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Fading characteristics of a 2.3 GHz radio telemetry channel in a hospital building.

This paper reports on radio path attenuation measurements made in a hospital complex at a spot frequency of 2.340 GHz. Power loss figures for fixed path propagation in a variety of building types have been determined for proposed telemetry use in operational ward situations. Throughout the hospital, the radio paths assessed all exhibited a loss in excess of that calculated for free-space communications. Modern buildings had external wall losses of 10-25 dB, with dividing walls in wards contributing an additional 5 dB. Received signal strength levels indicated a Rayleigh distribution for obstructed paths. Temporal testing was used to find the rate and depth of signal fades caused by the movement of personnel and equipment during normal ward usage; signal level reductions of greater than 35 dB were common during busy periods.

Biomedical Engineering

An inexpensive receiver for ECG telemetry.

A simple, inexpensive ECG demodulator circuit has been described which may be used in conjunction with an ECG telephone transmitter, telephone amplifier, and ECG recorder to form a telemetry system capable of ECG monitoring.

Electrocardiography

Evaluation of childhood pseudoseizures using EEG telemetry and video tape monitoring.

Pseudoseizures, clinical events that superficially resemble epileptic attacks but which are not associated with central nervous system paroxysmal activity, are often difficult to differentiate from epileptic seizures. To evaluate the frequency and clinical manifestations of pseudoseizures in children with intractable seizures, children admitted to a Comprehensive Epilepsy Unit received prolonged simultaneous EEG telemetry and video recording. Pseudoseizures occurred in 11 of 53 pediatric patients admitted during the study period. Eight of the 11 patients with pseudoseizures also had documented epileptic seizures. Clinical characteristics of pseudoseizures and epileptic seizures documented by TEEG-VR were compared. Degree and duration of the postictal state, incontinence, combativeness, relationship to stress, and response to anticonvulsant medication were useful differentiating criteria. Pseudoseizures are not unusual in pediatric patients, often occur concurrently with epileptic seizures, and may be difficult to diagnose. However, careful clinical observation may offer clues in differentiating pseudoseizures from epileptic seizures.

Adolescent

A method for reviewing radio-telemetry paramedic calls.

A method is presented for reviewing the taped radio-telemetry records of paramedic calls managed by hospital-based emergency medicine residents. All paramedic calls to the LAC/USC base station are reviewed by an emergency medicine resident using a special tape review form which focuses on communication skills, initial paramedic field assessment, sense of urgency of the case, and the completeness of the filed report. Additional emphasis is placed on the base station physician's interpretation of the field presentation and his choice of therapy. Tapes demonstrating particular skills or pitfalls in prehospital management are selected for monthly tape review conferences. Such conferences provide a method by which each side of the prehospital care team can perceive the position of the other, encouraging physicians and paramedics to enhance their respective roles in providing effective prehospital emergency care.

Allied Health Personnel

Cardiac telemetry exercise program.

To train cardiac consultants who interpret electrocardiogram rhythm strips from the field, we designed a series of prerecorded telemetered rhythms and discussions which can be sent into telemetry consoles. The patterns represent cardiac arrhythmias (eg, ventricular tachycardia, complete heart block, etc), as well as equipment problems (loose leads, misplaced leads, etc). We selected and modified some of the patterns of "Arrhythmia Resusci Anne" (Laerdal Medical Corporation), sent these through ambulance radios (to create a tone), recorded the signal on a standard tape recorder and dubbed in the monologue. The physician is asked to interpret the pattern and give instructions to the ambulance attendant. The answers and response times are recorded by the technician running the taped exercise. At the end of the quiz, the rhythms are replayed along with a discussion of each pattern.

Ambulances

[A comparative study of standard electroencephalographic techniques and telemetry (author's transl)].

The authors have used radio-telemetry to perform long duration studies and to study the variations in cerebral electrical activity. They presented a quantitative study of the distribution of paroxysmal activity in the epileptic, based on an experimental observation and confirmed as a result of the methods used. They were able to show a relationship between the severity and temporal distribution of paroxysmal activity which was confirmed statistically. Further observations were made on the distribution and onset of epileptic discharges but more detailed analysis is required before general electrophysiological conclusions can be made.

Adolescent

An intra-oral telemetry system for the continuous recording of vertical jaw movement.

