Abstract: A device for identifying appropriate nerve stimulation points on a patient is described, for use with an electrical stimulation device. In a first embodiment, the device includes electrodes located on a flexible substrate, a conductive gel layer overlying the electrodes, and a partially conductive removable cover overlying the gel layer. The device may be operated initially with the cover in place to allow reduced stimulation to identify a suitable nerve stimulation point. The cover may then be removed, and the device operated at the identified point. The cover may include perforations allowing the gel to contact the patient; or may be a sacrificial gel layer.

Abstract: An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f.

Abstract: Bioelectrodes having enhanced biocompatible and biomimetic features are provided. Methods of making and using the bioelectrodes are further provided. A biologically integrated bioelectrode device and method for detecting electronic signals using a bioelectrode comprising a first electrically conductive substrate and a biological component. The bioelectrode also comprises a conductive polymer electrically coupling the first electrically conductive substrate and the biological component to define a bioelectrode. The bioelectrode can transmit or receive an electrical signal between the electrically conductive substrate and the biological component and conductive polymer.

Abstract: A system and method for monitoring the status of a battery in an in-vivo imaging device, prior to use of the in-vivo imaging device. The device may include a frame counter for counting the number of frames captured and may include monitoring the voltage of the battery. A warning signal is generated if it is determined that the battery is faulty prior to use. The warning signal can be generated by the device and/or by a receiver which receives data from the in-vivo imaging device and/or a by workstation which receives the data from the receiver.

Abstract: Systems and techniques are disclosed for determining the onset and offset of a ventricular fibrillation event and for distinguishing ventricular fibrillation from noise. In some examples, an electrocardiogram (ECG) signal is obtained; a transform is applied to the ECG signal to obtain an analytical pair, the analytical pair including the ECG signal and the transformed ECG signal; a speed-amplitude is determined from the analytical pair; and an onset of a ventricular fibrillation event is identified based at least one of a value of a cost function of the speed-amplitude over a window and a quantity of occurrences the speed-amplitude crosses a threshold over the window.

Abstract: Method and brain computer interface for processing a brain wave signal of a subject using a brain wave detector. One or more stimuli are applied to the subject which each include a pseudo random noise component. The brain wave signal is detected and mental processing of the one or more stimuli is tracked by correlating the pseudo random noise component and the brain wave signal.

Abstract: A neural monitoring device includes a stimulator configured to provide a stimulus, a mechanical sensor configured to generate an output signal corresponding to a sensed event, and a receiver configured to receive an output signal from the mechanical sensor and determine if the output signal corresponds to the stimulus provided by the stimulator.

Abstract: A nerve monitoring system facilitates monitoring an integrity of a nerve.

Abstract: The present invention relates to an MPI (Magnetic Particle Imaging) apparatus and a method for influencing and/or detecting magnetic particles in a field of view. Rather than moving the FFP (field free point) along a single, time-consuming high density trajectory it is proposed to use a number of low density trajectories with travelling phase, wherein each of said low density trajectories has the form of a closed curve differently located within the field of view.

Abstract: In a method for acquisition of magnetic resonance images of the heart, MR signals of the heart are acquired using an imaging sequence, wherein the magnetization is inverted by an RF inversion pulse before the acquisition of the MR signals; and of the heart activity is detected, and the point in time of the switching of the RF inversion pulse dependent on the detected heart activity.

Abstract: Techniques, systems and apparatus are described for magnetic resonance imaging. A magnetic resonance imaging (MRI) system comprises a scanner comprising a magnet, gradient coils and a radio frequency (RF) system to perform various operations. The scanner can apply a gradient field and a train of RF pulses comprising more than two phases to tag a target blood vessel, and acquire magnetic resonance signals based on the applied train of RF pulses to sample the more than two phases. The MRI system includes a data processing system in communication with the scanner to receive the acquired magnetic resonance signals and process the received magnetic resonance signal to generate images proportional to perfusion.

