A pacemaker comprises a processing unit, a detector and a pacing signal generator, all electrically interconnected, the detector determines patient activity signals and provides the activity signals to the processing unit, the processing unit determines a pacing rate based on the currently received activity signals and on a gain value in an adaption or stabilized mode, the processing unit produces a pace control signal based on the determined pacing rate and provides it to the pacing signal generator, in the adaption mode the processing unit adapts the gain value to the specific patient, the processing unit stays in the adaption mode as long as a stability criterion is not met and transitions in the stabilized mode if a stability criterion is met, wherein in the stabilized mode the processing unit uses a locked gain value determined based on the most recently adapted gain values for determining the pacing rate.
A computer implemented method for protecting a patient critical firmware function of an implantable medical device, in particular a pacemaker, a defibrillator and/or a neuro-stimulator, against unintended execution comprising the step of writing the second checksum to a memory area of the implantable medical device from which a checksum is read before execution of the patient critical firmware function of the implantable medical device. Furthermore, the invention relates to a system for protecting a patient critical firmware function of an implantable medical device. In addition, a computer program and a computer-readable data carrier are also provided.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
3.
METHOD FOR CLASSIFYING A MEDICAL DEVICE AND/OR DRUG, SYSTEM AND TRAINING METHOD
A computer implemented method for classifying or suggesting at least one medical device and/or at least one drug clinically associated with a first data set (DS1) of medical parameters of a patient, The method includes providing (S1) the first data set (DS1), applying (S2) a machine learning algorithm (A1) and/or a rule-based algorithm (A2) to the first data set (DS1), and outputting (S3) a second data set (DS2) including at least one class (C) representing the at least one medical device and/or the at least one drug clinically associated with the first data set (DS1) The invention further relates to a corresponding system and training method.
G16H 20/10 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Methods and systems for securely communicating with an implant. A method of communication by a local communication system, with an implant and with a remote communication system may comprise the steps of: receiving a user input indicative of first data to be transmitted to the implant, transmitting a first indication associated with the user input to the remote communication system for processing, prior to sending the first data to the implant. Additionally or alternatively, the method may comprise receiving second data from the implant, and, without accessing the second data, transmitting a second indication associated with the second data to the remote communication system for processing.
H04L 9/14 - Arrangements for secret or secure communications; Network security protocols using a plurality of keys or algorithms
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
5.
Medical Electrode Device Comprising at Least One Contact Element
A medical electrode device for implantation into a patient comprises a carrier element formed from an electrically insulating material, a contact element arranged on the carrier element and comprising a contact portion for coupling to tissue in an implanted state of the medical electrode device, and an electrical supply line connected to the contact element. The contact element comprises first and second fastening sections, the first and second fastening sections arranged at a distance with respect to each other along a length direction, and the electrical supply line connected to the contact element at the first fastening section and the second fastening section such that the electrical supply line is arranged at a distance with respect to the contact portion along a height direction oriented perpendicularly to the length direction. A portion of the carrier element extends through a space in between the contact portion and the electrical supply line.
An implantation arrangement (1) and an implantable medical device (5) such as an implantable leadless pacemaker are described. The implantation arrangement comprises an implantation tool (3) having a catheter (7) with a capsule (9) at its distal end for accommodating the implantable medical device. The implantable medical device comprises a housing (11) and plural elongate tines (13) extending from the housing (11) for fixing the implantable medical device at a patient's tissue. The tines are elastically bendable between a first configuration in which the tines are unstrained and a second configuration in which the tines are strained due to being elastically bent upon the implantable medical device together with its tines being accommodated within the catheter's capsule. Therein, in the second configuration, at least one first portion (15) of each tine (13) is elastically bent from a relaxed geometry into a strained geometry whereas at least one second portion (17) of each tine (13) remains in its relaxed geometry. Specifically, each tine comprises a radiopaque material (19) being applied exclusively to the second portion of the tine.
An implantable medical device (20) is provided. The implantable medical device (20) comprises: an elongated housing (22) for accommodating one or more electronic components (28, 30) of the implantable medical device (20), wherein at least an outside of the housing (22) is completely made of a dielectric material; a first cap (24) coupled to a first longitudinal end of the housing (22) and being configured for closing the first longitudinal end of the housing (22), wherein at least an outside of the first cap (24) is at least partly configured as a first electrode of the implantable medical device (20) and wherein the first electrode is electrically coupled to one or more of the electronic components (28, 30); and a second cap (26) coupled to the housing (22) at a second longitudinal end of the housing (22) opposite to the first longitudinal end of the housing (22) and being configured for closing the second longitudinal end of the housing (22), wherein at least an outside of the second cap (26) is at least partly configured as a second electrode (27) and wherein the second electrode (27) is electrically coupled to one or more of the electronic components (28, 30).
A catheter device (1) is presented for tethering a hitch (65) of an implantable medical device (61) during explanting. It comprises a catheter (3), a shaft (5) and a hitch grabbing mechanism (7). The hitch grabbing mechanism comprises a mandrel (11), plural tubes (13) and plural wires (15) each of the wires being longitudinally displaceable relative to the associated tube, the wire further partially extending to an associated neighboring tube (13''), wherein a first end (21) of each wire is fixed relative to the shaft and a second end (23) of each wire is displaceable relative to the shaft and is fixed to the mandrel, such that each wire together with its associated tube and its associated neighboring tube forms a loop (25) that can be pulled into a closed configuration, and pushed into an opened configuration.
An implant arrangement comprising an active implantable medical device and a remote data-monitoring device is disclosed, wherein the active implantable medical device comprises a sensing unit for sensing at least one diagnostic parameter of a human or animal patient and a data transfer interface for transferring data on the at least one diagnostic parameter sensed by the sensing unit to the remote data-monitoring device, wherein the remote data-monitoring device is configured to apply at least one post-processing function on the data received from the active implantable medical device, wherein the remote data-monitoring device is further configured to allow an adjustment of at least one configuration parameter of the post-processing function in dependence on a user input received by the remote data-monitoring device, wherein the at least one configuration parameter alters an effect of the post-processing function on the data received from the active implantable medical device.
An implantable pulse generator (IPG, 104) for neuro stimulation of a patient's body is described having a recharging unit (104.d) with a rechargeable battery (104.b) adapted to receive energy from a separate charger (110) utilizing inductive power transfer from a primary coil (110.a) of the charger to a secondary coil (117) of the recharging unit, wherein the IPG (104) further comprises a processing unit (104.e), wherein the recharging unit is adapted to communicate information from the IPG to the charger utilizing capacitive load shift keying (C-LSK) and resistive load shift keying (R-LSK). In order to improve communication reliability the processing unit is adapted to control dynamical selection of either C-LSK or R-LSK for communication of a pre-defined information and/or to control usage of both C-LSK and R-LSK for communication of a pre-defined information in a pre-defined sequence dependent on an actual measured value of at least one parameter of the electric circuitry of the recharging unit and/or dependent on the type of information which is to be communicated to the charger. Further, a system comprising the IPG and a charger is described as well as a neurostimulation device and a method for operating such IPG and such system.
H02J 50/12 - Circuit arrangements or systems for wireless supply or distribution of electric power using inductive coupling of the resonant type
H02J 50/80 - Circuit arrangements or systems for wireless supply or distribution of electric power involving the exchange of data, concerning supply or distribution of electric power, between transmitting devices and receiving devices
H04B 5/79 - for data transfer in combination with power transfer
11.
Computer Implemented Method for Determining a Medical Parameter, Training Method and System
A computer implemented method for determining an ejection fraction, comprising the steps of receiving a first data set comprising pre-acquired cardiac current curve data, in particular one-channel cardiac current curve data, captured by an implantable medical device, applying a machine learning algorithm to the pre-acquired cardiac current curve data, and outputting a second data set representing the ejection fraction and/or the variation of the ejection fraction or a classification of the ejection fraction and/or a classification of the variation of the ejection fraction by the machine learning algorithm. Furthermore, a corresponding system and a method for providing a trained machine learning algorithm is provided.
