Abstract: A medication delivery device usable with a medication container wherein advancement of a piston within the container expels medication. The device includes a housing and a drive assembly. The drive assembly includes a drive ribbon having distal and proximal edge sections. The drive ribbon has a retracted configuration defining a spiral and an extended configuration defining a helix. The drive ribbon is movable from the retracted configuration to the extended configuration with the movement defining a drive axis and advancing the piston. In some embodiments, the drive ribbon may not rotate as the drive ribbon is advanced while in other embodiments, the ribbon does rotate. Disclosed drive assemblies include manually driven assemblies, spring driven assemblies and motor driven assemblies. The container may be replaceable to allow for reuse of the device. In some embodiments, replaceable cartridges which include both the medication container and the drive ribbon are employed.

Abstract: The present disclosure provides a securement assembly for an enteral access device or vesical access device (“access device”). The securement assembly includes a base and a lid. The base is generally configured to support an external port of the access device and the lid is pivotably coupled to the base. The base comprises a border rim and a central portion, wherein the border rim is configured to engage a skin surface of a patient around a stoma and the central portion is configured to engage the external port of the access device. The central portion may comprise opposing side arms defining an aperture through which a tube of the access device extends.

Abstract: A medication delivery device usable with a medication container wherein advancement of a piston within the container expels medication. The device includes a housing and a drive assembly. The drive assembly includes a drive ribbon having distal and proximal edge sections. The drive ribbon has a retracted configuration defining a spiral and an extended configuration defining a helix. The drive ribbon is movable from the retracted configuration to the extended configuration with such movement defining a drive axis and advancing the piston. In some embodiments, the drive ribbon may not rotate as it is advanced while in other embodiments, the ribbon does rotate. The disclosed drive assemblies include manually driven assemblies, spring driven assemblies and motor driven assemblies. The containers may be replaceable to allow for reuse of the device. In some embodiments, replaceable cartridges which includes both a medication container and a drive ribbon are employed.

Abstract: A medical delivery device for advancing a piston in a medicament container to expel a medicament. A support structure supports the container and a drive assembly that advances the piston. The drive assembly includes a drive ribbon that can be retracted and extended. The retracted ribbon defines a spiral and the extended ribbon defines a helix. The drive ribbon is incrementally moveable between the retracted spiral configuration and extended helical configuration. A mechanical drive rotates the drive ribbon to selectively extend and retract the ribbon. A thrust member having a helical ramp engages a proximal edge of the drive ribbon where it transitions between a spiral and helix. A bearing member at the distal end of the drive ribbon exerts an axial force on the piston when the ribbon is extended.

Abstract: The present disclosure comprises a multi-component dressing for securing an enteral access device, for example, a gastrosnootomy, jejunostomy, cecostomy or vesicostomy button or a gastrostomy tube, or a parenteral access device, and can comprise one or more of an adhesive layer, an absorptive layer and a securement layer to engage the device.

Abstract: Tools and techniques for the rapid, continuous, invasive and/or noninvasive measurement, estimation, and/or prediction of a patient's physiological state. In an aspect, some tools and techniques can estimate predict the onset of conditions intracranial pressure, an amount of blood volume loss, cardiovascular collapse, and/or dehydration. Some tools can recommend (and, in some cases, administer) a therapeutic treatment for the patient's condition. In another aspect, some techniques employ high speed software technology that enables active, long term learning from extremely large, continually changing datasets. In some cases, this technology utilizes feature extraction, state-of-the-art machine learning and/or statistical methods to autonomously build and apply relevant models in real-time.

Abstract: A medical delivery device for advancing a piston in a medicament container to expel a medicament. A support structure supports the container and a drive assembly that advances the piston. The drive assembly includes a drive ribbon that can be retracted and extended. The retracted ribbon defines a spiral and the extended ribbon defines a helix. The drive ribbon is incrementally moveable between the retracted spiral configuration and extended helical configuration. A mechanical drive rotates the drive ribbon to selectively extend and retract the ribbon. A thrust member having a helical ramp engages a proximal edge of the drive ribbon where it transitions between a spiral and helix. A bearing member at the distal end of the drive ribbon exerts an axial force on the piston when the ribbon is extended.

Abstract: Tools and techniques for estimating a probability that a patient is bleeding or has sustained intravascular volume loss (e.g., due to hemodialysis or dehydration) and/or to estimate a patient's current hemodynamic reserve index, track the patient's hemodynamic reserve index over time, and/or predict a patient's hemodynamic reserve index in the future. Tools and techniques for estimating and/or predicting a patient's dehydration state. Tools and techniques for controlling a hemodialysis machine based on the patient's estimated and/or predicted hemodynamic reserve index.

Abstract: Methods and systems are disclosed for autonomously building a predictive model of outcomes. A most-predictive set of signals Sk is identified out of a set of signals s1, s2, . . . , sD for each of one or more outcomes ok. A set of probabilistic predictive models ôk=Mk(Sk) is autonomously learned, where ôk is a prediction of outcome ok derived from the model Mk that uses as inputs values obtained from the set of signals Sk. The step of autonomously learning is repeated incrementally from data that contains examples of values of signals s1, s2, . . . , sD and corresponding outcomes o1, o2, . . . , oK. Various embodiments are also disclosed that apply predictive models to various physiological events and to autonomous robotic navigation.

Abstract: Tools and techniques for the rapid, continuous, invasive and/or noninvasive measurement, estimation, and/or prediction of a patient's physiological state. In an aspect, some tools and techniques can estimate predict the onset of conditions intracranial pressure, an amount of blood volume loss, cardiovascular collapse, and/or dehydration. Some tools can recommend (and, in some cases, administer) a therapeutic treatment for the patient's condition. In another aspect, some techniques employ high speed software technology that enables active, long term learning from extremely large, continually changing datasets. In some cases, this technology utilizes feature extraction, state-of-the-art machine learning and/or statistical methods to autonomously build and apply relevant models in real-time.