Abstract: A method for determining a vascularity of an object located in a body is proposed. A multidimensional volume image of a target area of the body including the object is acquired. The object is segmented in the volume image. An expanded volume of the object is calculated by expanding structure edges of a volume of the object in the volume image with a predetermined size. The volume of the object is subtracted from the expanded volume of the object for determining an immediate vicinity of the object. A further object in the volume image having a determined minimum volume in the immediate vicinity of the object is segmented. A number of voxels of the further object is compared with a total number of voxels in the immediate vicinity of the object for determining the vascularity of the object.

Abstract: An apparatus and method for indicating locus of an ultrasonic probe configured to transmit and receive ultrasonic waves toward a part of a subject wherein a position or movement of the ultrasonic probe is detected, and a locus of the ultrasonic probe on an image of the part of the subject is indicated according to the detected position or movement.

Abstract: An endoscope light source apparatus includes a turret provided with a first optical filter and a second optical filter for transmitting an illuminating light, an instruction section in which an operation instruction of the turret is inputted, a drive section that drives the turret, a first detector that detects a position of the turret, a first detected portion for identifying a position of the first optical filter, a second detected portion for identifying a position of the second optical filter, a second detector that optically detects a position of the first or the second detected portion, and a turret control section that outputs a drive signal to the drive section to move the turret until the first or the second detected portion is detected by the second detector and stop the turret in response to the first or the second detected portion being detected.

Abstract: A guidance device for determining the angular orientation of the distal end of a surgical instrument, comprising an indicator portion containing a constant vertical reference attached to a securing portion for attaching to the surgical instrument shaft. The guidance device has graduated markings upon it for indicating angle of surgical instrument rotation from the vertical reference.

Abstract: A displacement measurement method for achieving, at each position of interest, high accuracy measurement of a displacement, a velocity and a strain in an actually generated beam direction by measuring the beam direction angle from ultrasound echo data. The method includes the steps of: generating an ultrasound echo data frame through scanning an object in a lateral direction with an ultrasound steered beam having one steering angle; calculating both a beam direction and a frequency in the beam direction based on an azimuth angle ?=tan?1(fy/fx), a polar angle ?=cos?1[fz/(fx2+fy2+fz2)1/2], and a frequency (fx2+fy2+fz2)1/2 in the case where first spectral moments calculated from local ultrasound echo data at plural different temporal phases are expressed by a three-dimensional frequency vector (fx, fy, fz); and calculating a displacement component in the beam direction at each position of interest generated between plural different temporal phases.

Abstract: Provided is a photoacoustic apparatus capable of recognizing light quantity unevenness, which occurs on a surface of an analyte, and decreasing image unevenness resulted from the light quantity unevenness. A photoacoustic apparatus includes a light source configured to irradiate an analyte with light; an optical system configured to guide the light from the light source to the analyte; a detecting unit including a receiving element configured to receive an acoustic wave generated in the analyte by the light; a signal processing unit configured to acquire information about the inside of the analyte from a detected signal acquired from the detecting unit; an optical absorber configured to absorb the light from the light source; and a calculation unit configured to calculate an irradiation intensity distribution of the light on the basis of a detected signal acquired when the receiving element receives the acoustic wave generated from the optical absorber.

Abstract: An eye-mountable device includes an electrochemical sensor embedded in a polymeric material configured for mounting to a surface of an eye. The electrochemical sensor includes a working electrode, a reference electrode, and a reagent that selectively reacts with an analyte to generate a sensor measurement related to a concentration of the analyte in a fluid to which the eye-mountable device is exposed. The working electrode can have a first side edge and a second side edge. The reference electrode can be situated such that at least a portion of the first and second side edges of the working electrode are adjacent respective sections of the reference electrode.