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 5/02 - Measuring pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography; Heart catheters for measuring blood pressure
A computer-implemented method for determining a heart failure status of a patient, comprising the steps of providing a first data set comprising cardiac current curve data of a patient acquired by an implantable medical device, applying a first machine learning algorithm and/or a rule-based algorithm to the cardiac current curve data for classification of a medical relevance of a parameter deviation from a norm of the cardiac current curve data, and applying a second machine learning algorithm to the third data set for determining the heart failure status of the patient. In addition, the invention relates to a corresponding system and methods for providing a first and second trained machine learning algorithm respectively.
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 5/318 - Heart-related electrical modalities, e.g. electrocardiography [ECG]
G16H 10/20 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
A system and method for neurostimulation of a patient's body includes a device to provide a unique combination of multiphase therapy modes that minimize the recruitment of large diameter nerve fibers and provides distributed neuron recruiting compounding effect thus reducing paresthesia. The system includes a plurality of Z electrodes. For the number of the plurality of electrodes, Z≥3 applies. The delivers, via each electrode of a group of N electrodes (N≤Z and if Z=3 then N=Z), a set of electric pulses including one therapeutic electric pulse having an amplitude I1, I2, . . . . IN and a number of (N−1) charge balancing electric pulses during one cycle. The charge balancing electric pulses each have a polarity being opposite a polarity of the therapeutic electric pulse. Each therapeutic electric pulse and each charge balancing electric pulse have a non-rectangular shape.
The invention refers to an implantable medical device comprising at least one first housing component (10, 11) and a circuit board (6) with an electrically isolating, plate-like and rigid substrate (7) supporting and/or integrating at least one electronic module (8). In order to produce the medical device cost-effective, the substrate comprises a first portion (7a) and a second portion (7b), wherein the first portion of the substrate and the at least one first housing component are assembled such that the at least one first housing component and the first portion of the substrate form sections of the housing of the medical device and that the at least one electronic module is located inside the housing and is covered by the housing, wherein the second portion of the substrate projects from the housing and is located outside the housing, wherein the first portion and the second portion of the non-conductive substrate are integrally formed. The invention further refers to an assembly method for such implantable medical device.
The present invention relates to an electrical feedthrough (2) for a medical device (1), comprising: a multi-layer structure (20) comprising a plurality of electrically insulating layers (21) and a plurality of conductive tracks (22), each conductive track (22) being arranged between two electrically insulating layers (21) of said plurality of electrically insulating layers (21), a plurality of first electrical contacts (23) arranged on a first end portion (25) of the multi-layer structure (20), and a plurality of second electrical contacts (24) arranged on an opposing second end portion (26) of the multi-layer structure (20), wherein each conductive track (22) connects a first electrical contact (23) to a second electrical contact (24), and a flange (4) comprising a top side (4a) and a bottom side (4b) facing away from the top side, wherein the flange (4) surrounds a through-hole (40) of the flange (4), the through-hole (40) extending from the top side (4a) to the bottom side (4b), and wherein the multi-layer-structure (20) extends through the through-hole (40) and is hermetically connected to the flange (4), such that the flange (4) extends around the multi-layer structure (20) and is arranged between the first end portion (25) and the second end portion (26).
A patient device for a leadless pacemaker communication system is disclosed. The patient device is configured to receive and transmit data from and to a service device as well as from and to a leadless pacemaker. The patient device comprises a first controlling device for controlling communication from and to a service device and a second controlling device for controlling communication from and to a leadless pacemaker. The second controlling device is immutable.
A medical electrode device (1) for implantation into a patient (P) comprises a lead body (10) extending longitudinally along a longitudinal axis (L), at least one electrical line (13) extending within the lead body (10), and a flattened electrode end (11) arranged at a distal end of the lead body (10) and comprising a carrier body (14) and at least one primary electrical contact element (12) connected to the at least one electrical line (13). The at least one primary electrical contact element (12) is arranged on a primary face (142) of the carrier body (14) and configured to contact tissue in proximity to the flattened electrode end (11) in an implanted state of the medical electrode device (1). At least a portion of the carrier body (14) is made from a material composition comprising an electrically insulating first material in which particles (15) of an additive second material different than the first material are dispersed.
A method for determining a periodicity of a physiological signal. The method includes providing a plurality of target periodicities; filtering a physiological signal using a bandpass filter to generate signal samples; converting the signal samples into binary values; calculating an autocorrelation based on the binary values; and determining a periodicity of the physiological signal based on the calculated autocorrelation.
Delivery system for implanting a medical device, comprising: a delivery catheter having an inner lumen, a mandrel received in the inner lumen and movable with respect to the delivery catheter, a tethering member comprising a first end, a second end and a positive-locking member fixed to the second end, and an adapter piece having a longitudinal axis and comprising a proximal end face and a lateral surface. The adapter piece forms a fixed connection between a distal end of the mandrel and the first end of the tethering member. The adapter piece is displaceable between a first position within the inner lumen and a second position outside of the inner lumen, wherein in the first position the second end of the tethering member runs along the lateral surface of the adapter piece such that the positive-locking member adjoins the proximal end face providing a locked connection with the adapter piece.
The invention refers to an apparatus for laser welding of an inner workpiece (21, 121, 221, 321, 421) to an outer workpiece (22, 122, 222, 322, 422) of a medical device, for example a catheter, at a welding area, the inner workpiece (21, 121, 221, 321, 421) and the outer workpiece (22, 122, 222, 322, 422) having a longitudinal axis (25), wherein the apparatus comprises a bearing device (10) comprising a bearing element (11, 111), wherein the bearing element (11, 111) is configured to apply pressure onto the outer workpiece (22, 122, 222, 322, 422). Further, the apparatus comprises a laser device (5) emitting electromagnetic radiation for welding, wherein the laser device is configured such that the emitted electromagnetic radiation is transmitted through the bearing element (11, 111) to the welding area.
B29C 65/24 - Joining of preformed parts; Apparatus therefor by heating, with or without pressure using heated tool characterised by the means for heating the tool
An implantable apnoea detection device and an implantable blood pressure monitoring device using such apnoea detection device as well as an apnoea detection arrangement and a blood pressure monitoring arrangement using such devices are presented. The apnoea detection device comprises an ultrasonic transmitter, an ultrasonic receiver and a controller. The apnoea detection device is configured for being implanted into a body of a patient. The ultrasonic transmitter is configured for transmitting ultrasonic signals. The ultrasonic receiver is configured for receiving ultrasonic signals. The controller is configured for generating a phase signal indicating a phase difference between the transmitted ultrasonic signals and the received ultrasonic signals. In the apnoea detection arrangements or the blood pressure monitoring arrangement, the phase signal may be used for determining an occurrence of an apnoea. Eventually, blood pressure signals may be interpreted taking into account the determined occurrence of the apnoea.
The invention relates to an implantable medicaldevice comprising a housing (5). The housing (5) comprises a slit (6), wherein the slit (6) separates the housing (5) into a first housing part (51) and a second housing part (52), wherein at least one of the first housing part (51) and the second housing part (52) comprises at least one constriction (53). The slit (6) and the at least one constriction (53) are designed and arranged such that a thread (7) for fixing the implantable medical device to a body structure can be guided through the slit (6) and i) around the first housing part (51) in a region of the constriction (53) and/or ii) around the second housing part (52) in a region of the constriction (53), and can be fixed at the first housing part (51) and/or the second housing part (52) by forming a sling around the first housing part (51) and/or the second housing part (52).
