Abstract: Apparatus and methods for determining a respiratory quotient are described. In one embodiment, a respiratory gas exchange monitor includes a respiratory gas conduit, a respiratory gas flow meter coupled to the respiratory gas conduit, and a respiratory gas sensor coupled to the respiratory gas conduit. The respiratory gas exchange monitor also includes a computation unit coupled to the respiratory gas flow meter and the respiratory gas sensor. The computation unit is configured to process outputs of the respiratory gas flow meter and the respiratory gas sensor to determine an amount of carbon dioxide produced by a subject and an amount of oxygen consumed by the subject, and the computation unit is configured to determine a respiratory quotient of the subject based on the amount of carbon dioxide produced and the amount of oxygen consumed.

Abstract: A respiratory analyzer comprises a flow module, having a flow tube through which the flow rate of gases is determined using a flow rate meter, and a computation module, in communication with the flow module, operable to determine a flow rate of respired gases. The computation module may also be operable to determine a metabolic rate of the subject.

Abstract: An indirect calorimeter for measuring the metabolic rate of a subject includes a disposable portion and a reusable portion. The disposable portion includes a respiratory connector configured to be supported in contact with the subject so as to pass inhaled and exhaled gases as the subject breathes. The disposable portion also includes a flow pathway operable to receive and pass inhaled and exhaled gases, having a first end in fluid communication with the respiratory connector and a second end in fluid communication with a source and sink for respiratory gases. The disposable portion is disposed within the reusable portion, which includes a flow meter, a temperature sensing means, a humidity sensing means, a pressure sensing means, a component gas concentration sensor, and a computation unit.

Abstract: A method of determining a respiratory parameter for a subject using an indirect calorimeter is provided. The indirect calorimeter includes a respiratory connector for passing inhaled and exhaled gases, a flow pathway operable to receive and pass inhaled and exhaled gases having a flow tube within the flow pathway through which the inhaled and exhaled gases pass, a flow meter for determining an instantaneous flow volume of the inhaled and exhaled gases, a component gas concentration sensor for determining an instantaneous fraction of a predetermined component gas and a computation unit having a processor and a memory. The method includes the steps of initializing the indirect calorimeter and the subject breathing into the respiratory connector if the indirect calorimeter is initialized, sensing the flow volume of the inhaled and exhaled gases passing through the flow pathway using the flow meter and transmitting a signal representing the sensed flow volume to the computation unit.

Abstract: An indirect calorimeter for measuring the metabolic rate of a subject includes a respiratory connector configured to be supported in contact with the subject so as to pass inhaled and exhaled gases as the subject breathes, a flow pathway, and a hygiene barrier positioned to block a predetermined pathogen from the exhaled gases. The indirect calorimeter also includes a flow pathway having a first end in fluid communication with the respiratory connector and a second end in fluid communication with a source and sink for respiratory gases. The flow pathway includes a flow tube through which the inhaled and exhaled gases pass, an outer housing surrounding the flow tube, and a chamber disposed between the flow tube and the first end.

Abstract: An indirect calorimeter for measuring the metabolic rate of a subject includes a disposable portion and a reusable portion. The disposable portion includes a respiratory connector configured to be supported in contact with the subject so as to pass inhaled and exhaled gases as the subject breathes. The disposable portion also includes a flow pathway operable to receive and pass inhaled and exhaled gases, having a first end in fluid communication with the respiratory connector and a second end in fluid communication with a source and sink for respiratory gases. The disposable portion is disposed within the reusable portion, which includes a flow meter, a component gas concentration sensor, and a computation unit. The flow meter generates a signal as a function of the instantaneous flow volume of respiratory gases passing through the flow pathway and the component gas concentration sensor generates a signal as a function of the instantaneous fraction of a predetermined component gas in the exhaled gases.

Abstract: An improved respiratory connector for use with a respiratory analyzer is provided. The respiratory connector includes a housing configured to be supported in contact with the subject, a flow pathway within the housing for passing the inhaled and exhaled gases therethrough and a connector port extending from the housing for connecting the respiratory connector to the respiratory analyzer. The respiratory connector also includes a usage indicating means within the housing for indicating usage of the respiratory connector to the subject. The respiratory analyzer includes a flow pathway operable to receive and pass inhaled and exhaled gases. A first end of the flow pathway is in fluid communication with the respiratory connector and a second end is in fluid communication with a source and sink for respiratory gases. A flow meter generates electrical signals as a function of the instantaneous flow volume of inhaled and exhaled gases passing through the flow pathway.

Abstract: A hand-holdable structure implementing electrodes to enable good skin-electrode contact to acquire ECG readings is disclosed. Specifically, the structure is shaped to enable patients to apply a simple gentle grip to have a reliable skin-electrode contact and to automatically commence ECG tracing transmission to a patient monitoring station. In one embodiment the structure incorporates an RF telemetry head to simultaneously transfer IMD stored data in conjunction with the ECG tracings. The structure independently or in combination with the RF telemetry head is adaptable to a system of data communications with a programmer or equivalent instrument to transfer ECG and IMD data to a remotely located physician station or patient data storage server. The system is also adaptable for use with a web-enabled network such as, without limitation, the Internet, intranet, World Wide Web, extranet or equivalent.

Abstract: An improved respiratory analyzer comprises a disposable flow module and non-disposable electronics module. An improved ventilator system comprises a supply of respiratory gases, a ventilator line for directing the respiratory gases to a patient, a flow module holder located in series with the ventilator line into which a flow module can be inserted, and an electronics module which connects to the flow module. In a preferred embodiment, the flow module and electronics module operate in combination to provide the functionality of an indirect calorimeter, so as to determine the metabolic rate of the patient. Feeding of an intubated patient can be controlled using determined patient metabolic rates. Other respiratory parameters can be determined by the system, such as peak flow, tidal volume, end-tidal concentrations, and respiratory quotient. The system provides a non-invasive method of cardiac output determination. A flow module can also be inserted into the mouth or internal respiratory tube of a person.

Abstract: A thermal printing device comprises a label tape printer and tape and ink ribbon cartridge for horizontal insertion into the printer. The cartridge housing includes an upper cover and a base which are joined by telescoping hubs and posts. The cartridge contains a supply of tape and ink ribbon wound on supply spools, a ribbon or rewind spool and a roller platen all supported for rotation. The platen and the rewind spool are formed with gears which engage one another. The platen gear is disposed proximate the cartridge tape port and an opening for admitting the printer print head. When the cartridge is horizontally inserted :into a printer openings the print head bears against the tape and ink ribbon which abuts the platen for controlled printing and advancement of the tape and ribbon. The platen gear partially extends from the front of the cartridge for driving engagement with a printer motor drive gear. In an alternate embodiment the rewind spool gear engages the printer motor drive gear.