Abstract: Described herein is a multipurpose rotational tool. The multipurpose rotational tool comprises a screwdriver and a wire nut driver. The screwdriver defines a longitudinal axis. The wire nut driver being coaxially and slideably positioned over at least a portion of the screwdriver. In a first configuration, the wire nut driver is unlocked from the screwdriver, and slidingly positioned proximal to a rear end of the screwdriver. In a second configuration, the wire nut driver is slidingly positioned proximal to a front end of the screwdriver, and locked thereon.

Abstract: Techniques are disclosed for implementing a unified partitioning scheme within distributed database systems to allow a table to be horizontally partitioned and those partitions stored on and serviced by a storage group. A storage group is a subset of storage manager (SM) nodes, and each SM node is configured to persist database data in durable storage. The distributed database system assigns each storage group to a subset of SM nodes. The distributed database system can address each storage group using a symbolic mapping that allows transactions to identify a particular storage group, and to direct read and write operations to a subset of SM nodes servicing that storage group. An administrator can update this mapping on-the-fly to cause the distributed database system to dynamically adjust an implemented partitioning scheme without necessarily interrupting on-going database operations.

Abstract: Techniques are disclosed for implementing a unified partitioning scheme within distributed database systems to allow a table to be horizontally partitioned and those partitions stored on and serviced by a storage group. A storage group is a subset of storage manager (SM) nodes, and each SM node is configured to persist database data in durable storage. The distributed database system assigns each storage group to a subset of SM nodes. The distributed database system can address each storage group using a symbolic mapping that allows transactions to identify a particular storage group, and to direct read and write operations to a subset of SM nodes servicing that storage group. An administrator can update this mapping on-the-fly to cause the distributed database system to dynamically adjust an implemented partitioning scheme without necessarily interrupting on-going database operations.

Abstract: Techniques are disclosed for implementing a unified partitioning scheme within distributed database systems to allow a table to be horizontally partitioned and those partitions stored on and serviced by a storage group. A storage group is a subset of storage manager (SM) nodes, and each SM node is configured to persist database data in durable storage. The distributed database system assigns each storage group to a subset of SM nodes. The distributed database system can address each storage group using a symbolic mapping that allows transactions to identify a particular storage group, and to direct read and write operations to a subset of SM nodes servicing that storage group. An administrator can update this mapping on-the-fly to cause the distributed database system to dynamically adjust an implemented partitioning scheme without necessarily interrupting on-going database operations.

Abstract: Techniques are disclosed for implementing a unified partitioning scheme within distributed database systems to allow a table to be horizontally partitioned and those partitions stored on and serviced by a storage group. A storage group is a subset of storage manager (SM) nodes, and each SM node is configured to persist database data in durable storage. The distributed database system assigns each storage group to a subset of SM nodes. The distributed database system can address each storage group using a symbolic mapping that allows transactions to identify a particular storage group, and to direct read and write operations to a subset of SM nodes servicing that storage group. An administrator can update this mapping on-the-fly to cause the distributed database system to dynamically adjust an implemented partitioning scheme without necessarily interrupting on-going database operations.

Abstract: Techniques are disclosed for implementing a unified partitioning scheme within distributed database systems to allow a table to be horizontally partitioned and those partitions stored on and serviced by a storage group. A storage group is a subset of storage manager (SM) nodes, and each SM node is configured to persist database data in durable storage. The distributed database system assigns each storage group to a subset of SM nodes. The distributed database system can address each storage group using a symbolic mapping that allows transactions to identify a particular storage group, and to direct read and write operations to a subset of SM nodes servicing that storage group. An administrator can update this mapping on-the-fly to cause the distributed database system to dynamically adjust an implemented partitioning scheme without necessarily interrupting on-going database operations.

Abstract: A system for detecting acute ischemia includes at least two sensors configured for obtaining electrical signals from a patient's heart, analog-to-digital converter circuitry for digitizing the signal to produce data segments, and a processor configured to analyze data segments to determine if they represent an abnormal heart rhythm. Certain types of abnormal rhythm segments are also checked for acute ischemia. If enough of the abnormal heart rhythm segments manifest acute ischemia, a first type of alarm event is generated. If persistent abnormal heart rhythm segments do not manifest acute ischemia, a second type of alarm event is generated.

Abstract: A system for detecting cardiac events and alerting the patient of the cardiac event issued by an implanted medical device. A processor detects a cardiac event and issues an activation signal to a patient alerting mechanism which emits an alarm during a first time interval followed by an alarm-off period of time. Reminder alarms are issued periodically following the alarm-off period of time. Reminder alarms are issued during reminder on-periods of time which are shorter than the first time interval. The alarm-off period and the time between periodic reminder alarms are greater than the alarm first time interval. A disabling device permits disabling of reminder alarms.