Abstract: To measure internal information on the subject, the OCT (optical coherence tomographic) control device is equipped with: a first imaging control means for initiating imaging when it is determined that input of a measurement instruction to scan the laser light at a prescribed pitch in the imaging target area of a sample using the galvano mirror has been received, and completing imaging in an imaging time that matches the prescribed pitch; and with a second imaging control means for initiating imaging when it is determined that input of a preview instruction to scan at a coarser pitch than the prescribed pitch has been received, and for completing imaging when it is determined that input of a measurement instruction as an instruction to cancel the preview instruction has been received.

Abstract: A medical system comprising a selection unit configured to select at least one of layers in a three-dimensional tomographic image of a retina, and a generation unit configured to generate an opacity function indicating an opacity of each of a plurality of voxels constituting the selected layer, based on a frequency distribution of luminance values of the plurality of voxels.

Abstract: A system for determining the surface shape of the cornea of an eye by analyzing the reflection of a spatially distributed ring pattern. The system includes an element for generating a ring pattern, an illuminating unit, an image capturing unit, and a control and analyzing unit. The element for generating rings is a fresneled axicon with annular structures of different radii. Furthermore, an optical element for illuminating the entire surface of the fresneled axicon with plane waves and an optical element for separating the illuminating and detecting beam path are arranged between the illuminating unit and the fresneled axicon. Furthermore, the image capturing unit consisting of an imaging system and an image sensor is designed for a telecentric distance-independent image detection.

Abstract: The invention relates to rehabilitation systems and methods for providing therapy to individuals who have suffered a stroke or other neurological insult. A rehabilitation system may comprise a depth sensing camera positioned to view a workspace into which a patient's hands may be located, a display system viewable by the patient, and an electronic computer executing a stored program to display a representation of a virtual space holding at least one virtual object, display a representation of at least one hand of the patient, and monitor a virtual manipulation of the virtual object by the patient's hand. Other embodiments may include virtual reality goggles, head motion tracking, various exercises and of varying difficulty, tracking metrics and recording for subsequent playback.

Abstract: The invention provides methods and systems for evaluating a fluid transfer event between a parenteral fluid delivery and a patient. The evaluation of the fluid transfer event can be prospective real-time and/or historic, as desired, and take a variety of different formats.

Abstract: A fundus image is displayed, which enables accurate positioning and focusing to be easily performed with respect to an eye to be examined even on a small display unit by selecting a display magnification. At a first display magnification, an opening portion “m” of a mask specifying a predetermined angle of field of the fundus is displayed with no part missed in both of horizontal and vertical directions of a display unit 15. At a second display magnification, the opening “m” of the mask is displayed with no part missed in the horizontal direction in the display area of the display unit 15 and with some part missed in the vertical direction. Thus, the second display magnification is used to observe an essential part when the fundus is accurately observed.

Abstract: A radiation imaging apparatus is provided. The apparatus has moving means moving a pair of an X-ray tube and a detector relatively to an object. The apparatus further has means which acquire digital frame data outputted from the detector. The frame data are acquired from the same portion being imaged of the same object at different time points. The apparatus has means which use the frame data to produce a plurality of three-dimensional optimally focused images at the respective time points, an actual position and shape of the portion being imaged being reflected in the images, and means which estimate changes of the plural three-dimensional optimally focused images.

Abstract: A method and an apparatus for separating a composite signal into a plurality of signals is described. A signal processor receives a composite signal and separates a composite signal in to separate output signals. Pre-demodulation signal values are used to adjust the demodulation scheme.

Abstract: The present invention provides an electrochemical sensor that employs multiple electrode areas that are exposed for contact with a body fluid, e.g., when the sensor is inserted subcutaneously into a patient's skin. The exposed electrode areas are arranged symmetrically, such that a symmetrical potential distribution is produced when an AC signal is applied to the sensor. The sensors in accordance with these teachings can advantageously be used with AC signals to determine characteristics of the sensor and thus improve sensor performance. These teachings also provide a biocompatible sensor with multiple reference electrode areas that are exposed for contact with body fluid.

