KIRK H SHELLEY
Medical Practice in New Haven, CT
License number
Pennsylvania MD046308L
Category
Medicine
Type
Medical Physician and Surgeon
Address
Address
2
New Haven, CT 06515
Pennsylvania
Pennsylvania
Personal information
See more information about KIRK H SHELLEY at radaris.comName
Address
Phone
324 S 2Nd St, Wrightsville, PA 17368
86 Kohary Dr, New Haven, CT 06515
86 Kohary Dr, New Haven, CT 06515
86 Kohary Dr, New Haven, CT 06515
Organization information
See more information about KIRK H SHELLEY at bizstanding.comYale Anesthesiology - Kirk H Shelley MD
20 York St #3, New Haven, CT 06510
Categories:
Anesthesiology Physicians
Phone:
(203) 785-2802 (Phone)
Professional information
Dr. Kirk H Shelley, New Haven CT - MD (Doctor of Medicine)
Specialties:
Internal Medicine, Anesthesiology
Address:
Yale Anesthesiology
20 York St, New Haven 06510
(203) 785-2802 (Phone)
20 York St, New Haven 06510
(203) 785-2802 (Phone)
Certifications:
Anesthesiology, 1993, Internal Medicine, 1985
Awards:
Healthgrades Honor Roll
Languages:
English
Hospitals:
Yale Anesthesiology
20 York St, New Haven 06510
Yale - New Haven Hospital
20 York St, New Haven 06510
20 York St, New Haven 06510
Yale - New Haven Hospital
20 York St, New Haven 06510
Education:
Medical School
Pennsylvania State University College Of Medicine
Graduated: 1981
Lenox Hill Hospital
Graduated: 1982
Graduated: 1984
Columbia Presby Med Center
Graduated: 1992
Pennsylvania State University College Of Medicine
Graduated: 1981
Lenox Hill Hospital
Graduated: 1982
Graduated: 1984
Columbia Presby Med Center
Graduated: 1992
Method Of Assessing Blood Volume Using Photoelectric Plethysmography
US Patent:
2010001, Jan 21, 2010
Filed:
Sep 28, 2009
Appl. No.:
12/568311
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - New Haven CT, US
Robert G. Stout - Madison CT, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - New Haven CT, US
Robert G. Stout - Madison CT, US
Assignee:
YALE UNIVERSITY - New Haven CT
International Classification:
A61B 5/02, A61B 5/0402
US Classification:
600507, 600509
Abstract:
A method and system for assessing blood volume within a subject includes generating a cardiovascular waveform representing physiological characteristics of a subject and determining blood volume of the subject by analyzing the cardiovascular waveform. The step of analyzing includes generating a first trace of the per heart-beat maximums of the cardiovascular waveform, which is representative of the systolic pressure upon the cardiovascular signal, generating a second trace of the per heart-beat minimums of the cardiovascular waveform, which is representative of the diastolic pressure upon the cardiovascular signal, and comparing the respective first trace and the second trace to generate an estimate of relative blood volume within the subject. In accordance with an alternate method of analyzing harmonic analysis is applied to the cardiovascular waveform, extracting a frequency signal created by ventilation and applying the extracted frequency signal in determining blood volume of the subject.
Method Of Assesing Blood Volume Using Photoelectric Plethysmography
US Patent:
2007003, Feb 8, 2007
Filed:
Jan 2, 2004
Appl. No.:
10/548518
Inventors:
Kirk Shelley - New Haven CT, US
David Silverman - West Redding CT, US
Adam Shelley - New Haven CT, US
Robert Stout - Madison CT, US
David Silverman - West Redding CT, US
Adam Shelley - New Haven CT, US
Robert Stout - Madison CT, US
International Classification:
A61B 5/02
US Classification:
600504000
Abstract:
A method and system for assessing blood volume within a subject includes generating a cardiovascular waveform representing physiological characteristics of a subject and determining blood volume of the subject by analyzing the cardiovascular waveform. The step of analyzing includes generating a first trace of the per heart-beat maximums of the cardiovascular waveform, which is representative of the systolic pressure upon the cardiovascular signal, generating a second trace of the per heart-beat minimums of the cardiovascular waveform, which is representative of the diastolic pressure upon the cardiovascular signal, and comparing the respective first trace and the second trace to generate an estimate of relative blood volume within the subject. In accordance with an alternate method of analyzing harmonic analysis is applied to the cardiovascular waveform, extracting a frequency signal created by ventilation and applying the extracted frequency signal in determining blood volume of the subject.
