Abstract:
The invention relates to a process and arrangement for determining the concentration of a metabolite in bio-tissues (10) in which a perfusion solution (20) is taken to a microdialysis probe (12) in the tissue (10) and drawn off after enrichment with the metabolite as a dialysis flow. Under the effect of an enzyme (34), the metabolite is oxidised by oxygen and an electrode signal dependent upon the concentration of one of the reactants in the oxidation reaction is used as a measure for the metabolite concentration. In order to prevent the undesirable incomplete oxidation of the metabolite, especially during temperature fluctuations, according to the invention the dialysate flow is enriched with oxygen in an oxygen-permeable reaction channel (38) before reaching the measuring point (14).
Abstract:
An apparatus (8) and a process of determining the concentration of an optically active compound in a biological sample are provided. The process measures the entire polarization state of the sample and compares the measured polarization state of the sample to the polarization state of a sample having a known concentration of that compound. The polarization state of the sample is measured after manipulating the polarization state of light entering and leaving the sample and detecting the light leaving the sample. The apparatus (8) contains a source of light (10), a sample holder (14) for holding the biological sample, a detector (18), a first polarization manipulator (12) between the light source (10) and the sample holder (14), a second polarization manipulator (16) between the sample holder (14) and an analyzer (20) to correlate detected signals with concentration of the optically active compound.
Abstract:
A protected microbiological sampling brush assembly includes a sampling brush (12) mounted on the distal end of a control wire (14), an inner catheter (18) which houses the brush (12), an outer catheter (22) which houses the inner catheter (18), and an elastomeric tip (24) which is rigidly attached to the distal end of the outer catheter (22).
Abstract:
A method and apparatus for helping health care professionals create clinical protocols or assist in direct entry of medical finding into a chart by intelligently prompting a health care professional with medical findings associated with at least one medical finding which has already been entered in the protocol, is disclosed (fig. 2). First of all, at least one medical finding for a patient is inputted into the system (10) wherein each findings is assigned a point of value for each diagnosis within a knowledge base (22). A total number of points for each diagnosis is then totalled for all the findings which have been entered into the system (10). The possible diagnoses are then ranked in descending point total and predetermined plurality of the highest ranked diagnoses are selected. Once the higher ranked diagnoses have been selected, the health care professional is prompted with additional findings associated with the selected diagnoses which have not yet been inputted into the clinical protocol.
Abstract:
The present invention provides a system and principles of laser photo-acoustic imaging and tomography. The basis for laser photo-acoustic tomography is the time resolved detection of laser induced transient stress waves, selectively generated in absorbing tissues of diagnostic interest. Such a technique allows to visualize absorbed light distribution in turbid biological tissues irradiated by short laser pulses. Laser photo-acoustic tomography can be used for detection of tissue pathological changes that result in increased concentration of various tissue chromophore such as hemoglobin or development of enhanced micro-circulation in diseased tissue. The invented technology combines the advantages of pulsed laser excitation with time resolved detection of acoustic transients. The invented technology can be used for determination of optical heterogeneities in biological tissues. These heterogeneities include blood vessels, tissue layers, abnormal tissues and damaged tissues with further reconstruction of 3D tomographic images of human organs or portions thereof.
Abstract:
Disclosed is a probe (2) suitable for use in the non-invasive sensing of glucose concentrations in the body of a patient. The probe (2) includes at least three radiation receiving fibers (16) extending between a probe body (12) and a spectrograph (8), and spaced apart from each other in a substantially uniform manner and aligned in a predetermined fixed pattern at the probe body (12). A radiation transmitting means (10) conducts radiation from a radiation source (4) and extends from the radiation source (4) to the probe body (12). The radiation transmitting means (10) is formed in the probe (2) into a ring to conduct radiation in a ring shaped area immediately surrounding each of the receiving fibers (16). The radiation transmitting means (10) and the receiving fibers (16) terminate at the probe body (12) in a unitary structure having an outer surface configured for contacting the skin of a patient. The ring passes radiation from the radiation source (4) into the patient in the areas immediately surrounding each receiving fiber (16). The receiving fibers (16) detect the radiation passing back out of the patient and pass this detected radiation to the spectrograph (8).
Abstract:
Systems and methods are disclosed for performing less invasive surgical procedures within the heart. A method for less invasive repair or replacement of a cardiac valve (216) comprises placing an instrument (290) through an intercostal access port (212) and through a penetration in a wall of a vessel in communication with the heart, advancing the instrument (290) into the heart, using the instrument (290) to perform a surgical intervention on a cardiac valve (216) in the heart under visualization through an intercostal access port. The surgeons hands are kept outside of the chest during each step. The surgical intervention may comprise replacing the cardiac valve with a prosthetic valve, wherein the native valve is removed using a tissue removal instrument (206), the native valve annulus is sized with a specialized sizing device (216), a prosthetic valve is introduced through an intercostal access port (212) and through the penetration in the vessel, and the prosthetic valve is secured at the native valve position, all using instruments positioned through intercostal access ports without placing the hands inside the chest. Systems and devices for performing these procedures are also disclosed.
Abstract:
A disposable calibration device (45) is used to calibrate a measurement system (3) which transmits radiation (39) to a material or tissue (40) in order to effect measurements with a spectrometer (10). The disposable calibration device includes a structure with a window through which radiation (39) can be transmitted, as well as a removable calibration target (270) arranged on the window and capable of returning a portion of the radiation for calibrating the measurement system. The removable calibration target (270) can be peeled off of the window or the perimeter of an opening to allow a measurement to be made on the material or tissue (40). Once a measurement is complete, the disposable calibration device can be discarded and a new calibration device can be inserted on the measurement system.
Abstract:
A device for collecting substances for testing comprises a vial having a first, generally open end, engageable by a removable closure member, and a second, generally closed end. A removable closure member is provided having first and second ends. The first and second ends of the closure member are engageable with the first end of the vial. An absorbent member is preferably attached to the removable closure member and is receivable in the vial whereby the absorbent member is located outside of the vial prior to use, with the first end of the vial being secured to the second end of the closure member to provide a handle, and after use, the second end of the closure member is removed from the first end of the vial, the closure member is inverted, the absorbent member is inserted into the vial and the first end of the closure member is removably engaged to the first end of the vial.