Abstract: A wearable electronic device and method are disclosed, including: at least one sensor including a plurality of electrodes, at least one processor operatively connected with the at least one sensor, and a memory operatively connected with the at least one processor. The processor implements the method, including detecting coupling of the wearable electronic device with an external accessory contacting a body of a user, and based on detecting the coupling with the external accessory, measuring a biometric signal using a voltage received from at least two electrodes from among a plurality of measurement electrodes included in the external accessory.

Abstract: The present subject matter relates to methods, systems, devices, circuitry and equipment providing for communication service to be transported between first and second networks, and which monitors the communication service and/or injects test signals, and which can provide redundancy. At least one demarcation point or line is established between the first network and the second network, and/or between the first network, the second network and/or a third network. The Circuitry comprises a plurality of input amplifiers, output amplifiers, and multiplexer switches between a plurality of Port connectors. An SFP module or a WSFP module is inserted in the Ports.

Abstract: The present subject matter relates to methods, circuitry and equipment providing a multi-functional, cost effective, media independent, open platform for communication services using differential signaling interfaces. The methods, circuitry and equipment comprise a plurality of input amplifiers, output amplifiers, and multiplexer switches or resistive dividers, which provide the ability to monitor, provide service protection switching, provide redundant services, provide on-demand service, provide service upgrades, security, test, and troubleshoot any communication devices and services.

Abstract: The present invention relates to an electrocardiography (ECG) connector comprising two lead wire terminals (40a, 40b), each for connection with a respective signal line of a respective lead wire (204, 205), four measurement terminals (41a, 41b, 42a, 42b), each for connection with a respective measurement line (208a, 208b, 208c, 208d) of a connection cable (208), four resistors (43a, 43b, 44a, 44b), each coupled with their first end to a respective measurement terminal (41a, 41b, 42a, 42b), wherein two resistors (43a, 44a) are coupled with their second end to a first lead wire terminal (40a) and the other two resistors (43b, 44b) are coupled with their second end to the second lead wire terminal (40b), and four voltage clamping elements (45a, 45b, 46a, 46b), each coupled with their first end to a respective measurement terminal (43a, 43b, 44a, 44b) and with their second end to a common coupling point (47).

Abstract: A neuromonitoring system utilizes transcutaneous, trans-abdominal nerve root stimulation to monitor the health and status of the motor neural pathways of the lower extremities during the portions of a surgical procedure in which a tissue retraction assembly is used to maintain an operative corridor. A method of monitoring the status of nerve during a spinal surgical procedure delivers a transcutaneous, trans-abdominal stimulation signal to the spine. A determination is made of a stimulation threshold required to elicit a neuromuscular response from the stimulation signal.

Abstract: A system for assessing at least one characteristic of a device within a recipient is provided. The system includes a device removably insertable into the recipient where the device includes at least one of a treatment element and implant, and at least one wireless tag positioned within at least one portion of the device. The system includes a tracking device that includes processing circuitry configured to: if the device is inserted into the recipient, interrogate the at least one wireless tag positioned within at least one portion of the device; determine at least one characteristic of at least one portion of the device in three dimensional space based at least in part on the interrogation of the at least one wireless tag; and cause the at least one characteristic of the at least one portion of the device relative to the recipient to be indicated.

Abstract: An electrocardiograph (ECG) patch including: a first electrode; a second electrode; a high pass filter configured to receive a bias voltage and provide the bias voltage to the first electrode and the second electrode; and a signal processing unit configured to generate the bias voltage and provide the bias voltage to the high pass filter.

Abstract: The present disclosure generally relate s to blood pressure monitoring. In some embodiments, methods and devices for measuring a mean arterial pressure and/or for monitoring blood pressure changes of a user are provided. Blood pressure measured by one or more pressure sensors may be adjusted using one or more correction factors. The use of the one or more correction factors disclosed herein may allow for more compact, convenient, and/or accurate wearable blood pressure measurement devices and methods. In particular, wrist-worn devices may be provided which are less bulky than current devices and may facilitate more frequent and accurate blood pressure monitoring.

Abstract: According to an example aspect of the present invention, there is provided an apparatus comprising memory configured to store a user-specific calibration metric, and at least one processing core, configured to determine an activity type identifier of an activity a user is engaged in, and to determine a user-specific intensity level of the activity, wherein determining the user-specific intensity level is based at least partly on the identifier of the activity type, the user-specific calibration metric and data obtained from a kinematic or speed sensor, and to obtain the user-specific calibration metric by causing the apparatus to participate in a calibration procedure, the calibration procedure including communicating heart rate data of the user with a server.