A medical device system is provided, comprising an implantable medical device (IMD), wherein the IMD comprises a detection unit, a processing unit and a telemetry unit, an external server, and a clinician device. The detection unit of the IMD is configured to detect a plurality of parameters, and the processing unit of the IMD is configured to identify that the IMD is implanted in a patient based on at least one of the plurality of parameters. Furthermore, the processing unit is configured to transmit at least one of the plurality of parameters to the external server via the telemetry unit. The external server is configured to process the at least one of the plurality of parameters, and to create a data set associated with the IMD and/or with the patient based on the at least one of the plurality of parameters. The data set comprises at least one information for taking a decision associated with the IMD and/or associated with the patient. Moreover, the external server is configured to initiate the transmission of the data set to the clinician device.
An implantable medical device, comprising a left ventricular, LV, electrode assembly for connection to the myocardium of the left ventricle of a patient's heart and configured for application of left ventricular pacing, LVp, and for left ventricular sensing, LVs, and a control unit, configured to control the LV electrode assembly with respect to an application of LVp at a scheduled LV stimulation time, the control including inhibiting LVp during a left ventricle upper rate interval, LVURI, for T-wave protection, wherein a start of the LVURI is triggered by an LVs or LVp event. The control unit is further configured, if the scheduled LV stimulation time falls into the LVURI, to apply LVp when the LVURI lapses.
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
25.
THERAPY FOR THE TREATMENT OF DISORDERS IN THE NERVOUS SYSTEM USING BIOMARKERS
The present invention relates to a method a method comprising: acquiring, with a medical device (11), at least a first electrical signal from a brain (B) or a spinal cord of a patient (P); generating, with a wearable device (15) worn by the patient, at least a second signal relating to the patient (P); determining whether at least a first predetermined biomarker is present in at least one signal; determining whether at least a second predetermined biomarker is present in at least one signal; determining whether the first predetermined biomarker is present in the at least one first electrical signal and the second predetermined biomarker is present in the at least one second signal; based on whether or not the first predetermined biomarker is present and whether or not the second predetermined biomarker is present and whether or not the first and the second predetermined biomarkers are present, either adjusting at least one therapy parameter, or determining a patient state.
The present invention relates to a medical device (11) comprising: a storage medium (10); and processing circuitry (13) operably coupled to the storage medium (P) and configured to: sense electroencephalogram (EEG) data of a patient (P); perform feature-based delineation of the sensed EEG data to obtain tremor features present in the EEG data and indicative of an episode of tremor in the patient; determine, based on the feature-based delineation, that the tremor features satisfy threshold criteria for application of a machine learning model for verifying that the episode of tremor has occurred in the patient (P); in response to determining that the tremor features satisfy the threshold criteria for application of the machine learning model, apply the machine learning model, trained using EEG data for a plurality of patients (P), to the sensed EEG data to verify, based on the machine learning model, that the episode of tremor has occurred in the patient (P); and in response to verifying, by the machine learning model, that the episode of tremor has occurred in the patient (P): generate a report comprising an indication that the episode of tremor has occurred in the patient (P) and one or more of the tremor features that coincide with the episode of tremor; and output, for display, the report comprising the indication that the episode of tremor has occurred in the patient (P) and the one or more of the tremor features that coincide with the episode of tremor.
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
A system for analyzing physiologic signals. The system includes an input configured to receive a discrete-time physiologic signal; and at least one processor module. The at least one processor module is configured to:
compare a sign associated with a present sample value of the physiologic signal to a sign associated with a previous sample value of the physiologic signal;
determine a presence of a fiducial event if the sign associated with the present sample value is different from the sign associated with the previous sample value;
count samples of the physiologic signal in intervals defined between fiducial events to obtain a respective sample count for each of the intervals; and
determine at least one physiologic parameter based on the sample counts.
An implantable medical device for sensing physiological signals comprises an arrangement of at least a first electrode pole, a second electrode pole and a third electrode pole, said arrangement of at least the first, second and third electrode poles being configured to sense physiological signals. The implantable medical device further comprises a processing module for processing signals received via said arrangement of at least the first, second and third electrode poles. The processing module is configured to monitor cardiac activity based on a first signal received by a first pair of electrode poles of the arrangement of at least the first, second and third electrode poles and to assess a consistency of said first signal based on a second signal received by a second pair of electrode poles of the arrangement of at least the first, second and third electrode poles different then said first pair.
An implantable therapy system for an antibradycardia and antitachycardia stimulation comprises an implantable pacemaker device for emitting a cardiac stimulation signal for achieving an intra-cardiac pacing, and an implantable non-transvenous defibrillator device for emitting a shock pulse for achieving a defibrillation. The implantable pacemaker device is configured to transmit an advertising signal for advertising said cardiac stimulation signal. The implantable non-transvenous defibrillator device is configured to receive said advertising signal and to modify at least one processing function in response to receiving said advertising signal.
The present invention relates to a method, comprising: receiving, by processing circuitry (13), episode data for an episode stored by a medical device (11) of a patient (P), wherein the episode is associated with a period of time, and the episode data comprises an electroencephalogram or data derived from neural activity in the brain (B) sensed by the medical device (11) during the period of time; applying, by the processing circuitry (13), one or more machine learning models to the episode data, the one or more machine learning models configured to output a respective likelihood value for each of a plurality of tremor type classifications, each of the likelihood values representing a likelihood that the respective tremor type classification occurred at any point during the period of time; based on the application of the one or more machine learning models to the episode data, deriving, by the processing circuitry (13) and for each of the tremor type classifications, class activation data indicating varying likelihoods of the classification over the period of time; and displaying, by the processing circuitry (13) and to a user, a graph of the varying likelihoods of the tremor type classifications over the period of time.
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
An implantable medical device for providing a diagnostic and/or therapeutic cardiac function within a patient comprises a sensing arrangement for sensing electrocardiogram signals, a communication circuitry for data communication with a device external to the patient and a processing circuitry for processing sensed electrocardiogram signals. The processing circuitry is configured to identify, based on the sensed electrocardiogram signals, a stimulation event caused by an implantable pacemaker device and to cause a transmission of information concerning said identification of a stimulation event to the device external to the patient.
The present invention relates to an implantable medical arrangement (2), comprising: a detection unit (31) configured to detect an electric signal of a heart (7) of a human or animal patient (1); at least one implantable medical sensor (4, 5, 6) configured to detect physiologic data of the same patient (1), wherein the at least one implantable medical sensor (4, 5, 6) is chosen from the group consisting of an acoustic sensor configured to detect acoustic signals of the same heart (7) and an acceleration sensor configured to detect respiration data of the same patient (1); and a processor (33) configured to evaluate the electric signal detected by the detection unit (31) and the physiologic data detected by the at least one implantable medical sensor (4, 5, 6).
The invention relates to a system of communicatively coupled nodes comprising at least two nodes. A first node of the at least two nodes comprises a first sensor implantable and/or attachable to a patient for sensing the patient. A second node of the at least two nodes comprises a second sensor for sensing the patient or a stimulator for stimulating the patient. The system is configured such that an event determined at the first node initiates an action at the second node.
A system for obtaining diagnostic data indicative of a cardiac condition of a patient (P) comprises an implantable medical device (1) comprising a sensing arrangement (11) for sensing a cardiac diagnostic signal, a sensor apparatus (2) configured to be placed on skin tissue (S) on a patient's extremity (F) and comprising at least one sensor device for sensing a remote diagnostic signal on the skin tissue (S), and a processing arrangement for processing data relating to said cardiac diagnostic signal and said remote diagnostic signal to obtain diagnostic data indicative of a cardiac condition.
A61B 5/02 - Measuring pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography; Heart catheters for measuring blood pressure
A61B 5/021 - Measuring pressure in heart or blood vessels
Method of manufacturing a tubular device for a catheter sized for introduction into a patient's body, comprising providing a mandrel (111) having an outer sheath (112) as well as a first end, a second end and a longitudinal axis; providing a solid wire (117) consisting of elastic material; positioning an end section of the solid wire (117) adjacent the first end of the mandrel (111) such that it extends parallel to or around the longitudinal axis; and wrapping one or more reinforcement elements (113) around the mandrel (111) and around at least a pre-defined section of the solid wire (117) with such tension that the one or more reinforcement elements (113) are pressed into the surface of the solid wire (117). The invention further refers to an assembly manufactured with the above method and a respective tubular device for a catheter.
