Abstract:
In transmittance and reflectance oximetry, LEDs (40, 42) are typically employed to expose tissue to light at two different wavelengths. The light transmitted through, or reflected by, the tissue is received by a detector (38) where signals proportional to the intensity of light are produced. These signals are then processed by oximeter circuitry (14, 16) to determine oxygen saturation, pulse rate, and perfusion. Displays (20) are provided including a display (132, 134) of the change in the oxygen saturation during a specified interval. This display may include first (132) and second (134) trend indication displays that indicate when the oxygen saturation has either been increasing or decreasing at a rate in excess of some predetermined level. Preferably, these displays are triangular, upwardly and downwardly directed light-emitting diodes. A digital display (138) of the change in oxygen saturation may also be provided. A second type of display included provides pulse and perfusion information, with the perfusion being displayed as a logarithmic function of the actual perfusion. This display comprises an aligned array of light-emitting diodes (136) with the number of light-emitting diodes lit at any one time being logarithmically proportional to the magnitude of the perfusion. The display is automatically scaled to produce a full-scale display when the peak perfusion exceeds some predetermined level.
Abstract:
A battery pack (28) for a portable defibrillator (30). The battery pack has a latch (34) that is biased in an extended position. When the battery pack is inserted into a battery well (30) in the portable defibrillator, the latch automatically latches into a slot (124) to secure the battery pack in the battery well. Ridges (112) are provided on the floor (108) of the battery well to reduce the friction between the battery pack and the floor of the well as the battery pack is inserted into the defibrillator. A ridge (38) is also provided around the periphery of the top (36) of the battery pack to reduce the friction between the battery pack and the ceiling of the battery well. A right wall (44) of the battery pack is inclined from vertical so that a cross section of the battery pack is trapezoid in shape. The asymmetric cross section prevents the battery pack from being incorrectly inserted into the battery well. The disclosed battery pack construction simplifies the replacement of the battery pack in the portable defibrillator.
Abstract:
The serial data port of a terminal device is normally connected to a peripheral device for data transfer. A telephone connection with a public switched telephone network (PSTN) is monitored to detect, however, if there is an incoming priority data message. If so, the terminal device is notified of the priority message and is allowed to terminate its current data transfer with the peripheral device. The terminal device is then connected to the PSTN to receive the priority message. At the conclusion of the priority message, the terminal device is reconnected to the peripheral device to complete the interrupted data transfer. In this way, the serial port of the terminal device can be used for data transfer with different peripherals, without jeopardizing or delaying reception of a priority data message.
Abstract:
A bifurcated electrical connector (14) includes a precordial lead connection site (18) and a limb lead connection site (16). A precordial connector (26) can be fitted into the precordial lead connection site (18) and a limb lead connector (32) can be fitted into the limb lead assembly connection site (16). The force required to separate the limb lead connector from the limb lead connection site is greater than the force required to separate the precordial lead connector from the precordial lead connection site. Additionally, a cover flap (75) covers the precordial lead connection site when the precordial electrodes are not in use.
Abstract:
A first electrical connector of an interface is provided on a floating plug assembly mounted on one component of a physiological instrument. A second electrical connector of the interface is mounted in a socket assembly constructed in another component that can be coupled to the first component by relative linear translation. Guides located in the socket assembly capture fingers on the plug assembly as the plug assembly is inserted in the socket assembly. The guides orient the plug assembly so that the first connector is correctly aligned with the second connector. The connectors are automatically joined as the first component is coupled to the second component.
Abstract:
Processing of signals containing information about the pulse rate and oxygen saturation of arterial blood flowing in tissue. These signals have a relatively periodic pulsatile component superimposed upon a varying baseline component. To determine the pulse rate and oxygen saturation from the signals, the positive peaks, negative peaks, and period of the signal must be determined. The present invention accomplishes this by first searching for a sustained positive sloping region of the signal. Then the first derivative of the signal with respect to time is analyzed and points on the signal before and after the occurrence of a slope reversal marked. If the slope at the first point is positive, the interval between the two points is searched for a maximum amplitude that is identified as a positive peak. After the occurrence of a negative sloping region of the signal, another pair of points are marked occurring before and after a subsequent slope reversal. The minimum amplitude of the signal between these points is then identified as a negative peak. For improved accuracy, these positive and negative peaks are then compared with waveform templates to determine whether the amplitude between the peaks falls within an allowable range and to determine whether the interval between the peaks likewise falls within an acceptable range. These ranges are adjustable in proportion to the amplitude and interval compared against them. In this manner, values for the positive peak, negative peak, and period of the signal can be determined with high reliability.
Abstract:
A mechanical connector (10) for securing together an electrocardiogram monitor (12) and a defibrillator (14). The connector includes a tongue (16) disposed on a side surface (18) of the ECG monitor and a set of angle flanges (22) disposed on the defibrillator. A keyway (52) extends lengthwise at a rearward portion of a channel (36) between the tongue (16) and the side surface (18). A key (50) fits within the keyway (52) when the tongue (16) is slid within the set of angle flanges (22). The key (50) prevents the defibrillator from being fully coupled with an ECG monitor that lacks the corresponding keyway.
Abstract:
Disclosed in an electrode (10, 60) for placement upon the skin of a patient (12) to deliver electrical pulses from medical electronic equipment (16) to the patient. The electrode (10, 60) includes an electrically conductive layer (24, 74) having a skin-facing side and an upper side. An impedance-decreasing layer (32, 82) is adjacent a substantial portion of the skin-facing side of the conductive layer (24, 74). A substantially electrically nonconductive backing layer (18, 68) is adjacent the upper surface of the conductive layer (24, 74), the backing layer (18, 68) being substantially impermeable to the impedance-decreasing layer (32, 82). A gas-permeable layer (20, 70) is between the backing layer (18, 68) and the conductive layer (24, 74). Finally, a vent (22, 72) is provided for venting gas formed between the impedance-decreasing layer (32, 82) and the conductive layer (24, 74) to the environment.
Abstract:
Method and apparatus for compensating for the effect temperature variations have on the wavelength of light emitted by the oximeter sensor light sources (40, 42). In pulse oximetry, LEDs (40, 42) are typically employed to expose tissue to light at two different wavelengths. The light illuminating the tissue is received by a detector (38) where signals proportional to the intensity of light are produced. These signals are then processed by the oximeter circuitry to produce an indication of oxygen saturation. Because current oximetry techniques are dependent upon the wavelengths of light emitted by the LEDs (40, 42), the wavelengths must be known. Even when predetermined combinations of LEDs (40, 42) having relatively precise wavelengths are employed, variations in the wavelength of light emitted may result. Because the sensor (12) may be exposed to a significant range of temperatures while in use, the effect of temperature on the wavelengths may be significant. To compensate for this effect, a temperature sensor (50) is included in the sensor (12) to produce a signal indicative of sensor temperature. This signal is interpreted by the oximeter circuitry including, for example, a microcomputer (16), where the effect of temperature on wavelength is compensated for. In a preferred arrangement, this compensation takes the form of a computation of an alternative calibration curve from which the oxygen saturation is indicated, given a particular processing of signals from the detector (38).
Abstract:
A communication interface for transmitting serial data between a first and a second interconnectable medical instrument. A set of vertically aligned, horizontally extending leaf springs are disposed on opposing surfaces of the first and second medical instruments. A pair of serial data transfer circuits within the first and second medical instruments transmit and receive serial data through a pair of the leaf springs.