Abstract: An accessory device for an endoscope includes a cap attached to a shaft of the endoscope, the cap extending along a first axis, a first tip coupled to the cap and movable relative to the cap between a deployed configuration and a non-deployed configuration, and a first shaft defining a lumen and extending proximally from the first tip. In the deployed configuration, the first tip extends along a second axis that is offset from the first axis, and in the non-deployed configuration, the first tip extends along a third axis that is offset from the first axis.

Abstract: An endoscope includes a shaft having proximal and distal ends and a longitudinal axis therebetween. A handle is coupled to the proximal end of the shaft, and an image sensor is carried on the distal end of the shaft. A channel extends through at least a distal shaft portion and has a channel diameter, and a section of the channel is re-configurable between a constricted shape and a non-constricted shape to accommodate tools introduced therethrough. The combined diagonal dimension and channel diameter is usually greater than the outer shaft diameter. The image sensor may be connected to a connector on the housing by a first slack flex circuit and a lights source on the shaft may be connected to a connector on the housing by a second slack flex circuit.

Abstract: An endoscopic device having embodiments of a hybrid imaging sensor that optimizes a pixel array area on a substrate using a stacking scheme for placement of related circuitry with minimal vertical interconnects between stacked substrates and associated features are disclosed. Embodiments of maximized pixel array size/die size (area optimization) are disclosed, and an optimized imaging sensor providing improved image quality, improved functionality, and improved form factors for specific applications common to the industry of digital imaging are also disclosed. Embodiments of the above may include systems, methods and processes for staggering ADC or column circuit bumps in a column or sub-column hybrid image sensor using vertical interconnects are also disclosed.

Abstract: A camera head includes: a casing including an opening and configured to receive a subject image introduced inside through the opening; an image sensor housed in the casing and configured to capture the subject image; an optical element made of a translucent material and fixed to an inner circumferential surface of the opening by brazing with solder to airtightly seal inside of the casing; and a watertight sealing member fixed to the casing and watertightly sealing the solder joining the casing and the optical element, the watertight sealing member including an annular elastic portion made of an elastic material, and a pressing portion including an annular pressing surface configured to press the elastic portion toward the optical element when the elastic portion abuts on an outer surface of the optical element facing space outside the casing, the pressing portion being fixed to the casing.

Abstract: A device for maintaining an optical path of an optical imaging system free of fog includes an elongated member having a distal end and a proximal end, a near-infrared (NIR) light-absorbing optical window disposed at the distal end, and an optical system disposed along the optical path. The device also includes a coupling module coupled to the elongated member at the proximal end and configured to transmit near-infrared light to the NIR light-absorbing optical window along the optical path and receive a light beam from an area of interest along the optical path.

Abstract: A method comprising capturing at least one image of a cervical tissue in-vivo; identifying a region of interest (ROI) in said cervical tissue within said at least one image; detecting at least a portion of a vaginal speculum within said at least one image; and determining a position of said portion of said vaginal speculum relative to said ROI.

Abstract: The present disclosure, in its various aspects, is directed to instrument accessory devices, implementation methods, and related delivery systems. Embodiments according to the present disclosure, including as described herein, may increase the effectiveness and efficiency of colonoscopy procedures, such as the removal of polyps. In one example, an embodiment includes an instrument accessory device with an expandable member, the device configured to receive an instrument through an instrument lumen, wherein the inner surface of the expandable member comprises a material characterized by a first elasticity and the outer surface of the expandable member comprises a material characterized by a second elasticity, the second elasticity being more elastic than the first elasticity.

Abstract: Disclosed are devices for cardioscopic and pericardioscopic access to the heart, including direct access to the left atrium. In certain embodiments, the device may comprise an atrial portal having a configuration such that the distal end of the atrial portal can access the atrium while the proximal end of the portal can extend to outside of the subject. The devices and methods may also include a pericardioscopic portal for emplacement of the atrial portal. Also, methods for using such atrial portals and pericardial portals to perform surgery on the heart, and in some cases to directly access the left atrium, and systems (e.g., kits) comprising these portals in combination with other therapeutic devices are disclosed.