An implantable sensor device comprising means for determining a blood pressure and means for stimulating at least one nerve cell, based at least in part on the determined blood pressure. Further aspects relate to a method carried out by such a device and a computer program.
A mobile communication apparatus for communication with a pressure sensor implanted in a patient. The mobile communication apparatus comprises means for obtaining physical activity data of the patient, and means for sending a wake-up signal to the pressure sensor at least in part based on the physical activity data of the patient.
A medical device system (1) and a method for operating a medical device system are de-scribed. The medical device system, comprises: a programmable implantable medical device (3), configured for providing stimulations to a patient (11) in accordance with programmed stimulation parameters; a patient device (5), comprising a first interface (19) configured for communication and interaction with the patient and a second interface (23) configured for submitting data for programming the implantable medical device, and a clinician device (7), comprising a third interface (27) configured for communication and interaction with a clinician (29) and a fourth interface (33) configured for data communication with the patient device, wherein, for programming the implantable medical device, the patient device is configured to automatically pose at least one question to the patient via the first interface, and to automatically decide upon an action according to at least one feedback from the patient entered via the first interface and to submit the adjusted stimulation parameter to the implantable medical device, and wherein the patient device and the clinician device are further configured to provide an option to the patient to selectively establish a communication between the patient and the clinician.
A61N 1/372 - Arrangements in connection with the implantation of stimulators
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/36 - Applying electric currents by contact electrodes alternating or intermittent currents for stimulation, e.g. heart pace-makers
G16H 10/20 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
G16H 80/00 - ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
The present invention relates to a method for wireless communication at a recipient device within a medical monitoring system, a corresponding recipient device, a corresponding medical monitoring system and a corresponding computer program. The method comprises the steps of receiving physiologic data associated with a patient from at least one sensor within the medical monitoring system; classifying an efficacy of a therapy of the patient based at least in part on the physiologic data; and generating a notification based at least in part on the efficacy of the therapy.
G16H 20/00 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
40.
SYSTEM AND METHOD FOR PERFORMING A THERAPEUTIC AND/OR DIAGNOSTIC FUNCTION IN A PATIENT
ii+4i+4) subsequent to an R peak (R) of a QRS complex and prior to a T wave (TW) in a cardiac cycle (i…i+4) and to identify a myocardial infarction event (MI) based on the information.
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
A61B 5/352 - Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
The invention relates to an electrode assembly for an implantable lead or for a leadless implant, wherein the assembly comprises a tubular or cylindrical body extending in a longitudinal direction. To provide secure anchor for the implantable lead or the leadless implant that utilizes the positive mechanical properties of intact fascial tissue and provides optimal contact of an electrode member to the pre-defined tissue at the target location, the assembly further comprises at least one spiral fixation member extending from the distal end of the body, wherein the spatial extension in radial direction of the at least one fixation member is configured such that, at zero-load, the respective fixation member protrudes in radial direction beyond the greatest outer circumference of the body, wherein an electrode member is provided at the distal end of the body, wherein the electrode member is configured to receive electrical signals from and/or to transmit electrical signals to a tissue at a pre-defined target position within a patient's body, wherein one of the at least one fixation member forms the electrode member or the electrode member is an element formed separately from the at least on fixation member and is located at a distal end of the body. The invention further relates to a respective implantable lead, a respective leadless implant and a fixation method of such lead or implant.
An electrode tip for an implantable cardiac electrode, wherein the electrode tip comprises a housing having an electrode lead feed section, an electrode lead receiving section and a sealing element arranged between the electrode lead feed section and the electrode lead receiving section. The sealing element serves for sealing the electrode lead feed section in a fluid tight manner against the electrode lead receiving section, when an electrode lead is arranged within the electrode lead feed section and the electrode lead receiving section and is surrounded by the sealing element. According to an aspect of the invention, the sealing element consists of an injection-moldable material and constitutes a non-removable sealing portion forming an integral part of the housing.
The present invention relates to a system and a method for providing a therapeutic instruction to a patient, in particular for treatment of heart failure. The system comprises means for receiving, from an implanted pressure sensor, information indicative of a blood pressure of the patient, means for determining the therapeutic instruction for the patient based at least in part on a dynamic physiological model and the received information, means for updating the dynamic physiological model based at least in part on the received information, the determined therapeutic instruction or a combination thereof, and means for outputting the determined therapeutic instruction to a device accessible to the patient.
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
G16H 20/10 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
G16H 20/60 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to nutrition control, e.g. diets
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 5/021 - Measuring pressure in heart or blood vessels
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
The present invention relates to an electronic assembly (1) for a medical device, comprising: a circuit board structure (2) comprising a first and a neighbouring second mounting plate (21, 22) that extend parallel to one another in a folded state of the circuit board structure (2), wherein the first and the second mounting plate (21, 22) are connected to one another by a flexible first connection section (31), and wherein a first component (41) is mounted on and electrically connected to a first side (21a) the first mounting plate (21) and a second component (42) is mounted on and electrically connected to a first side (22a) of the second mounting plate (22) so that a top side (41a) of the first component (41) faces a top side (42a) of the second component (42). According to the present invention, the top side (41a) of the first component (41) is connected to the top side (42a) of the second component (42) by a first dry adhesive film (F1) to secure [fix] said folded state.
H05K 1/14 - Structural association of two or more printed circuits
A61N 1/375 - Constructional arrangements, e.g. casings
H05K 3/34 - Assembling printed circuits with electric components, e.g. with resistor electrically connecting electric components or wires to printed circuits by soldering
H05K 1/18 - Printed circuits structurally associated with non-printed electric components
The present disclosure relates to an implantable medical device for monitoring a respiratory parameter of a patient, wherein the implantable medical device (1, 2) comprises a blood oxygen sensor (10). The disclosure further relates to related methods.
A system for identifying a cardiac arrhythmia event (AE) in a patient (P) comprises an implantable medical device (1) for sensing electrocardiogram signals, the implantable medical device (1) comprising an arrangement of electrode poles (12, 13) configured to sense electrocardiogram signals. A processing arrangement is configured to use a first setting of at least one detection parameter for detecting a cardiac arrhythmia event (AE) based on said electrocardiogram signals, obtain information indicative of a myocardial infarction event (MI), and in response to obtaining said information, adapt said at least one detection parameter to a second setting different than the first setting for detecting a cardiac arrhythmia event (AE) in a time period (SP) subsequent to obtaining said information indicative of a myocardial infarction event (MI).
A system for performing a therapeutic and/or diagnostic function in a patient (P) comprises an implantable medical device (1) configured for implantation in a patient (P), the implantable medical device (1) comprising a motion sensor (18) for sensing a motion signal (M) indicative of a motion of the patient (P). A processing arrangement for processing the motion signal obtained by the motion sensor (18) is configured to process said motion signal (M) by comparing information derived from said motion signal (M) to a defined signature motion pattern in order to identify a myocardial infarction event.
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
48.
Computer Implemented Method and System for Classification of Similar Biosignal Curves Detected by an Implantable Medical Device
A computer implemented method for classification of similar biosignal curves detected by an implantable medical device, comprising the steps of providing a plurality of biosignal curves by the implantable medical device, storing the detected biosignal curves in a storage medium, applying an algorithm to the plurality of biosignal curves to determine a similarity of each of the plurality of biosignal curves with the plurality of biosignal curves with respect to at least one signal feature according to predetermined similarity criteria, and classifying biosignal curves matching the predetermined similarity criteria. Furthermore, a system for classification of similar biosignal curves detected by an implantable medical device is also provided.
