Abstract: A physiological monitoring system may process a physiological signal such a photoplethysmograph signal from a subject. The system may determine physiological information, such as a physiological rate, from the physiological signal. The system may use search techniques and qualification techniques to determine one or more initialization parameters. The initialization parameters may be used to calculate and qualify a physiological rate. The system may use signal conditioning to reduce noise in the physiological signal and to improve the determination of physiological information. The system may use qualification techniques to confirm determined physiological parameters. The system may also use autocorrelation techniques, cross-correlation techniques, fast start techniques, and/or reference waveforms when processing the physiological signal.

Abstract: A physiological monitoring system may process a physiological signal such a photoplethysmograph signal from a subject. The system may determine physiological information, such as a physiological rate, from the physiological signal. The system may use search techniques and qualification techniques to determine one or more initialization parameters. The initialization parameters may be used to calculate and qualify a physiological rate. The system may use signal conditioning to reduce noise in the physiological signal and to improve the determination of physiological information. The system may use qualification techniques to confirm determined physiological parameters. The system may also use autocorrelation techniques, cross-correlation techniques, fast start techniques, and/or reference waveforms when processing the physiological signal.

Abstract: A physiological monitoring system may determine physiological information, such as physiological rate information, from a physiological signal. The system may receive a calculated value indicative of a physiological rate. The system may determine difference values between a first collection of values of the physiological signal and another collection of corresponding value of the physiological signal spaced from the first collection based on the calculated value. The system may sum the difference values, and qualify or disqualify the calculated value based on the sum. The difference values may have positive and negative values, or the system may calculate an absolute value of each difference value prior to summing. The sum may be compared to a threshold to determine whether to qualify or disqualify the calculated value.

Abstract: A physiological monitoring system may determine physiological information, such as physiological rate information, from a physiological signal. The system may apply a bandpass filter to the physiological signal to assist in the determination of the physiological information. The system may determine a value indicative of a physiological rate and a metric based on the physiological signal. The system may select one or more settings, such as the center frequency and bandwidth, of the bandpass filter based on the rate and based on the metric, and apply the bandpass filter to the physiological signal.

Abstract: A physiological monitoring system may process a physiological signal such a photoplethysmograph signal from a subject. The system may determine physiological information, such as a physiological rate, from the physiological signal. The system may use search techniques and qualification techniques to determine one or more initialization parameters. The initialization parameters may be used to calculate and qualify a physiological rate. The system may use signal conditioning to reduce noise in the physiological signal and to improve the determination of physiological information. The system may use qualification techniques to confirm determined physiological parameters. The system may also use autocorrelation techniques, cross-correlation techniques, fast start techniques, and/or reference waveforms when processing the physiological signal.

Abstract: Embodiments provide physiological measurement systems, devices and methods for continuous health and fitness monitoring. A lightweight wearable system is provided to collect various physiological data continuously from a wearer without the need for a chest strap. The system also enables monitoring of one or more physiological parameters in addition to heart rate including, but not limited to, body temperature, heart rate variability, motion, sleep, stress, fitness level, recovery level, effect of a workout routine on health, caloric expenditure. Embodiments also include computer-executable instructions that, when executed, enable automatic interpretation of one or more physiological parameters to assess the cardiovascular intensity experienced by a user (embodied in an intensity score or indicator) and the user's recovery after physical exertion (embodied in a recovery score). These indicators or scores may be displayed to assist a user in managing the user's health and exercise regimen.

Abstract: A system is configured to determine cardiac output of a patient. The system may include a first sub-system configured to detect a first physiological signal, and a second sub-system configured to detect a second physiological signal that differs from the first physiological signal. The first and second sub-systems may be separate and distinct from one another. The system may also include a cardiac output determination module that is configured to determine the cardiac output based, at least in part, on the first and second physiological signals.

Abstract: Methods, systems and non-transitory computer readable media that store instructions executable by one or more processors for performing an interventional procedure are presented. One or more pulses are delivered to an intravascular region of interest (ROI) in a subject using at least one image sensor and at least one forward-looking flow sensor disposed at a distal end of an integrated intravascular device. Further, one or more images corresponding to the ROI are reconstructed using imaging signals received in response to the pulses delivered by the image sensor. Additionally, one or more flow characteristics corresponding to the ROI are determined based on the signals received in response to the pulses delivered by the flow sensor. The determined flow characteristics are used for computing one or more functional parameters corresponding to the ROI. An assessment of the subject may be provided based on the reconstructed images and/or the functional parameters.