Abstract: Unique characteristic sounds produced as urine impacts the surface of the water are used to monitor men's urinary flow patterns and their dynamics. By detecting the intensity at selected acoustic frequencies, it is possible to accurately and precisely measure the urine flow rate. Techniques for analyzing urine flow and its dynamics employ sound levels that are detected with digital filters at two or more distinct frequency regions or channels of the sound spectrum. One frequency region that is designated the measurement channel is where the sound measurement intensity strongly depends on urine flow levels. Another frequency region that is designated the reference channel is where the sound measurement intensity is not dependent on urine flow levels. By using a combination of measurements from the measurement channel and the reference channel, the urine flow monitoring apparatus compensates for variations in operating conditions and other factors during use.

Abstract: The collapsible laryngoscope includes a substantially U-shaped frame having an open proximal end and a closed distal end, the proximal and distal ends being raised with respect to a central portion thereof to form a substantially saddle-shaped frame. A bite block is secured to the proximal end of the frame, fixing the proximal end. A distal end of a flexible rib is secured to the distal end of the frame, the proximal end of the flexible rib being positioned adjacent the bite block. An elastomeric sheath is secured to and covers the substantially U-shaped frame and the upper surface of the central portion of the flexible rib. A strap or the like is secured to the proximal end of the flexible rib for lifting the central portion of the flexible rib with respect to the substantially U-shaped frame. The flexible rib is then selectively locked in this deployed, lifted position.

Abstract: Minor traumatic brain injury is detected by operating (a) an image generator for presenting a visual stimulus having a predetermined movement across a visual field of a subject and (b) a sensor device for monitoring fast eye movement of the subject while the subject views the stimulus. The sensor device generates a signal encoding the subject's eye position. A computer or microprocessor operatively connected to the sensor device is configured for determining a parametric value for the fast eye velocity component.

Abstract: The disclosed embodiments include a method, system, and device for conducting ultrasound interrogation of a medium. The method includes transmitting a non-beamformed or beamformed ultrasound wave into the medium, receiving more than one echoed ultrasound wave from the medium, and converting the received echoed ultrasound wave into digital data. The method may further transmit the digital data. The transmission may be wireless. The system may include a main unit, a remote unit, a locator module, transducer elements, an analog-to-digital converter in communication with the transducer elements, and a transmitter in communication with the analog-to-digital converter. The main unit and the remote unit may be part of an ultrasound imaging system and the remote unit may communicate with the main unit. The locator module may communicate with the remote unit or the main unit. The locator module may identify a location of the remote unit or the main unit.

Abstract: An imaging system comprises a catheter having a lumen, a rotatable imaging probe within the catheter lumen including a distal transducer and first and second conductors coupled to the transducer, and a coupler that couples the rotatable first and second conductors to non-rotatable third and fourth conductors, respectively. The coupler includes a rotary capacitive coupler.

Abstract: A Doppler gate is automatically positioned in spectral Doppler ultrasound imaging. Samples acquired for multiple PW Doppler gates are used for B-mode and/or F-mode detection over time without interleaving transmissions for the PW Doppler. The B-mode and/or F-mode information are used to track gate placement. Alternatively or additionally, characteristics spectra from different gate locations are used to select a gate location. Either tracking may be used to change the locations sampled and/or beam characteristics, such as centering the locations and beam focus on the selected gate location.

Abstract: A videofluoroscopy accessory device adapted to securely and removably attach to an X-ray head of a fluoroscopy system or device. The videofluoroscopy accessory device on the current invention provides a platform for enhancing and supplementing the surgical environment with additional accessories. The accessories that could be used with the present invention include but are not limited to lights, cameras, microphones, and other medical equipment/tools for optimizing the surgical environment.

Abstract: A diagnostic imaging apparatus and method are provided. The diagnostic imaging apparatus includes a detection unit configured to detect a lesion from a medical image, an interpretation unit configured to acquire a shape feature value by interpreting a shape of the detected lesion in a frequency domain, and a diagnosis unit configured to determine whether the detected lesion is benign or malignant based on the acquired shape feature value.

