A multi-audio stethoscope head comprising a head body (1) including a sound collecting surface (11), a vibrating diaphragm, and a fastener. The sound collecting surface (11) is provided with a sound guiding hole (16), and the fastener (3) is provided with an axial through hole (33), a fastener sidewall (31) for attaching to the head body (1), and a diaphragm pressing portion (32) for tightly attaching the vibrating diaphragm (2) to the head body (1). The vibrating diaphragm (2) is disposed between the diaphragm pressing portion (32) and the head body (1). Protruding poles (6) protruding toward the vibrating diaphragm (2) is arranged on the sound collecting surface (11) at the radially inner side of the through hole (33), and when the vibrating diaphragm (2) is not subject to external pressure, the vibrating diaphragm (2) is spaced from the protruding poles (6).

An auscultatory sound signal from at least one auscultatory sound-or-vibration sensor is segmented into a plurality of associated heart cycle segments responsive to associated R-peak locations of an electrographic envelope signal representing an envelope response to an even power of an associated electrographic signal from an ECG sensor. A representation an envelope responsive to an even power of said auscultatory sound signal within said at least one heart cycle is locally modeled about at least a second peak to provide for locating the start of diastole of said at least one heart cycle.

The present disclosure provides an apparatus comprising a housing with a left side panel, right side panel, and top panel, each of which may comprise a slot. The apparatus may comprise a front panel that is insertable into the slots of the left and right-side panels. The front panel may comprise a recessed region configured to receive a portion of a medical instrument. A source of a barrier material may be supported by the left and right-side panels. The apparatus may comprise a lid cover comprising a roller portion that is insertable into a slot of the top panel. The lid cover may pivot relative to the housing when the roller portion is inserted into the slot of the top panel. The lid cover and the front panel may form a gap through which a portion of the barrier material may extend when the barrier material is dispensed.

Apparatus and methods for applying a barrier to a medical scope are provided. An apparatus may comprise a source of film and a housing. The housing may comprise a chamber configured to support therein the source of film, and an opening provided through a wall of the housing to permit a portion of the film to extend out of the chamber when the film is dispensed. The housing may comprise a recess located such that the extended portion of the film is permitted to hang freely in proximity to the recess. The recess may be sized to receive a distal portion of the medical scope. The recess may be adapted to allow the extended portion of the film to be applied to the distal portion of the medical scope when the distal portion is placed into the recess with the portion of the film located therebetween.

This document discusses, among other things, systems and methods to determine an indication of contractility of a heart of a patient using received physiologic information, and to determine blood pressure information of the patient using the heart sound information and the determined indication of contractility of the heart. The system can include an assessment circuit configured to determine an indication of contractility of a heart of the patient using first heart sound (S1) information of the patient, and to determine blood pressure information of the patient using second heart sound (S2) information of the patient and the determined indication of contractility of the heart.

According to certain described aspects, multiple acoustic sensing elements are employed in a variety of beneficial ways to provide improved physiological monitoring, among other advantages. In various embodiments, sensing elements can be advantageously employed in a single sensor package, in multiple sensor packages, and at a variety of other strategic locations in the monitoring environment. According to other aspects, to compensate for skin elasticity and attachment variability, an acoustic sensor support is provided that includes one or more pressure equalization pathways. The pathways can provide an air-flow channel from the cavity defined by the sensing elements and frame to the ambient air pressure.

Systems and methods are described herein for detecting efficiency of pacing using external cardiac signals. A representative electrical signal morphology of the cardiac signals may be determined based on the plurality of electrical signals, and an efficacy of left bundle branch (LBB) engagement determined based on the representative electrical signal morphology.

Each conductor of a plurality of insulated conductors of a wiring harness extends between, and electrically connects, a corresponding terminal of a first electrical connector to either a corresponding terminal of an electrical connector jack of a plurality of electrical jacks located along the wiring harness, or to a corresponding terminal of a corresponding auscultatory sound-or-vibration sensor of the plurality of auscultatory sound-or-vibration sensors. The plurality of insulated conductors are organized in a plurality of distinct branches, each distinct branch originating either from the first electrical connector or from another portion of the wiring harness, and the locations of the plurality of distinct branches, in cooperation with the plurality of electrical jacks, if present, are implicitly suggestive of a corresponding location of the corresponding auscultatory sound-or-vibration sensor on a thorax of a test subject.

A time-series array of noise data is generated from an inverse frequency transform of the product of the frequency spectrum of an auscultatory sound signal with an associated noise filter generated responsive to a cross-correlation of frequency spectra of auscultatory sound signals from adjacent auscultatory sound-or-vibration sensors on the torso of a test subject. Noise power within at least one range of frequencies of average of frequency spectra from a plurality of windows of the time-series array of noise data is compared with a threshold to determine whether or not the associated auscultatory sound-or-vibration sensor is excessively noisy. In one embodiment, the noise filter is generated by subtracting from unity, a unity-normalized cross-correlation of frequency spectra of the auscultatory sound signals, wherein the resulting values are clipped so as to be no less than an associated noise floor.

An esophageal stethoscope is disclosed. The esophageal stethoscope includes a cuff, a tube, one end of which is disposed in the interior of the cuff, and extending to a side that is opposite to the one end thereof, a mount member mounted on an opposite end of the tube, and a microphone disposed in the interior of the mount member, the tube includes at least one hole configured to allow sound waves that passes through the cuff to be provided into the tube, and the microphone absorbs cardiac sound and converts the cardiac sound to a cardiac sound electric signal, and is electrically connected to an external device to deliver the cardiac sound electric signal to the external device.