The present invention relates to the use of contrast-enhanced ultrasound using microbubble-based ultrasound contrast agents to accomplish noninvasive subharmonic aided pressure estimation (SHAPE) in a region of interest (ROI) of a subject. The method of the invention provides a non-invasive, direct, and accurate method for pressure estimation.

Technology is described that can be used for continuous measurements of blood pressure and arterial blood flow to automatically derive time-varying estimates of multiple factors pertaining to a patients vascular system. Such factors can include, but are not limited to, resistive flow, capacitive flow, vascular resistance, and arterial capacitance. Determination of such factors can allow for the meaningful assessment of the control of vascular resistance and capacitance in real time.

Technology is described that can be used for continuous measurements of blood pressure and arterial blood flow to automatically derive time-varying estimates of multiple factors pertaining to a patients vascular system. Such factors can include, but are not limited to, resistive flow, capacitive flow, vascular resistance, and arterial capacitance. Determination of such factors can allow for the meaningful assessment of the control of vascular resistance and capacitance in real time.

A system for detecting blood velocity within a blood vessel includes a piezoelectric transducer supported on a ceramic substrate. The ceramic substrate supports the piezoelectric transducer at a fixed angle of incidence that is greater than 0° and less than 90°. The ceramic substrate is formed of steatite ceramic and is configured to couple an ultrasonic signal emitted by the transducer to skin underlying the substrate.

A system for detecting blood velocity within a blood vessel includes a piezoelectric transducer supported on a ceramic substrate. The ceramic substrate supports the piezoelectric transducer at a fixed angle of incidence that is greater than 0° and less than 90°. The ceramic substrate is formed of steatite ceramic and is configured to couple an ultrasonic signal emitted by the transducer to skin underlying the substrate.

A method includes obtaining a baseline blood pressure at an initial time window; estimating a plurality of intermediate blood pressure change estimates, the intermediate blood pressure change estimates correspond to respective time windows that are subsequent to the initial time window; estimating a final blood pressure change estimate between the initial and final time windows; and obtaining the blood pressure by adding the baseline blood pressure to the final blood pressure change estimate. Estimating the final blood pressure includes estimating a first blood pressure change between the initial time window and the final time window; estimating a plurality of second blood pressure changes, each second blood pressure change is between a respective time window of the respective time windows and the final time window; and estimating the final blood pressure change estimate as a combination of the first blood pressure change and the plurality of second blood pressure changes.

An ultrasound measurement device includes: a processing device and multiple ultrasound sensors that capture tomographic information of a physiological structure. The ultrasound sensors include a first ultrasound sensor including a first transducer having a first frequency response with a first resonant frequency, and a second ultrasound sensor including a second transducer having a second frequency response with a second resonant frequency different from the first resonant frequency. The first frequency response partially overlaps with the second frequency response. The second transducer transmits an ultrasound signal that is reflected by the physiological structure to create a reflected ultrasound signal, the first transducer generates a first received signal from the reflected ultrasound signal, the second transducer generates a second received signal from the reflected ultrasound signal, and the processing device normalizes the first received signal with the second received signal or the second received signal with the first received signal.

Disclosed are devices, systems, and methods for multi-modal, wearable sensors, including an electrochemical-ultrasonic transducer-based sensor, that can simultaneously detect and monitor one or more bio-analyte markers and one or more physiological markers. In some aspects, a wearable, acoustic-electrochemical sensor device includes a flexible substrate, one or more electrochemical sensors disposed on the flexible substrate, a physiological sensor comprising an array of acoustic transducers disposed on the flexible substrate, wherein the sensor device is operable to simultaneously detect and monitor one or more analyte markers and physiological markers including hemodynamic parameters.

Devices, systems, and methods of evaluating risk associated with a condition of the vessel and providing an objective intervention recommendation based on the evaluated risk are disclosed. The method includes steps of obtaining physiologic measurements from a first instrument and a second instrument positioned within the vessel of the patient while the second instrument is moved longitudinally through the vessel from a first position to a second position, obtaining image data from an image of a vessel system, co-registering the physiologic measurements with the image data to produce co-registered physiologic measurements, and determining whether to perform a first surgical procedure or a second surgical procedure, wherein the determining is based on the co-registered physiologic measurements. Other associated methods, systems, and devices are also provided herein.

Devices, systems, and methods of evaluating risk associated with a condition of the vessel and providing an objective intervention recommendation based on the evaluated risk are disclosed. The method includes steps of obtaining physiologic measurements from a first instrument and a second instrument positioned within the vessel of the patient while the second instrument is moved longitudinally through the vessel from a first position to a second position, obtaining image data from an image of a vessel system, co-registering the physiologic measurements with the image data to produce co-registered physiologic measurements, and determining whether to perform a first surgical procedure or a second surgical procedure, wherein the determining is based on the co-registered physiologic measurements. Other associated methods, systems, and devices are also provided herein.