Abstract: An improved electrode for establishing electrical contact with a nerve of a patient. This electrical contact may be used to sense neural activity on the nerve or to artificially stimulate it to perform various medical treatments. One embodiment of the electrode has an outer cuff of an insulating material which is sutured around the nerve to be contacted. A drug impregnated layer of material is positioned inside of the outer cuff. This material is a polymeric matrix which permits the drug to leach out at a predetermined rate. The drug is preferably a glucocortico steroid such as dexamethasone sodium phosphate. The actual electrical contact is produced by metallic foil which is positioned on the surface of the drug impregnated layer of material which is located inside of the cuff. A second embodiment employs a half cuff which is held in contact with the nerve tissue by being sutured to muscle tissue. The insulative substrate of the half cuff is a drug impregnated polymeric matrix.

Abstract: Apparatus and technique for monitoring physiological parameters. An acoustic sensor or microphone is placed in close proximity to the chest of a patient having one or two prosthetic heart valves. These heart valves produce clicks characteristic of opening and closing action. The acoustic sensor picks up the sound of these clicks and transfers them as electrical energy to a transmitter unit. The transmitter unit processes the analog signal, converts it to a digital signal and establishes the key timing factors involved. This digital data is stored in a memory buffer within the transmitter. Subsequently, this information is modulated and placed on telephone lines for transmission to a central monitoring site. At the monitoring site a demodulator returns the data to baseband digital signals. A computer at the central monitoring site displays the information in the time domain and also converts the information for display in the frequency domain.