Apparatus, Systems And Methods Analyzing Pressure And Volume Waveforms In The Vasculature
US Patent:
2014005, Feb 27, 2014
Filed:
Aug 27, 2013
Appl. No.:
14/011283
Inventors:
Michael Theran - Bethany CT, US
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Assignee:
Yale University - New Haven CT
Cardiophotonics, LLC - Guilford CT
Cardiophotonics, LLC - Guilford CT
International Classification:
A61B 5/021
US Classification:
600480
Abstract:
Apparatus, systems and methods are provided for analyzing relative compliance in the peripheral vasculature that generally involve generating a plethysmograph (PG) signal, generating one or more pressure waveforms and comparing the pressure waveform(s) relative to the PG signal to determine compliance indexes associated particular regions of the vasculature. A relative compliance ratio may also be determined by comparing arterial and venous relative compliance indexes. Apparatus, systems and methods are also provided for analyzing a PG waveform that generally involve generating a plethysmograph (PG) signal and comparing amplitude modulation of the PG signal relative to baseline modulation of the PG signal to estimate a relationship between left ventricular end diastolic pressure and stroke volume. The estimated relationship may account for a phase offset for the time between when changes in venous return affect left ventricular end diastolic pressure and stroke volume.
Apparatus, Systems And Methods Analyzing Pressure And Volume Waveforms In The Vasculature
US Patent:
2013018, Jul 18, 2013
Filed:
Jul 12, 2011
Appl. No.:
13/809687
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
David G. Silverman - West Redding CT, US
Assignee:
YALE UNIVERSITY - New Haven CT
International Classification:
A61B 5/0295, A61B 5/0205
US Classification:
600484, 600507, 600506, 600485, 600486, 600490
Abstract:
Apparatus, systems and methods are provided for analyzing relative compliance in the peripheral vasculature. Such apparatus, systems and methods generally involve generating a plethysmograph (PG) signal, generating one or more pressure waveforms and comparing the pressure waveform(s) relative to the PG signal to determine compliance indexes associated particular regions of the vasculature. A relative compliance ratio may also be determined by comparing arterial and venous relative compliance indexes. Apparatus, systems and methods are also provided for analyzing a PG waveform. Such apparatus, systems and methods generally involve generating a plethysmograph (PG) signal and comparing amplitude modulation of the PG signal relative to baseline modulation of the PG signal to estimate a relationship between left ventricular end diastolic pressure and stroke volume. The estimated relationship may account for a phase offset for the time between when changes in venous return affect left ventricular end diastolic pressure and stroke volume.
Method Of Assessing Blood Volume Using Photoelectric Plethysmography
US Patent:
2013017, Jul 4, 2013
Filed:
Jul 11, 2012
Appl. No.:
13/546178
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - New Haven CT, US
Robert G. Stout - Madison CT, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - New Haven CT, US
Robert G. Stout - Madison CT, US
Assignee:
YALE UNIVERSITY - New Haven CT
International Classification:
A61B 5/1455, A61B 5/00, A61B 5/0205
US Classification:
600324
Abstract:
A method and system for assessing blood volume within a subject includes generating a cardiovascular waveform representing physiological characteristics of a subject and determining blood volume of the subject by analyzing the cardiovascular waveform. The step of analyzing includes generating a first trace of the per heart-beat maximums of the cardiovascular waveform, which is representative of the systolic pressure upon the cardiovascular signal, generating a second trace of the per heart-beat minimums of the cardiovascular waveform, which is representative of the diastolic pressure upon the cardiovascular signal, and comparing the respective first trace and the second trace to generate an estimate of relative blood volume within the subject. In accordance with an alternate method of analyzing harmonic analysis is applied to the cardiovascular waveform, extracting a frequency signal created by ventilation and applying the extracted frequency signal in determining blood volume of the subject.