Abstract: A system for detecting acute ischemia includes at least two sensors configured for obtaining electrical signals from a patient's heart, analog-to-digital converter circuitry for digitizing the signal to produce data segments, and a processor configured to analyze data segments to determine if they represent an abnormal heart rhythm. Certain types of abnormal rhythm segments are also checked for acute ischemia. If enough of the abnormal heart rhythm segments manifest acute ischemia, a first type of alarm event is generated. If persistent abnormal heart rhythm segments do not manifest acute ischemia, a second type of alarm event is generated.

Abstract: Disclosed is a system for the detection of cardiac events (a guardian system) that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using one or more detection algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the guardian system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means).

Abstract: A method for tracking cardiac conditions is disclosed. An electrical signal from a patient's heart is sensed. A heart signal parameter value and an associated heart rate value are computed from the electrical signal. Based on the heart rate value, one of a plurality of histograms stored in a histogram memory is updated with the heart signal parameter value. After a data collection time period has elapsed, a statistical value of the heart signal parameter is computed from the selected histogram. A detection threshold for abnormal values of the heart signal parameter is then computed based on the statistical value.

Abstract: Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using different algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means) which are activated after the ST segment of the electrogram exceeds a preset threshold.

Abstract: Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using different algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means) which are activated after the ST segment of the electrogram exceeds a preset threshold.

Abstract: A physician's programmer for an implantable device is disclosed. The programmer includes a receiver for receiving wireless transmission data from the implantable heart monitor. A processor is configured to extract from the wireless transmission data ST-deviation histogram data as a function of heart rate. The histogram data for a particular heart rate range is shown on a display in the form of a bar chart. The histogram data for a plurality of heart rate ranges is shown in the form of a chart with multiple line plots.

Abstract: Disclosed is a system for the detection of cardiac events that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using different algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means) which are activated after the ST segment of the electrogram exceeds a preset threshold.

Abstract: A physician's programmer for an implantable device is disclosed. The programmer includes a receiver for receiving wireless transmission data from the implantable heart monitor. A processor is configured to extract from the wireless transmission data ST-deviation histogram data as a function of heart rate. The histogram data for a particular heart rate range is shown on a display in the form of a bar chart. The histogram data for a plurality of heart rate ranges is shown in the form of a chart with multiple line plots.

Abstract: A system for the detection of cardiac events occurring in a human patient is provided. At least two electrodes are included in the system for obtaining an electrical signal from a patient's heart. An electrical signal processor is electrically coupled to the electrodes for processing the electrical signal and a patient alarm means is further provided and electrically coupled to the electrical signal processor. The electrical signal is acquired in the form of electrogram segments, which are categorized according to heart rate, ST segment shift and type heart rhythm (normal or abnormal). Baseline electrogram segments are tracked over time.

Abstract: Disclosed is a system for the detection of cardiac events (a guardian system) that includes an implanted device called a cardiosaver, a physician's programmer and an external alarm system. The system is designed to provide early detection of cardiac events such as acute myocardial infarction or exercise induced myocardial ischemia caused by an increased heart rate or exertion. The system can also alert the patient with a less urgent alarm if a heart arrhythmia is detected. Using one or more detection algorithms, the cardiosaver can detect a change in the patient's electrogram that is indicative of a cardiac event within five minutes after it occurs and then automatically warn the patient that the event is occurring. To provide this warning, the guardian system includes an internal alarm sub-system (internal alarm means) within the cardiosaver and/or an external alarm system (external alarm means).

Abstract: An implanted device which includes a vibrator having a drive motor and a drive circuit. An accelerometer is connected to the vibrator and senses alarm test data related to the displacement of the vibrator. A power source provides electricity to the implanted device and a processor is configured for bi-directional wireless communication. The processor is configured for receiving a command from an external device for performance of an alarm test and the processor analyzes the alarm test data for generating test results.

Abstract: Alarm tests are disclosed which use alarm test signals to assess alarms provided by medical devices. Especially relevant are implanted devices that monitor cardiac activity and provide notification in response to medically relevant events. Alarm tests can occur periodically, or in response to a patient, doctor, or remote party initiating the alarm test. Alarm tests can also occur during the actual alarms issued to detected medical events. Alarm tests lead to pass or fail results, which in turn may cause operations to contingently occur. Alarm test failure in the auditory, visual, or tactile modality, may cause an alternatively defined alarm signal to be used as back-up. Alarm test logs can store alarm test results, including quantification of the measured alarm signal. Rapid alarm tests are described, as are various methods of accurately measuring characteristics of the test signal in ambulatory patients, which are especially relevant to a vibration alarm.