Abstract: An implantable medical device stimulates a human or animal heart. The medical device contains a processor, a memory unit, a His electrode having a first electrode pole configured to detect an electrical signal at a His bundle of a heart, and a further electrode having a further electrode pole configured to detect an electrical signal at a cardiac region of the same heart different from the His bundle. During operation of the device, performing the steps of: measuring electric signals at a His bundle of a heart with the first electrode pole; measuring electric signals at a cardiac region of the same heart different from the His bundle with the further electrode pole; and evaluating intracardiac electrogram signals and/or impedance signals measured between the first electrode pole and the further electrode pole, with the provision that this evaluating does not only contain a determination of an atrial-His bundle transition time.

Abstract: An implantable medical device for stimulating a human/animal heart, comprising a housing, a processor, a memory unit, a stimulation unit configured to stimulate the His bundle, and a detection unit configured to detect an electrical signal at the His bundle. The device performs: a) stimulating the His bundle with a stimulation pulse delivered by the stimulation unit; b) measuring an electric signal at the His bundle with the detection unit upon termination of a first period of time starting upon delivering of the stimulation pulse, wherein the first period of time is from 35 ms to 500 ms; c) measuring an impedance of the same heart with the detection unit upon termination of a second period of time starting upon delivering of the stimulation pulse, wherein the second period of time is equal to or longer than the first period of time and is from 50 ms to 500 ms.

Abstract: A device housing for an IMD is suggested, the device housing having: a front side, a flat end face that is arranged perpendicular to the front side and connects to a straight upper edge of the front side, the front side having a maximum width (Bmax) that is measured parallel to the straight upper edge, and a maximum height (Hmax) that is measured perpendicular to the straight edge, wherein the ratio R of maximum width (Bmax) to maximum height (Hmax), i.e., Bmax/Hmax, is between 1.05 and 1.35.

Abstract: A catheter device for placing a sensor device comprises a shaft and a coupling device, arranged at the shaft, for coupling the catheter device to the sensor device comprising at least one bracket element. The coupling device comprises a coupling element and a locking element adjustable with respect to the coupling element, wherein the coupling element comprises at least one engagement section with which the at least one bracket element of the sensor device can be brought in engagement, wherein the locking element is designed, in a coupled position, to block the at least one bracket element at the at least one engagement section, and is adjustable with respect to the coupling element so as to release the at least one bracket element for detachment from the at least one engagement section.

Abstract: A device for neurostimulation has a number N of electrodes. N is equal to or larger than 3. The device is configured to deliver via each electrode therapeutic electric phases of amplitudes I1, I2, . . . IN, with a frequency f and after each therapeutic electric phase a number of N?1 charge balancing electric phases. The charge balancing electric phases of the respective electrode each have a polarity that is opposite the polarity of the preceding therapeutic electric phase of the respective electrode. The device is configured to return for each electrode the current of each therapeutic electric phase in the other N?1 electrodes.

Abstract: An implantable medical device for stimulating a heart, includes a stimulation electrode configured to stimulate a first cardiac region of the heart, and a detection unit configured to detect an intracardiac electrogram at a second cardiac region (ventricle) of the heart. In operation, the device: delivers a stimulation pulse to the heart; evaluates a time and at least one morphologic parameter of a responsive signal of an intracardiac electrogram, wherein the at least one morphologic parameter is chosen from: an absolute value of the signal amplitude, a width of the signal, a positive, negative and/or total area under at least a part of the signal, and a number of occurrences and/or time of occurrence of zero crossings of the signal; and identifies a dislocation of the stimulation electrode if the time of the signal is below a first threshold value and the morphologic parameter exceeds a further threshold value.

Abstract: A system for generating an alert for a systemic infection of a patient comprises an implantable medical device configured to measure at least one physiological parameter, a remote monitoring system configured to receive information from the implantable medical device, and an information system configured to communicate with said remote monitoring system. At least one of the implantable medical device, the remote monitoring system and the information system is configured to analyze information relating to said at least one physiological parameter to generate an alert signal for a systemic infection of the patient based on a state of the at least one physiological parameter, wherein at least one of the implantable medical device, the remote monitoring system and the information system is further configured to generate an alert message to be provided to a specified destination based on said alert signal.

Abstract: An implantable medical device for stimulating a human/animal heart having a stimulation unit which stimulates the His bundle and a detection unit which detects an electrical signal at the His bundle. The device performs: a) determining a first value of a parameter of a first measuring pulse measured between a first electrode pole and a housing; b) determining a second value of the same parameter of a second measuring pulse measured between the first electrode pole and a second electrode pole; c) comparing the first and second values; d) determining, based on the comparing step, whether the first or second measuring pulses enables a higher available level control range of the analog-to-digital converter; e) measuring an impedance in a unipolar manner between the first electrode pole and the housing or in a bipolar manner between the first electrode pole and the second electrode pole depending on the determining step.