Abstract: A system for determining stroke volume of an individual. The system includes a skew-determining module that is configured to calculate a first derivative of photoplethysmogram (PPG) signals of the individual. The first derivative forms a derivative waveform. The skew-determining module is configured to determine a skew metric of the first derivative, wherein the skew metric is indicative of a morphology of at least one pulse wave detected from blood flow of the individual in the derivative waveform. The system also includes an analysis module that is configured to determine a stroke volume of the individual. The stroke volume is a function of the skew metric of the first derivative.

Abstract: A system is configured to determine a fluid responsiveness index of a patient from a physiological signal. The system may include a sensor configured to be secured to an anatomical portion of the patient, and a monitor operatively connected to the sensor. The sensor is configured to sense a physiological characteristic of the patient. The monitor is configured to receive a physiological signal from the sensor. The monitor may include an index-determining module configured to determine the fluid responsiveness index through formation of a ratio of one or both of amplitude or frequency modulation of the physiological signal to baseline modulation of the physiological signal.

Abstract: A method of measuring an artefact removed photoplethysmographic (PPG) signal and a measurement system for measuring an artefact removed photoplethysmographic (PPG) signal are provided. The method comprises obtaining a first set of PPG signals from a plurality of detectors at respective measurement sites using a first illumination; obtaining a second set of PPG signals from the plurality of detectors using a second illumination; obtaining at least two pairs of PPG signals, each pair comprising one PPG signal from the first set and one PPG signal from the second set, and for each pair, computing an artefact reference signal to obtain a candidate PPG signal; and choosing one of the candidate PPG signals as the artefact removed PPG signal.

Abstract: Diffuse optical flow (DOF) sensors can be used to assess deep tissue flow. DOF sensors positioned on a foot can provide fluctuating light intensity data to an analyzer, which can then determine absolute and/or relative blood flow. The determined absolute and/or relative blood flow can be signaled to an operator, for example a surgeon for intra-operative use. DOF sensors may be utilized to assess pedal revascularization, for example to guide interventional procedures and to evaluate their efficacy. A support structure can carry a plurality of DOF sensors, such that when the support structure is placed onto a patient's foot, the DOF sensors are disposed adjacent different locations on the foot. The different locations may correspond to different topographical regions of the foot, for example different pedal angiosomes.

Abstract: A method and system perform physiological monitoring. The system includes a first light source and a plurality of optical waveguide couplers, each of the plurality of optical waveguide couplers being arranged at a different predetermined spatial location on an ocular insert to be placed on an eye. The system also includes a plurality of optical waveguides. Each optical waveguide carries light from a second light source to a respective one of the plurality of optical waveguide couplers and carries a received signal from the respective one of the plurality of optical waveguide couplers. A processor receives the received signal from each of the plurality of optical waveguides and monitors a parameter based on the received signal.

Abstract: A method and system perform physiological monitoring. The system includes a first light source and a plurality of optical waveguide couplers, each of the plurality of optical waveguide couplers being arranged at a different predetermined spatial location on an ocular insert to be placed on an eye. The system also includes a plurality of optical waveguides. Each optical waveguide carries light from a second light source to a respective one of the plurality of optical waveguide couplers and carries a received signal from the respective one of the plurality of optical waveguide couplers. A processor receives the received signal from each of the plurality of optical waveguides and monitors a parameter based on the received signal.

Abstract: A system for assessing blood circulation in a subject's limb, including detection means for detecting a signal dependent upon the arterial blood volume in a limb of the subject when the subject is in a first posture and also when the subject is in a second posture, different to the first posture; and processing means for calculating a quantitative indicator that is dependent upon the ratio of the signal for the first posture to the signal for the second posture.

Abstract: Techniques are disclosed for pacing site selection. In one example, a method includes using a sensing element such as an ultrasonic transducer, an optical pressure sensor, a MEMS pressure sensor, a SAW pressure sensor, an accelerometer, a gyroscope, or any other suitable sensing element to sense a measure related to a cardiac strain in a heart resulting from contraction and relaxation of myocardium during a cardiac cycle. Based on the sensed strain, an output may be provided for use by a user of the system to select a segment of the heart for lead placement.