An implantable system comprises a first implantable medical device (1) comprising a first communication circuitry (13), a second implantable medical device (2) comprising a second communication circuitry (23), and an external device (4, 5, 6) comprising a third communication circuitry (43) configured to transmit first control information to the first implantable medical device (1) by using a physical layer signaling employing oscillating magnetic signals according to a defined communication protocol. The first implantable medical device (1) is operative to at least one of initiate, modify and inhibit a therapeutic function according to said first control information. The second communication circuitry (23) of the second implantable medical device (2) is configured to transmit second control information to the first implantable medical device (1) by using said physical layer signaling employing oscillating magnetic signals and said defined communication protocol.
An apparatus for providing exercise assistance comprises means for receiving dynamical patient data comprising at least one physiological parameter and means for receiving exercise data comprising a current exercise parameter. The apparatus further comprises means for providing at least one new and/or updated exercise parameter of an ongoing and/or an upcoming patient exercise, based at least in part on the dynamical patient data.
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
A61B 5/0245 - Measuring pulse rate or heart rate using sensing means generating electric signals
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
A method is used for establishing a communication connection between at least one health care professional remote device and at least one medical device. The method includes the steps of:
establishing a first communication connection between the CP with a remote monitoring server,
establishing a second communication connection between the RMS and a patient remote device, and
establishing a third communication connection between the PR and the medical device.
A method is used for establishing a communication connection between at least one health care professional remote device and at least one medical device. The method includes the steps of:
establishing a first communication connection between the CP with a remote monitoring server,
establishing a second communication connection between the RMS and a patient remote device, and
establishing a third communication connection between the PR and the medical device.
The CP is configured to optimize an internal device process such that the first communication connection can be maintained as continuous communication connection, and/or the PR is configured to optimize an internal device process such that the second and/or third communication connection can be maintained as continuous communication connection. A remote programming session and/or interrogation session of the medical device is initiated if the communication connection between the CP and the medical device is successfully established.
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
H04W 76/11 - Allocation or use of connection identifiers
H04W 76/25 - Maintenance of established connections
A data system for managing information associated with an implantable device includes the implantable device. The data system is configured as a distributed database to store the information in two or more nodes of the data system. The implantable device is configured as one of the two or more nodes. The information includes at least one information entity. The at least one information entity includes at least one of the following: a patient identifiable information, a follow-up information, an implantable device information, or a lead system information.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
In a method for fabricating a medical electrode device for implantation into a patient a sleeve element having an inner lumen is provided, and an electrical supply line is inserted into the lumen of the sleeve element. The sleeve element is deformed to obtain a contact element for the medical electrode device, a portion of the sleeve element forming a contact face of the contact element for electrically contacting tissue, wherein as a result of deforming the sleeve element a crimp connection between the contact element and the electrical supply line is established.
An implantable cardiac electrode comprising an electrode lead and an electrode tip, wherein the electrode tip comprises a housing and a fixation screw received within the housing, wherein the fixation screw is electrically conductive connected to the electrode lead and serves for fixing the electrode tip within cardiac tissue. The housing comprises a first element and a second element, wherein the first element has a sleeve-like shape and defines a receiving space for the fixation screw, wherein the second element is at least partially inserted into the receiving space so that the first element overlaps the second element in an overlapping area, wherein the first element and the second element are bonded together in the overlapping area, wherein the first element comprises a first material being transparent for light having a first wavelength, wherein the second element comprises a second material that is absorbing for light having the first wavelength.
The invention refers to a fixation sleeve for an implantable lead, wherein the fixation sleeve comprises a substantially tubular body having an internal lumen extending therethrough and extending in a longitudinal direction, the internal lumen being configured to receive a lead body. To securely fixe the fixation sleeve to the lead body using a predefined force, wherein the fixation sleeve has small outer dimensions at the same time, the fixation sleeve is composed of a first component and at least one second component, each of the first component and the at least one second component forming a respective section of the inner surface of the internal lumen, wherein the at least one second component being pivotable relative to the first component between a first position and a second position, wherein in the first position a longitudinal movement of the lead body within the internal lumen is allowed and in the second position a longitudinal movement of the lead body is prevented. The invention further refers to an assembly comprising a medical device and such fixation sleeve as well as to an assembly comprising a suture and such fixation sleeve.
An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable pacing device is further configured to signal an unavailability of anti-tachycardia pacing to the implantable cardioverter defibrillator, and wherein the implantable cardioverter defibrillator is configured, in response to the signal of the implantable pacing device, to adjust predetermined shock therapy parameters and/or to send a message to a remote monitoring system. A computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier are also provided.
The invention relates to a sensor system (1) comprising a leadless sensor device (10) for implantation under the skin or for attachment to the skin of a patient for evaluating a physiology of a post-infarction patient, the leadless sensor device (10) comprising a power source (12), at least one sensing unit (14) for recording at least one ECG lead (15), a communication interface (17) for direct or indirect communication of the ECG data to a data acquisition system (16) external to the patient body, and an evaluation unit (18) arranged in the leadless sensor device (10) and/or in the data acquisition system (16), wherein the evaluation unit (18) is configured to detect a Q-wave in the ECG lead (15) and to analyze pathological indicators of the Q-wave. Furthermore, the invention relates to a computer-implemented method for evaluating a physiology of a post-infarction patient.
The invention relates to a computer-implemented method for classifying an in-stent re- stenosis comprising the steps of providing (S1) a pre-acquired data set (DS1) comprising ECG-data of a patient acquired by an implantable medical device (10), applying (S2) a machine learning algorithm (A) to the data set (DS1) comprising ECG-data for classification of an in-stent re-stenosis; and outputting (S3) a classification result (12) representing a probability of an in-stent re-stenosis. Furthermore, the invention relates to a computer- implemented method for providing a trained machine learning algorithm (A) configured to classify an in-stent re-stenosis, a system (1) for classifying an in-stent re-stenosis and a system (2) for providing a trained machine learning algorithm (A) configured to classify an in-stent re-stenosis.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
59.
MULTI-ELECTRODE STIMULATION THERAPY WITH SUB-THRESHOLD PRE-PULSES
A neurostimulation device (100), at least partially implantable into a patient, comprises at least one lead comprising at least three electrodes and a pulse generator. The neurostimulation device (100) is configured to provide a neurostimulation pulse sequence comprising at least two phases. The at least two phases comprise at least one first phase with a pre-pulse adapted such that no evoked compound action potential, ECAP, is triggered, and the at least two phases further comprise at least one consecutive second phase with a stimulation pulse adapted such as to evoke an ECAP.
A system for estimation of a peripheral artery disease (PAD) status of a patient, the system comprises means for receiving motion data comprising at least one motion parameter and means for determining an estimate PAD status, based at least partly on the motion data.
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
An implantable cardioverter-defibrillator having a housing comprising a processor, a memory unit, a single electrode connection port, a stimulation unit configured to provide an electrode being connected to the electrode connection port with an electric pulse to stimulate a human or animal heart, and a detection unit configured to receive an electric signal of the same heart from the same electrode. According to an aspect of the invention, the electrode connection port is configured to receive a transvenously implantable electrode or a substernally implantable electrode, wherein the memory unit comprises a computer-readable program that causes the processor to operate the stimulation unit and/or the detection unit in a first operational mode if a transvenously implantable electrode is connected to the electrode connection port and in a second operational mode if a substernally implantable electrode is connected to the electrode connection port.
An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable cardioverter defibrillator is further configured to signal an availability and/or unavailability of defibrillation to the implantable pacing device, and wherein the implantable pacing device is configured, in response to the signal of the implantable cardioverter defibrillator to enable and/or disable anti-tachycardia pacing. The invention further relates to a computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier.