Continuous measurement of the separation between upper and lower dental arches, the so-called interocclusal distance (10D), is of interest in dentistry. Criteria for making such measurements by radio telemetry are discussed. It is concluded that a transmitter small enough to fit in a molar tooth gap is necessary in order to minimize interference with normal function; other design factors are related to obtaining adequate frequency stability, on which measurement accuracy depends. A transmitter fulfilling these requirements is described which sensed the instantaneous value of 10D by the frequency change produced when a metallic object (dental filling, gold crown, shorted turn of wire or piece of ferrite) in one dental arch moved relative to the transmitter in the other. Errors due to lateral and protrusive jaw movements were measured. Careful design and the use of high grade ceramic chip capacitors resulted in a transmitter of good frequency stability (+/- 0.03% in 10 h, +/- 0.02%/degrees c) and small size (10 X 7 X 5 mm). An example is given illustrating 10D movements due to swallowing, speech and respiration.

Humans

[Preliminary study of an implantable device powered by an inductive link for telemetry of the epicardial electrocardiogram and the radionuclide activity of the left ventricle].

In nuclear cardiology, radionuclide data concerning the cardiac function are presently collected using external detectors, providing scintigraphic images or activity curves with respect to time. This paper presents a new approach to the latter kind of instruments, which are often called nuclear stethoscopes. This proposed system is composed of a cardiac implant, a miniature transmitter positioned externally on the chest and a remote receiver system allowing the processing of the cardiac function data. The transcutaneous magnetic link permits the power transfer in order to energize the electronic implant, and permits the telemetry of the electrocardiogram and the radionuclide data between the implant and the external receiver system. The nuclear activity measured by a photodiode for gamma rays based on cadmium telluride, with pulse width modulation, constitutes the carrier of the electrocardiographic activity. The composite signal is transmitted by means of the implant impedance modulation. The use of this transmission concept reduces to a minimum the volume of the implant. Furthermore, this system, allowing the correct positioning of the external transmitter facing the left ventricle, increases the performance of the global transmission system. Theoretical results on the design of the magnetic link are presented.

Electrocardiography

Polysomnographic telemetry using Telediagnostic and Oxford Medilog 9000 systems.

Sleep was recorded in 24 normal adult sleepers (21-42 years of age) for 4 consecutive nights (2 nights in the laboratory and 2 nights in the home environment) using one of two commercially available telemetry systems, either the Telediagnostic or the Oxford Medilog 9000. Modifications to each system were necessary to approximate standard laboratory techniques for polysomnography. With comparability in recording techniques between systems, there were no qualitative or quantitative differences in standard electroencephalogram sleep parameters recorded in either the home or laboratory environment.

Adult

Urine marking and territoriality in Galago alleni (Waterhouse, 1837--Lorisoidea, Primates)--a field study by radio-telemetry.

A wild population of Galago alleni was controlled by trapping and followed by radio-tracking in the equatorial rainforest of Gaboon during three study periods of 3 months each in 1972, 73 and 75. The disposition of territories and the social organization are described, as well as their evolution through time. A new technique of radio telemetry permitted identification and localization of urine marking in wild galagos. Urine marking took place throughout the territory, with a fourfold increase in frequency in zones where there is a slight overlap with neighbouring territories (female--female or male--male). The function of urine washing (wetting of the soles of the feet with urine) is discussed in relation to five hypotheses proposed by different authors, and th data obtained in the field in Gaboon. We interpret this behaviour as a means of dispersal of urine marks (social signals) in a three-dimensional milieu where displacement by a combination of leaping and running creates numerous pathways.

Animals

Electrical activity of grafted myometrium and its recording by radio-telemetry in unrestrained rabbits.

1. The electrical activity in myometrial grafts in fifty-one female rabbits with ear chambers fitted with pick-up electrodes has been monitored. An FM telemetry system has made long-term studies possible in the freely moving animal. 2. Two distinct patterns of electrical activity were observed either arising spontaneously or provoked by oxytocin. These were the 'long-duration burst' containing about 50-150 spikes, and the 'short-duration burst' containing 1-10 spikes. 3. The spike frequency within the long-duration bursts varied between 0-9 and 1-3 spikes sec-1 and was fairly constant during the first half of the burst. The frequency of the bursts in the long series of short-duration bursts was about 2-3 min-1. 4. When activity from grafts in two chambers in the same animal was monitored for long periods, spontaneous activity occurred at random throughout the day in each graft, indicating that the spontaneous activity was probably myogenic.

Animals

An optical telemetry device to identify which dolphin produces a sound.

A small telemetry device, called a "vocalight," was designed for attachment to a dolphin's head using a suction cup. The vocalight lights up a variable number of light-emitting diodes depending upon the loudness of sounds received at a hydrophone within the suction cup. If vocalights matched for sensitivity are put on each dolphin within a captive group, observers can identify which dolphin produces a vocalization. Use of vocalights indicates that source levels of whistles from captive bottlenosed dolphins, Tursiops truncatus, range from approximately 125 to over 140 dB re: 1 microPa at 1 m.

