Abstract: A method includes placing a first electrode into electrical contact with a first portion of the heart, placing a second electrode into electrical contact with a second portion of the heart, and transmitting an electrical pulse between the first electrode and the second electrode in response to a determination that a cardiac event is detected.

Abstract: A component-based software architecture environment is provided for information networks used for administering one or more implantable medical devices (IMDs) in one or more patients. Various interface schema which may be used in implementing an IMD network are provided, as well as common interfaces for development of software within the network environment. The information network, and the software used in and implementing the network, may be upgraded and developed in a distributed and incremental manner, without requiring modification of entire systems or device instructions.

Abstract: A system and method for remote invoicing and inventory control of medical components of an implantable medical device system upon implantation into a patient is described. The system includes at least one medical component implanted in a patient. A programmer is capable of identifying each medical component implanted in the patient. A remote expert data center globally accessible to the programmer is connected to the programmer via an interface. An invoice module positioned on the remote expert data center receives information identifying each medical component implanted in the patient and prepares an invoice including each medical component implanted into the patient. An inventory module updates records regarding inventory of each implanted medical component.

Abstract: The hemodynamic operation of certain heart disease patient can be improved using pressure regulated atrio-ventricular delay. The pressure regulated atrio-ventricular delay involves recording atrial activation and ventricle activation, identifying a maximum diastolic pressure, identifying a declination pressure, calculating a percent decrease, and adjusting atrio-ventricular delay. The declination pressure occurs at the beginning of an isovolumetric contraction. The percent decrease is calculated between the maximum diastolic pressure and the declination pressure. The atrio-ventricular delay is adjusted according to the percent decrease between the maximum diastolic pressure and the declination pressure.

Abstract: In a medical device that monitors and/or treats ventricular arrhythmia, the invention provides for a “normal” processing mode of operation and a “guarded” processing mode of operation. The transition between the two modes is a function of cardiac rhythm. Benign rhythms are processed in the normal processing mode and non-benign rhythms are processed in the guarded processing mode. In normal processing mode, the device performs functions that are not computationally demanding, but in guarded processing mode, the device performs the computationally demanding operations that classify arrhythmias. If therapy is deemed necessary, the device may provide the therapy in guarded processing mode.

Abstract: A system for transferring data into and out of medical devices wherein a personal data manager (PDM) is used in a web-based network is disclosed. The PDM co-operates with a programmer to enhance remote monitoring of implanted medical devices on a chronic basis to deliver clinical therapy in real time. The PDM is handheldable and mobile and expands the reach of the programmer by storing and forwarding data from the programmer to web-based network constituting a medical environment. The PDM is also implemented to store and forward information to PCs and similar peripheral equipment. In a specialized application, the PDM is configured to exchange data with the unregulated operational/functional segments of the IMD.

Abstract: Apparatus and methods are disclosed for reducing the potentially harmful effects of electromagnetic waves on an implantable medical device. In one embodiment of the present invention, an implantable medical system comprising a dual threshold magnetic sensor capable of detecting an elevated magnetic field is disclosed. The sensor can comprise a solid-state sensor capable of detecting a static magnetic field in excess of about 1500 Gauss. The magnetic sensor can be operatively coupled to electronics that are capable of altering the operation of the system upon detection of an elevated magnetic field by the magnetic sensor.

Abstract: Sensitive data such as patient records are securely transferred between a programmer and a data encryption. A database residing on the programmer contains patient information obtained by at least one implantable medical device. A key source provides the programmer with a first key and the remote expert data center with a second key to be used in the encryption/decryption process. An encryption engine residing within the programmer encrypts the sensitive patient information contained within the database, using the first key. The programmer transmits the encrypted patient information to the remote expert data center via a data communications system such as a public network. A decryption engine residing within the remote expert data center decrypts the encrypted sensitive patient information using the second key.