Abstract: Systems and methods are provided for eye health and vision examinations. A customer diagnostic center is configured to generate customer examination data pertaining to an examination of a customer's eye. The customer diagnostic center provides a user interface for communicating with a customer and ophthalmic equipment for administering tests to the customer. A diagnostic center server is configured to receive the customer examination data from the customer diagnostic center over a network and allow the customer examination data to be accessed by an eye-care practitioner. A practitioner device associated with the eye-care practitioner is configured to receive the customer examination data from the diagnostic center server and display at least a portion of the customer examination data to the eye-care practitioner. Customer evaluation data is generated pertaining to the eye-care practitioner's evaluation of the customer examination data. An eye health report is provided to the customer via the network.

Abstract: The stereoscopic effect of an image presented in accordance with an additional optical system is compensated for. There is provided an ophthalmic surgery microscope system including: a surgical microscope that observes an inside of an eye from a pupil, and magnifies and presents a real image; an additional optical system selectively arranged between the surgical microscope and the pupil; an imaging unit that acquires the real image presented by the surgical microscope as an image; a presentation unit that stereoscopically presents the image; and a control unit that changes a vertical magnification control value for adjusting a vertical magnification of the real image in accordance with a detection result of the additional optical system.

Abstract: The present disclosure relates to systems, devices and methods for receiving biosensor data acquired by a medical device, e.g., relating to glucose concentration values, and controlling the access and distribution of that data. In some embodiments, systems and methods are disclosed for monitoring glucose levels, displaying data relating to glucose values and metabolic health information, and controlling distribution of glucose data between applications executing on a computer, such as a smart phone. In some embodiments, systems and methods are disclosed for controlling access to medical data such as continuously monitored glucose levels, synchronizing health data relating to glucose levels between multiple applications executing on a computer, and/or encrypting data.

Abstract: In some example embodiments, there is provided a method, which includes sending a message to a server, wherein the message includes a request for a share code to enable another user to access, via a first computer, analyte data obtained from a host-patient associated with a receiver and/or an analyte report for the host-patient associated with the receiver; receiving, in response to the sending, the share code generated by the server, wherein the share code comprises a checksum portion, a password portion, and an identifier portion indicative of the host-patient; generating a user interface view including the share code; and displaying the user interface view including the share code, wherein the share code enables the other user to access, via the first computer, the analyte data and/or the analyte report. Related systems, methods, and articles of manufacture are al so disclosed.

Abstract: A system and method for integration of telemedicine into multimedia video visitation systems of correctional facilities is disclosed herein. The system includes a telemedicine center that communicates with a medical center located at a correctional facility and a physician kiosk remote to the correctional facility. The medical center includes an inmate kiosk and a medical assistant station. The inmate kiosk and physician kiosk participate in a secure video call as part of an appointment between the inmate and physician. The inmate kiosk coordinates with the telemedicine center to verify an identity of the inmate. The inmate kiosk interfaces with a number of medical sensors and communicates data collected from the sensors to the physician kiosk.

Abstract: Various surgical hubs are disclosed. A surgical hub comprises a storage device; a processor coupled to the storage device; and a memory coupled to the processor. The memory stores instructions executable by the processor to: receive data from a surgical instrument coupled to the surgical hub; and determine a rate at which to transfer the data from the surgical hub to a remote cloud-based medical analytics network based on available storage capacity of the storage device.

Abstract: Embodiments of the present disclosure relate to implantable medical devices (IMDs). In an exemplary embodiment, an IMD comprises a power source and a housing enclosing the power source. The housing comprises a first side and a second side extending along a longitudinal axis between a first end and a second end, wherein the first side is opposite the second side and the first end is opposite the second end, and wherein a first distance between the first and second ends is greater than a second distance the first and second sides. The IMD further comprises a printed circuit board arranged on the first side of the base and conductively coupled to the power source. The IMD also comprises a non-conductive enclosure arranged over the printed circuit board and hermetically sealing the printed circuit board, the non-conductive enclosure comprising an outer surface.

