A blood-vessel recognition blood-flow measurement method including: obtaining a real-time Doppler spectrum by performing a Fourier transform on a temporal waveform of the intensity of scattered light of laser light in a living body; calculating a normalized real-time Doppler spectrum and a normalized zero spectrum; calculating a region spectrum from a subtracted spectrum that is calculated through subtraction of these calculated spectra; calculating a PS reference spectrum by subtracting, from the region spectrum, the maximum value of the region spectrum in a predetermined PS reference region; calculating an average frequency on the basis of a computational spectrum that is obtained by replacing an element of which the PS reference spectrum is negative with zero; and determining a blood flow velocity by comparing the calculated average frequency with a predetermined threshold.

A measurement apparatus comprises optical components arranged to provide parallel measurements of a biological sample. The parallel sample measurements provide improved accuracy with lower detection limit thresholds. The parallel measurements may comprise one or more of Raman spectroscopy measurements or infrared spectroscopy measurements. The parallel measurements can be combined with a light source. In many embodiments, the light source comprises one or more wavelengths corresponding to resonance frequencies of one or more molecules of the sample, such as wavelengths of ultraviolet light. The wavelengths of light corresponding to resonance frequencies can provide an increased signal to noise ratio. The parallel array optical configuration can be combined with wavelengths of light corresponding to resonance frequencies in order to provide increased measurement accuracy and detection of metabolites.

An intravascular sensor device can be used to guide treatment of a diseased blood vessel in the body of a patient. In some examples, the intravascular sensor device includes a pressure sensor and an ultrasound transducer. The intravascular sensor device is used to measure a pressure within the diseased blood vessel and acquire an ultrasound image of the diseased blood vessel. The pressure may be measured during hyperemic blood flow that is caused by a pharmacologic vasodilator drug. The measured pressure can be used to calculate a fractional flow reserve value. The ultrasound image can be used to determine a physical dimension of the blood vessel, such as cross-sectional area. The fractional flow reserve value and physical dimensions of the blood vessel can be used to optimize patient treatment.

The present disclosure describes a closed-loop fluid resuscitation and/or cardiovascular drug administration system that uses continuous measurements and adaptive control architecture. The adaptive control architecture uses a function approximator to identify unknown dynamics and physiological parameters of a patient to compute appropriate infusion rates and to regulate the endpoint of resuscitation.

In the present invention, a system and associated method is provided for monitoring vital parameters of a patient. The monitoring system includes sensors disposed on the patient and operably connected to a monitor. The parameters that are sensed by the sensors are transmitted to the monitor and compared with alarm thresholds and operational criteria stored within the monitor. When an alarm condition is sensed by the system, the system can actively solicit patient assistance in the confirmation of the alarm condition based on a set of reactive inputs stored within the system to enable medical personnel to appropriately respond to clinically relevant sensed alarm condition(s).

In the present invention, a system and associated method is provided for monitoring vital parameters of a patient. The monitoring system includes sensors disposed on the patient and operably connected to a monitor. The parameters that are sensed by the sensors are transmitted to the monitor and compared with alarm thresholds and operational criteria stored within the monitor. When an alarm condition is sensed by the system, the system can actively solicit patient assistance in the confirmation of the alarm condition based on a set of reactive inputs stored within the system to enable medical personnel to appropriately respond to clinically relevant sensed alarm condition(s).

In the present invention, a system and associated method is provided for monitoring vital parameters of a patient. The monitoring system includes sensors disposed on the patient and operably connected to a monitor. The parameters that are sensed by the sensors are transmitted to the monitor and compared with alarm thresholds stored within the monitor. The alarm thresholds stored within the monitor are modified by inputs supplied to the monitor regarding the particular condition(s) of the patient being monitored to provide more accurate alarm determinations for the patient. The dynamic adjustment of the alarm threshold during monitoring can be based on a set of proactive inputs to prevent and/or limit the occurrence of unnecessary or clinically irrelevant alarm conditions or a set of reactive inputs that follow immediately after an alarm event is detected, to enable medical personnel to appropriately respond to sensed alarm condition(s).

Devices, systems, and methods are disclosed for improved laser speckle imaging of samples, such as vascularized tissue, for the determination of the rate of movement of light scattering particles within the sample. The system includes a structure adjoining a light source and a photo-sensitive detector. The structure can be positioned adjacent the sample (e.g., coupled to the sample) and configured to orient the light source and detector relative the sample such that surface reflections, including specular reflections and diffuse reflections, are discouraged from entering the detection field of the detector. The separation distance along the structure between the light source and the detector may further enable selective depth penetration into the sample and biased sampling of multiply scattered photons. The system includes an operably coupled processor programmed to derive contrast metrics from the detector and to relate the contrast metrics to a rate of movement of the light scattering particles.

Devices, systems, and methods are disclosed for improved laser speckle imaging of samples, such as vascularized tissue, for the determination of the rate of movement of light scattering particles within the sample. The system includes a structure adjoining a light source and a photo-sensitive detector. The structure can be positioned adjacent the sample (e.g., coupled to the sample) and configured to orient the light source and detector relative the sample such that surface reflections, including specular reflections and diffuse reflections, are discouraged from entering the detection field of the detector. The separation distance along the structure between the light source and the detector may further enable selective depth penetration into the sample and biased sampling of multiply scattered photons. The system includes an operably coupled processor programmed to derive contrast metrics from the detector and to relate the contrast metrics to a rate of movement of the light scattering particles.

A physiological sensor has light emitting sources, each activated by addressing at least one row and at least one column of an electrical grid. The light emitting sources are capable of transmitting light of multiple wavelengths and a detector is responsive to the transmitted light after attenuation by body tissue.