Abstract: Detection of arrhythmias is facilitated using irregularity of ventricular beats measured by delta-RR (?RR) intervals that exhibit discriminatory signatures when plotted in a Lorenz scatter-plot. An “AF signature metric” is established characteristic of episodes of AF that exhibit highly scattered (sparse) distributions or formations of 2-D data points. An “AFL signature metric” is established characteristic of episodes of AFL that exhibit a highly concentrated (clustered) distribution or formation of 2-D data points. A set of heart beat interval data is quantified to generate highly scattered (sparse) formations as a first discrimination metric and highly concentrated (clustered) distributions or formations as a second discrimination metric. The first discrimination metric is compared to the AF signature metric, and/or the second discrimination metric is compared to the AFL signature metric. AF or HFL is declared if the first discrimination metric satisfies either one of the AF signature metric.

Abstract: Methods and endocardial screw-in leads for enabling provision of electrical stimulation to the heart, particularly the His Bundle in the intraventricular septal wall. An endocardial screw-in lead having a distal end coupled to a retractable fixation helix wherein a distal portion of the fixation helix extends beyond the lead distal end when the fixation helix is fully retracted or partially extended is positioned in proximity to the His Bundle in the septal wall. The lead body is rotated to attach the distal portion of the fixation helix into the septal wall. The fixation helix is rotated with respect to the lead body to fully extend the fixation helix so that a portion of the fixation helix is in proximity to the His Bundle, enabling provision of electrical stimulation to the His Bundle and/or to sense electrical signals of the heart traversing the His Bundle through the fixation helix.

Abstract: An implantable device is described that collects and aggregates data from non-implanted medical devices external from a body of a patient. The device may also collect and aggregate data from medical devices implanted within the body. The implantable device includes a wireless transceiver to acquire physiological data from the external medical devices, and a storage medium to store the physiological data. A processor retrieves the physiological data and communicates the physiological data to a remote patient management system. The device may collect the physiologic data from the various external data sources, possibly over an extended period of time, and stores the data for subsequent upload to a common patient management system. In addition, the implantable device may collect physiological data from other medical devices implanted within the patient. In this manner, the device provides a central point for collection and aggregation of physiological data relating to the patient.

Abstract: The invention relates generally to a system and method for monitoring and automatically delivering a therapy for sleep-related disordered breathing. In one form the present invention relates to an external device for monitoring for sleep-related disordered breathing in communication with an implantable medical device for delivering an electrical stimulation therapy. In another form the present invention relates to an implantable medical device for detecting sleep-related disordered breathing episode(s) and an external apparatus (e.g., a CPAP machine) for providing therapy to terminate, and/or reduce, said episode(s). In this form of the invention, the implantable medical device communicates with the external apparatus so that the therapy provided corresponds in magnitude and duration to the severity and/or length of the episode(s).

Abstract: Improved telemetry antennas and methods of fabrication for an implantable medical device (IMD) for use in uplink telemetry (UT) and downlink telemetry (DT) transmissions between the IMD and an external medical device (EMD) are disclosed. A first telemetry antenna element is supported to extend in a first direction along a minor side of the IMD housing by a first header segment, and a second antenna element is supported to extend in a second direction along a second minor side of the IMD housing by a second header segment. The first and second antenna elements are supported to extend apart at substantially 90° to one another, i.e., substantially orthogonally, in substantially a common plane to optimize UT transmission and DT reception of UHF telemetry signals by at least one of the first and second antenna elements depending upon the mutual spatial orientation with the antenna elements of an EMD antenna.

Abstract: An implantable medical device communication system communicates information between an implantable medical device and at least one slave device by way of a two-wire bus. Slave devices may include remote sensors and other implantable medical devices. The implantable medical device includes a communication unit to combine data and power for transmission over the two wire bus. The transmitted signal is selectively changeable between a first and second voltage. The slave device includes a recovery unit to recover data and power from the received signal. An extendable command set includes long commands to set up the system and shorter commands to conserve power. Selectively addressable multicast commands, and shortened quick trigger commands conserve power by lowering system current and increasing data throughput.

