Progress on the development of the MediWatch ambulatory blood pressure monitor and related devices
Bibliographic record
Abstract
The MediWatch is a wrist-mounted noninvasive blood pressure monitor designed to capture the radial pulse waveform using arterial tonometry and yield blood pressure measurements when the waveform is calibrated. An early prototype of this monitor uses a pulse-sensing system with a cylindrical plunger to applanate the radial artery. This prototype was evaluated against simulated blood pressure generated by a pneumatic pressure-pulse generator. The simulation-based results show that the prototype gave accurate pressure measurements when the MediWatch waveforms were calibrated against the simulator's pressure, indicating that the pulse-sensing system was able to measure force accurately. The prototype was clinically evaluated against intra-arterial pressure on post-open heart surgery patients. The results show that, under stationary conditions, for short periods of time and when the MediWatch waveforms were calibrated against the intra-arterial pressure, the prototype gave measurements that satisfy some of the statistical criteria of the 1993 Association for the Advancement of Medical Instrumentation standard, the 1993 British Hypertension Society protocol and the 2002 European Society of Hypertension protocol. These clinical results indicate that, under the stated test conditions, the prototype was able to accurately track changes in the patients' systolic and diastolic pressures. The MediWatch is being developed into an ambulatory device that provides a macroscopic view of the patient's blood pressure through measurement at preprogrammed intervals over 24 h, as well as a microscopic view of the patient's pressure through the pulse waveform captured during each measurement cycle. The design features of the MediWatch are being adapted for other applications that require the arterial pulse waveform, calibrated beat-to-beat blood pressure or both. An improved MediWatch prototype has been developed that provides memory storage for measurement data and functions as an integral part of a Web-based system that allows measurement data to be accessed over the Internet. A pulse-wave analyser has been developed that allows the radial pulse waveform to be captured, calibrated and viewed in real time on a personal computer. A continuous noninvasive blood pressure monitoring system based on arterial tonometry is being developed for use as an alternative to the arterial line in invasive blood pressure monitoring.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.011 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.004 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.008 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".