Systems And Methods Utilizing Plethysmographic Data For Distinguishing Arterial And Venous Saturations
US Patent:
2012015, Jun 14, 2012
Filed:
Jun 15, 2010
Appl. No.:
13/378648
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Zachary Doyle Walton - New Haven CT, US
David G. Silverman - West Redding CT, US
Zachary Doyle Walton - New Haven CT, US
Assignee:
YALE UNIVERSITY - New Haven CT
International Classification:
A61B 5/1455, A61B 5/145
US Classification:
600323, 600309
Abstract:
Apparatus, systems and methods are provided for using the PG waveform to determine peripheral venous and arterial saturations. Generally, saturations are determined by isolating an indicator of venous or arterial blood volume in each of a plurality of PG waveforms and using the isolated indicators to determine saturation in the corresponding region of the vasculature. Indicators may include respiratory induced variations of AC and/or DC components of the PG waveforms, peaks of the PG waveforms, troughs of the PG waveforms, venous pulsations of the PG waveforms, etc. Indicators may further be isolated in either the time or frequency domain. The isolated indicators may advantageously be normalized, e.g., based on a baseline of the PG waveform or a derivative thereof.
Volume Status Monitor: Peripheral Venous Pressure, Hypervolemia And Coherence Analysis
US Patent:
2010019, Jul 29, 2010
Filed:
Oct 16, 2009
Appl. No.:
12/580648
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - Baltimore MD, US
David G. Silverman - West Redding CT, US
Adam J. Shelley - Baltimore MD, US
Assignee:
Yale University - New Haven CT
International Classification:
A61B 5/0205, A61B 5/021
US Classification:
600484, 600485
Abstract:
Systems and methods are provided for monitoring changes in blood volume using waveforms in the peripheral vasculature. In particular, the systems and methods relate to detecting ventilation-induced variation (VIV) of waveforms in the peripheral vasculature. Advantageously, the systems and methods may relate to analyzing VIV in peripheral venous pressure (PVP). Thus, the VIV of PVP may be measured, wherein decreased VIV is indicative of decreased blood volume In exemplary embodiments, such as involving spontaneous breathing, it may be necessary to account for changes in respiratory signal strength. Thus systems and methods are also provided for assessing coherence between ventilation and VIV for a flow or pressure waveform. Specifically, coherence is evaluated by comparing the waveform to a detected respiratory signal. Finally, systems and method are provided for distinguishing the impact of respiration on the PG signal during hypervolemia as compared to hypovolemia. Such systems and methods may advantageously be utilized to monitor fluid status during fluid replacement.
Systems And Methods Utilizing Plethysmographic Data
US Patent:
2012027, Oct 25, 2012
Filed:
May 28, 2010
Appl. No.:
13/322708
Inventors:
Kirk H. Shelley - New Haven CT, US
David G. Silverman - West Redding CT, US
David G. Silverman - West Redding CT, US
Assignee:
YALE UNIVERSITY - New Haven CT
International Classification:
A61B 5/0295
US Classification:
702 19
Abstract:
Disclosed are apparatus, systems and methods utilizing attributes of the cardiac signal to calibrate/normalize components of the plethysmographic (PG) waveform indicating changes in venous and arterial blood volume. In the time-domain, amplitudes of respiratory-induced variations of the DC and AC components of the PG waveform may be calibrated/normalized based on an average amplitude of the PG waveform, e.g., over a respiratory cycle. Similarly, in the frequency domain, respiratory signal strength and side-band signal strength may be advantageously calibrated/normalized based on the strength of the cardiac signal or a harmonic thereof.