Abstract: Systems and methods for processing sensor data are provided. In some embodiments, systems and methods are provided for calibration of a continuous analyte sensor. In some embodiments, systems and methods are provided for classification of a level of noise on a sensor signal. In some embodiments, systems and methods are provided for determining a rate of change for analyte concentration based on a continuous sensor signal. In some embodiments, systems and methods for alerting or alarming a patient based on prediction of glucose concentration are provided.

Abstract: Systems and methods for measuring signals representative of muscle activity are provided. One method includes detecting an ECG signal through a plurality of electrodes. The ECG signal includes a plurality of ECG sample signals, and each ECG sample signal is a bipolar signal associated with two of the plurality of electrodes and includes a cardiac signal component and a myographic signal component. The method further includes filtering each of the ECG sample signals to remove at least a portion of the cardiac signal component and generate a combined myographic power signal for the two of the plurality of electrodes with which the ECG sample signal is associated. Each combined myographic power signal represents a myographic potential between the two electrodes. The method further includes calculating individual myographic power signals for each of the plurality of electrodes by applying the combined myographic power signals within a covariance matrix.

Abstract: Described herein are electrical stimulation patterns and methods of use thereof for treating dry eye disease, tired eye, or other forms of ocular discomfort. The methods generally include applying patterned stimulation to an anatomical structure located in an ocular region or a nasal region to increase tear production.

Abstract: An endoscope system includes: an image pickup device configured to output a digital signal; an EEPROM in which predetermined information concerning an endoscope is recorded; a signal control portion capable of selectively converting data of one of the digital signal outputted from the image pickup device and the predetermined information of the EEPROM to serial data and outputting the serial data; an electro-optical conversion portion configured to convert the data outputted from the signal control portion to an optical signal and output the optical signal; a universal cable; and a data switching portion switched to transfer the predetermined information from the EEPROM by the signal control portion and then transfer the digital signal by the signal control portion. The signal control portion decides through which of a metal transmitting member and an optical transmitting member the predetermined information is transmitted, based on a data amount of the predetermined information.

Abstract: A target frequency band to be processed in a detected signal of a heartbeat sensor is controlled according to a detected signal of an inertial sensor.

Abstract: Sensors provide environmental conditions and plant growth information while control devices regulate the conditions. A calculated data point for a growth of a plant may be generated, and an optimum input variable value for the growth may be obtained. A target value for a sensor data point of a sensor that monitors a condition affecting the growth or the calculated data point for the growth may be further acquired. As such, one or more control devices that most strongly correlate with the target value may be determined based on at least one of the optimum input variable value or a vector association array. Thus, at least one control device setting value for the one or more control devices may be ascertained based on a target path for achieving the target value. Accordingly, each control device may be commanded to implement a control device setting value.

Abstract: The endoscopic surgery device includes: an outer tube body that penetrates through a body wall to be inserted into a body cavity; an endoscope insertion path provided inside the outer tube body; a treatment tool insertion path provided inside the outer tube body; a position sensor that has a non-sensitive area where no change in a relative position of the treatment tool insertion part with respect to the endoscope insertion part is detected even if the treatment tool insertion part is moved back and forth, and a sensitive area that is an area other than the non-sensitive area, where change in a relative position of the treatment tool insertion part is detected, and that detects its movement amount with respect to the outer tube body; and a control unit that changes a range of an observation image acquired by the endoscope in accordance with the detected movement amount.

Abstract: Systems and methods for applying time-dependent algorithmic compensation functions to data output from a continuous analyte sensor. Some embodiments determine a time since sensor implantation and/or whether a newly initialized sensor has been used previously, for example, by initializing a sensor, acquiring sensor data, using the sensor, to measure an analyte level in the host's body over a first interval based on a first elapsed time since the sensor was implanted, determining whether the sensor has been previously used in a previous sensor session or the sensor is a new sensor, and upon determining the sensor is a new sensor, adjusting the acquired sensor data to compensate for sensor drift of the new sensor by applying a first set of time-dependent algorithmic functions to the sensor data associated with the first interval.

Abstract: An object of the invention is to shorten a measurement time while preventing deterioration in resolution during frequency analysis and preventing a reduction in measurement range. A pulsimeter (1) includes a pulse data acquisition unit (100), a replication unit (16), and a frequency analysis unit (17). The replication unit (16) generates, when the number of pieces of acquired sampling data for a pulse rate calculation reaches n, m pieces of sampling data using the n pieces of sampling data and data obtained by replicating n-th sampling data. The frequency analysis unit (17) performs a frequency analysis on the m pieces of sampling data.

