Abstract: An implantable medical device that measures respiration parameters based on transthoracic impedance signals, and converts transthoracic impedance signals into a time series of digital values which is filtered with morphological operators to separate the signal into a respiratory component and a cardiac component. Metrics are generated based on the filtered impedance values such as respiratory rate, I/E ratio, tidal volume and minute ventilation.

Abstract: A device and a method for working with electromagnetic fields, specifically those fields that occur in image-guided nuclear spin tomography examinations (MRT or MRI). More precisely, the invention concerns an at least partially implanted medical device (IMD) that permits the delivery of electrical stimulation impulses by an electrode only in timeframes, in which no electromagnetic interferences are recognized and/or the control unit performs a reconstruction of electrical measurements for the timeframes in which electromagnetic interferences are recognized.

Abstract: A device and a method for working in the presence of electromagnetic fields, in particular fields occurring in magnetic resonance tomography (referred to below as “MRT” or “MRI”) imaging devices. More precisely, the invention relates to a medical device (MD) in which an electrode is in contact with bodily tissue, and for detection of electromagnetic interference fields the input characteristic of the MD is automatically modified by a switching device in such a way that the influences of the electromagnetic interference fields are minimized.

Abstract: The invention relates to a system and a method for the remote programming of a programmable personal medical device (10, 10?), in particular an implantable medical device such as a cardiac pacemaker, defibrillator, or the like, selecting (61) of a personal medical device, compiling (63) of a programming instruction (50) by accepting inputs of a user, and checking (63) the inputs for plausibility and compatibility with the personal medical device in a programming device (20), transmitting (65) the programming instruction to a patient intermediary device (30) tuned to the personal medical device via at least one indirect connection, receiving (67) of the programming instruction by the patient intermediary device, and transmitting of the programming instruction to the personal medical device, and accepting (69) of the programming instruction by a programmable controller of the personal medical device being provided.

Abstract: The invention comprises a system and a method for secure remote programming of an implant. For this purpose, a TAN list is generated on the part of the programming device and both stored in the implant (10) and also provided to a physician. The TAN list is preferably indexed and the implant predefines the index of a TAN in each case, which a physician must input to have a programming instruction executed by the implant.

Abstract: An active medical implant, in particular a medical electronic device having a power supply which has a mechanical vibrator or rotor which is induced to vibrate and/or rotate by movements of the patient wearing the implant and/or external excitation and is energetically connected to an electronic consumer and/or an energy storage mechanism, such that a portion of the kinetic energy generated by the vibration and/or rotation is input into the consumer and/or energy storage mechanism.

Abstract: The invention refers to a monitoring device for monitoring and analyzing physiological signals. The monitoring device comprises a transthoracic impedance measurement unit and an evaluation unit connected to the transthoracic impedance measurement unit. The transthoracic impedance measurement unit is adapted to conduct a transthoracic impedance measurement and to generate a transthoracic impedance signal representing a measured transthoracic impedance at consecutive points in time. The evaluation unit being configured to process the transthoracic impedance signal received from the transthoracic impedance measurement unit and to thus generate a respiration signal and to generate therefrom an evaluation signal reflecting at least a diurnal pattern of the respiration rate.

Abstract: Improving the signal-to-noise ratio of electrocardiogram (ECG) measurements facilitates cardiac beat detection in a human or animal patient. ECG signals measured either on the surface of the skin or subcutaneously from pairs of leads may be combined to calculate a differential signal. The measured signal may also be averaged to produce a second estimate. A point-by-point product of the differential signal and the averaged signal is generated if the sample pair has the same polarity. The product signals feature enhanced signal components and reduced noise components, thus improving the signal-to-noise ratio of the to respective input channels. Product signals are then subjected to peak detection through a conventional auto-sensing approach. Preliminary event detection results from the conditional product signals may then be aggregated, and final sense markers for ECG beat detection may be generated by means of a voting algorithm.

Abstract: An electrode for interventional purposes, such as a cardiac pacemaker, neurostimulation, or ICD electrode, comprises an elongate electrode body (6), at least one electrode pole (5) in the area of the distal end (4) of the electrode body (6) for delivering an intervention pulse, at least one supply line (7) running in the electrode body (6) to the at least one electrode pole (5), and an electrode sheath (8) for insulating the supply line (7). The first and/or second material is produced in such a way that it contains conductive particles embedded in a polymer matrix in a concentration which is greater than or equal to the percolation threshold.

Abstract: A wireless apparatus includes a cellular radio interface that is adapted to perform a data exchange by way of a wireless data network, a user identity module containing information for authorization of a user for use of wireless networks, and a control unit which controls establishment and implementation of the data exchange. A second control unit is included and adapted to limit, in respect of the duration of its effect, a rejection of the user identity module expressed by the locally available wireless data networks in logging on to the wireless data network by suitable control of the first control unit in the further course of the log-on process by bypassing communicated information about the rejection.

