Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Design of a pulse oximeter for price sensitive emerging markets.
While the global market for medical devices is located primarily in developed countries, price sensitive emerging markets comprise an attractive, underserved segment in which products need a unique set of value propositions to be competitive. A pulse oximeter was designed expressly for emerging markets, and a novel feature set was implemented to reduce the cost of ownership and improve the usability of the device. Innovations included the ability of the device to generate its own electricity, a built in sensor which cuts down on operating costs, and a graphical, symbolic user interface. These features yield an average reduction of over 75% in the device cost of ownership versus comparable pulse oximeters already on the market.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
In vitro kinematic measurements of the patellar tendon in two different types of posterior-stabilized total knee arthroplasties.
Fixed-bearing posterior-stabilized (PS) total knee arthroplasty (TKA) has been used in Asian countries for several years, but few studies have investigated differences in the kinematic properties of the patellar tendon after standard PS TKA as compared to high-flex PS TKA. ⋯ We believe the changes observed in the sagittal plane and coronal plane angles of the patellar tendon after PS TKAs may influence the extensor mechanism and be an important cause of patella-femoral complications. These data may be used to assess patella-femoral complications after surgery so as to improve the design of high-flexion TKAs for Asians and achieve long-term stability.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Heuristics to determine ventilation times of ICU patients from the MIMIC-II database.
Mechanical ventilation is an important life support tool for patients in intensive care units (ICU). For various research purposes related to patient hemodynamic and cardiopulmonary monitoring, it is important to know when a patient is on a ventilator. Unfortunately, the widely used MIMIC-II database contains results from user charted data, where the user did not always store ventilation on and off times explicitly and accurately. ⋯ Hence, we designed a simple set of rules to determine the ventilation times using multiple sources of mechanical ventilator-related settings and physiological measurements by expert heuristics. The rules worked well in comparison with nursing notes regarding ventilation events. We conclude that our rule sets for determining ventilation times may be useful in assisting with MIMIC-II database analysis.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Analysis of heart rate variability dynamics during propofol and dexmedetomidine anesthesia.
It has been observed that heart rate variability (HRV) diminishes during anesthesia, but the exact mechanisms causing it are not completely understood. The aim of this paper was to study the dynamics of HRV during low dose propofol (N=9) and dexmedetomidine (N=8) anesthesia by using state-of-the-art time-varying methods, and thereby ultimately try to improve the safety of anesthesia. ⋯ For dexmedetomidine these changes are more considerable than for propofol. For dexmedetomidine the variability also seems to start decreasing right after loss of consciousness, whereas for propofol HRV continues increasing.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2010
Anaesthesia synchronization software: target controlled infusion system evaluation.
Target Controlled Infusion (TCI) systems are based in drug Pharmacokinetic (Pk) and Pharmacodynamic (Pd) models implemented in an algorithm to drive an infusion device. Several studies had compare manual titration of anesthesia and TCI system use; some studies evaluate the performance of the control algorithms for TCI systems, and a considerable number of studies assess the performance of Pk/Pd models implemented into TCI systems. ⋯ The goal of the current study was to assess the performance of the TCI system, Anaesthesia Synchronization Software (ASYS), on clinical set up to evaluate communication consistence (computer - infusion device) and controller performance in real time. These measures provided quantitative and qualitative evidences of software robustness and accuracy to be used at clinical environment.