Abstract: A transceiver that implements a high dynamic range NFC reader mode receiver may include a transmitter circuit to generate a transmit (TX) signal for communication to a first device via an antenna. The transceiver may further include a receiver circuit that is in communication with the first device via the antenna. The receiver circuit includes a mixer circuit and an adder circuit. The mixer circuit mixes a carrier signal with a first signal to generate a baseband signal. The adder circuit is coupled to the antenna and produces the first signal by adding a receive (RX) signal with a second signal to reduce a component of the TX signal included in the RX signal. The second signal is produced by processing a TX clock signal generated by the transmitter circuit.

Abstract: There is provided an electronic endoscope and an electronic endoscope device with increased noise resistance. An electronic endoscope includes a connector that is connected to a processor device, and transmission and reception of electric power and signals are performed between the connector and the processor device. In the connector, an input and output portion for transmission and reception of electric power and signals is insulated from the processor device, and only a contact portion connected to a ground of the electronic endoscope is electrically connected to a ground of the processor device.

Abstract: An endoscopic surgery device that can easily acquire an image desired by a surgeon, and that has high operability. The endoscopic surgery device includes: an outer tube body that penetrates through a body wall to be inserted into a body cavity; an endoscope insertion path that is provided inside the outer tube body; a treatment tool insertion path that is provided inside the outer tube body; an endoscope drive unit that has a non-operating area where an endoscope insertion part inserted into the endoscope insertion path is not moved, and an operating area where the endoscope insertion part is moved; a position sensor that detects a movement amount of treatment tool insertion part with respect to the outer tube body; and a control unit that controls the endoscope drive unit in accordance with the movement amount of the treatment tool insertion part, detected by the position sensor.

Abstract: Image enhancement is provided for medical diagnostic ultrasound. Knowledge-based detection of anatomy or artifact identifies locations to be enhanced. The knowledge-based detection of the locations may avoid identification of other anatomy or artifacts. The image enhancement is applied to the identified locations and not others.

Abstract: A magnetic resonance imaging apparatus according to an embodiment includes a processing circuit and a sequence control circuit. The processing circuit calculates, based on an imaging sequence to be executed in magnetic resonance imaging, a value of a current flowing through a closed circuit by using an equivalent circuit and determines, prior to an execution of the imaging sequence, based on the value of the current, whether it is acceptable to execute the imaging sequence. The sequence control circuit executes the imaging sequence. The equivalent circuit is an equivalent circuit for a circuit that includes a gradient coil and that has a first circuit and a second circuit. The first circuit is connected to a power supply and has self-inductance. The second circuit includes at least one closed circuit having mutual inductance with the first circuit.

Abstract: A system for recording, processing, and monitoring biosignals is provided, the system being configured to suspend data acquisition whenever an electric surgical tool or other generator of high frequency interference is in use. Such a system may protect the hardware of the system and reduce or eliminate the acquisition of distorted signals. The system of some embodiments includes an amplifier system configured to detect the presence of high frequency interference. Related methods are also disclosed.

Abstract: Systems and methods for estimating time-dependent voltages that are induced in electrophysiological monitoring systems by magnetic field gradients generated during a magnetic resonance imaging (“MRI”) scan are provided. The gradient-induced voltages are subsequently removed from signals acquired with the electrophysiological monitoring system during an MRI scan. As an example, the electrophysiological monitoring system can include an electrocardiography (“ECG”) system, an electroencephalography (“EEG”) system, an electromyography (“EMG”) system, a voltage device tracking (“VDT”) system, and so on. The gradient-induced voltages are estimated using a two-step procedure in which a learning algorithm is used to determine fitting parameters to be used in a model of the gradient-induced voltages. The fitting parameters are then used together with the model to extract the gradient-induced voltages from signals acquired during an MRI scan. The gradient-induced voltages can then be removed from the acquired signals.

Abstract: An endoscope includes in a tip portion of an insertion unit: an image sensor having plural terminals including a video terminal which outputs a video signal; and a tip potion of a treatment tool channel which extends in a longitudinal direction of the insertion unit, and a distance of the video terminal is longest among distances of the respective terminals from a center of the treatment tool channel in a plane that is perpendicular to the longitudinal axis.

