摘要:
A multiplexed medical carrier provides for sensing one or more patient parameters and/or delivering energy via separately identifiable effectors. The carrier includes a body and at least two electrical conductors coupled with at least two effectors. Effectors may be any combination of sensors, actuators or both. Sensors may measure such parameters as pressure, oxygen content, volume, conductivity, fluid flow rate, or any other chemical or physical parameters. Actuators may be used, for example, to pace a heart, stimulate muscle or neural tissue, broadcast ultrasonic energy, emit light, heat or other forms of radiation, or deliver any form of energy or substance. A method for collecting medical data from a patient includes interrogating a network of multiplexed sensors residing on parallel conductors in the patient, including addressing a first addressable sensor in the network to obtain data and addressing a second addressable sensor in the network to obtain data.
摘要:
The inventive implantable Doppler tomography system allows, for the first time, the use of Doppler shift for purposes of tracking cardiac wall motion. The present inventive Doppler tomography system methods and devices provide a critical new tool in the physician's armamentarium which provides accurate, real time monitoring of the mechanical performance of the heart.
摘要:
Implantable addressable segmented electrode devices, as well as methods for making and using the same, are provided. The subject devices include segmented electrode structures made up of an integrated circuit electrically coupled to two or more electrodes, where each electrode can be individually activated. Also provided are implantable devices and systems, as well as kits containing such devices and systems or components thereof, which include the segmented electrode structures.
摘要:
Methods for evaluating motion of a tissue, such as of a cardiac location, e.g., heart wall, via continuous field tomography are provided. In the subject methods, a continuous field (e.g., an electrical, mechanical, electromechanical, or other field) sensing element is stably associated with the tissue location. A property of the applied continuous field is detected with the sensing element to evaluate movement of the tissue location. Also provided are systems, devices and related compositions for practicing the subject methods. The subject methods and devices find use in a variety of different applications, including cardiac resynchronization therapy.
摘要:
Methods and systems for producing a computational model of the heart which is patient-specific are provided. Embodiments of the methods and systems include providing a computational model of a heart, obtaining dynamic positional information data from a patient and modifying the heart model with the dynamic positional information data to produce a patient-specific heart model. The invention finds use in a variety of different applications, including but not limited to diagnosis and treatment of heart conditions.
摘要:
A cryosurgical system comprises a compressor unit and a probe assembly. A secondary refrigerant stream from the compressor unit pre-cools a heat exchanger within the probe assembly in a standby mode of operation. After the heat exchange is pre-cooled, a primary refrigerant stream can be passed through the cooled heat exchanger and thereafter expanded within a tissue-contacting portion of the probe assembly to achieve very low temperatures, typically minus 100° C. or lower. After cooling, the refrigerant stream may be passed through the probe assembly with no or partial expansion to warm the tissue-contacting surface of the probe. A probe sheath can be used to provide sterility.
摘要:
The present invention provides electrosurgical needles, needle systems, and methods for their use which will allow the surgeon to target a tumor's blood supply. Generally, the invention facilities targeting the bloodflow of the tumor by incorporating a doppler ultrasound transducer into the needle or needle sheath. Preferably, the surgeon will also be able to control the temperature of the needle using an integral temperature sensor to effect maximum transfer of the RF energy into the tissue, thereby maximizing the volume of tissue destroyed. Furthermore, when used (for example) in the treatment of uterine fibroids, the present invention will reduce damage to the serosa by monitoring the uterine surface temperature during myolysis through a temperature sensor integrated into the sheath holding the myolysis needle.
摘要:
One embodiment of the present invention provides a system for automatically optimizing CRT procedures using a multi-electrode pacing lead. During operation, the system performs a first set of iterations to select one or more satellites on one or more pacing leads inserted in a patient. A pacing lead includes a plurality of pacing satellites, and a pacing satellite includes a plurality of electrodes that can be individually addressed and used for transmitting or detecting electric signals. The system then performs a second set of iterations to select one or more electrodes on the selected satellites. The system further performs a third set of iterations to select one or more timing configurations for pacing signals transmitted through one or more of the selected electrodes.
摘要:
A position and seal or packing wear indicator for mechanical flow controlling devices such as valves and blowout preventers. For blowout preventers the system includes ultrasonic sensors for each ram and annular blowout preventer of a blowout preventer stack. Each of the ultrasonic sensors is positioned within the wall structure of the valve or blowout preventer and is recessed with respect to the inner wall surface such that a desired echo thereof occurs at the plane of the inner wall surface, thereby rendering the electronic signal processing system capable of accurately and positively sensing the precise positions of the flow controlling devices at all times. Electrical signals from the ultrasonic sensors are converted by an electronic signal conditioner to a usable interface format for transmission through a multi-conductor cable system to a remotely located computer. The computer includes software which generates on its CRT a graphical display of the respective positions of the flow controlling devices. The position detection capability provided by precision spacing of the ultrasonic sensors from the inner wall surface develops sufficient position indicating accuracy that detection of seal or packing wear can be identified. The computer also includes a printer for printing out data such as position indicating data or the graphical display of the CRT and also includes a data port for transmission of data to remote locations via microwave.
摘要:
Methods, systems and compositions that allow for treating a patient according to a patient customized therapeutic regimen are provided. Embodiments of the invention include obtaining dosage administration information from a patient and using the same to tailor a therapeutic regimen for the patient. Embodiments of the invention further include preparing and forwarding to the patient physical pharmaceutical dosages based on the customized therapeutic regimen.