Abstract: A dependency-based startup method in a multi-modality medical processing system that includes receiving initialization information about a plurality of executable components to be started, the plurality of executable components including an executable modality component configured to communicate with a medical device communicatively coupled to the multi-modality medical processing system. The method also includes receiving dependency information about the executable modality component, the dependency information identifying one or more of the executable components upon which the executable modality component depends and transforming the initialization information and the dependency information into a dependency map that represents the dependencies between the plurality of executable components.

Abstract: There is described a system for determining a coronal artery tissue type. The system generally has an optical coherence tomography (OCT) imaging system being configured for acquiring an OCT image of coronal artery tissue; and a controller configured to perform the steps of: using trained feature extraction engines, extracting corresponding feature vectors comprising a plurality of features in at least a region of interest of the OCT image; using trained classification engines, determining corresponding preliminary coronal artery tissue types associated to the region of interest of the OCT image based on corresponding ones of the plurality of feature vectors; and using a majority voting engine, majority voting an output coronal artery tissue type associated to the region of interest of the OCT image based on the previously determined preliminary coronal artery tissue types.

Abstract: A fractionated photoacoustic flow cytometry (PAFC) system and methods for the in vivo detection of target objects in biofluidic systems (e.g., blood, lymph, urine, or cerebrospinal fluid) of a living organism is described. The fractionated system includes a fractionated laser system, a fractionated optical system, a fractionated acoustic system, and combinations thereof. The fractionated laser system includes at least one laser or laser array for pulsing a target object within the circulatory vessel with fractionated focused laser beams. The fractionated optical system separates one or several laser beams into multiple beams in a spatial configuration on the skin above the circulatory vessel of the living organism. The fractionated acoustic system includes multiple focused ultrasound transducers for receiving photoacoustic signals emitted by the target object in response to the fractionated laser beams.

Abstract: A method for differentiating between tissue states or types including receiving a sequence of thermal data of a tissue, wherein the sequence is sampled at at least one location of the tissue while the tissue is being thermally disturbed, deriving from the thermal data at least one tissue-related thermal variable associated with each of the tissue locations, segmenting the tissue into segments comprising the locations having corresponding the at least one thermal variable and generating an output indicating the tissue segments. The disclosure also includes a system and computer product for differentiating between tissue states or types.

Abstract: The invention provides a body-worn monitor that measures a patient's vital signs (e.g. blood pressure, SpO2, heart rate, respiratory rate, and temperature) while simultaneously characterizing their activity state (e.g. resting, walking, convulsing, falling). The body-worn monitor processes this information to minimize corruption of the vital signs by motion-related artifacts. A software framework generates alarms/alerts based on threshold values that are either preset or determined in real time. The framework additionally includes a series of ‘heuristic’ rules that take the patient's activity state and motion into account, and process the vital signs accordingly. These rules, for example, indicate that a walking patient is likely breathing and has a regular heart rate, even if their motion-corrupted vital signs suggest otherwise.

Abstract: An earphone includes a loudspeaker, a microphone, a housing supporting the loudspeaker and microphone, and an ear tip surrounding the housing and configured to acoustically couple both the loudspeaker and the microphone to an ear canal of a user, and to acoustically close the entrance to the user's ear canal. A processor receives input audio signals from the microphone, detects peaks having a frequency of around 1 Hz in the input audio signals, based on the detected peaks, computes an instantaneous heart rate, measures a frequency of an oscillation within the instantaneous heart rate, and based on the frequency of the oscillation, computes a rate of respiration.

Abstract: Disclosed are a sensing method and a sensing apparatus for acquiring information about an object according to one embodiment. In particular, disclosed are a sensing method and a sensing apparatus for obtaining the shape of blood vessels by using information regarding the intensity of received light and information regarding the distance of an object.

Abstract: Embodiments of the present disclosure are configured to assess the severity of a blockage in a vessel and, in particular, a stenosis in a blood vessel. In some particular embodiments, the devices, systems, and methods of the present disclosure are configured to assess the severity of a stenosis in the coronary arteries without the administration of a hyperemic agent.