Abstract: An active implantable medical device (IMD) which, in operation: repeatedly senses a body temperature of a person having the IMD implanted therein; stores the sensed body temperature values; repeatedly senses a cardiac physiologic parameter of the person; stores the sensed cardiac physiologic parameter values; determines whether one of the body temperature values exceeds a predefined body temperature threshold; if an excess is determined, the IMD: determines whether one of the cardiac physiologic parameter values exceeds a predefined cardiac physiologic parameter threshold, wherein the one cardiac physiologic parameter value is determined in the same time period as the one body temperature value exceeding the body temperature threshold; classifies an infection of the person as a local infection if the one cardiac physiologic parameter value does not exceed the threshold; or classifies an infection of the person as a systemic infection if the one cardiac physiologic parameter value exceeds the threshold.

Abstract: A system includes at least one medical device (7), a remote monitoring server (RMS, 1) and at least one patient remote device (PR, 5). The the PR is configured to establish a first bidirectional communication connection (12, 14) of the PR and the RMS and a second bidirectional communication connection (13, 14) of the PR and one chosen medical device, wherein the PR is further configured to manage remote processes associated with the chosen medical device comprising remote interrogation of the chosen medical device and remote programming of the chosen medical device using the second bidirectional communication connection as well as data exchange with the RMS concerning interrogation data and/or program data with regard to the chosen medical device using the first bidirectional communication connection.

Abstract: A method for remote programming a therapy device for neurostimulation comprises: generating a stimulation program for the therapy device by means of a clinician programmer; transferring the stimulation program to a patient programmer; loading the stimulation program on the therapy device from the patient programmer; and increasing a stimulation amplitude of the stimulation program by means of the patient programmer. An initial stimulation amplitude setting of the stimulation program is limited to a minimal dose amplitude.

Abstract: An implantable system for the diagnostic and/or therapeutic treatment of a human or animal patient contains a processor, a memory, a treatment unit and a remote data transmission unit. The system is characterized in that the memory includes a computer-readable program which prompts the processor to carry out the following steps when the program is being executed on the processor: a) ascertaining whether a treatment functionality of the treatment unit could jeopardize a patient in whom the system was implanted if a diagnostic and/or therapeutic treatment of the patient corresponding to the treatment functionality were to be carried out; b) deactivating the treatment functionality when a potential risk for the patient was ascertained; c) receiving reactivation data by way of the remote data transmission unit; and d) reactivating the deactivated treatment functionality based on the received reactivation data.

Abstract: An implantable medical device comprises a functional device for carrying out a therapeutic or diagnostic function, and a communication device for communicating with a remote monitoring system. The communication device, at a start of initial operation of the implantable medical device, is enabled to establish a communication with said remote monitoring system. In this way an implantable medical device is provided which allows for including the implantable medical device in a remote monitoring while reducing a risk for a patient involved with attending to the patient for activating a remote monitoring function within the implantable medical device.

Abstract: A method for detecting an ectopic signal in an electrocardiogram is disclosed. This method comprises the following steps: detecting consecutive R-R intervals in an electrocardiogram; calculating an average R-R interval for a determinable number of latest R-R intervals; recognizing a signal as ectopic signal if the signal belongs to at least one of two consecutive R-R intervals, wherein i) a first of the two consecutive R-R intervals is significantly shorter than the average R-R interval; and ii) a second of the two consecutive R-R intervals is significantly longer than the average R-R interval, wherein the second R-R interval occurs later than the first R-R interval; wherein the first and the second of the two consecutive R-R intervals are discarded from calculating the average R-R interval, if the signal is recognized as ectopic signal.

Abstract: A miniaturized medical device comprises an electronic functional device for performing a function of said miniaturized medical device. The miniaturized medical device further comprises a wake-up device for transferring said functional device from a switched-off state to an operational state. Herein, the wake-up device comprises an electrical detection circuit configured to generate a wake-up signal and a switch device. The switch device comprises a switch member, a magnet device attached to the switch member and at least one switch contact. The switch member is excitable by a time-varying magnetic field to perform an oscillating movement for acting onto said at least one switch contact to perform a switching action of the switching device in the electrical detection circuit and to in this way generate the wake-up signal.

Abstract: The disclosure relates to an implant comprising an electronics module and an energy store, wherein the volume of the electronics module is less than 25% of the volume of the energy store.

Abstract: An implantable system stimulates a human or animal heart. The system contains a processor, a memory unit, an atrial stimulation unit, a ventricular stimulation unit, and a detection unit for detecting atrial tachycardia. The memory unit stores a computer-readable program that prompts the processor to: a) detect by the detection unit whether atrial tachycardia to be treated is present in the heart; b) when atrial tachycardia to be treated is present, carrying out a ventricular conditioning stimulation by way of the ventricular stimulation unit; and c) applying atrial antitachycardia pacing in the form of a stimulation pulse sequence of 2 to 20 pulses or a high-frequency burst having a frequency of up to 50 Hz and a duration of up to 60 seconds by way of the atrial stimulation unit as the ventricular conditioning stimulation is being carried out and/or thereafter.