The invention relates to a delivery system for placement of a leadless pacemaker device in a human body, the delivery system (1) comprising: a catheter device (4) for insertion into a human body, said catheter device (4) having a lumen (3) and a distal end region (8) to be inserted into the human body, the lumen (3) being configured to receive a leadless pacemaker device (2) in the distal end region (8) of the catheter device (4); and a first mapping electrode (10) and a second mapping electrode (11) disposed in the distal end region (8) of the catheter device (8) for sensing, in a mapping mode, a mapping signal between the first mapping electrode (10) and the second mapping electrode (11); wherein the first mapping electrode (10) is arranged on a mapping extension (9) that protrudes from a sidewall (14) of the distal end region (8) of the catheter device (4) towards a central axis (A) of the catheter device (4), the central axis (A) extending in a longitudinal extension direction (L) of the catheter device (4); wherein the mapping extension (9) is movable with respect to the sidewall (14) of the distal end region (8) of the catheter device (4) between a non-mapping position and a mapping position, wherein an angle (α) between the mapping extension (9) and a virtual plane (P) extending perpendicular to the central axis (A) is bigger than 5° in the non-mapping position and lies in a range of from 0° to 5° in the mapping position; and wherein the second mapping electrode (11) is arranged on an outside of the sidewall (14) in the distal end region (8) of the catheter device (4).
A method for monitoring an implantable device. The method comprises: receiving at least one cardiac vector signal, wherein the at least one cardiac vector signal is acquired by the implantable device between at least one pair of electrodes; extracting two or more separate features from the at least one cardiac vector signal by signal processing; deriving a hardware status (pnoise) of the implantable device based at least in part on a classification of the extracted two or more separate features.
An implantable electrode lead, comprising: at least one electrode pole, at least one electrical conductor, which is electrically conductively connected to the at least one electrode pole, and at least one longitudinally extended electrical insulator. According to the present invention, the at least one electrical conductor is helically wound in a first direction of rotation about a longitudinal axis of the electrode lead, and in that the at least one electrical insulator is helically wound in a second direction of rotation, opposite to the first direction of rotation, about the longitudinal axis.
A crossing catheter system for crossing chronic total occlusion includes or consists of a support catheter having a support catheter shaft defining a support catheter lumen capable of receiving a dilator. A dilator is arranged within the support catheter lumen. A locking handle is arranged at a proximal support catheter end. The dilator has a proximal segment with a uniform radial circumference and a distal segment that has a radial circumference that is smaller than the radial circumference of the proximal segment.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
67.
IMPLANTABLE MEDICAL DEVICE FOR SENSING ELECTROCARDIOGRAM SIGNALS
An implantable medical device for sensing electrocardiogram signals comprises an arrangement of electrode poles configured to sense electrocardiogram signals, and a processing module for processing electrocardiogram signals received via said arrangement of electrode poles. The processing module is configured to switch between a first mode of operation and a second mode of operation. The processing module, in said first mode of operation, is configured to identify a predefined event based on sensed electrocardiogram signals and to record a snapshot signal representation of electrocardiogram signals over a first duration of time. The processing module, in said second mode of operation, further is configured to record a continuous signal representation of electrocardiogram signals over a second duration of time larger than said first duration of time.
The present invention relates to a method for generating a three-dimensional component from bacterial cellulose, comprising the steps of: providing a support structure (2) comprising an outer surface (2a), the support structure (2) allowing passage of oxygen therethrough as well as through the outer surface (2a), providing a layer (3) arranged on said outer surface (2a) of the support structure (2), the layer (3) being permeable to oxygen, immersing the support structure (2) and the layer (3) arranged thereon at least partially in a nutrient solution (4) comprising bacteria capable of forming bacterial cellulose in the presence of oxygen, and passing oxygen into the support structure (2) so that oxygen permeates through the layer (3) allowing bacteria in the nutrient solution to form a component that is comprised of bacterial cellulose and is arranged on an outer surface (3a) of the layer (3).
C12P 19/04 - Polysaccharides, i.e. compounds containing more than five saccharide radicals attached to each other by glycosidic bonds
D04H 1/76 - Non-woven fabrics formed wholly or mainly of staple fibres or like relatively short fibres characterised by the method of forming fleeces or layers, e.g. reorientation of fibres otherwise than in a plane, e.g. in a tubular way
69.
BALLOON FOR A BALLOON CATHETER, IN PARTICULAR A SCORING BALLOON CATHETER
The invention relates to a balloon (1) for a balloon catheter, in particular a scoring balloon catheter, having a plurality of inflatable and expandable balloon sections (10), which are arranged next to one another in an axial direction (x) of the balloon (1), wherein two adjacent balloon sections (10) are connected to one another via a shaft segment (11), wherein the shaft segment (11) forms a constriction between the balloon sections (10) in an inflated state of the balloon (1), which constriction in the inflated state of the balloon (1) has a smaller external diameter than the balloon sections, and at least one scoring structure (2) which is arranged on the balloon (1) and can be expanded together with the balloon (1) and has longitudinally extending sections (20) running in the axial direction (x). Furthermore, the invention relates to balloon catheter having such a balloon.
A medical system comprising an implantable cardiac pacemaker device (120) and an implantable pressure sensor (130) for measuring a patient's blood pressure, wherein the pacemaker device (120) and the pressure sensor (130) are configured to communicate with each other.
A method for automated patient assistance comprises receiving medical data from an external device associated with a patient; defining a first patient stage within a predetermined patient treatment sequence, based at least in part on the medical data from the external device; receiving medical data from an implant of the patient; and defining a second patient stage within the predetermined patient treatment sequence, based at least in part on the medical data from the implant; wherein the medical data from the external device is received before implantation of the implant; and wherein the method further comprises providing educational material to the patient, based at least in part on the patient stage.
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
72.
MEANS FOR INTERACTION OF A MEDICAL DEVICE CONNECTIVITY SYSTEM WITH NON-MEDICAL SOFTWARE TO ENABLE AUTOMATIC ACCESS OF REMOTE MONITORING DATA AND PROGRAMMING DATA BY RELEVANT STAKEHOLDERS
A system for medical data processing is provided, the system comprising means for receiving encrypted medical data from a secure medical device server; means for decrypting the medical data at least partly; and means for providing the at least partly decrypted data to a database.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G06F 21/62 - Protecting access to data via a platform, e.g. using keys or access control rules
H04L 9/00 - Arrangements for secret or secure communications; Network security protocols
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
H04L 67/12 - Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
A label plate for a catheter connector includes a label plate body configured to be mounted around (and can be fixed onto) an outer shell surface of the catheter connector. A shape of an inner surface of at least a segment of the label plate body corresponds to the shape of an outer surface of at least a section of the catheter connector.
A catheter system includes an outer catheter having an outer catheter shaft defining an outer catheter lumen. At least one inner member is arranged within the lumen. The at least one inner member is relatively movable to the outer catheter in an unrestricted moving state. An axial movement restriction device includes an actuation mechanism and a locking mechanism. The axial movement restriction device can restrict an axial movement of the at least one inner member in a restricted moving state compared to the axial movement in the unrestricted moving state.
A method for automated patient treatment sequencing comprises the following steps: a) receiving medical data from at least one first medical device, b) defining a patient stage within a predetermined patient treatment sequence, based at least in part on the medical data, and repeating the steps a) and b) for further medical data from the at least one first medical device and/or at least one second medical device.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
76.
SYSTEMS AND METHODS FOR STIMULATION ARTIFACT REDUCTION IN NEURAL SENSING
The present invention relates to a device for neurostimulation, comprising: a pulse generator (100) configured to deliver a plurality of successive biphasic electrical stimulation phases (103), each comprising a stimulation pulse (103.a), an interphase period (103.b), and a charge balancing pulse (103.c), each pulse comprising an amplitude and a pulse width, at least a first electrode and a second electrode (102.a, 102.b) for delivering electrical biphasic stimulation phases (103), and wherein the device is configured to determine the slope and/or an absolute amplitude of a stimulation artifact generated by the respective biphasic electrical stimulation phase (103), wherein the device is further configured to reduce the amplitude and/or pulse width of the charge balancing pulse (103.c) of each biphasic electrical stimulation phase (103) with respect to the preceding biphasic electrical stimulation phase (103) until a final electrical stimulation phase (103) with reduced amplitude and/or pulse width of the charge balancing pulse (103.c) generates a stimulation artifact whose slope changed sign and/or having an absolute amplitude below a threshold, and wherein the device is configured to deliver therapy in form of at least one electrical biphasic stimulation phase having a charge balancing pulse comprising the amplitude and/or pulse width of the charge balancing pulse (103.c) of said final biphasic electrical stimulation phase (103), and wherein the device is configured to measure an evoked compound action potential (300) triggered by the delivered therapy.