Abstract: The present disclosure provides a method and an apparatus for identifying development of diabetic cardiovascular autonomic neuropathy (DCAN) in a biological subject. In one aspect, the method includes collecting data associated with heart rates of a biological subject, and processing the collected data to extract primary and secondary components of the collected data by performing a principal dynamic mode (PDM) analysis. A significant reduction of the primary or secondary component at a predetermined time period can be indicative of the DCAN development.

Abstract: It is known in the art to use an apparatus to enhance the visual appearance of the veins and arteries in a patient to facilitate insertion of needles into those veins and arteries. This application discloses a number of inventions that add additional data collection and presentation capabilities to a handheld vein enhancement apparatus and a set of processes for the collection of blood and the delivery of IV medicines that use the handheld device to mediate the process.

Abstract: A stretchable electronic circuit that includes a stretchable base substrate having a plurality of stretchable conductors formed onto a surface thereof, with both the stretchable base substrate and conductors being bendable together about two orthogonal axes. The stretchable circuit also includes a stretchable sensor layer attached to the base substrate with a cavity formed therein which has a contact point exposing one of the plurality of stretchable conductors. The stretchable electronic circuit further includes a surface mount device (SMD) package with a conductor contact protrusion installed into the cavity, and wherein a substantially constant electrical connection is established between the conductor contact protrusion and the stretchable conductor at the contact point by tensile forces interacting between the stretchable base substrate and the stretchable sensor layer.

Abstract: What is disclosed is a system and method for determining a subject of interest's arterial pulse transit time from time-varying source signals generated from video images. In one embodiment, a video imaging system is used to capture a time-varying source signal of a proximal and distal region of a subject of interest. The image frames are processed to isolate localized areas of a proximal and distal region of exposed skin of the subject. A time-series signal for each of the proximal and distal regions is extracted from the source video images. A phase angle is computed with respect to frequency for each of the time-series signals to produce respective phase v/s frequency curves for each region. Slopes within a selected cardiac frequency range are extracted from each of the phase curves and a difference is computed between the two slopes to obtain an arterial pulse transit time for the subject.

Abstract: Provided according to embodiments of the invention are photoplethysmography (PPG) sensors, systems and accessories, and methods of making and using the same. In some embodiments of the invention, the PPG sensors include a clip body that includes a first end portion and a second end portion; a flex circuit attached or adjacent to the clip body, and an elastomeric sleeve that envelops (1) at least part of the first end portion and at least part of the flex circuit attached or adjacent thereto; or (2) at least part of the second end portion and at least part of the flex circuit attached or adjacent thereto.

Abstract: What is disclosed is a system and method for processing a time-series signal generated by video images captured of a subject of interest in a non-contact, remote sensing environment such that the existence of a cardiac arrhythmia can be determined for that subject. In one embodiment, a time-series signal generated is received. The time-series signal was generated from video images captured of a region of exposed skin where photoplethysmographic (PPG) signals of a subject of interest can be registered. Signal separation is performed on the time-series signal to extract a photoplethysmographic signal for the subject. Peak-to-peak pulse points are detected in the PPG signal using an adaptive threshold technique with successive thresholds being based on variations detected in previous magnitudes of the pulse peaks. The pulse points are then analyzed to obtain peak-to-peak pulse dynamics. The existence of cardiac arrhythmias is determined for the subject based on the pulse dynamics.

Abstract: The present disclosure relates to determining an physical state of a moving vehicle operator. In an embodiment, if it is determined that a vehicle operator is impaired, the vehicle is programed to automatically and safely stop a vehicle before an accident occurs. In an embodiment physiological sensors in the seat, steering wheel, or wireless sensors placed on the vehicle operator's body are used to determine an impairment state of a vehicle operator.

Abstract: The present invention involves a method and an apparatus for analyzing measured signals, including the determination of a measurement of oxygen saturation and respiration rate in the measured signals during a calculation of a physiological parameter of a monitored patient. Use of this invention is described in particular detail with respect to oximetry-based measurements but extends to other types of measurements.

