Abstract: A therapeutic ultrasound method configured to adaptively transmit ultrasound pulses toward microbubbles in a treatment region to remove an occlusion is described. In some examples, the system may include a treatment pulse unit configured to transmit an ultrasound pulse to a treatment region of a subject, the treatment region including a plurality of microbubbles. An echo detection unit may be configured to receive one or more echoes responsive to the ultrasound pulse. In some examples, the method may also include a data processor configured to identify, using data associated with the echoes, at least one echo signature indicative of a dynamic state of the microbubbles in response to the ultrasound pulse. A controller may be configured to adjust one or more parameters of an additional ultrasound pulse transmitted to the treatment region via the treatment pulse unit based on the at least one echo signature.

Abstract: A system and method for determining position information for a device within a body of a subject. The device outputs and/or routes an acoustic signal with a frequency of no more than 20 kHz, which is received by at least a first sensor, positioned externally to the body of the subject. A processing system receives the received signal from the sensor, obtains a value for one or more parameters of the received signal and processes the value(s) to determine position information for the device.

Abstract: Valve assemblies having improved ability to selectively control flow of fluids through the catheter and prevent leakage of fluids from the proximal end of a catheter that is positioned within a patient. Such improved catheter valve assemblies also prevent leakage of fluids after repeated insertion and removal of medical instruments through the valve.

Abstract: A catheter assembly configured for use with a male luer is provided herein. The catheter assembly can comprise a catheter hub having an interior chamber and a valve located in the interior chamber. The valve can comprise a distal portion, a proximal portion, and a sidewall extending therebetween to define a valve interior. The valve can include a barrier layer having a concave shape that extends in the valve interior from the sidewall at the distal portion. The barrier layer can have at least one slit extending therethrough that is in a normally closed configuration to prevent a fluid from passing through the barrier layer. The catheter assembly can further comprise a sealing ring located circumferentially at a distal end of the valve distally to the barrier layer. The sealing ring can form a seal between the valve and the interior chamber at the distal end.

Abstract: A catheter assembly configured for use with a male luer is provided herein. The catheter assembly can comprise a catheter hub having an interior chamber and a valve located in the interior chamber. The valve can comprise a distal portion, a proximal portion, and a sidewall extending therebetween to define a valve interior. The valve can include a barrier layer having a concave shape that extends in the valve interior from the sidewall at the distal portion. The barrier layer can have at least one slit extending therethrough that is in a normally closed configuration to prevent a fluid from passing through the barrier layer. The catheter assembly can further comprise a sealing ring located circumferentially at a distal end of the valve distally to the barrier layer. The sealing ring can form a seal between the valve and the interior chamber at the distal end.

Abstract: An ultrasound control unit (10) is for coupling with an ultrasound transducer unit (12). The control unit is adapted to control a drive configuration or setting of the transducers of the transducer unit, each drive setting having a known power consumption level associated with it. The control unit includes a control module (20) adapted to adjust the drive setting from a first setting to a second setting, the second having a lower associated power consumption that the first. The second setting is tested by an analysis module (16), the analysis module adapted to determine a measure of reliability of ultrasound data acquired by the transducer unit, for the purpose of deriving at least one physiological parameter, when configured in the second setting. The second setting is only used if its determined reliability passes a pre-defined reliability condition.

Abstract: An ultrasound imaging system is for determining stroke volume and/or cardiac output. The imaging system may include a transducer unit for acquiring ultrasound data of a heart of a subject (or an input for receiving the acquired ultrasound data), and a controller. The controller is adapted to implement a two-step procedure, the first step being an initial assessment step, and the second being an imaging step having two possible modes depending upon the outcome of the assessment. In the initial assessment procedure, it is determined whether regurgitant ventricular flow is present. This is performed using Doppler processing techniques applied to an initial ultrasound data set. If regurgitant flow does not exist, stroke volume is determined using segmentation of 3D ultrasound image data to identify and measure the volume of the left or right ventricle at each of end systole and end-diastole, the difference between them giving a measure of stroke volume.

Abstract: A catheter assembly configured for use with a male luer is provided herein. The catheter assembly can comprise a catheter hub having an interior chamber and a valve located in the interior chamber. The valve can comprise a distal portion, a proximal portion, and a sidewall extending therebetween to define a valve interior. The valve can include a barrier layer having a concave shape that extends in the valve interior from the sidewall at the distal portion. The barrier layer can have at least one slit extending therethrough that is in a normally closed configuration to prevent a fluid from passing through the barrier layer. The catheter assembly can further comprise a sealing ring located circumferentially at a distal end of the valve distally to the barrier layer. The sealing ring can form a seal between the valve and the interior chamber at the distal end.

Abstract: A method and system is for assisting a user in positioning an ultrasound probe relative to a subject's body. In use, the user moves the probe through a series of positions, and ultrasound image data is captured for each position, the data at each position corresponding to a particular imaging view of the anatomical region being imaged. An assessment procedure (16) is operable to process ultrasound data for different imaging views, and to determine for the data for each view a rating, representative of the suitability of the data for that view for observing one or more anatomical features or deriving one or more clinical parameters from the data. Guidance feedback is generated (18) for the user for assisting the user in positioning the probe, wherein the guidance feedback is based on a history (26) of image view quality over time over the course of the imaging procedure.