Abstract: Tools and techniques for the rapid, continuous, invasive and/or noninvasive measurement, estimation, and/or prediction of a patient's intracranial pressure. In an aspect, some tools and techniques can predict the onset of conditions such as herniation and/or can recommend (and, in some cases, administer) a therapeutic treatment for the patient's condition. In another aspect, some techniques employ high speed software technology that enables active, long term learning from extremely large, continually changing datasets. In some cases, this technology utilizes feature extraction, state-of-the-art machine learning and/or statistical methods to autonomously build and apply relevant models in real-time.

Abstract: Tools and techniques for estimating a probability that a patient is bleeding or has sustained intravascular volume loss (e.g., due to hemodialysis or dehydration) and/or to estimate a patient's current hemodynamic reserve index, track the patient's hemodynamic reserve index over time, and/or predict a patient's hemodynamic reserve index in the future. Tools and techniques for estimating and/or predicting a patient's dehydration state. Tools and techniques for controlling a hemodialysis machine based on the patient's estimated and/or predicted hemodynamic reserve index.

Abstract: Methods and systems are disclosed for autonomously building a predictive model of outcomes. A most-predictive set of signals Sk is identified out of a set of signals s1, s2, . . . , sD for each of one or more outcomes ok. A set of probabilistic predictive models ôk=Mk (Sk) is autonomously learned, where ôk is a prediction of outcome ok derived from the model Mk that uses as inputs values obtained from the set of signals Sk. The step of autonomously learning is repeated incrementally from data that contains examples of values of signals s1, s2, . . . , sD and corresponding outcomes o1, o2, . . . , oK. Various embodiments are also disclosed that apply predictive models to various physiological events and to autonomous robotic navigation.

Abstract: Tools and techniques for the rapid, continuous, invasive and/or noninvasive measurement, estimation, and/or prediction of a patient's intracranial pressure. In an aspect, some tools and techniques can predict the onset of conditions such as herniation and/or can recommend (and, in some cases, administer) a therapeutic treatment for the patient's condition. In another aspect, some techniques employ high speed software technology that enables active, long term learning from extremely large, continually changing datasets. In some cases, this technology utilizes feature extraction, state-of-the-art machine learning and/or statistical methods to autonomously build and apply relevant models in real-time.

Abstract: Tools and techniques for enhancing intelligent medical monitoring, and in particular monitoring that employs models for estimating and/or predicting physiological conditions. In an aspect, some of these tools and techniques employ active physical perturbation of a test subject (or patient), to induce physiological changes in the subject. By monitoring one or more of the patient's physiological parameters shortly before, during, and/or after the physical perturbation, the subject's reaction to the perturbation can be determined, and this reaction can be used to estimate and/or predict the subject's physiological state and/or clinical condition. In a particular case, the subject's response to the physical perturbation can be used to construct and/or refine a model that can be applied to analyze the subject's physiological parameters to produce such predications and/or estimations.

Abstract: A method and apparatus for imaging an object including the steps of projecting radiation from a radiation source through an object and moving the radiation source through multiple imaging positions relative to the object without stopping movement of the radiation source. Movement is accomplished while projecting radiation at more than one of the imagining positions with the source having a source velocity for at least one imaging position that is different from a source velocity for a second imaging position. Radiation transmitted through the object is also detected. Radiation may be projected while moving the radiation source through the multiple imaging positions. In addition, the velocity at which the radiation source is moved through a select imaging position may be related to a resolution desired for data collection at the select imaging position. The velocity of the radiation source may be varied within a select imaging position.

Abstract: A dose indicating assembly in a pharmaceutical injection device (20). The dose indicating assembly includes an external housing barrel (31) extending in an axial direction, and a dial at least partially disposed within the housing barrel. The dial (33) is screwably movable in the axial direction relative to the barrel during dose setting. The dial includes an outer radial periphery with a plurality of parallel arrays (38, 39, 40) of dose indicia provided thereon, each of the plurality of arrays of dose indicia provided in a helical pattern on the periphery. The dose indicating assembly also includes means (50) for viewing the dose indicia of a selectively chosen one of the plurality of arrays.

Abstract: A method and apparatus for imaging an object including the steps of projecting radiation from a radiation source through an object and moving the radiation source through multiple imaging positions relative to the object without stopping movement of the radiation source. Movement is accomplished while projecting radiation at more than one of the imagining positions with the source having a source velocity for at least one imaging position that is different from a source velocity for a second imaging position. Radiation transmitted through the object is also detected. Radiation may be projected while moving the radiation source through the multiple imaging positions. In addition, the velocity at which the radiation source is moved through a select imaging position may be related to a resolution desired for data collection at the select imaging position. The velocity of the radiation source may be varied within a select imaging position.

Abstract: Vehicle cover apparatus including a cover for covering the vehicle, a housing for attachment to the vehicle for storing the cover when it is not being used to cover the vehicle, and a closure for the housing which exerts a pulling force on the cover when the cover is on the vehicle to tighten the cover relative to the vehicle.

Abstract: Disclosed herein is a powered cultivating tool or the like which includes a prime mover disposed within a housing, an output shaft extending from .[.said.]. .Iadd.the .Iaddend.housing having a pinion fixed thereto, .[.said.]. .Iadd.such .Iaddend.pinion being placed in meshing engagement with a gear having a first roller thereon offset from the axis of rotation of the gear which engages a cam follower operatively connected to a cultivating implement such as a tine so that the implement displays an oscillatory pendulum-like motion about a vertical radial line extending from an axis rotation of the gear.