Abstract: What is disclosed is a video-based system and method for estimating heart rate variability from time-series signals generated from video images captured of a subject of interest being monitored for cardiac function. In a manner more fully disclosed herein, low frequency and high frequency components are extracted from a time-series signal obtained by processing a video of the subject being monitored. A ratio of the low and high frequency of the integrated power spectrum within these components is computed. Analysis of the dynamics of this ratio over time is used to estimate heart rate variability. The teachings hereof can be used in a continuous monitoring mode with a relatively high degree of measurement accuracy and find their uses in a variety of diverse applications such as, for instance, emergency rooms, cardiac intensive care units, neonatal intensive care units, and various telemedicine applications.

Abstract: A system including a sensor and a device coupled to the sensor. The sensor is configured to detect in Animalia tissue (i) a first electromagnetic radiation extinction dominated by absorption of a first wavelength and (ii) a second electromagnetic radiation extinction dominated by scattering of a second wavelength. The device is configured to aid in diagnosing at least one of infiltration and extravasation in the Animalia tissue based on the first and second electromagnetic radiation extinctions detected by the sensor.

Abstract: A system including a sensor and a device coupled to the sensor. The sensor is configured to detect in Animalia tissue (i) a first electromagnetic radiation extinction dominated by absorption of a first wavelength and (ii) a second electromagnetic radiation extinction dominated by scattering of a second wavelength. The device is configured to aid in diagnosing at least one of infiltration and extravasation in the Animalia tissue based on the first and second electromagnetic radiation extinctions detected by the sensor.

Abstract: A physiological monitor for measuring a pulsatile motion signal (MoCG) that is delayed from, but at the same rate as, the heartbeat of a user. In one embodiment, the system includes a housing configured to be worn on the body of a user; at least one MoCG sensor, within the housing, that measures a pulsatile motion signal (MoCG) that is delayed from, but at the same rate as, the heartbeat of the user; and at least one data processor that calculates, solely based on an output of the at least one MoCG sensor, at least one of (i) heart rate (HR) and activity level for the user, and (ii) respiratory rate (RR), stroke volume (SV), and cardiac output (CO) for the user. In another embodiment, the at least one data processor is within the housing.

Abstract: Systems and methods for measuring a physiological parameter of tissue in a patient are provided herein. In a first example, a method of measuring a physiological parameter of blood in a patient is provided. The method includes emitting at least two optical signals for propagation through tissue of the patient, detecting the optical signals after propagation, identifying propagation pathlengths of the optical signals, and identifying detected intensities of the optical signals. The method also includes processing at least the propagation pathlengths to scale the detected intensities for determination of a value of the physiological parameter.

Abstract: Some embodiments relate to a method of collecting light reflected from a subject and analyzing the light to monitor time-varying physiological parameters of the subject. Other embodiments relate to a system including collection optics to receive light reflected from a subject, filters to filter the light around a number of wavelengths, image capture zones to receive filtered light from the filters and to generate data to represent the filtered light and an image and signal processing system to monitor time-varying physiological parameters of the subject indicated by the data.

Abstract: A congenital heart disease monitor utilizes a sensor capable of emitting multiple wavelengths of optical radiation into a tissue site and detecting the optical radiation after attenuation by pulsatile blood flowing within the tissue site. A patient monitor is capable of receiving a sensor signal corresponding to the detected optical radiation and calculating at least one physiological parameter in response. The physiological parameter is measured at a baseline site and a comparison site and a difference in these measurements is calculated. A potential congenital heart disease condition in indicated according to the measured physiological parameter at each of the sites or the calculated difference in the measured physiological parameter between the sites or both.

Abstract: Provided herein are methods and apparatuses for certifying computers for use in conjunction with medical devices. These methods may be used in conjunction with a computer that includes software for operating the medical device. To certify a particular computer, one or more testing algorithms or routines for processing data, e.g., data representative of a typical output generated by use of the medical device on a patient, may be executed and the results may be compared to an expected result. In particular embodiments, the certification process may use data stored on the device itself to determine certification or may use data stored with or bundled with the software for operating the device.