Abstract: A system for detecting strokes includes a sensor device configured to obtain physiological data from a patient, for example brain activity data. The sensor device can include electrodes configured to be disposed at the back of the patient's neck or base of the skull. The electrodes can detect electrical signals corresponding to brain activity in the P3, Pz, and/or P4 brain regions or other brain regions. A computing device communicatively coupled to the sensor device is configured to receive the physiological data and analyze it to indicate whether the patient has suffered a stroke.

Abstract: An electronic device includes a sensor unit configured to acquire a pulse wave of a subject's carotid artery and a controller configured to estimate a condition of the subject's carotid artery based on the pulse wave acquired by the sensor unit.

Abstract: To provide a blood pressure estimating device whereby information relating to the blood pressure of a subject can be acquired by a simple method. A blood pressure estimating device 10 is provided with a frequency analysis unit 11 for specifying the peak value of the heart sound frequency of a subject, and a blood pressure estimating unit 17 for determining information relating to the blood pressure of the subject on the basis of the peak value of the frequency. It is clear that there is a positive correlation between the peak value of the heart sound frequency and the blood pressure value; therefore, by analyzing the heart sound of a subject and specifying a frequency peak value, the blood pressure value of the subject can be easily and accurately estimated.

Abstract: A system and method for automatic determination of type of pneumatic cuff is disclosed. A system can include a pneumatic cuff with an integrated valve, and a console connectable to the pneumatic cuff. The console can be a pneumatic control system that can include a processor and memory including instructions, which when executed by the processor causes the processor to: inflate the pneumatic cuff through the integrated valve past a threshold pressure such that the integrated valve opens, receive sensor data indicative of a pressure curve during inflation of the pneumatic cuff, compare the pressure curve to stored pressure curves, determine a recommendation, based on the comparison, including information verifying the type of pneumatic cuff attached, and output the recommendation to a user.

Abstract: The invention provides a body-worn system that continuously measures pulse oximetry and blood pressure, along with motion, posture, and activity level, from an ambulatory patient. The system features an oximetry probe that comfortably clips to the base of the patient's thumb, thereby freeing up their fingers for conventional activities in a hospital, such as reading and eating. The probe secures to the thumb and measures time-dependent signals corresponding to LEDs operating near 660 and 905 nm. Analog versions of these signals pass through a low-profile cable to a wrist-worn transceiver that encloses a processing unit. Also within the wrist-worn transceiver is an accelerometer, a wireless system that sends information through a network to a remote receiver, e.g. a computer located in a central nursing station.

Abstract: The present disclosure provides systems and methods for processing laser speckle signals. The method may comprise obtaining a laser speckle signal from a laser speckle pattern generated using at least one laser light source that is directed towards a tissue region of a subject and a reference signal corresponding to a movement of a biological material of or within the subject's body. The method may comprise computing one or more measurements using a first function corresponding to at least the laser speckle signal and a second function corresponding to the reference signal. The method may comprise generating an output signal in part based on the one or more measurements for the function space and using the output signal to aid a surgical procedure on or near the tissue region of the subject.

Abstract: Methods and systems for characterizing tissue of a subject include acquiring and receiving data for a plurality of time series of fluorescence images, identifying one or more attributes of the data relevant to a clinical characterization of the tissue, and categorizing the data into clusters based on the attributes such that the data in the same cluster are more similar to each other than the data in different clusters, wherein the clusters characterize the tissue. The methods and systems further include receiving data for a subject time series of fluorescence images, associating a respective cluster with each of a plurality of subregions in the subject time series of fluorescence images, and generating a subject spatial map based on the clusters for the plurality of subregions in the subject time series of fluorescence images. The generated spatial maps may then be used as input for tissue diagnostics using supervised machine learning.

Abstract: The invention is directed to systems and methods for determining a fundamental pulse wave velocity value for a vessel with minimized effect of reflections originating from the vessel network connected distal to the respective vessel.

Abstract: This invention discloses a novel method for monitoring and analyzing human cardiovascular functions and the equipment implementing the said method. It presents a portable device with the implemented measurement-analytical method that enables monitoring of heart function and selectively of brain tissue functions by measuring electrical bioimpedance along with electrocardiogram (ECG) and photoplethysmogram (PPG) measurements. The presented method and equipment allow to measure two types of cardiovascular parameters, to process, synchronize, analyze them and thus to obtain information about the state of cardio and brain vascular activity changing over time. Also, spatial analysis is applied to the measured bioimpedance data which together with the temporal analysis data allows determining the patient's condition and how it changes after stroke.

