Abstract:
An ablation catheter has an ablation electrode (12) at a distal end coupled to an ablation power source (18) through a low impedance coupling (16). The ablation electrode also functions as a sensing electrode, for monitoring the endocardial signal and preferably also tissue impedance during the ablation procedure, and is coupled to an electrode monitor through a high impedance coupling (24). A timing element (34) operates a plurality of switches (20, 26, 32) to selectively isolate, dampen, or interconnect various signal paths during plural repetitive non-overlapping ablation and quiescent intervals which alternate at a rate substantially above a Nyquist sampling rate. RF energy is delivered to the ablation site during the ablation intervals. The local endocardial signal is measured during the quiescent intervals.
Abstract:
Method and apparatus for analysis of electrocardiographic signals from a subject undergoing a stress test with signal pickup (6, 11-13) providing inputs to a computer (19) programmed to perform a bidirectional infinite impulse response filtration of the input signals to reduce noise and phase shift. The computer (19) then analyzes the filtered signals to determine the subject's condition.
Abstract:
A noninvasive device and methods for measuring the end-tidal carbon monoxide concentration in a patient's breath, particularly newborn and premature infants. The patient's breath is monitored. An average carbon monoxide concentration is determined based on an average of discrete samples in a given time period. The ratio of the end-tidal portion of the breath flow sample is separately determined, preferably based on monitoring the level of carbon dioxide in the gas sample and identifying the carbon dioxide concentration levels corresponding to the end-tidal portion of the breath sample. The sensed carbon monoxide level is converted to the end-tidal carbon monoxide level by subtracting the ambient carbon monoxide level and dividing the remainder by the ratio of end-tidal breath to breath in the breath sample. An easy to use microcontroller-based device containing a carbon dioxide detector, a carbon monoxide detector and a pump for use in a hospital, home, physician's office or clinic by persons not requiring high skill and training is described. A replaceable filter unit made of a single tri-lumen PVC extrusion and a tube segment interconnecting two of the lumens used to provide the consumable filtration material. The filtration material is interposed between the carbon dioxide sensor and the carbon monoxide sensor which are mounted inside the monitor housing. The filter unit also interfaces the canula for receiving the patient's breath sample and a hydrophobic filter between the patient and the carbon dioxide monitor. The filter unit is replaceable when the filtration medium is no longer effective or for use with different patients and may be disposable.
Abstract:
A stretchable harness-like apparatus (10) enables physiological parameters of a patient to be measured while he or she is ambulatory or stationary. The invention has a chest band (14), an optional shoulder band(s) (12), and an optional abdominal band (16) that can house respiration (26), pulse (26) and ECG sensors (24). The shoulder band(s) (12) are attached to the chest band (14) and all of the bands are worn on the body under a low tension. The apparatus (10) is typically used in conjunction with on-body monitoring electronics (102) and radio-linked to remote alerting modules or it can be hard-wired to on-body or remote monitoring and alerting equipment. The compliant nature of the device (10) allows for accurate monitoring without sacrificing patient mobility or comfort.
Abstract:
A method for providing an image of the human heart's electrical system derives time-of-flight data from an array of EKG electrodes (14) and this data is transformed into phase information. The phase information, treated as a hologram, is reconstructed to provide an image in one or two dimensions of the electrical system of the functioning heart.
Abstract:
A method and apparatus for displaying complex impedance and related physical characteristics of an object (30) at a plurality of sinusoidal frequencies over a wide frequency range. Excitation signal waveforms (10, 14, 18) are stored in digital form. Digital sampling and processing circuitry (84, 86) provide high form. Digital sampling and processing circuitry (84, 86) provide high noise immunity and accurate measurement at all impedance phase angles. The technique is particularly well-suited to the measurement of complex impedances in living biological tissue because the digital implementation results in highly accurate measurement values over a plurality of selectable frequencies within a wide sinusoidal frequency region. A novel adaptation of digital cross-correlation (84) and convolution (86) techniques is used to simultaneously display (72) real and imaginary electrical impedance of living biological tissue at several selectable sinusoidal frequencies.
Abstract:
There is disclosed herein a bipolar fetal monitoring electrode having an electrode body (12a), a spiral electrode (13) terminating in a point for engaging with fetal scalp, and a reference electrode (14) insulated from the spiral electrode. The end of the electrode from which the spiral extends includes one or more protrusions (22, 24) in the form of points, ramps, ribs or the like to increase the resistance of the spiral from unwinding from fetal scalp to which it is attached and thus to help prevent the spiral from unwinding spontaneously.
Abstract:
A risk management system for use in a health care facility which receives patients who may be experiencing cardiac problems, the system including a first input port for receiving inputs derived from electrocardiograph measurements of a patient; a predictive instrument for using the inputs to compute a probability of the patient having a particular heart condition; a printer for generating a risk management form reporting the computed probability for the patient as well as other clinical and ECG-related observations for the patient, the form also containing categories requiring a person who is evaluating the patient to enter additional information relating to the evaluation of the patient, the computed probability triggering the printer to generate the form only when the computed probability falls within a preselected range which is less than the total range of possible values for the computed probability.
Abstract:
The present invention is a biofeedback mechanism (10) which overlies a muscle, measuring the electrical impulses which are created in activating human muscle during a sports skill activity. The mechanism (10) signals the act of muscle contraction and may indicate the magnitude of the muscle contraction.
Abstract:
Un cathéter de diagnostic utilisé pour mesurer le débit cardiaque dans la chambre ventriculaire droite d'un coeur comprend un corps de cathéter (10) comportant une périphérie extérieure et une section distale se terminant par une extrémité distale (50), ainsi qu'une section proximale se terminant par une extrémité proximale (20). Une pluralité d'électrodes espacées (70) sont fixées à la périphérie extérieure du corps le long de sa section distale. Une pluralité de fils électriques s'étendent dans le corps du cathéter à partir d'une électrode respective jusqu'à l'extrémité proximale (20) du corps du cathéter. On a prévu un élément (90) rigide allongé pour raidir une partie du corps du cathéter. Une extrémité dudit élément rigide est adjacente à la plus proche d'une pluralité d'électrodes. L'élément rigide place la pluralité d'électrodes de manière à les séparer du tissu endocardiaque.