Abstract: The invention provides an ultrasound processing unit. A controller (18) of the unit is adapted to receive ultrasound data of an anatomical region, for example of the heart. The controller processes the ultrasound data over a period of time to monitor and detect whether alignment of a particular anatomical feature (34) represented in the data relative to a field of view (36) of the transducer unit is changing over time. In the event that the alignment is changing, the controller generates an output signal for communicating this to a user, allowing a user to be alerted at an early stage to likelihood of misalignment and loss of imaging or measurement capability.

Abstract: A medical imaging element support unit is for use in fixing a medical imaging element (26) releasably against a region of skin of a subject. The includes a support body (14), having a base for engaging with skin of a subject in use and having a coupling means (22) for releasably coupling the medical imaging element (26) to the support body in use. A pneumatic positioning mechanism facilitates adjustment of a position of the medical imaging element relative to the support body, this being fluidly supplied by an air pump mechanism. The same air pump mechanism facilitates releasable fixation of the support body (14) to the skin, through creation of a configurable suction force at the skin engagement surface.

Abstract: An interface unit (12) for connecting between an ultrasound sensing apparatus (14) and a patient monitor (18) for providing ultrasound monitoring functionality of one or more physiological or anatomical parameters based on processing of ultrasound data. The interface unit includes means for processing acquired ultrasound data to derive measurements of one or more physiological or anatomical parameters and is configured for outputting said derived measurements to a coupled patient monitor unit, e.g. for display and/or trending by the patient monitor.

Abstract: Methods and devices to facilitate positioning of a catheter into a vessel. Devices include axially concentric assemblies of a piercing cannula, a shield and tubing such as a catheter where the shield can be passively or actively locked into position over the cannula tip to prevent inadvertent needle sticks.

Abstract: Valve assemblies having improved ability to selectively control flow of fluids through the catheter and prevent leakage of fluids from the proximal end of a catheter that is positioned within a patient. Such improved catheter valve assemblies also prevent leakage of fluids after repeated insertion and removal of medical instruments through the valve.

Abstract: The invention provides a method for guiding the acquisition of ultrasound data within a 3D field of view. The method begins by obtaining initial 2D B-mode ultrasound data of a cranial region of a subject from a reduced field of view at a first imaging location and determining whether a vessel of interest is located within the 3D field of view based on the initial 2D B-mode ultrasound data. If the vessel of interest is not located within the 3D field of view, a guidance instruction is generated based on the initial 2D B-mode ultrasound data, wherein the guidance instruction is adapted to indicate a second imaging location to obtain further ultrasound data. If the vessel of interest is located within the 3D field of view 3D Doppler ultrasound data is obtained of the cranial region from the 3D field of view.

Abstract: A method (20) and device for deriving an estimate of intracranial blood pressure based on motion data for a wall of an intracranial blood vessel, intracranial blood flow velocity, and a blood pressure signal measured at a location outside the brain. The method is based on identifying (28) a time offset between the two intracranial signals (vessel wall movement and vessel blood flow), and then applying (30) this offset to the blood pressure signal acquired from outside the brain to obtain a fourth signal, indicative of estimated intracranial blood pressure.

Abstract: Valve assemblies having improved ability to selectively control flow of fluids through the catheter and prevent leakage of fluids from the proximal end of a catheter that is positioned within a patient. Such improved catheter valve assemblies also prevent leakage of fluids after repeated insertion and removal of medical instruments through the valve.

Abstract: A therapeutic ultrasound method configured to adaptively transmit ultrasound pulses toward microbubbles in a treatment region to remove an occlusion is described. In some examples, the system may include a treatment pulse unit configured to transmit an ultrasound pulse to a treatment region of a subject, the treatment region including a plurality of microbubbles. An echo detection unit may be configured to receive one or more echoes responsive to the ultrasound pulse. In some examples, the method may also include a data processor configured to identify, using data associated with the echoes, at least one echo signature indicative of a dynamic state of the microbubbles in response to the ultrasound pulse. A controller may be configured to adjust one or more parameters of an additional ultrasound pulse transmitted to the treatment region via the treatment pulse unit based on the at least one echo signature.

Abstract: Methods and devices to facilitate positioning of a catheter into a vessel. Devices include axially concentric assemblies of a piercing cannula, a shield and tubing such as a catheter where the shield can be passively or actively locked into position over the cannula tip to prevent inadvertent needle sticks.

Abstract: An ultrasound control unit (12) is for configuring visualization of ultrasound data using in use a display unit. The control unit is adapted to acquire ultrasound image data and to automatically control visualization of the most relevant parts and views the data, based on current levels of a number of different monitored physiological parameters. In particular, responsively to one of the physiological parameters entering or leaving a pre-defined range of values (e.g. representative of an alert or normal condition respective for the patient), the control unit determines a most appropriate anatomical region within the image data for representing the changed physiological parameter, and a most useful visualization mode (e.g. view) for presenting or showing that anatomical region within the image data. One or more display frames are generated which show the anatomical region visualized in accordance with the selected visualization mode.