Abstract: An invention to measure the blood pressure of a living body in a noncontact and non-invasive manner. An experimental device irradiates a subject with microwaves from a transmission antenna and a reception antenna. The phase of the reflected wave varies with micro-movements caused by the heartbeat, a pulse wave is detected from the difference between the emitted wave and the reflected wave. The experimental device detects the blood pressure from a blood pressure sensor mounted on the subject while detecting the pulse wave. A spectrum of the pulse wave of is generated by Fourier transformation. A comparison of the spectrum and the blood pressure of the subject detected by the blood pressure sensor reveals a positive correlation of the systolic blood pressure with an eighth harmonic wave from the pulse wave. A device can detect a pulse wave in a non-invasive manner using a microwave and measures systolic blood pressure.

Abstract: The present disclosure is directed to apparatuses, systems and methods for measuring time-varying radar cross section (RCS) of an artery of a patient, which may be used to determine blood pressure of a patient. In some embodiments, an apparatus is provided which comprises a radio-frequency (RF) transceiver for generating RF waves, and at least one sensor configured for positioning on or adjacent the skin of a patient, and at least one of transmitting the RF waves into tissue of the patient and receiving RF wave reflections from at least one artery located within the tissue. The apparatus may further comprise a processor having computer instructions operating thereon configured to cause the processor to determine an RF arterial pulse waveform based on the received RF wave reflections. The time-varying radar cross section (RCS) comprises the RF arterial pulse waveform. This may be in turn correlated to blood pressure of the patient.

Abstract: An apparatus for estimating bio-information is provided. The apparatus includes: an ultrasound image acquirer configured to acquire ultrasound images of an object; a pressurizer configured to apply pressure to the object to occlude a blood vessel; and a processor configured to estimate a change in a diameter of the blood vessel using the ultrasound images acquired by the ultrasound image acquirer before and after an occlusion of the blood vessel, and estimate bio-information based on the estimated change in the diameter of the blood vessel.

Abstract: An electronic device that can be worn on the body or introduced into the body includes: a casing having a top and a bottom and an inorganic support including an opening and composed of a plurality of components; and at least one window made of at least one of glass or glass ceramic provided on the bottom. The window is secured in the inorganic support and seals the opening in the inorganic support.

Abstract: Systems and methods for monitoring a receiver assembly configured to detect an ingestible event marker signal, the receiver including a disposable component and a reusable component. The methods can include monitoring the skin impedance experienced by the electrodes of the receiver assembly to determine whether the receiver assembly has poor contact quality or is off-body to notify the user accordingly. The methods can also include monitoring a power source level of the receiver assembly, which can be normalized according to the temperature of the receiver assembly, to determine when the power source is at a critical level to notify the user accordingly.

Abstract: Provided methods of detecting physiological states and/or disease states of an individual. Also provided are systems for detecting physiological states and/or disease states of an individual. The method are based on the response of organic semiconducting materials to one or more components of a biogas sample from an individual.

Abstract: An evaluation system for a ventilator provided for machine ventilation of a patient, comprising an evaluation device which is suitable and configured for recording, over time, a respiration parameter detected by a sensor. The evaluation device is suitable and configured for determining, from a time profile of the respiration parameter, a characteristic number for a respiration stability of the patient, such that the characteristic number provides an assessment of the quality of the ventilation during a period of time.

Abstract: A device for encouraging and guiding a spirometer user includes a housing, a main valve, a visual assembly, and a sound making assembly. The housing has a channel, a first outlet channel, a second outlet channel, and an inlet channel. The main valve is disposed in a housing communicating with the channel, the first outlet channel, the second outlet channel or the inlet channel and configured to regulate or control fluid flowing paths. The visual assembly includes a check valve in the second outlet channel, and at least one movable member. The sound making assembly includes a check valve and a sound making member. So, it can generate the visual and sound encouraging effects for learning how to use a spirometer correctly.