The present invention relates to a method for validating medical data. The method comprises receiving data acquired by a medical device and at least one first identifier identifying an association between the medical device and a patient and verifying the association of the medical device with the patient.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
78.
AUTOMATED PERCEPTION THRESHOLD TEST AND THERAPY ADAPTATION FOR SPINAL CORD STIMULATION
A neurostimulation device with one or more electrodes for implanting into a patient comprises means for determining a perception threshold, PT, of the patient at least in part based on patient feedback. It further comprises means for adjusting at least one stimulation parameter at least in part based on the PT and a predetermined adjustment factor and/or adjusting at least one therapeutic window of the neurostimulation device at least in part based on the PT.
The present invention relates to an arrangement comprising a first device (1) and a second device (2), wherein the first device (1) and the second device (2) can be operatively coupled with each other to transfer data (3) at least from the second device (2) to the first device (1), wherein the first device (1) is an implanted medical device for cardiac therapy of a patient, wherein the first device (1) is designed and arranged such to activate an operational mode (11, 12, 13) of the first device (1) in dependence on the data (3) transferred by the second device (2). According to the claimed invention, the second device (2) is not a programming device serving for programming a medical device. In addition, the activated operational mode (11, 12, 13) is chosen from the group consisting of a normal mode in which the first device (1) is operated with standard functionalities; a protected mode in which the first device (1) is operated without specific safety functions since a failure of the first device (1) would be compensated by the second device (2); a danger mode in which the first device (1) will deliver, during a first predeterminable period of time, cardiac pacing pulses with an increased amplitude and/or an increased rate; a magnetic resonance imaging mode (11) in which the first device (1) is deactivated and subsequently reactivated after a second predeterminable period of time has passed or upon an absence of a previously present magnetic field (4); an increased stress mode being adapted to an expected increased level of stress of the patient; a fitness mode being adapted to an expected increased level of physical activity of the patient; and a mobility mode in which a motion sensor of the first device (1) is deactivated.
A medical system comprising an implantable medical device (120) for applying defibrillation shock pulses to a patient's heart (111) to treat an acute cardiac disorder. The medical system comprises an implantable pressure sensor (130) for measuring the patient's blood pressure, wherein the medical device (120) and the pressure sensor (130) are configured to communicate with each other.
An implantable medical device (1) for sensing electrocardiogram signals comprises an arrangement of electrode poles (12, 13, 14) configured to sense electrocardiogram signals, and a processing module (16) for processing electrocardiogram signals obtained by the arrangement of electrode poles (12, 13, 14). The processing module (16) is configured to identify a contraction event (V(i)) based on said electrocardiogram signals, classify said contraction event (V(i)) as an ectopic event (E*) based on a relation to other contraction events (V(i-n)...V(i-1), V(i+1)...V(i+m)) prior and/or subsequent to said contraction event (V(i)), and store a snapshot representing data of said electrocardiogram signals in a time period encompassing said contraction event (V(i)) classified as an ectopic event (E*).
An apparatus for transmitting data to and/or receiving data from an implantable medical device is described, comprising means for regularly transmitting data to and/or regularly receiving data from the implantable medical device, means for detecting an irregularity in transmitting and/or receiving data, and means for providing an alert based on the irregularity.
The invention relates to a medical device and a method for operating a medical device, said medical device comprising a unit configured to perform at least one function selected from the group of: evaluation of signals, therapy delivery, an interface to a network, in particular a 5G network, the interface being configured to communicate directly or indirectly with the network, wherein the medical device is further configured to directly or indirectly influence the at least one function via the network communication, and a basic supply unit configured to ensure a basic function of the medical device if the network communication is interrupted during intended use of the medical device.
The invention relates to a medical device and method, in particular an implantable active implant for implantation in human or animal tissue, comprising a unit adapted to perform at least one of the following functions: evaluation of signals and therapy delivery, an interface to a network, in particular a 5G network, wherein the interface can communicate directly or indirectly with the network as required and the at least one function can be influenced directly or indirectly via the network communication, and a predetection unit that activates a connection to the network only whenever an immediate need for real-time assessment and/or influence has been detected.
The invention relates to a fixation sleeve (40, 140, 240) for an implantable lead (20) comprising a body forming a wall and an inner lumen configured to receive an implantable lead. An outer surface of the body comprises at least one guide element (55, 65, 75, 155, 175, 255, 265, 275) configured to receive and clamp a thread (41) and/or the outer surface of the body comprises in circumferential direction at least one first segment (53, 153, 253) and at least one second segment (63, 73, 173, 263, 273), wherein the segments (53, 153, 253, 63, 73, 173, 263, 273) are configured to be wrapped by a thread (41). Further, a respective assembly comprising such fixation sleeve and a lead and/or a thread is described.
A remote monitoring server (RMS) configured to be used in a system comprising a medical device and a remote device of the group comprising a patient remote device and a health care professional remote device. The RMS comprises a communication module configured to communicate with the remote device, a central data repository, and a processor, wherein the central data repository is configured to store data collected by the medical device and the remote device, wherein the RMS further comprises an artificial intelligence (AI) module integrated within the processor and/or cooperating with the processor, wherein the AI module is configured to process data stored in the central data repository and/or to control data communication using the communication module and/or to provide services of a search engine. Further provided is a system comprising the RMS, the medical device and the remote device, and a method for operating the RMS.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
87.
PROSTHETIC HEART VALVE COMPRISING A STENT STRUCTURE
A prosthetic heart valve includes a stent structure configured to expand from a compressed state for transluminal delivery to a natural expanded state and having an overall height (H). The stent structure includes a mesh structure that has an essentially tubular shape and defines a circumference with contours, wherein the contours define a proximal inlet region and a distal outlet region. The proximal inlet region and the distal outlet region are directly connected to one another. The mesh structure includes a plurality of closed cells that in a longitudinal direction of the prosthetic heart valve have varying cell sizes and cell configurations to form a plurality of cell patterns that vary in size between the proximal inlet region and the distal outlet region. A valve is arranged inside a lumen of the stent structure. The overall height (H) of the stent structure is less than 45 mm.
The present invention relates to a medical system (1) comprising an implantable medical device (2), comprising an energy storage device for supplying electrical energy to the medical device (2), and a secondary coil (20) for transferring electrical energy to the energy storage device, and a charging device (3) which is designed to charge the energy storage device, the charging device (3) having a primary coil (30) via which electrical energy can be transferred to the energy storage device via the secondary coil of the implantable medical device (2). According to the invention, it is provided that the charging device (3) has a plurality of metal electrodes (31) which are arranged in front of the primary coil (30) and are each assigned to a segment (32) of a housing surface (33) of the charging device (3), the charging device (3) being designed to use the metal electrodes (31) to calculate an impedance for each segment (32) and to use the impedances to check whether the primary coil (30) is aligned with the secondary coil (20) for optimum energy transfer.
The invention relates to a communication adapter and a computer implemented method for use with an implantable medical device, in particular a pacemaker, a defibrillator and/or a neuro-stimulator, for transferring data between the implantable medical device and a mobile device, in particular a smartphone or tablet computer. In addition, the invention relates to protective case and a communication adapter system comprising the communication adapter.
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
90.