Abstract: A biosignal measurement apparatus includes: a potential difference measurement unit that measures a potential difference between a plurality of electrodes of an electrode unit placed on a user's chest; an ECG analysis unit that obtains an electrocardiogram (ECG) indicating a temporal variation of a cardiac potential of the user, from the potential difference measured by the potential difference measurement unit; an impedance measurement switching unit that determines a start timing of a first period which is a period not including an R wave, using the ECG obtained by the ECG analysis unit; an impedance measurement unit that measures an impedance between the plurality of electrodes in the first period; and a respiratory calculation unit that calculates respiratory information related to respiration of the user, based on a temporal variation of the impedance measured by the impedance measurement unit.

Abstract: Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally (in the midline) on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and, to a lesser extent, the QRS interval signals indicating ventricular activity in the ECG waveforms. Additionally, the monitor recorder includes an ECG sensing circuit that measures raw cutaneous electrical signals and performs signal processing prior to outputting the processed signals for sampling and storage.

Abstract: A system and method that includes receiving data from sensors such as electroencephalography, heart rate, accelerometer, blood oxygen saturation, pressure, temperature, and galvanic skin response sensors; determining user physiological information such as brain activity patterns during sleep, quantity of movement during sleep, breathing depth and rate, blood pressure, heart rate and stroke volume, heart rate variability, perspiration level and stress level based, at least in part, on sensor data; evaluating the physiological information to determine at least one of sleep quality, sleep apnea potential, quality of physical activity, and need for stress management for a user; and providing to user based, at least in part, on the evaluation, at least one recommendation such as timing, intensity, level, and type of physical activity to improve sleep quality, time and type of food consumption to improve sleep quality, relaxation techniques to reduce stress level, and nutritional supplements to improve sleep qualit

Abstract: In one embodiment, an ECG signal processing apparatus is configured to be connected with an electrocardiograph and an MRI apparatus and includes memory circuitry and processing circuitry configured to (a) store a parameter of an ECG signal as a first parameter in the memory circuitry, the ECG signal being acquired from the electrocardiograph operating in combination with the MRI apparatus in a period during which a gradient pulse is not applied by the MRI apparatus, (b) implement an adaptive filter for estimating noise mixed into the ECG signal due to the gradient pulse, by using the first parameter stored in the memory circuitry and a gradient magnetic field signal acquired from the MRI apparatus in a period during which the gradient pulse is applied, and (c) remove the noise mixed into the ECG signal in the period during which the gradient pulse is applied, by using estimated noise.

Abstract: Systems and apparatus for monitoring heart muscle activity of an individual include a first electrode unit, for receiving a first signal indicative of electrical, activity at a first location on a body of the individual and a second electrode unit for receiving a second, signal indicative of electrical activity at a second location on the body of the individual. Each of the first and second electrode units is configurable to operate in a field-sensing mode wherein the electrode unit is placed on or it! proximity to the individual's skin, and a current-sensing mode wherein the electrode unit is coupled to a resistive sensor sensing element placed directly on the individual's skin. The field-sensing mode can be either non-contact field-sensing mode.

Abstract: Provided is a pulse detection apparatus and a pulse detection method less susceptible to movement of a subject and less susceptible to noise. An oscillation frequency controller is configured to cause a frequency variable oscillator to oscillate at a predetermined oscillation frequency, which is a frequency within a range assumed as a resonance frequency of a molecule of a predetermined constituent constituting the blood flowing through a human body. The oscillation frequency controller also controls an oscillation frequency based on a phase difference signal and an amplitude signal, wherein the phase difference signal indicates the phase difference between a transmission signal transmitted from an antenna to the human body and a reception signal received by the antenna, and the amplitude signal indicates the magnitude of the amplitude of the received signal. A pulse detector detects the change of the amplitude signal in an amplitude direction as a pulse signal.

Abstract: In a method to control a magnetic resonance apparatus, a control device, a magnetic resonance apparatus, and an electronically readable data storage medium, a reduction and/or limitation and/or monitoring of the noise volume of the magnetic resonance apparatus is enabled by a noise volume-reduced operating mode of the magnetic resonance apparatus being activated depending on at least one predeterminable event.

Abstract: In one embodiment, an endoscopic camera for a robotic surgical system includes a stereo camera module mounted to a robotic arm of a patient side cart. The optical and electro-optic components of the camera module are hermetically sealed within a first housing. Signals from an electro-optic component travel through traces in a ceramic substrate forming one side of the hermetically sealed first housing. A second housing surrounds the first housing and optical fibers are dispersed between the housings to provide lighting in a body cavity. The camera module may be sterilized by an autoclave.