Animals

A multichannel telemetry system for recording cardiovascular neural signals.

A multichannel telemetry system was developed for use with chronically instrumented unrestrained cats. This system can simultaneously record efferent and afferent cardiovascular neural signals, bioelectrical noise arising near the electrode recording the neural signals, EEG, ECG, and a standard calibration signal. The miniature (18 cm3), lightweight (24 g), telemeter is a five-channel, time-multiplexed, pulse width modulation (PWM)/FM device employing a high frequency subcarrier (60 kHz) and two sampling frequencies (30 kHz and 6 kHz). The device is powered by two small 120 mA . h silver oxide cells; it has an indoor transmission range of 10 m and can operate for 48 h. One channel transmits a standard signal (a square wave of 100 Hz and 200 mVp-p) used to monitor and regulate the system's performance. When the variation in either the amplitude or frequency of the standard signal is greater than 10% of the control value, the transmitted bioelectrical signals are automatically discarded.

Animals

Elimination of noise in telemetry systems by pulse-width discriminator.

A pulse-width-discriminator circuit (PWD) was developed and applied for noise reduction in an FM pulse-interval-ratio modulation telemetry system. The PWD was incorporated as an intermediary between the tuner and the demodulator. The application of the circuit as a noise filter is a result of its ability to distinguish between pulses of different durations and its ability to eliminate pulses whose durations are less than some predetermined value. Since spikes of radio-frequency interference (RFI) occurring at the tuner output were of significantly shorter duration than the encoding pulses, they were virtually eliminated by the PWD. This prevented false triggering of the demodulator and resulted in a noise-free final demodulated output signal. This system was tested during telemetered blood pressure measurements in an unrestrained dog and proved to be extremely effective in eliminating spurious noise caused by electromagnetic interference in the radio-frequency range.

Blood Pressure Determination

An inexpensive pressure telemetry system.

An inexpensive telemetry system using transducers and recorders commonly available, i.e., Statham and Grass, is described. The direct-current signal of a Statham transducer is applied to a voltage-controlled oscillator, thereby frequency encoding the pressure sensed by the transducer. This encoded signal frequency modulates a Colpitts oscillator, which acts as a radio-frequency oscillator-transmitter in the 88- to 108-MHz band. This transmitter and transducer, along with a rechargeable NiCd battery pack (total wt 0.5 kg), are mounted in a canvas jacket and worn by a dog previously prepared with a chronic indwelling arterial catheter. With a fully charged battery pack, a signal can be transmitted up to 250 ft for 50 h. A frequency-modulation automotive receiver, powered by and interfaced with a Grass 7B recorder, receives the signal and drives a tachometer circuit that reconverts the audio-frequency signal to a voltage proportional to pressure. This voltage is then applied to the driver amplifier of the Grass to produce a charted record. This system introduces no distortion as seen by comparison of direct and telemetered signals and is drift free for intervals exceeding 24 h.

Animals

Crystal-controlled telemetry system for long-term acquisition of physiological data.

A crystal-controlled telemetry system was developed for long-term high-reliability recording of blood pressure in unrestrained animals. The miniaturized transducer-transmitter system is powered by two lithium batteries that allow for more than 200 h of continuous recording of blood pressure before battery replacement. The total system has a flat frequency response of 0-25 Hz and a time stability of +/- 1 mmHg/day. Linearity is better than 0.5%. The high degree of dependability of the system permits us to perform continuous, unattended, around-the-clock recordings of pressure and heart rate in unrestrained animals. Very high dependability is achieved by the use of a novel piezoresistive blood pressure transducer and by the inherent stability of the crystal-controlled radio-frequency oscillator of the transmitter. The receiver is also crystal tuned to the measured transmitter frequency. This transmitter-receiver frequency locking ensures very reliable reception of the telemetered signal.

Animals

A multichannel implantable telemetry system for flow, pressure, and ECG measurements.

The design of telemetry systems for chronic implantation within the body have progressed from simple single-channel devices to complex multichannel systems over the last 15 yr. Although chronic measurements of temperature, ECG, and pressure have been reported with good results, measurements such as dimension and blood flow have been difficult because of heavy power requirements. The design to be described is a multiplex system that will measure up to eight individual parameters simultaneously, including blood flow. Flow is measured using an electromagnetic transducer, and by special design, the normal high power requirements of the electromagnetic technique have been reduced to a few hundred milliwatts. The system is powered by two NiCad, rechargeable batteries which are periodically recharged through the intact skin by induction at 250 kHz to an implanted pickup coil. The presently constructed units have been configured to measure ECG, two pressures, temperature and ascending aortic flow.

Animals