Abstract: The present disclosure relates to a novel device for selective collection and condensation of an exhaled breath, and the method of using the novel device. The novel device is portable and capable of collecting and condensing reproducible volumes of exhaled breath under about 10 minutes by using a unique temperature-based algorithm.

Abstract: An example vessel caliper according to the present disclosure includes a scale having a first clamp, and a slider movable relative to the scale such that a length measurement can be determined, the slider having a second clamp. Each of the first and second clamps have a spring action jaw configured to capture a catheter assembly therebetween. An example method of using the vessel caliper is also disclosed.

Abstract: For patient model estimation from surface data in a medical system, a stream or sequence of depth camera captures are performed. The fitting of the patient model is divided between different times or parts of the sequence, using the streaming capture to distribute processing and account for patient movement. Less manual involvement may be needed due to the regular availability of image captures. Subsequent fitting may benefit from previous fitting.

Abstract: Aspects of the disclosure relate to estimation of cardiovascular parameters based on a ballistocardiogram signal. In one example, an apparatus for estimating cardiovascular parameters includes a BCG sensor for producing a BCG signal of a user, a processor, a display, and a memory communicatively coupled to the processor. The processor and the memory are configured to transform the BCG signal to a synthetic whole-body BCG signal by integrating the BCG signal in time twice and zero-phase filtering the BCG signal, estimate the cardiovascular parameters based on the synthetic whole-body BCG signal, and display the cardiovascular parameters to the display. Other aspects, embodiments, and features are also claimed and described.

Abstract: The present disclosure relates to system and techniques for receiving data from one or more sensors associated with a person and controlling the use and redistribution of that data so it is used in an intended mariner. In particular, the data is related to gait and/or mobility of the person.

Abstract: One or more radar sensors can be used to monitor patients in a variety of different environments and embodiments. In one embodiment, radar sensors can be used to monitor a patient's breathing, including monitoring of tidal volume, chest expansion distance, breathing rate, etc. In another embodiment, a patient position can be monitored in a patient bed, which can be used as feedback for control of bladders of a patient bed. Additional embodiments are described herein.

Abstract: A method of monitoring respiration with an acoustic measurement device, the acoustic measurement device having a sound transducer, the sound transducer configured to measure sound associated with airflow through a mammalian trachea, the method includes correlating the measured sound into a measurement of tidal volume and generating at least one from the group consisting of an alert and an alarm if the measured tidal volume falls outside of a predetermined range.

Abstract: A medical device capable of determining its location is provided. The medical device comprises a memory, one or more antennas, one or more processors coupled with the memory and the one or more antennas, a location manager component executable by the one or more processors. The location manager component is configured to receive first location information from a first location information source and second location information from a second location information source, to rank the first location information source and the second location information source according to a hierarchy of location information sources, the hierarchy of location information sources specifying that the first location information source is of higher rank than the second location information source, determine an approximate location of the medical device based on the first location information, and improve the accuracy of the approximate location based on the second location information.

Abstract: A computer-implemented method for providing training guidance in connection with a physical exercise includes: measuring, by using a heart activity sensor, heart activity of a user during a physical exercise; measuring, by using a bioimpedance measurement sensor, bioimpedance of the user during the physical exercise; computing, by a processing circuitry, a stroke volume from the bioimpedance synchronized to a cardiac cycle of the user by using the measured heart activity; computing, by the processing circuitry, training intensity by using at least the computed the stroke volume; comparing, by the processing circuitry, the training intensity with at least one threshold; and outputting at least one training guidance instruction on the basis of the comparison.

Abstract: A medical device for providing therapy to a patient comprises at least one processor configured to receive a first patient biometric signature from at least one first sensor interface. The at least one processor is further configured to record the first patient biometric signature in a patient encounter record in at least one memory. The at least one processor is further configured to receive patient information from an external source, the patient information comprising a second patient biometric signature. The at least one processor is further configured to make a determination that the second patient biometric signature corresponds to the first patient biometric signature. The at least one processor is further configured to, in response to making the determination, merge the patient information and the patient encounter record into a merged record for a patient encounter.