COMMUNICATION ADAPTER AND METHOD FOR TRANSFERRING DATA
A communication adapter and a computer implemented method for use with an implantable medical device, in particular a pacemaker, a defibrillator and/or a neuro-stimulator, for transferring data between the implantable medical device and a mobile device, in particular a smartphone or tablet computer. In addition, the invention relates to a protective case, a cable and a connector each comprising the communication adapter.
A medical device for a patient's body includes an accelerometer unit and a processor which are electrically interconnected. The patient's body has two orthogonal axes (YP, ZP). The first orthogonal axis (YP) is given by the craniocaudal or similar axis of the patient's body and the second orthogonal axis (ZP) is given by the dorsoventral or similar axis of the patient's body. The accelerometer unit is configured to determine at least 2-dimensional acceleration data (YD-data, ZD-data) over time along the first orthogonal axis (YP) and the second orthogonal axis (ZP).
A medical device for a patient's body includes an accelerometer unit and a processor which are electrically interconnected. The patient's body has two orthogonal axes (YP, ZP). The first orthogonal axis (YP) is given by the craniocaudal or similar axis of the patient's body and the second orthogonal axis (ZP) is given by the dorsoventral or similar axis of the patient's body. The accelerometer unit is configured to determine at least 2-dimensional acceleration data (YD-data, ZD-data) over time along the first orthogonal axis (YP) and the second orthogonal axis (ZP).
There is also a respective method for determining the number of steps made by a patient using a medical device, a computer program product and a computer readable data carrier.
G01C 22/00 - Measuring distance traversed on the ground by vehicles, persons, animals or other moving solid bodies, e.g. using odometers or using pedometers
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
92.
Sensing System for Sensing Biological Signals Externally on a Patient
A sensing system for sensing biological signals externally on a patient comprises a medical device comprising at least one electrode for sensing biological signals on a patient. An adapter element is mountable on said at least one electrode to electrically contact with the at least one electrode. A fastening component is mountable on said adapter element and configured to attach the medical device externally to the patient. A contact element is mountable to the fastening component and configured to attach externally to the patient's skin for receiving biological signals and conducting said biological signals to the adapter element. A casing serves for encasing the medical device and the adapter element in a mounted state in which the adapter element is mounted on said at least one electrode.
An implant for monitoring of a physiological parameter associated with a health state of a patient is configured to receive a trigger requesting a predetermined discovery signal and to transmit the predetermined discovery signal.
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Electronic devices for electrostimulation of tissue and nerves, namely, external or implantable cardiac stimulators; testing apparatus for heart pacemakers. Medical services, namely, remote monitoring and preparation of bodily function-related data, namely, neurological, circulatory system data and cardiology data for medical treatments and diagnosis, namely, telemetric and direct reporting of patient data and implant-related data for diagnostic and therapeutic purposes; performing medical and clinical analyses in the vascular and cardiovascular field; medical services in relation to treatment of vascular and cardiovascular disorders, directed to professional users, in particular to doctors.
95.
IMPLANTABLE MEDICAL DEVICE, IMPLANT COMMUNICATION SYSTEM AND COMMUNICATION METHOD
The invention relates to an implantable medical device, in particular a diagnostic monitoring device, a pacemaker, a defibrillator and/or a neuro-stimulator, comprising a first wireless communication interface, operating in a first frequency band reserved for medical implants, a second wireless communication interface, operating in a second frequency band supported by consumer mobile communications devices, in particular smartphones and/or tablet computing devices, and a multi-band antenna connected to the first wireless communication interface and the second wireless communication interface, wherein the multi-band antenna is configured to operate in the first frequency band reserved for medical implants and in the second frequency band supported by consumer mobile communications devices. The invention further relates to an implant communication system, a method for updating an executable code of an implantable medical device and a computer program.
An implant configured to provide a medical treatment to a patient and/or monitor a health state of the patient according to at least one standard operation parameter, when in a standard operation mode. The implant further comprises means for receiving a transient mode request, wherein receiving the transient mode request causes the implant to switch, a single time, into a transient mode from a first time until a second time and to switch back to the standard operation mode thereafter. Further, the implant is configured to, when in the transient mode, provide the medical treatment to the patient and/or monitor the health state of the patient according to at least one transient parameter, wherein the at least one transient parameter is different from the at least one standard operation parameter.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
A61N 1/372 - Arrangements in connection with the implantation of stimulators
The invention relates to an implantable medical device for stimulating a human or animal heart, comprising a processor, a memory unit, a stimulation unit configured to stimulate a human or animal heart, a first detection unit configured to detect an electric signal in an atrium of the same heart, and a second detection unit configured to detect an electric signal in a ventricle of the same heart. In operation, the device carries out a method comprising the following steps: a) repeatedly detecting, with the first detection unit, an atrial electric signal; b) repeatedly determining whether the atrial electric signal is indicative for an atrial fibrillation (211); c) if the atrial electric signal is indicative for an atrial fibrillation (211), switching an operational mode of the implantable medical device from a regular mode (220) to a fibrillation mode (222), wherein the fibrillation mode (222) exclusively allows a ventricular controlled stimulation of a ventricle of the heart to be stimulated, wherein at least one additional function is deactivated; switching the operational mode of the implantable medical device from the fibrillation mode (222) to an atrial-fibrillation optimized long-term mode (225) d) if at least one the following criteria is fulfilled: i) the atrial electric signal indicative for an atrial fibrillation (211) is detected over a time period of at least 15 minutes, ii) the fibrillation mode (222) is active over a time period of at least 1 hour, iii) the fibrillation mode (222) is active over a cumulative time period of at least 2 hours within 24 hours, iv) the fibrillation mode (222) was activated at least 120 (preferably 200) times within 24 hours, wherein the atrial-fibrillation optimized long-term mode (225) exclusively allows a ventricular controlled stimulation of the ventricle of the heart to be stimulated, wherein at least one additional function that was deactivated in the fibrillation mode (222) is reactivated (226).
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
Method for fabricating an implantable medical device comprising:
providing a housing, an electronic module and a plurality of periphery components,
the electronic module comprises module contacts for inputting/outputting electric energy to/from the electronic module,
each periphery component comprises component contacts for inputting/outputting electric energy to/from the periphery component;
arranging the electronic module and the periphery components in a first configuration wherein each component contact of each periphery component is positioned at a same initial distance relative to a corresponding module contact;
displacing the electronic module and the periphery components by the initial distance relative to each other into a second configuration in which all component contacts of each periphery component directly mechanically contact respective corresponding module contacts;
fixing the electronic module and the periphery components in the second configuration;
accommodating the electronic module and the plurality of periphery components in the housing.
The invention is directed to a method for manufacturing an implantable lead (1) and a respective implantable lead (1), wherein the lead comprises an elongated lead body (5, 25) with a plurality of wires or wire bundles (11, 21) and an electrically isolating outer layer, wherein the method comprises the following steps: - Providing a sleeve (13, 23) having a sealed end and an open cavity (16) opposite the sealed end (15) and comprising electrically conducting material; - Pulling at least one wire or wire bundle (11, 21) out of the lead body (5, 25); - Positioning the pulled end of the at least one wire or wire bundle (11, 21) within the cavity (16) of the sleeve (13, 23); - Forming the sleeve (13, 23) using a pressing tool such that the volume of the cavity (16) is reduced, that the wire or wire bundle (11, 21) is fixed within the sleeve (13a, 23a) and that an electrical connection of the at least one wire or wire bundle (11, 21) and the formed sleeve is established; - Attaching a contact element to the lead body (15, 25) such that the contact element fixes the formed sleeve (13a, 23a) at the lead body (5, 25) and establishes an electrical connection to the sleeve (13a, 23a). The implantable lead is manufactured in a cost-effective way and prevents leakage of wire material from the wire or wire bundle at the contact element.
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
H01R 24/00 - Two-part coupling devices, or either of their cooperating parts, characterised by their overall structure
H01R 43/00 - Apparatus or processes specially adapted for manufacturing, assembling, maintaining, or repairing of line connectors or current collectors or for joining electric conductors
