Abstract: A occlusion detector for a dual-port surgical tourniquet system comprises: a tourniquet cuff for encircling a patient's limb and including an inflatable portion that communicates pneumatically with a first cuff port and that communicates pneumatically with a second cuff port independently of the first cuff port; a tourniquet instrument that is releasably connectable to the first and second cuff ports to establish first and second pneumatic passageways between the tourniquet cuff and the tourniquet instrument, wherein the tourniquet instrument includes pressure sensing means communicating with the first pneumatic passageway for producing an indication of the pressure in the cuff over a time period suitably long for the performance of a surgical procedure, pressure regulation means communicating with the second pneumatic passageway for regulating the pressure in the cuff near a reference pressure level, and an occlusion detector for introducing a pneumatic pressure pulse into the first pneumatic passageway duri

Abstract: A pneumatic tourniquet adapted for self application by an injured person in a military or emergency situation to stop arterial blood loss in an injured arm or leg comprises: a bladder having a width dimension and having a length dimension greater than the circumference of an injured limb of a subject at a selected location; and clamp means for securing the bladder around the limb at the selected location and adapted for sealing the bladder across the bladder width to establish an inflatable portion of the bladder to be the portion of the bladder that encircles the injured limb at the selected location.

Abstract: Apparatus for applying pressure to a patient's limb in order to augment venous blood flow in the limb and for monitoring the applied pressure, includes supplying a gas at a varying supply pressure to an inflatable sleeve that fits onto a limb to apply a varying pressure to the limb beneath the sleeve when inflated with the gas. A pressure transducer measures the pressure of gas in the inflatable sleeve and produces a sleeve pressure signal indicative of the estimated level of pressure. The apparatus measures the value of a predetermined pressure waveform parameter and produces a waveform parameter signal indicative of the measured value of the predetermined pressure waveform parameter.

Abstract: A low cost tourniquet cuff with identification apparatus comprises: an outer strip; an inner strip positioned against the outer strip; a gas-tight seal joining the inner strip to the outer strip to form a cuff having a physical characteristic wherein the cuff includes an inflatable bladder of a predetermined length greater than the circumference of a limb at a selected location; and a cuff connector carried on the cuff and communicating pneumatically with the bladder for releasably connecting to a tourniquet instrument to establish a gas-tight passageway between the bladder and the instrument, wherein the cuff connector includes identification means indicative of the physical characteristic and detectable by the tourniquet instrument upon establishment of the gas-tight passageway.

Abstract: An adaptive tourniquet cuff system comprises: a tourniquet cuff having a physical characteristic and including an inflatable bladder of a length greater than the circumference of a limb at a selected location; a cuff connector carried on the cuff and communicating pneumatically with the bladder for releasably connecting to a tourniquet instrument to establish a gas-tight passageway between the bladder and the tourniquet instrument; and an identifying collar including identification means indicative of the physical characteristic and detectable by the tourniquet instrument upon establishment of the gas-tight passageway. The tourniquet instrument may supply gas to the bladder through the gas-tight passageway at a pressure sufficient to stop arterial blood flow into the limb distal to the cuff at the selected location, and may adapt its operation in response to the detected physical characteristic of the cuff.

Abstract: A pneumatic tourniquet adapted for self application by an injured person in a military or emergency situation to stop arterial blood loss in an injured arm or leg comprises: a bladder having a width dimension and having a length dimension greater than the circumference of an injured limb of a subject at a selected location; and clamp means for securing the bladder around the limb at the selected location and adapted for sealing the bladder across the bladder width to establish an inflatable portion of the bladder to be the portion of the bladder that encircles the injured limb at the selected location.

Abstract: An apparatus for applying an adaptable pressure waveform to a patient's limb to augment blood flow comprises: an inflatable sleeve for applying pressure to the limb; pressure transducer for producing a pressure signal; pressure waveform applicator responsive to the pressure signal and a reference pressure waveform signal for controlling a supply of fluid to the sleeve so that the pressure in the sleeve is maintained near a varying pressure indicated by the reference pressure waveform signal; and waveform register for producing the reference pressure waveform signal indicative of a reference pressure waveform that includes a maximum pressure at a time within a cycle time period and a rate of pressure increase leading to the maximum pressure and wherein the waveform register includes waveform adaptor for allowing the rate of pressure increase to change from a first rate to a second rate without changing the maximum pressure.