Abstract: A method and a system for using tomosynthesis projection images of a patient's breast to reconstruct slice tomosynthesis images such that anatomical structures that appear superimposed in a mammogram are at conforming locations in the reconstructed images.

Abstract: An apparatus and method for generating an ultrasonic image are provided. The apparatus includes a transceiver configured to transmit an ultrasonic signal to an object, and receive an echo signal. The apparatus further includes a beam former configured to perform beamforming on the received echo signal to generate image data. The apparatus further includes a point spread function (PSF) estimator configured to update a PSF of the ultrasonic signal at each multiscale level to update the image data.

Abstract: An X-ray imaging system that allows X-ray images to be acquired from a desired direction by considering the tilt of a tabletop. The X-ray imaging system includes a support unit that holds an X-ray imaging unit that performs X-ray imaging of a subject. The subject is placed on the tabletop. A memory stores in advance imaging angle information from previous imaging. A tilt detector detects the tilt angle of the tabletop. A calculator calculates a correction angle for correcting the imaging angle information based on the imaging angle information and on the tilt angle. A drive unit moves the support unit to a position based on the imaging angle information and the correction angle.

Abstract: A radiation imaging apparatus includes an irradiation unit configured to irradiate radiation, a positioning unit configured to position the irradiation unit, and a cart unit configured to move while the irradiation unit and the positioning unit are mounted on the cart unit. The radiation imaging apparatus includes a moving unit configured to hold a display unit below the irradiation unit and to slide the display unit along a display screen of the display unit outwardly from the cart unit.

Abstract: Methods and devices for monitoring and/or treating patients comprise a switch to automatically start-up the device when the device contacts tissue. By automatically starting up the device, the device may be installed without the clinician and/or user turning on the device, such that the device can be easy to use. In many embodiments, the device comprises startup circuitry with very low current and/or power consumption, for example less than 100 pA. The startup circuitry can detect tissue contact and turn on circuitry that is used to monitor or treat the patient.

Abstract: An physiological data acquisition apparatus includes three or more leads, at least one AC current source, a switching mechanism structured to selectively couple the current source to selected lead pairs to inject an AC current across the selected lead pairs which produces an AC voltage across the selected lead pair, and a processing device. The processing device is structured to (i) determine an impedance across the current selected lead pair based on the AC voltage, (ii) determine whether the impedance is less than a predetermined threshold, (iii) if the impedance is less than the predetermined impedance threshold cause the current selected lead pair to be used for generating physiological parameter data, and (iv) if the impedance is not less than the threshold cause the switching mechanism to couple the at least one AC current source to a new selected pair of the leads.

Abstract: Methods, systems, and computer storage media are provided for determining whether a patient suffers from one or both of a recent deterioration in left ventricular function and a recent deterioration in mitral valve function. Transbrachial impedance velocimetry data and arterial pressure waveform data is received from a particular patient at a plurality of timepoints. An extent of deterioration is determined using a copula analysis of the patient data, and a statistical norm is determined for the patient's left ventricular function and mitral valve function. A current data value is received from the patient, including current transbrachial impedance velocimetry data and arterial pressure waveform data. The current data value is compared to the patient's statistical norm to determine whether the patient suffers from a recent deterioration in left ventricular function and/or mitral valve function.

Abstract: In order to so improve a surgical drive unit of a surgical instrument, comprising a motor with at least two motor windings, and a memory device for storing data characterizing the drive unit and/or the motor, that the reliability of drive units, instruments and drive systems of the kind described at the outset is enhanced, it is proposed that the drive unit comprise a first transmitting and receiving device, which is connected to the memory device, and a second transmitting and receiving device, which is connected to at least two connection contacts of the motor, and that the first and second transmitting and receiving devices be configured and interact in such a way that data are transferable between them in a contactless manner. An improved surgical instrument and a further developed surgical drive system are also proposed.

