quality of the electromagnetic signals, selecting weights for an ensemble averager using the assessment of signal quality, and ensemble averaging the electromagnetic signals using the ensemble averager.

Abstract: A method and a system for ensemble averaging signals in a pulse oximeter, including receiving first and second electromagnetic radiation signals from a blood perfused tissue portion corresponding to two different wavelengths of light, obtaining an assessment of the signal quality of the electromagnetic signals, selecting weights for an ensemble averager using the assessment of signal quality, and ensemble averaging the electromagnetic signals using the ensemble averager.

Abstract: A method for determining a physiological parameter in the presence of correlated artifact, including obtaining two digital waveforms, x and y, the waveforms being representative of the absorption of two wavelengths of electromagnetic energy received from a blood-perfused tissue, and where each of the waveforms has a component corresponding to a plethysmographic waveform and a component corresponding to the correlated artifact; calculating several weighted difference waveforms of the form x?R*y, where R is a multiplier, by varying R over a range; evaluating the several weighted difference waveforms using a shape characteristic of the weighted difference waveform; identifying a weighted difference waveform most closely representative of and one most different from the plethysmographic waveform; determining a pleth-based physiological parameter using the waveform most closely representative of the plethysmographic waveform; determining at least one artifact-based physiological parameter using the waveform most d

Abstract: A system and method are provided for a water reserve index. The method includes determining a lean water fraction of tissue for at least one tissue site and determining skin thickness for the at least one tissue site. The lean water fraction and skin thickness are combined to produce a water reserve estimate.

Abstract: The present disclosure relates to a tunable laser-based spectroscopy system for accurately and non-invasively measuring body water content. The body water content is one of the important health indicators, by which one can quantitatively monitor the hydration level of body and determine if it is necessary to supplement or reduce the body water. The disclosed systems, devices, and/or methods may improve wavelength accuracy, wavelength resolution, optical spectral power density, signal-to-noise ration, and available implementation options for the spectroscopy system.

Abstract: Methods and apparatus are described for sensing misplacement of an optical sensor on a patient. A wavelength of light which is particularly subject to absorption by a physiological characteristic of interest is used to compare to a reference to determine if the sensor placement is appropriate, such as to generate accurate readings. In one example, the intensity of a wavelength of light which is subject to absorption by bulk tissue, but less subject to absorption by oxygen in the blood will be detected to evaluate the placement of the sensor.