Abstract: A low cost tourniquet cuff with identification apparatus comprises: an outer strip; an inner strip positioned against the outer strip; a gas-tight seal joining the inner strip to the outer strip to form a cuff having a physical characteristic wherein the cuff includes an inflatable bladder of a predetermined length greater than the circumference of a limb at a selected location; and a cuff connector carried on the cuff and communicating pneumatically with the bladder for releasably connecting to a tourniquet instrument to establish a gas-tight passageway between the bladder and the instrument, wherein the cuff connector includes identification means indicative of the physical characteristic and detectable by the tourniquet instrument upon establishment of the gas-tight passageway.

Abstract: Apparatus for monitoring the application of a varying pressure to a limb from a sleeve positioned on the limb in order to augment the flow of venous blood and thus reduce the incidence of embolism and deep venous thrombosis in the limb. The apparatus includes a transducer for producing a sleeve pressure signal that is indicative of pressure applied by the sleeve to the limb. This signal is used for periodically measuring the value of a preselected pressure waveform parameter (such as maximum pressure produced in the sleeve). The microprocessor-controlled apparatus also generates an interval signal that is indicative of a time interval during which the value of the selected waveform parameter remains within a particular range.

Abstract: A system for medical ultrasound in which the ultrasound probe is positioned by a robot arm under the shared control of the ultrasound operator and the computer is proposed. The system comprises a robot arm design suitable for diagnostic ultrasound, a passive or active hand-controller, and a computer system to co-ordinate the motion and forces of the robot and hand-controller as a function of operator input, sensed parameters and ultrasound images.

Abstract: Apparatus for applying an adaptable pressure waveform to a patient's limb for augmenting venous blood flow in the limb comprises: an inflatable sleeve for positioning onto a limb to apply a pressure to the limb beneath the sleeve when inflated with gas; pressure transducing means for sensing the pressure of gas in the sleeve and for producing a sleeve pressure signal indicative of the sensed pressure; pressure waveform application means responsive to the sleeve pressure signal and a reference pressure waveform signal for controlling the supply of pressurized gas to the sleeve so that the sensed pressure in the sleeve is maintained near a varying pressure indicated by the reference pressure waveform signal; and waveform register means for producing the reference pressure waveform signal indicative of a reference pressure waveform during a cycle time period wherein the reference pressure waveform includes a maximum pressure at a time within the cycle time period and a rate of pressure increase in an interval le

Abstract: Apparatus for relating pain and activity experienced by a patient comprises: pain transducing means for allowing a patient to select any one pain level from a predetermined number of pain levels and for producing a pain level signal indicative of the selected level; activity transducing means responsive to the pain level signal for measuring a level of a parameter of a physical activity of the patient near the time corresponding to the selection of the pain level and for producing an activity parameter level signal indicative of the measured level of the parameter; and relating means responsive to the pain level signal and the activity parameter level signal for characterizing the activity of the patient corresponding to the selected level of pain to be one activity level of a predetermined number of predefined activity levels and for producing a signal indicative of the characterized level of activity and the corresponding pain level.

Abstract: A method of monitoring the patency of an inflated tube in a pneumatic medical device. The method includes inflating the tubing of the device, generating a pneumatic pulse at one part of the tubing by varying pressure in the tubing, sensing at another part of the tubing the variation of the pressure, determining the time between the generated and sensed pressure, and producing a human-perceptible signal when the time between the generated and sensed pressure exceeds a reference level.

