Gastric resident electronics, devices, systems, and related methods are generally provided. Some embodiments comprise administering (e.g., orally) an (electronic) resident structure to a subject (e.g., a patient) such that the (electronic) resident structure is retained at a location internal to the subject for a particular amount of time (e.g., at least about 24 hours) before exiting said location internal to the subject. In some embodiments, the resident structure is a gastric resident electronic. That is to say, in some embodiments, the resident structure is configured for relatively long gastric residence and comprises an electronic component. In some embodiments, the structures and components described herein may comprise one or more components configured for the delivery of an active substance(s) (e.g., a pharmaceutical agent) to the subject. In some embodiments, the device has a modular design, combining an electronic component(s) with materials configured for controlled and/or tunable degradation/dissolution to determine the time at which (gastric) residence is lost and the device exits the location internal to the subject. For example, in some embodiments, the resident structure comprises an electronic component and one or more additional components associated with the electronic component such that the resident structure is configured to be retained at a location internal to a subject for greater than or equal to 24 hours.

The present invention relates to a device and a method for alternately measuring the thoracic and pleural pressure and for gastropharyngeal or tracheal sealing, wherein the balloon component of a tube or catheter placed in the trachea or oesophagus alternates between two filling or functional states, wherein the filling state of the balloon component in the measuring mode assumes a value of constant, defined volume during the measurement, said value corresponding to a flaccid filling state, and the filling state of the balloon in the oesophageally or tracheally sealing functional mode maintains a constant, sealing pressure specified by the user. The controller device connected to the tube unit or catheter unit ensures rapid displacement of filling medium into and out of the tube balloon or catheter balloon in the state of tracheal or oesophageal sealing, wherein the tracheally or oesophageally sealing target pressure is maintained continuously by compensating pressure fluctuations in the balloon caused by respiratory mechanics by a continuous, compensating displacement of filling volume. The user can switch between the two functional states by means of a manual switchover function or by means of a programmable, chronological cycle. In addition to the possibility of an intermittent monitoring of the respiratory mechanics and a continuous, tracheally or oesophageally sealing balloon tamponade, the balloon placed in the trachea or oesophagus allows, in both functional states, the thoracic derivation of a triggering, respiratory-mechanical signal which can trigger a ventilating stroke assisting the patient in a ventilator connected to the device. The invention also describes structural and functional options for the simultaneous derivation of a neural and/or muscular electrical signal from the diaphragm of the patient and a respiratory-mechanical signal on the basis of thoracic or pleural pressure fluctuations derived tracheally or oesophageally.

One aspect of the present disclosure relates to a system for monitoring a diaphragmatic twitch response. The diaphragmatic twitch response can be used to determine a depth of neuromuscular blockade. The system includes a neural stimulation device to stimulate a phrenic nerve of a subject, which has the effect of stimulating the subject's diaphragm. The system also includes a monitor to detect the diaphragm's response to the stimulation. For example, the monitor can include a nasogastric tube with two distally positioned inflatable balloons. Each of the inflatable balloons is coupled to a sensor to measure a corresponding pressure (e.g., an esophageal pressure and a gastric pressure). The pressure differential between the esophagus above the diaphragm and the stomach below the diaphragm (also referred to as the transdiaphragmatic pressure) can be used as a measure of the diaphragmatic twitch response.

A device may include a first portion coupled to a shaft of an insertable medical device. The first portion may extend along a first portion longitudinal axis between a proximal end and a distal end. The first portion may include a protrusion extending radially outwardly of the first portion longitudinal axis. At least a portion of the first portion may be received within a lumen of a second portion. The second portion may be axially moveable along the first portion longitudinal axis relative to the first portion. The second portion may include a longitudinally extending channel. A spring may be located radially between the first portion and the second portion.

A method, including pressing a distal end of a medical probe against a wall of a body cavity, and receiving from the probe first measurements of a force exerted by the distal end on the wall. The method also includes receiving from the probe second measurements indicating a displacement of the wall in response to the force. The method further includes estimating a thickness of the wall based on the first and the second measurements.

The disclosure relates to an airway maintenance device, such as an endotracheal tube, tracheostomy tube, or supraglottic airway device, and in particular to an airway maintenance device having a sensor for measuring capillary blood flow and/or pressure. The device includes an airway maintenance device with an airway lumen having a proximal end and a distal end, a distal end portion incorporating an optical sensor configured to measure capillary blood flow in tissue surrounding the distal end when in position within a patient's airway. The optical sensor may include a portion of an optical fibre extending to the distal end portion along the lumen.

A system and method for detecting a tissue property. The system comprises a first unit positioned outside a patient body and a second unit positioned inside the patient's body. The first unit includes a first housing, and a magnetic field source supported by the first housing. The second unit includes a second housing, a pressure sensor supported by the second housing, a localization module supported by the second housing, a controller, and a power source. The pressure sensor is configured to detect an indentation force applied to the tissue, and the second unit is configured to wirelessly transmit the indentation force data and localization data to a computer to generate a volumetric stiffness map for the tissue.

A method of associating a sensor with a blood vessel includes providing a sensor defining a passage therethrough and at least partially encircling the outside wall of the blood vessel with at least a portion of the sensor. The method further includes compressing the passage through the sensor until a portion of the blood vessel is flattened and mechanically coupling a pressure/force transducer to the outside wall of the blood vessel in an area of vessel wall flattening.

A system and method of tracking activity includes a motion sensor, a light source and a light detector. The light detector is configured to capture an amount of the light that is reflected back to the light detector, at least a first portion of the light reflected back to the light detector is reflected from a blood vessel disposed under a skin adjacent to the housing. A processor is in communication with the motion sensor and the light detector and can process the reflected light to identify heart beats and produce an indication of a heart rate. The indication of the heart rate can be displayed on the display screen as an option, in addition to the metrics that quantify the motion data.

A thermoset polyisobutylene network polymer includes a polyisobutylene diol residue, a diisocyanate residue, and at least one crosslinking compound residue selected from the group consisting of a residue of a sorbitan ester and a residue of a branched polypropylene oxide polyol.