Apparatuses and methods for medical monitoring physiological characteristics values such as blood glucose levels for the treatment of diabetes, are presented. The apparatuses and methods provide dynamic glucose monitoring functions that perform predictive analysis to anticipate harmful conditions, such as glucose crash and hyperglycemic incidents for a patient. The dynamic functions can also be used to maximize athletic performance and warn of inadequate nocturnal basal rate. Other aspects include advanced alarm and reminder functions, as well as advanced data presentation tools to further facilitate convenient and efficient management of various physiological conditions.

System for monitoring physiological characteristics

A surgical stapler that may have a head assembly, a stapling assembly, a shield, a base head, a handle assembly, and a shaft assembly. A head assembly may have an anvil and anvil shaft, as well as a stapling assembly. A stapling assembly may have a trocar that can be removeably detachable with the anvil, a cannula extension, and a plurality of staples. A shield may be configured to retract from a first extended position where the shield generally covers the stapling assembly or the head assembly, to a second retracted position where the shield generally exposes the stapling assembly or the head assembly. The shield may be integral with the stapler, or provided after-market as an add-on. A surgical stapler may additionally or alternatively include an air or gas pump assembly that can be used to insufflate the rectum and intestinal tract during insertion and advancement of the stapler.

Shield for surgical stapler and method of use

A connector for resuscitating an infant or neonate is disclosed. The pressure is varied between Peak Inspiratory Pressure (PIP) and Peak End Expiratory Pressure (PEEP) by the occlusion of the PEEP outlet. The PEEP outlet may either allow variable PEEP, by adjustment, or substantially flow independent fixed PEEP using a novel umbrella valve (308). A duck billed valve (305) is included for suctioning of surfactant delivery during resuscitation. The connector (134) is adapted to one handed use.

Breathing assistance apparatus

A surgical instrument comprising a handle portion, an elongated body portion extending distally from the handle portion, and a tool adjacent the distal portion of the elongated body portion and having at least one jaw movable to a clamping position to clamp tissue. A tactile feedback system includes an expandable member extending from the handle portion, the expandable member providing a tactile indicator of a tissue parameter of tissue clamped by the least one jaw.

Surgical stapler with tactile feedback system

A medical ventilator system and method that triggers, cycles, or both based on patient effort, which is determined from cross-correlating patient flow and patient pressure. The medical ventilator is also controlled such that sensitivity to a patient initiated trigger increases as the expiratory phase of the breathing cycle progresses. The present invention also provides adaptive adjustment of cycling criteria to optimize the cycling operation.

Medical ventilator triggering and cycling method and mechanism

A method for controlling a mechanical ventilator that is supplying medical gas to a patient via an endotracheal tube. A pressure is measured from a patient end of an endotracheal tube. The pressure at the patient end of the endotracheal tube is used to create an improved endotracheal tube resistance model such that the medical gas supplied by the mechanical ventilator may be compensated for the resistance of the endotracheal tube thereby providing increased control over the medical gas that is delivered to the patient's lungs. Additionally, if an obstruction in the patient's airway is detected, the location of the obstruction may be targeted such that the proper remedial treatment or procedure is selected by a clinician.

Method and apparatus for airway compensation control

A remote control and tactile feedback system for a medical apparatus, such as a patient ventilator. The ventilator provides a signal having a property indicative of a desired parameter, such as airway pressure or tidal volume. The system has a member suitable for being received in the hand of a user, such as a clinician. A movable trigger is suitable for being engaged by the fingers of the user. An electrical-mechanical, pneumatic, or hydraulic force applying element is coupled to the trigger for applying a force to the fingers of the user responsive to the parameter signal. A tactile sensation of the desired parameter is thus provided to the user. The trigger is coupled to a signal generator for providing a control signal to the ventilator.

Remote control and tactile feedback system for medical apparatus

An improved system for making an accurate determination of the patient's compliance and airway resistance by ensuring that the flow to and/or from the patient at the end of a ventilator pause is, in fact, reduced to zero flow. The normal ventilator pause occurs at the end of an inspiratory cycle where the ventilator terminates the breathing air delivery to the patient and then enters a pause period. Values are taken for the airway flow and pressure at the beginning of the pause period, that is at peak pressure, and a second set of readings is taken at the end of the pause period, called the plateau pressure. This second set of readings greatly simplifies solving the equations for patient resistance and compliance if the flow at that time is assumed to be zero. The present system monitors the flow at the end of the pause period and continually adjusts the circuit pressure in order to drive the flow at the end of the pause period to a zero flow value, thus improving the accuracy of the patient resistance and compliance calculation and achieving a more ideal pause pressure profile.

Zero flow pause during volume ventilation

A control system for a single-valve controlled medical ventilator adaptively invokes separate flow delivery or flow exhaust control functions in response to the sensed dynamic state of the ventilator without any dependence on measured patient parameters. The control system selects either the flow delivery control system or flow exhaust control system based on a determination of the mode in which the ventilator is operating. The determination is made using a sensed ventilator operational parameter, such as the ratio of manifold pressure to flow output, to select the appropriate control function. A hysteresis routine is provided to prevent "hair triggering" between the flow delivery and flow exhaust control systems.

Adaptive control system for a medical ventilator

The specification describes anesthesia systems with an integrated, extendable clinical center and clinician/anesthesia office that accommodates for physical separation of clinical and clerical functions. The disclosed anesthesia systems allow for a portion of the system to be brought closer to the patient such that clinical controls can be accessed while tending to the patient airway, without compromising office space available to the clinician or crowding the patient area.

Ronald L. Tobia

Papers

Method and apparatus for airway compensation control

Remote control and tactile feedback system for medical apparatus

Zero flow pause during volume ventilation

Adaptive control system for a medical ventilator

Integrated, Extendable Anesthesia System