Abstract: A configuration register is incorporated into an electrically powered tourniquet apparatus for enabling an operator to change the values of parameters initially employed at the time of the next use of the apparatus, such as the initial pressure settings and elapsed time limits. These changed initial values of parameters are stored in memory and remain there despite inadvertent or intentional interruption of electrical power to the apparatus. An event register provides capability for recording the occurrence of events (cuff inflation, cuff deflation, etc.) and for relating the occurrence of the events to hazards and undesirable outcomes such as nerve damage associated with tourniquet usage. A safety circuit is included to detect and respond safely to certain failures which are possible within the tourniquet apparatus.

Abstract: Apparatus for evaluating the stability of the shoulder joint of a human subject includes a rotatable, elbow-holding assembly that has sensors and associated processing components for producing an indication of the rotational angle of the long axis of the humerus of the subject relative to a reference. Sensors measure muscle activity as the humerus is rotated. Changes in the muscle activity measurement are processed to produce an indication of the changes in the subject's apprehension as the humerus is moved. The apparatus may include a clock that indicates the times when muscle activity occurs. The levels of muscle activity may be recorded at different times and indicated to the operator. Pressure can be applied in a direction normal to the long axis of the humerus, and sensors produce an indication of the level of the applied pressure and corresponding apprehension of the subject. Also available is an indication of the level of muscle activity that occurs when such pressure is applied.

Abstract: A configuration register is incorporated into an electrically powered tourniquet apparatus for enabling an operator to change the values of parameters initially employed at the time of the next use of the apparatus, such as the initial pressure settings and elapsed time limits. These changed initial values of parameters are stored in memory and remain there despite inadvertent or intentional interruption of electrical power to the apparatus. An event register provides capability for recording the occurrence of events (cuff inflation, cuff deflation, etc.) and for relating the occurrence of the events to hazards and undesirable outcomes such as nerve damage associated with tourniquet usage.

Abstract: A physiologic tourniquet includes a safety interlock system for detecting any potentially hazardous attempt to change tourniquet cuff pressure during a procedure involving the use of two cuffs for intravenous regional anesthesia. The attempt to change pressure is prevented until the operator provides a timely and separate confirmation action.

Abstract: Apparatus for applying a pressure waveform to a patient's limb for augmenting venous blood flow in the limb comprises: a sleeve means adapted to position onto a limb and apply a pressure to the limb near a pressure corresponding to a sleeve pressure signal; pressure transducing means for producing an applied pressure signal indicative of the pressure applied to the limb by the sleeve means; waveform register means for producing a reference pressure waveform signal indicative of a reference pressure waveform during a predetermined cycle time period, wherein the amplitude of the reference pressure waveform signal at any instant within the cycle time period is indicative of the amplitude of the reference pressure waveform at the instant and wherein the shape of the reference pressure waveform during a predetermined time interval within the cycle time period is adapted to augment the flow of venous blood into the limb proximal to the sleeve means from the limb beneath the sleeve means during the interval; and pre

Abstract: Apparatus for monitoring the patency of tubing in a pneumatic medical device including: an inflatable appliance for positioning onto the surface of a limb and adapted to apply pressure to the limb beneath the appliance when inflated with gas; tubing for establishing a pneumatic conduit between the inflatable appliance and a pressure control system. The pressure control system for supplies the tubing with gas at a controlled pressure. The pressure control system includes a pulse generating system for generating a pneumatic pulse at a sensing location in the tubing by producing a variation in the pressure of the gas at the sensing location during a finite time interval. A tubing patency monitoring system is adapted to sense the variation of pneumatic pressure at the sensing location and produce a tubing obstruction signal when the variation of pneumatic pressure sensed after the finite time interval exceeds a reference level.

Abstract: A configuration register is incorporated into an electrically powered tourniquet apparatus for enabling an operator to change the values of parameters initially employed at the time of the next use of the apparatus, such as the initial pressure settings and elapsed time limits. These changed initial values of parameters are stored in memory and remain there despite inadvertent or intentional interruption of electrical power to the apparatus. An event register provides capability for recording the occurrence of events (cuff inflation, cuff deflation, etc.) and for relating the occurrence of the events to hazards and undesirable outcomes such as nerve damage associated with tourniquet usage.