Abstract: An apparatus enabling a casual user in a residential set-up to perform himself almost every skin treatment procedure by using a variety of modules that may be inserted into an infrastructure frame. The apparatus presents a docking station and an applicator. The applicator simultaneously receives only two types of skin treatment modules, these may be replaced after use for modules providing a different type of skin treatment. Such skin treatment modules like epilator, shaver, exfoliation or abrasive module, suction head, and massage head apply a mechanical action to the skin. Ultrasound module applies ultrasound waves to the skin. Intense pulsed light and RF apply electromagnetic radiation to the skin. A combination of these modules may be used to provide a variety of skin treatments such as hair removal, skin rejuvenation, skin exfoliation, acne treatment, circumference reduction, and other skin treatments.

Abstract: A surgical retrieval apparatus for receipt of multiple tissue specimens includes a collection bag, a support ring, and a flip ring. The collection bag includes first and second packets each having an outer portion and an inner portion. The first and second packets define first and second adjacent chambers, respectively, that are each configured for receipt of a tissue specimen therein. The first and second packets are coupled to both the support ring and the flip ring. The flip ring is pivotably coupled to the support ring and is rotatable relative to the support ring between a first position, wherein the first chamber is accessible for depositing a tissue specimen therein and a second position, wherein the second chamber is accessible for depositing a tissue specimen therein.

Abstract: A method for producing a connection between two components of a medical implant which preferably are composed of different materials which cannot be welded to one another is described. Furthermore, a medical implant which is produced according to the method is described. Moreover, the medical implant comprises an connection interface whereon said medical implant is detachable from an introduction wire or introduction implement.

Abstract: A method and system for improved lesion creation. The method generally includes positioning a treatment element of a medical device proximate an area of target tissue and operating a control unit in accordance with a duty cycle, that includes at least one freeze-warm cycle, each freeze-warm cycle including: supplying coolant to the treatment element at a first flow rate that causes the treatment element to reach a first temperature, the first temperature causing ablation of the target tissue and cryoadhesion between the treatment element and target tissue, and supplying coolant to the treatment element at a second flow rate that causes the treatment element to reach a second temperature, the second temperature being higher than the first temperature and the second flow rate being lower than the first flow rate, the second temperature being above a temperature at which ablation occurs and below a temperature at which cryoadhesion is broken.

Abstract: The retractor system for use in spinal surgery and other types of surgical procedures that is a simple and efficient solution for minimally invasive access to thoracolumbar spine is disclosed. The fully customizable design allows the surgeon to independently angle the retractor blades and expand the retractor in both cephalad-caudal and medial-lateral directions. With an offering of a range of blade lengths, access can be tailored to the patient's anatomy. The retractor system provides versatility and control ensuring minimal tissue trauma.

Abstract: A focal ablation assembly, used with an endoscope comprising an endoscopic tube, comprises a cryogenic catheter, a balloon and a reinforcing element. The cryogenic catheter is placeable within the endoscopic tube channel and has a distal end placeable at the distal end of the endoscopic tube. The balloon is mountable to the catheter distal end and extends distally of both of the distal ends. The reinforcing element at least partially defines the shape of the balloon in the expanded state. The balloon defines a balloon volume when expanded and has a thermally conductive therapeutic region which provides effectively no thermal insulation. In some examples the focal ablation assembly comprises a delivery catheter extending along the channel with a distal portion fluidly coupled to the balloon interior, whereby refrigerant can be introduced into the balloon interior and towards the therapeutic region by the delivery catheter.

Abstract: A holder (100) for medical implements includes a base member (101) and at least one medical implement receiver (110). Each medical implement receiver (110) includes a pair of retention members (114,115) extending from the base member (101). Opposing faces (116,117) of the retention members (114,115) define an implement receiving recess (118). Slots (120,121) are provided in the opposing faces (116,117) to facilitate reception of syringe needle cap rims (330). The holder (100) can be configured as a medical tray (801) that can be attached to one or more other medical trays, including one having cup holders (870,871,872), one including a needle containment receptacle (881), or other medical trays.