Abstract:
A cardiotachometer for indicating heart rate of a user in beats per minute. The cardiotachometer comprises a sensor (12), placed on the body of the user, for producing an electrical signal indicative of the heart rate of the user. Circuitry (28) is provided for converting the electrical signal into first and second digital signals. 60/t computation circuitry (34) responds to the first and second digital signals and produces a third digital signal having a varying frequency representative of the number of heart beats per minute. An up-counter (38) converts the third digital signal into a plurality of binary number signals, each bit of which is stored in a series of shift registers (48). A compare (54) using a plurality of exclusive OR gates, compares each of the stored binary number signals with the most recent binary number signal, from the up-counter, to determine if a plurality of compared signals are within a predetermined percentage of each other. Finally, a display (76) is provided for displaying the most recent binary number signal, when the plurality of compared signals are within the predetermined percentage of each other. Further provision is made for display of both elapsed time and time of day.
Abstract:
A novel apparatus and method for suppressing unwanted resonance in an electromanometry system. The apparatus includes a compliant air cavity (12) connected through a variable impedance device (14) which is coupled in parallel to the liquid-filled catheter (28) of the electromanometry system. By varying the hydraulic impedance through which the compliant air cavity is coupled to the system, precise impedance matching capability is provided over a wide range of hydraulic impedance values, thereby permitting suppression of unwanted resonance and improved frequency response of recorded waveforms in a wide variety of catheter-transducer systems.
Abstract:
An improved apparatus and method for capturing and analyzing the end-tidal portion of an exhalation. The CO2 level of air drawn into the system (10) is monitored to distinguish inhalation and exhalation of breath. Upon detection of a decrease in the CO2 level in the air drawn into the system (10), indicating a transition between exhalation and inhalation a pair of flow selector valves (26, 28) are operated to capture the end-tidal volume of air drawn into the system (10) immediately prior to the detection of the decrease in the CO2 level. Incoming air is diverted around the captured volume of air, and the CO2 levels are continually monitored to ensure that the captured volume of air corresponds to the end-tidal portion of an exhalation. Once the captured volume of air is positively identified as the end-tidal portion of an exhalation, the captured volume is routed through a gas analyzer (44) for analysis of one or more predetermined gas levels.
Abstract:
A non-invasive methodology and instrumentation for the detection and localization of abnormal blood flow in a vessel of a patient, are described. An array of sensors (131) is positioned on an area of a patient's body above a volume in which blood flow may be abnormal. Signals detected by the sensor array (13) are processed to display an image which may indicate the presence or absence of abnormal blood flow.
Abstract:
This invention is an apparatus and method for assisting an operator to diagnose physical conditions in a patient by collecting and analyzing cyclical body sounds such as heart beat, peripheral vessel sounds, or breath sounds. Several cycles of data are collected by sound detector (12) and digitized by an analog to digital converter (28). Each cycle is converted to the frequency domain (102), and phase fixed (104). Then all of the frequency converted and phase fixed cycles are signal averaged (106) together, and the results displayed (108) to the operator. The cycles may be sorted according to respiratory cycle (204, 304, 404), and averaged (210, 310, 410) in two groups. The cycles may be gated according to the patients ECG (206). The apparatus may also suggest diagnoses (218, 318, 418) or further maneuvers (214) to be performed.
Abstract:
Apparatus (10) for measuring skin blood flow includes apparatus (12) for applying a predetermined temperature gradient to a portion of skin, thereby to change the temperature thereat from a first temperature to a second temperature; a single temperature sensing element (14) for measuring a temperature at a selected location near the portion of skin; a control apparatus (20) for operating the apparatus (12) for applying a predetermined temperature gradient, and further for operating the temperature sensing element (14) in first and second operative modes; in the first mode the temperature sensing element (14) measuring a first reference temperature at the selected location, and in the second mode the temperature sensing element (14) being operable to measure a second temperature at the selected location; wherein the second mode, the control apparatus (20) operates the apparatus (12) for applying a predetermined temperature gradient so as to maintain the predetermined gradient between the first and second temperatures; and processing apparatus (47) associated with the temperature sensing element (14) for evaluating a skin blood flow corresponding to the measured first and second temperatures, and the electrical steady state power required to maintain the predetermined temperature gradient.
Abstract:
Systems (10) and methods for diagnosing and treating cardiac disorders, transmit an electrical energy pulse that temporarily stuns a zone of myocardial tissue, temporarily rendering it electrically unresponsive. The systems (10) and methods sense an electrophysiological effect due to the transmitted pulse. The systems (10) and methods alter an electrophysiological property of myocardial tissue in or near the zone based, at least in part, upon the sensed electrophysiological effect. The alteration of the electrophysiological property can be accomplished, for example, by tissue ablation or by the administration of medication. In a preferred implementation, radio frequency energy is used to both temporarily stun myocardial tissue, and to ablate myocardial tissue through a common electrode (36).
Abstract:
The invention evaluates the mechanical condition of a heart in a patient (10) by noninvasively providing a pulse signal representative of arterial pulsation by placing a transducer (11) sufficiently close to the skin of the patient (10) to provide an electric signal representative of the arterial pulsation. The patient (10) is subjected to a heart-straining maneuver to provide an arterial pulse contour squarewave signal during the heart-straining maneuver having an early strain phase amplitude at the beginning of the heart-straining maneuver and a later strain amplitude at the end of the heart-straining maneuver. An indication is provided of the ratio of the late strain phase amplitude which ratio is representative of the mechanical condition of the heart of the patient (10). The invention may also provide an indication of the relationship between that ratio and the pulmonary capillary wedge pressure of the patient (10). The invention may also provide an indication of the state of the hydration of the patient (10).
Abstract:
A multi-electrode cardiac catheter (10) has pairs of electrodes (13) connected to sensing circuitry (31, 32, 40) to produce a differential signal. The sensing output is sharply defined and self normalizing. Preferably, a catheter ablation tip electrode (12) is an electrode of one pair, and the differential signal becomes non-zero when the tip contacts surrounding tissue. The shape of the differential signal provides information on the degree of electrode contact, as well as on the amount of locally-sensed tissue impedance change. The signal may be used as a trigger enable signal for a cardiac ablation catheter (10), and the applied level of RF power may be controlled based on the indicated degree of electrode contact and value of tissue impedance.
Abstract:
A method, for use in a non-invasive blood pressure monitoring system, of determining which portion of a stress sensitive element (34) of a tissue stress sensor (20) is best located for detecting the stress of tissue overlying an artery of interest. The tissue stress sensor (20) is placed in communication with tissue overlying the artery of interest and a plurality of electrical signals are obtained therefrom representing stress data across the length of the stress sensitive element (34). Each electrical signal represents stress datum communicated to a predetermined portion of the stress sensitive element. From the stress datum, a centroid of energy is computed and the centroid of energy is used to determine which portion of the stress sensitive element is best located for determining the blood pressure withing the artery of interest. A second method is disclosed which uses the centroid of a tissue foundation flexibility function to determine the best location along the stress sensitive element for determining blood pressure.