Abstract:
An infusion pump system (10) includes a removable in vivo glucose sensor (16) for monitoring glucose concentration level in a patient (12), and for signaling an infusion pump to deliver a selected medication such as insulin to a patient. The glucose sensor (16) comprises a sensor cable (30) for placement through a catheter to position a distal sensor tip (20) at a selected in vivo sensor site. A proximal end of the sensor cable seats within a connector fitting (18) mounted on the catheter (24) at a convenient and accessible subcutaneous position. The connector fitting (18) couples the sensor cable (30) to an implanted control unit (26) which signals the infusion pump (14) to deliver the patient (12) medication. In a preferred system, the infusion pump (14) is also implanted and receives control signals via a direct or telemetric connection. The sensor cable (30) is easily accessed at the connector fitting (18) for periodic sensor removal and replacement, without requiring removal or replacement of other system components.
Abstract:
A contrast agent useful for imaging a sample comprising a suspension in a medium acceptable for imaging (a) particles of a contrast agent possessing paramagnetic characteristics and (b) particles of a contrast agent possessing diamagnetic characteristics. Also disclosed is a method of imaging a sample which comprises introducing into the sample the above-described contrast agent and generating a substantially artifact-free image thereof. The combination of diamagnetic barium sulfate and superparamagnetic iron oxide (SPIO) in one suspension produces a macroscopic cancellation of positive and negative magnetic susceptibility components which eliminates susceptibility artifacts even with gradient echo pulse sequences. The relaxation properties which make the SPIO suspension a useful negative contrast agent are retained.
Abstract:
The present invention is directed to a method and apparatus for locating and identifying the function of specific peripheral nerves. In one embodiment, the invention takes the form of a nerve stimulator which is used to locate nerves to assist in the administration of regional anesthesia. In another embodiment, the nerve stimulator is used to locate, identify the function of, and guard against the inadvertent cutting of specific nerves during surgical procedures. The apparatus of the invention includes a stimulus delivery means (22), a response-detecting means (14) and a means for automatically modulating the magnitude of the stimulus (16).
Abstract:
A system includes a catheter (10) having a low pressure balloon (42) at one end thereof, a precise, low pressure, low volume fluid infusion means (41) and a pressure sensor (43). The balloon (42) is introduced to a body lumen, such as a blood vessel, and inflated to a pressure at or just above physiologic, typically being below 200 mmHg. From the balloon volume at a particular pressure, the internal cross-sectional area and diameter of the vessel can be calculated. Additional calculations can be made at other pressures below 200 mmHg to determine compliance of the vessel.
Abstract:
A RF shield (10), for use adjacent a portion of a patient's body during a magnetic resonance examination by magnetic resonance examination apparatus, includes an electrically and thermally conductive layer (20) having a pair of opposed surfaces, and a pair of electrically and thermally insulative layers (22 and 24). One of the insulative layers is disposed adjacent one of the opposed surfaces for positioning intermediate the conductive layer and the patient's body portion to insulate the patient's body from the conductive layer, and the other of the insulative layers is disposed adjacent the other of the opposed surfaces for positioning intermediate the conductive layer and the magnetic resonance examination apparatus to insulate the magnetic resonance apparatus from the conductive layer.
Abstract:
A method of determining the external shape of a body comprises placing a plurality of electrodes adjacent the surface at spaced intervals round the body, causing currents to flow in the body by applying an electrical potential between pairs of electrodes in turn, measuring potentials between other pairs of electrodes, relating the measured potentials to the distances between the corresponding points of current introduction and of potential measurement, and determining electrode positions consistent with these distances, which electrode positions define the external shape of the body.
Abstract:
A detector (14, 15, 22, 60 or 90) for detecting high frequency current (I) includes a high resistivity coil (26) wound around a nonferromagnetic core (34). The ratio of the coil (26) spacing to the cross sectional area of the coil (26) is maintained constant over the length of the coil (26). A high resistivity material shield (36) surrounds and is spaced from the coil (26) and has a gap (38) oriented along an azimuth of the closed loop winding and directed orthogonal to the net current direction of the current induced in the coil (26). The ends of the coil (26) are coupled to a high impedance voltage detector (24) through high resistivity leads (46 and 48) and a resistor (52) is coupled between the leads (46 and 48) to reduce the quality factor. The current detector (14, 15, 22, 60 or 90) may be used to detect current (I) flowing in a human body (10) due to the absorption of high frequency incident radiation as an indication of the specific absorption rate of such radiation.
Abstract:
Electrodes useful for electric measurements from or injecting current to the human body are disclosed, which are flexible disposable electrodes with a surface area in the range of about 18-36 cm . A particular use of such electrodes is in bioimpedance measurement, particularly such performed by utilizing the same electrodes for passage of current and measurement of potential. Also disclosed are processes for bioimpedance measurement making use of such electrodes.
Abstract:
An apparatus (10) and its method of operation for stimulating andlocating a nerve includes a probe (12) having a plurality of electrodes for applying a stimulus from stimulator (14) and receiving tissue response thereto and a controller (16) for the stimulator (14) and the response detecting means (18). An audible tone module (20) provides a further indication of tissue response to the stimulus from stimulator (14).
Abstract:
Intestinal ischemia is diagnosed non-invasively by scanning the abdomen (7) externally with a SQUID magnetometer (9) which measures the magnetic field (5) produced by smooth muscle electrical activity. These measurements are processed to determine the basic electrical rhythm (BER) frequency at various locations (43) along the intestine (1). A nominal value for the BER frequency is established at each location (43), and if the measured value falls below the associated nominal value by more than a predetermined margin, ischemia at that location is indicated. Ischemia is further indicated by an internal of arrhythmia in which the BER frequency increases to a range of about 24-180 cpm or at least about twice the nominal value. The BER frequency values are presented on a graphic display (39) which provides an indication of the nominal value at an affected location (43) from the gradient of the measured values at adjacent normal locations. Also, a gradual reduction in the local BER frequency at a particular location is an indication of progressive ischemia, while an absence of BER activity in a section of intestine (1) indicates necrosis.