Abstract: The invention is directed to an implantable medical device (IMD) that includes an accelerometer. The accelerometer is used to detect heart tones associated with blood flow through one or more cardiac valves. In particular, the IMD measures durations of the heart tones detected by the accelerometer, and uses the measured durations to identify deterioration of the heart. In this manner, the IMD facilitates early detection of cardiac deterioration so that proper therapy can be delivered to the patient to remedy and combat such deterioration.

Abstract: Primarily, the invention relates to a safe delivery of atrial cardioversion pulses in complex cardiac therapy environments wherein cardiac events suggest, for example, rapid ventricular rates that would prevent a safe atrial cardioversion. The invention generally utilizes an algorithmic system in which a resultant R-R interval encountered subsequent to the delivery of a ventricular pacing pulse is decrementally scanned until an R-R interval is found that will yield a reliable sustained R-R interval. The sustenance of the R-R interval prolongation enables ventricular deceleration. Strategically selected timing windows are used to trigger a device response that is proper and tailored to the ventricular event detected during and within the timing windows. Further, the invention enables an atrial cardioversion synchronization method that allows for the safe delivery of atrial cardioversion pulses in the presence of very rapid ventricular rates.

Abstract: An improved system and method for deploying medical electrical leads is disclosed. The system includes a guiding device such as a guidewire used to navigate the vascular system of a body. The guiding device includes a fixation member that can be deployed to maintain the guiding device at a desired location within the vascular system. The fixation member may be an inflatable device such as a balloon, or alternatively, may be an expandable device constructed of flexible fibers that has both an expanded and a contracted state. The system may further include a coupling member located adjacent to the guiding device. The coupling member may be a rail extending distally from a proximal end of the guiding device to a point proximal the fixation member. In an alternative embodiment of the invention, the coupling member is a channel included in the body of the guiding device adapted to slidably engage an electrode assembly.

Abstract: A medical device production and supply information management system synchronous with manufacturing, planning and scheduling, product consumption forecast, and component purchase to enable just-in-time inventory control at the manufacturing facility, vendor stocks, material/product tracking, distribution and shipping management to thereby reduce inventory at all points in the product manufacturing, distribution/delivery chain. The system is implemented using a preferably Web enabled information network and data communications with a programmer. The programmer provides access to product information, specification and related data for implanted medical devices from which build-to-order and build-to-replenish commands are issued to the manufacturing center. The system is interactive within the consumption management system that is integrally and seamlessly connected with patients, hospitals, sales offices and related information hubs including manufacturing facilities.

Abstract: A transvenous implantable medical device adapted for implantation in a body, and which is particularly adapted for use in a vessel such as the coronary sinus or cardiac great vein. The implantable medical device may take the form of a lead or catheter, and includes an extendable distal fixation member such as a helix. In one embodiment, the fixation member is a helix constructed of a shape memory metal or other super-elastic material. Upon deployment, the helix assumes a predetermined helix shape larger than the diameter of the lead body diameter. The helix functions to wedge or fix the lead within the vessel in a manner that does not impede the flow of blood through the vessel. The helix may be retracted for ease of repositioning and/or removal. In one embodiment of the invention, the fixation member may be advanced using a stiffening member such as a stylet. In another embodiment, the helix is coupled to a coiled conductor such that rotation of the conductor extends or retracts the helix.

Abstract: Implantable medical devices (IMDs) and their various components, including flat electrolytic capacitors for same, and methods of making and using same, particularly an improved electrolytic capacitor fabricated of an electrode stack assembly comprising a plurality of capacitor layers stacked in registration upon one another. Each capacitor layer comprises a cathode layer having a cathode tab, an anode layer having an anode tab, and a separator layer located between adjacent anode and cathode layers. The anode layer is fabricated of side-by-side stacked anode sheets joined together by at least one malleable member that is fitted into substantially aligned anode sheet bores extending through each sheet and expanded therein to bear against the valve metal core layer of the anode sheets exposed by the bores to effect electrical and mechanical connection of the anode sheets and the anode tab.