Abstract: An implantable medical device and method for determining an atrial arrhythmia event that includes a cardiac sensing device comprising a housing having circuitry positioned therein, a plurality of electrodes electrically coupled to the circuitry to sense a cardiac signal, and a processor configured to generate an initial detection of an atrial arrhythmia event in response to an atrial arrhythmia threshold, determine whether a P-wave occurs during the initial detection, determine an adaptive threshold in response to the P-wave being detected, adjust the atrial arrhythmia threshold in response to the adaptive threshold, and generate a subsequent initial detection of an atrial arrhythmia event using the adjusted atrial arrhythmia threshold.

Abstract: The invention proposes an apparatus for reducing motion artifact in an ECG signal of a patient. The apparatus comprises a calculating unit configured to calculate a mean value beat from the ECG signal; a first obtaining unit configured to obtain a residual signal based on the ECG signal and the mean value beat calculated from the ECG signal; a filtering unit configured to perform filtering of the residual signal with one or more cut off frequencies; a second obtaining unit configured to obtain a modified ECG signal based on the filtered residual signal and the mean value beat; and a determining unit configured to determine the one or more cut off frequencies of the filtering based on an acceleration signal representative of motion status of the patient. By using the proposed apparatus, motion artifacts can be greatly removed from the ECG signal and the quality of the ECG signal can be therefore improved.

Abstract: An imaging unit provided at a tip portion of an endoscope includes: an imaging element configured to receive light and perform photoelectric conversion on the light to generate an electrical signal; an oscillator configured to generate a clock signal for driving the imaging element; a photoelectric element configured to convert the electrical signal generated by the imaging element into an optical signal and to output the optical signal to outside; a regulator configured to convert electric power input from the outside into electric power depending on each of the imaging element, the oscillator, and the photoelectric element, and to supply the converted electric power thereto. The imaging element is spaced farther than the oscillator and the photoelectric element from the regulator.

Abstract: Systems and methods for conducted communication are described. In one embodiment, a method of communicating with a medical device implanted within a patient comprises receiving, at a medical device via electrodes connected to the patient, a conducted communication signal, wherein the conducted communication signal comprises a signal component and a noise component. The method may further comprise adjusting, by the medical device, a receive threshold based at least in part on an amplitude of the received conducted communication signal so as to reduce an amplitude of the noise component of the conducted communication signal.

Abstract: The present invention provides a method and apparatus for reducing motion artifacts in ECG signals. According to an aspect of the present invention, there is proposed a method of reducing motion artifacts in ECG signals, comprising: acquiring a current beat from a continuously measured ECG signal of a patient; calculating a correlation coefficient between a previous mean value beat and the current beat in the ECG signal; determining the weights to be assigned to the previous mean value beat and the current beat based on the correlation coefficient; and calculating a current mean value beat based on the previous mean value beat, the current beat, and the weights thereof. Accordingly, the novel method of deriving the current mean value beat may reduce ECG artifacts due to patient movement in such a manner that the SNR of the ECG signal can be improved substantially.

Abstract: A concentration measurement apparatus measures a temporal relative change amount (?cHb, ?O2Hb) of either or both of total hemoglobin concentration and oxygenated hemoglobin concentration in the head that vary due to repetition of chest compression, and includes a light incidence section making measurement light incident on the head, a light detection section detecting the measurement light propagated through the interior of the head and generating a detection signal in accordance with the intensity of the measurement light, and a CPU determining, based on the detection signal, the relative change amount (?cHb, ?O2Hb) and performing a filtering process of removing frequency components less than a predetermined frequency from frequency components contained in the relative change amount (?cHb, ?O2Hb).

Abstract: A system (10) and method to identify motion artifacts. Measurements of a physiological parameter of an associated patient are received from a probe (12) positioned on or proximate to the associated patient. Further, measurements of acceleration are received from an accelerometer (26) positioned on, proximate to, or integrated with the probe (12). Measurements of the physiological parameter are labeled based on the measured acceleration, such as being with or without motion.

Abstract: In a minimally invasive surgical system, an image capture unit includes a prism assembly and sensor assembly. The prism assembly includes a beam splitter, while the sensor assembly includes coplanar image capture sensors. Each of the coplanar image capture sensors has a common front end optical structure, e.g., the optical structure distal to the image capture unit is the same for each of the sensors. A controller enhances images acquired by the coplanar image capture sensors. The enhanced images may include (a) visible images with enhanced feature definition, in which a particular feature in the scene is emphasized to the operator of minimally invasive surgical system; (b) images having increased image apparent resolution; (c) images having increased dynamic range; (d) images displayed in a way based on a pixel color component vector having three or more color components; and (e) images having extended depth of field.