Abstract: A vital sign measurement device includes a sensor fixation device, a sensor frame, an optical sensing system, and an output unit. The sensor fixation device is adapted to be placed against an anatomical location of a subject. The optical sensing system includes an optical waveguide, an optical source device to supply optical energy to the optical waveguide, and an optical detector to detect an amount of optical energy exiting the optical waveguide. The optical sensing system is adapted to sense an arterial pulse from the compression or flexing of at least a portion of the optical waveguide resulting in reduction of the amount of light exiting the optical waveguide. The output unit is configured to receive a signal indicative of the amount of light exiting the optical waveguide and to generate a measure of the vital sign based at least in part on the received signal.

Abstract: Though mechanocardiogram is considered to have a high medical value, mechanocardiogram recording device is large in size and very expensive, obtained data lacks reliability, a measurement algorithm has not been settled, use of an apexcardiogram for diagnosis is not useful for diagnosis of the circulatory system, and there has been no measuring equipment capable of measuring pexcardiogram which contribute to determination of heal condition of a living body to be measured. For measurement of heartbeat of a living body, measuring device which allows simple measurement of apexcardiogram at bedside has been developed using a pressure sensor and/or wave sensor capable of measuring change in pressure at multiple portions adjacent to one another, and simple electronic circuit.

Abstract: A system and method to extract and measure awareness and a breathing rate information from the cardiac pulse uses plethysmographic and oximeter sensors. The information finds applications in patient monitoring during surgery, intensive care, sleep therapy, and sleep detection in critical operations of airplanes, trucks, automobiles, trains, and in biofeedback therapy.

Abstract: This invention provides a method for assessing arterial stiffness noninvasively using photoplethysmography. The method of the invention for assessing arterial stiffness using photoplethysmography comprises: a user information input step, characteristic point extraction step, and arterial stiffness assessment step. In particular, the characteristic point extraction step includes the correction of the characteristic points, and the arterial stiffness assessment step includes the result of performing multiple linear regression analysis using the baPWV (brachial-ankle pulse wave velocity) value. In addition, according to this invention, arterial stiffness assessment, which was previously an expensive procedure which the user could only obtain at a specialized institution, can be carried out at low cost in the course of daily life, e.g. at home or at work, and can thus be applied in the u-healthcare and home health management service environments.

Abstract: A system including a sensor and a device coupled to the sensor. The sensor is configured to detect in Animalia tissue (i) a first electromagnetic radiation extinction dominated by absorption of a first wavelength and (ii) a second electromagnetic radiation extinction dominated by scattering of a second wavelength. The device is configured to aid in diagnosing at least one of infiltration and extravasation in the Animalia tissue based on the first and second electromagnetic radiation extinctions detected by the sensor.

Abstract: A light-emitting sensor device is provided with a substrate (110); an irradiating part (120), disposed on the substrate, for applying light to a specimen; a light receiving part (150), disposed on the substrate, for detecting light from the specimen caused by the applied light; a light scattering part, disposed at least one of between the irradiating part and the specimen and between the specimen and the light receiving part, for scattering at least one of light emitted from the irradiating part and the light from the specimen. The sensor device stably detects a predetermined type of information, such as a blood flow velocity, on the specimen.

Abstract: The present invention relates to a mobile terminal with a health care function and a method of controlling the mobile terminal. An embodiment of the present invention relates to a mobile terminal with a health care function. The mobile terminal includes a sensing unit that senses a living body signal from a user and information on user's surroundings when performing the health care function, a controller that generates a numerically-valued living body information using the living body signal, sets a reference range of numerical values using the information on the user's surroundings and generates alerting information depending on whether or not a numerical value of the living body information falls into the reference range of numerical values, and a display unit that displays the alerting information under the control of the controller.

Abstract: A method for obtaining diagnostic information relating to the lungs of a subject includes directing into tissue of the lungs of the subject light of a first wavelength and detecting part of the light that has passed primarily through microcirculatory tissue of the lungs and generating a signal which is a function of intensity of the detected light. The signal is then processed to derive a PPG curve for pulmonary microcirculatory arteries. The method is implemented using various locations for a light source and a detector, including various combinations of positioning on the thoracic wall, insertion into the esophagus, and in some cases, insertion of a probe through the thoracic wall to a position adjacent to the pulmonary pleura. Use of two different wavelengths allows derivation of mixed venous blood oxygen saturation.

