Abstract: A device for puncturing the skin of a patient. The device includes first and second protrusions, each protrusion puncturing the skin when pressed against the skin. The first and second protrusions are arranged such that the first protrusion punctures the skin at a location less than a predetermined distance from the second protrusion. The distance is chosen to be less than the discriminatable distance between distinct pain perception points in the patient, such that the patient perceives a single puncture when the first and second protrusions puncture the skin. In one embodiment of the invention, the device includes a base lip that applies a lateral force to the skin when the base lip is pressed against the skin. In this embodiment, the protrusions are pressed into the skin as the base lip is pressed against the skin.

Abstract: A sensor for sensing in a gas stream a vapor of a liquid. The sensor includes a micropore and a wet temperature sensor. The micropore has an evaporation end and has a lumen to conduct liquid from a supply of the liquid for evaporation at the evaporation end. The wet temperature sensor has a heat sensitive part in contact with the liquid in the micropore. The heat sensitive part circumscribes the micropore and forms part of the lumen. Heat loss due to evaporation of the liquid when the wet temperature sensor wet with the liquid is placed in the gas stream will result in the temperature sensed by the wet temperature sensor being lower than the non-evaporative temperature of the gas stream. This lowering in temperature can be measured to determine the concentration of the vapor in the gas stream. An example of such a sensor has a thermocouple junction having micropores passing through the thermocouple junction.

Abstract: An apparatus and method for minimizing a subject's pain perception during an invasive medical procedure, such as blood sampling and the like. The apparatus can include a receiving surface constructed to contact a portion of the subject's skin and a vibratory mechanism associated with the receiving surface such that the vibratory mechanism transmits vibrations through the receiving surface and to the subject's skin. An invasive sharp can be substantially permanently supported and moveably disposed with respect to the receiving surface such that the invasive sharp reciprocates between a first position in which the sharp is spaced from the receiving surface, away from the subject's skin, and a second position in which at least a portion of the sharp protrudes through an opening in the receiving surface.

Abstract: A sensor for sensing in a gas stream a vapor of a liquid. The sensor includes a micropore and a wet temperature sensor. The micropore has an evaporation end and has a lumen to conduct liquid from a supply of the liquid for evaporation at the evaporation end. The wet temperature sensor has a heat sensitive part in contact with the liquid in the micropore. The heat sensitive part circumscribes the micropore and forms part of the lumen. Heat loss due to evaporation of the liquid when the wet temperature sensor wet with the liquid is placed in the gas stream will result in the temperature sensed by the wet temperature sensor being lower than the non-evaporative temperature of the gas stream. This lowering in temperature can be measured to determine the concentration of the vapor in the gas stream. An example of such a sensor has a thermocouple junction having micropores passing through the thermocouple junction.

Abstract: A sensor for sensing in a gas stream a vapor of a liquid. The sensor includes a micropore and a wet temperature sensor. The micropore has an evaporation end and has a lumen to conduct liquid from a supply of the liquid for evaporation at the evaporation end. The wet temperature sensor has a heat sensitive part in contact with the liquid in the micropore. The heat sensitive part circumscribes the micropore and forms part of the lumen. Heat loss due to evaporation of the liquid when the wet temperature sensor wet with the liquid is placed in the gas stream will result in the temperature sensed by the wet temperature sensor being lower than the non-evaporative temperature of the gas stream. This lowering in temperature can be measured to determine the concentration of the vapor in the gas stream. An example of such a sensor has a thermocouple junction having micropores passing through the thermocouple junction.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A device for sampling blood from the skin of a patient by puncture. The device includes one or more lancets for lancing the skin and a fluid-conducting plate unit for transporting blood from the lancing wound. The plate unit has one or more channels for conducting fluid to one or more target locations. Preferably there is a first channel for conducting away a first portion of fluid that contains more of a fluid that is emitted initially (initial fluid) from the puncture wound and a second channel for conducting a second portion of fluid that contains less of the initial fluid from the puncture wound. Blood is drawn into the channels by capillary force. The device can be used to lance the skin and obtain a representative sample of blood with relatively simple procedures.

Abstract: A cartridge for sampling and analyzing blood from the skin of a patient. The cartridge has a cartridge case, a lancet, and associated with the cartridge case an analytical region for analyzing the property of blood. The lancet has a tip for lancing the skin and is housed in the cartridge case. The lancet is operatively connected to the cartridge case such that the lancet can be pushed to extend its tip outside the cartridge case for lancing the skin to yield blood. The blood from the lancing wound is transferred to the analytical region and be analyzed.

Abstract: A cassette containing cartridges for sampling blood from a patient. The cassette includes a container for storing a plurality of cartridges and at least one cartridge in the container. The cartridge includes a cartridge case and a lancet. The lancet has a tip and is housed in the cartridge case. The lancet can be driven to extend the tip outside the cartridge case for lancing the skin of the patient to yield blood. The container has a compartment that contains at least one cartridge. A cartridge from the compartment can be loaded onto a glucometer that drives the lancet in the cartridge to lance the skin of a patient.

Abstract: A blood sampling apparatus for sampling blood from the skin of a patient for analysis. The apparatus includes a cartridge and a housing with a driver. The cartridge has a cartridge case, lancet, and a compartment associated with the cartridge case for receiving blood. The lancet is housed in the cartridge case and operatively connected thereto such that it is drivable to extend outside the cartridge case through a lancing opening for lancing the skin to yield blood. The housing has a driver for urging the lancet to extend outside the cartridge case. During lancing, the cartridge is preferably detachably held in the housing such that the cartridge can be disassociated from the driver after sampling blood.