Abstract: An automatic depressurizing pump includes an air-generating unit and an airflow control unit. The air-generating unit has a first air intake hole. An air generated by the air-generating unit drives the air control unit so as to inhale or exhale airflows through the first air intake hole. The airflow control unit includes a valve base, a first valve, a second valve, a top cover, and a resilient member. The valve base includes an air output chamber and a pressure chamber. The resilient member includes a second air output hole and a depressurization valve. The second air output hole is communicated with the top of the air output chamber, and the depressurization valve hermetically covers on and fixes to the top of the pressure chamber.

Abstract: A device and method that detects a lead failure condition for a lead having at least one electrode in contact with body tissue, wherein the lead is connected to the device. The device includes a first filter that filters an electric signal sensed by the at least one electrode to a first filtered signal, and a lead failure detection unit that detects signal characteristics of the first filtered signal. The lead failure detection unit indicates a lead failure condition when the detected signal characteristics correspond to a step response of the first filter.

Abstract: A patient monitoring system may receive a photoplethysmograph (PPG) signal including samples of a pulse waveform. The PPG signal may demonstrate morphology changes based on respiration. The system may calculate morphology metrics from the PPG signal, the first derivative of the PPG signal, the second derivative of the PPG signal, or any combination thereof. The morphology metrics may demonstrate amplitude modulation, baseline modulation, and frequency modulation of the PPG signal that is related to respiration. Morphology metric signals generated from the morphology metrics may be used to determine respiration information such as respiration rate.

Abstract: Systems and methods for measuring signals representative of muscle activity are provided. One method includes detecting an ECG signal through a plurality of electrodes. The ECG signal includes a plurality of ECG sample signals, and each ECG sample signal is a bipolar signal associated with two of the plurality of electrodes and includes a cardiac signal component and a myographic signal component. The method further includes filtering each of the ECG sample signals to remove at least a portion of the cardiac signal component and generate a combined myographic power signal for the two of the plurality of electrodes with which the ECG sample signal is associated. Each combined myographic power signal represents a myographic potential between the two electrodes. The method further includes calculating individual myographic power signals for each of the plurality of electrodes by applying the combined myographic power signals within a covariance matrix.

Abstract: A medical device system and method for detecting cardiac lead dislodgement measures intervals between sensed cardiac events for detecting an event interval pattern including at least one short event interval consecutively followed by a long event interval. Responsive to detecting the event interval pattern, a cardiac signal amplitude associated with a detected short event interval is measured. Dislodgement of the cardiac lead is detected in response to the measured amplitude.

Abstract: A system includes a low pass-filter and a Savitzky-Golay filter. The low-pass filter receives and processes a first electrocardiogram signal. The filter removes at least the high frequency components of the first electrocardiogram signal. The Savitzky-Golay filter estimates a baseline variation of the first electrocardiogram signal from the filtered first electrocardiogram signal. Related apparatus, systems, techniques and articles are also described.

Abstract: Techniques for determining paced cardiac depolarization waveform morphological templates are described. For example, an implantable medical device (IMD) may sense a cardiac electrogram of a heart, identify cardiac depolarizations within the cardiac electrogram, and determine that the cardiac depolarizations are paced cardiac depolarizations resulting from delivery of a pacing pulse to the heart by another IMD without detecting the pacing pulse and without communicating with the other IMD. The IMD may identify paced cardiac depolarization waveforms of the paced cardiac depolarizations, determine a paced cardiac depolarization waveform morphological template based on the identified paced cardiac depolarization waveforms, determine a normal cardiac depolarization waveform morphological template based on the paced cardiac depolarization waveform morphological template, and compare the normal cardiac depolarization waveform morphological template to subsequent cardiac depolarization waveforms.

Abstract: According to at least one example, an ambulatory medical device is provided. The device includes a plurality of electrodes disposed at spaced apart positions about a patient's body and a control unit. The control unit includes a sensor interface, a memory and a processor. The sensor interface is coupled to the plurality of electrodes and configured to receive a first ECG signal from a first pairing of the plurality of electrodes and to receive a second ECG signal from a second pairing of the plurality of electrodes. The memory stores information indicating a preferred pairing, the preferred pairing being either the first pairing or the second pairing. The processor is coupled to the sensor interface and the memory and is configured to resolve conflicts between interpretations of first ECG signal and the second ECG signal in favor of the preferred pairing.