Abstract: The invention is directed to a heart stimulator for left-ventricular pacing comprising a left ventricular stimulation pulse generator connected or connectable to a single electrode lead for left ventricular stimulation having one or more electrodes for delivery of stimulation pulses to left ventricular myocardial heart tissue, said stimulation pulse generator being adapted to generate and deliver stimulation pulses of switchable polarity. The heart stimulator further comprises a control unit connected to the stimulation pulse generator for controlling the stimulation pulse generator and to trigger generation and delivery of stimulation pulses having a polarity controlled by said control unit, wherein the control unit is adapted to control said left ventricular stimulation pulse generator so as to deliver at least a pair of suprathreshold stimulation pulses of opposite polarity.

Abstract: Electrode device for active medical implants with an elongated electrode body (2) having a proximal end and a distal end (1), a tip contact pole (6) on the distal end (1), at least one ring contact pole (5) before the distal end (1), electrical supply leads (3, 4) to the tip and ring contact pole (6, 5), and a high-frequency filter (11) before the distal end (1), which has electrical contact to the tip contact pole (6) and is connected to the supply lead (4) thereof.

Abstract: An implantable heart stimulator (10), which has a right-atrial sensing unit (62), which is connected or is to be connected to a right-atrial electrode for recording electrical potentials of the myocardium of a right atrium, and is implemented to process electrical signals recorded via the right-atrial electrode, and to detect signal features characterizing a right-atrial stimulation and contraction in the electrical signal recorded via the right-atrial electrode. The heart stimulator (10) additionally has a left-ventricular sensing unit (66), which is connected or is to be connected to a left-ventricular electrode for recording electrical potentials of the myocardium of a left ventricle of a heart and is implemented to process electrical signals recorded via the left-ventricular electrode. The left-ventricular sensing unit (66) is implemented to detect signal features in the electrical signal recorded via the left-ventricular electrode which characterize a left-atrial contraction.

Abstract: A method, a system and an arrangement to predict at least one system event and a corresponding computer program and a corresponding machine-readable storage medium are configured so that the event is predictable because of trends in observables over a certain period before the occurrence of the events. The method, system and arrangement can be used in particular for patient-specific monitoring of patho-physiological changes but also in geophysical or abstract units such as population or economic systems in which the deviation from a defined normal condition is predicted.

Abstract: An apparatus for cooling ablation catheters via a coolant pump and liquid cooling medium controlled by a controller based on a characteristic state for an activity of a catheter and in addition a system that uses the apparatus for ablation of tissue in a human or animal body. The system includes an elongated ablation catheter, an ablation generator electrically connected to the catheter to generate a high-frequency energy pulse or a high-frequency energy field, the coolant pump connected to the catheter and the controller and a control line connected to the pump. The control line comprises an electric circuit designed to detect a high-frequency pulse or a high-frequency field.

Abstract: An implantable biosensor, which comprises a measuring (or first) chamber filled with the test fluid, which is able to convert a change of the concentration of a predetermined analyte or ion type into a change of a physical variable. To this end, the measuring chamber is closed by at least one membrane, which is permeable to the analyte or ion type and impermeable to the test fluid. In addition, the biosensor is equipped with at least one microacoustic sensor, which is operatively connected to the test fluid such that it can detect the physical variable that changes with the concentration of the analyte or ion type. Further relates to a sensor arrangement comprising at least one such implantable biosensor, the arrangement including a polling system that is wirelessly coupled to the biosensor.

Abstract: An implantable stimulation electrode lead for medical purposes includes a coaxial lead structure with an inner supply lead and an outer supply lead electrically insulated from the inner supply lead, and first and second electrodes which are provided at or near the distal end of the lead structure. The outer supply lead is guided to the first electrode, which is at the tip of the lead structure, and the inner supply lead is guided to the second electrode, which is proximal to the first electrode, such that the electrical connections cross over along the radius of the device.

Abstract: An electromedical implant, having a far-field electrocardiogram capturing unit for recording a far-field electrocardiogram signal, which is connected or can be connected to at least two electrodes for recording electric signals reflecting the curve of the far-field electrocardiogram of the right and left atria, a detection unit, which is designed to detect signal features characterizing atrial cardiac actions in an electrocardiogram signal, an averaging unit, which is connected to the recording unit and the detection unit and designed to generate an averaged P-wave signal in that the averaging unit averages a plurality of signal sections of the electrocardiogram signal associated with a particular detected atrial cardiac action, and an evaluation unit, which is connected to the averaging unit and designed to determine the duration of an averaged P-wave in the particular averaged P-wave signal.

Abstract: A patient device (PD) for wireless data communication with an implant. The PD can be at least in an unpaired state or a paired state. In the paired state the PD is paired to a specific implant specified by an implant's identification code (IIC). The IIC is stored in PD memory. Automatic pairing of the PD to a specific implant is performed upon receiving an incoming data packet containing an IIC when the PD is in its unpaired state with no valid IIC stored in memory. Thus, the PD is tentatively paired to an implant identified by the IIC contained in the incoming data packet by storing the IIC in the memory. Tentative pairing is cancelled if no further communication occurs within a predetermined period of time. A soft paired state is entered if further data communication does occur.

Abstract: A method for manufacturing of a powder mixture for a battery electrode that includes suspending of particles of at least one binder within an inert solvent producing a first suspension, slowly suspending of particles of an active material within the first suspension producing a second suspension, drying of the second suspension producing a granulate material. Further relates to a respective powder mixture, an electrode and a method of manufacturing the electrode.