Abstract: A blood sampling device for penetrating skin to obtain a blood sample is disclosed. The blood sampling device has a blade structure that can be extended from a housing to pierce the skin and then retracted. The blade structure has at least two blades each including a cutting edge. The blades abut one another to form a rigid joint from which the blades extend. The blades each have a distal portion in which the distance from the rigid joint to the cutting edge decreases towards and terminates at a sharp point at a distal end. Each blade generally forms an angle less than 180 degrees with at least one neighboring blade. This structure decreases the tendency of the blade structure to flex as the distal end of the blade structure penetrates the skin to yield blood.

Abstract: A microfluidic structure assembly having a microchannel formed by bonding two plates together is disclosed. The microfluidic structure assembly includes a first plate and a second plate. At least one of these plates has one or more microgrooves. Microdepressions and microprojections are also present in the plates and they connect such that the microprojections of one plate fit into the microdepressions of the other plate. As a result, the two plates are proximate to each other to form an assembly in which the microgrooves to form microchannels. These microdepressions and microprojections securely lock the microchannels into desired positions. Preferably the plates are made by molding to form the microdepressions, microgrooves, and microchannels.

Abstract: A blood analysis apparatus for obtaining blood for analysis from the skin of a patient with a controlled degree of lancing. The apparatus including a cartridge and a driver. The cartridge includes a cartridge case and a lancet. The lancet has a tip and is housed in the cartridge case. The lancet can be driven to extend the tip outside the cartridge case through an opening for lancing the skin of the patient to yield blood. The driver drives the lancet to move the tip distally to lance the skin. The driver is triggerable by the skin which is to be lanced exerting a force exceeding a preset amount against the triggering mechanism of the apparatus, to drive the lancet toward the skin.

Abstract: An imaging guidewire for imaging tissues from inside a patient's body cavity. The imaging guidewire includes an elongated main body portion and an end portion. The end portion has a housing near to the guidewire's distal end, an ultrasonic beam emitting assembly having a pivotable part, and a driver for producing a pivotal motion on the pivotable part. The housing has a portion that is acoustically transparent. The pivotable part is movable and is operatively connected to the housing. The pivotable part can either have on it a transducer for emitting ultrasound or a reflector for reflecting ultrasound. In either case, when the pivotable part pivots it sweeps ultrasonic energy over a selected angle. The driver is located near to the transducer such that all driving motions for driving the pivotal motion occur near the distal end of the imaging guidewire.

Abstract: An ultrasonic probe for imaging tissues from inside a patient's body cavity is disclosed. The ultrasonic probe includes an end portion having a back and forth pivotable transducer assembly for transmitting an ultrasonic beam. The transducer assembly is supported by a silicon-containing support about a cavity and includes a transducer block on a base layer connected to the support via one or more twistable or flexible support arms. The transducer block includes a backing layer, a transducer layer on said backing layer, and an acoustic matching layer on the transducer layer. A bottom electrode in the transducer block penetrates the backing layer to connect electrically to a bottom face of the transducer layer to a conductor which is on a first face of the block. A top electrode penetrates the acoustic matching layer to connect electrically to a top face of the transducer layer to a conductor on a second face of the block for activating the transducer layer.

Abstract: An ultrasonic probe for imaging tissues from inside a patient's body cavity is disclosed. The ultrasonic probe includes a housing near to the probe's distal end, an ultrasonic beam emitting assembly having a pivotable part, and a driver for producing a pivotal motion on the pivotable part. The housing has a portion that is acoustically transparent. The pivotable part is movable and is operatively connected to the housing. The pivotable part can either have mounted on it a transducer for emitting ultrasound or a reflector for reflecting ultrasound. In either case, when the pivotable part pivots it sweeps ultrasonic energy over a selected angle. The driver is located near to the transducer such that all driving motions for driving the pivotal motion occur near the distal end of the ultrasonic probe.

Abstract: A catheter apparatus for obtaining an image of internal surface characteristics of a vascular vessel is provided. The catheter apparatus comprises an tubular element adapted for insertion into the vascular vessel, a non-rotating acoustic waveguide disposed within the tubular element and coupled to a source of an ultrasonic signal located external to the vascular vessel, and an acoustically driven turbine. The turbine is responsive to the ultrasonic signal for directing the ultrasonic signal in a rotating pattern from a distal end of the acoustic waveguide through the tubular element at an angle relative to an axis of the vascular vessel. The ultrasonic signal includes a low frequency ultrasonic signal and a high frequency ultrasonic signal. The low frequency ultrasonic signal drives the acoustically driven turbine to direct the high frequency ultrasonic signal in the rotating pattern.

Abstract: A catheter apparatus for obtaining an image of interior surface characteristics of a vascular vessel is provided. The catheter apparatus comprises an outer tubular element adapted for insertion into the vascular vessel, a rotatable inner tubular element disposed within the outer tubular element, and a non-rotating acoustic waveguide disposed within the inner tubular element and coupled to a source of an ultrasonic signal located external to the vascular vessel. The inner tubular element is rotated about an axis of the vascular vessel by use of an external driving member, such as a motor. The inner tubular element is provided with an acoustic reflecting or refracting element that directs the ultrasonic signal from a distal end of the acoustic waveguide through the outer tubular element at an angle relative to the axis of the vascular vessel.