Abstract: In one aspect, the invention relates to a computer-implemented method of triggering optical coherence tomography data collection. The method includes collecting optical coherence tomography data with respect to a vessel using an optical coherence tomography probe disposed in the vessel; determining a clearing radius and a quality value for each frame of optical coherence tomography data collected for the vessel using a computer; determining if a blood clearing state has occurred using at least one clearing radius and at least one quality value; and generating a trigger signal in response to the blood clearing state.

Abstract: A measurement device is provided. A sensor senses a vessel pulse waveform of a specific region of an object to generate a vessel pulse signal in a measurement mode. In the measurement mode, a first electrode generates a first potential signal, and the second electrode generates a second potential signal. A first analog front-end circuit digitizes the vessel pulse signal to generate a digital vessel pulse signal in the measurement mode. In the measurement mode, a second analog front-end circuit obtains an electrocardiogram signal according to the first and second potential signals and digitizes the electrocardiogram signal. A memory stores the digital vessel pulse signal and the electrocardiogram signal. A processor determines a polarity of the electrocardiogram signal in the measurement mode to indicate that the specific region is on a left or right part of a body of the object.

Abstract: A system for optically measuring blood parameters including a light source and light transmitter for transmitting light to the blood, a light remitter for capturing remitted light, a spectrometer breaking the remitted light into its spectral components and a processor for comparing a morphologically distinct portion of the remitted light to a database of known morphologies. Each of the known morphologies corresponds to a measurement value at least one parameter, such as an analyte. Advantageously, the determined morphologies can uniquely correspond to two or more blood parameters, such as O2Hb and tHb, allowing simultaneous determination of the two parameters.

Abstract: The present invention, in one aspect, relates to a method for distinguishing between possible adenomatous and hyperplastic polyps using what :is referred to as “Early Increase in microvascular Blood Supply” (EIBS) that exists in tissues that are close to, but are not themselves, the abnormal tissue.

Abstract: A signal processing apparatus for determining a heart rate includes a plurality of sensors configured to detect changes in blood properties in a user's skin and a heart rate Kalman filter configured to compute a heart rate on the basis of signals obtained from the plurality of sensors. A method of computing a heart rate using the apparatus includes detecting changes in blood properties with a plurality of sensors, and computing with a heart rate Kalman filter the heart rate on the basis of signals obtained from the plurality of sensors.

Abstract: A system and method for identifying metabolic activity within the heart muscle (myocardium). Metabolic activity is determined through spectrographic analysis of the myocardium. More particularly, oxygen saturation of the myocardium is measured through the spectrographic analysis, and metabolic activity is measured by a decrease in oxygen saturation of the myocardium over time.

Abstract: A plethysmograph variability processor inputs a plethysmograph waveform having pulses corresponding to pulsatile blood flow within a tissue site. The processor derives plethysmograph values based upon selected plethysmograph features, determines variability values, and calculates a plethysmograph variability parameter. The variability values indicate the variability of the plethysmograph features. The plethysmograph variability parameter is representative of the variability values and provides a useful indication of various physiological conditions and the efficacy of treatment for those conditions.

Abstract: There is provided a sensing device comprising an electromagnetic wave emitter for emitting electromagnetic waves to a surface; an electromagnetic wave detector for detecting the emitted electromagnetic waves that are reflected from the surface; and a force transmitting member configured to transmit a force applied thereto for detection, wherein the force transmitting member is positioned relative to the electromagnetic wave emitter and electromagnetic wave detector to substantially prevent waves emitted by the electromagnetic wave emitter from travelling directly to the electromagnetic wave detector.

Abstract: A vessel pulse wave measurement system performs vessel pulse wave measurement using an optical probe circuit provided with an optical probe including a light emitting element and a light receiving element, a drive circuit, and a detection circuit. A measurement device directly and synchronously feeds back an electrical signal from the optical probe to the drive circuit as a drive signal to generate a self-oscillation signal from the detection circuit, and measures the self-oscillation signal as a vessel pulse wave signal. A controller controls an operating point of at least one of the detection circuit and the drive circuit such that the self-oscillation signal substantially reaches a maximum level thereof.

Abstract: In order to easily prepare a medical diagnostic analysis of a patient, a barcode scanning device (100) is configured for determining a physiological quantity of the patient. The barcode scanning device (100) comprises a light receiving unit (108) configured for receiving light (219) reflected from a surface to be sensed of the patient, and a signal processing unit (218) configured for determining the physiological quantity of the patient based on the received light (219).