Abstract: An apparatus is configured to operate on tissue. The apparatus includes an end effector with an upper jaw and a lower jaw. The upper jaw is configured to pivot relative to the lower jaw. The apparatus also includes an electrode cap coupled to either the upper or lower jaw. The electrode cap includes a first electrode surface configured at a first polarity and a second electrode surface configured at a second polarity. The second polarity is opposite to the first polarity. The electrode cap is configured to be applied to tissue such that the electrode cap is operable to deliver bipolar RF energy to the tissue. The electrode cap may be used to selectively weld bleeding tissue in a localized fashion, without having to place the tissue between the jaws, and without having to use an instrument separate from the jaws.

Abstract: A light attachment device for removable attachment to an electrosurgical pencil and/or an electrosurgical pencil attachment such as a shroud for an electrosurgical pencil. The light attachment device may be automatically turned on and off in conjunction with the activation and deactivation of the electrosurgical pencil and/or electrosurgical pencil attachment.

Abstract: A medical device system and method for determining pacing threshold data that includes a cardiac capture sensor, a phrenic nerve stimulation sensor, a pulse generator selectively coupled to a plurality of electrode vectors to deliver a phrenic nerve stimulation pulse, and a processor coupled to the cardiac capture sensor, the phrenic nerve stimulation sensor and the pulse generator and configured to deliver the phrenic nerve stimulation pulse along the plurality of electrode vectors, determine, for each vector of the plurality of vectors, whether phrenic nerve stimulation is detected in response to the delivered phrenic nerve stimulation, deliver a pacing pulse along only the vectors of the plurality of vectors that phrenic nerve stimulation is determined not to be detected, and determine pacing capture thresholds in response to the delivered pacing pulse.

Abstract: The invention provides a system for monitoring a patient that includes a sensor configured to drape around the patient's neck. The sensor features an impedance sensor for measuring fluids, an ECG sensor for measuring cardiac activity, and a first wireless transceiver for transmitting this information. Integrated with the sensor is a computer, featuring a second wireless transceiver, video output system, and a computer processing unit (CPU). The CPU is configured to receive control signals from the first wireless transceiver that control a software program and the information related to fluids and cardiac activity. The software program renders a graphical user interface that displays the information through the video output system. The system also includes a conventional television set or mobile device that interfaces to the computer through the video output system and renders the graphical user interface.

Abstract: Methods, systems, and/or devices for selecting spinal cord stimulation (SCS) electrode array configurations to provide effective cardiac therapy. Physiological parameters related to the heart may be monitored and analyzed during the delivery of SCS using various SCS electrode array configurations to determine an effect SCS electrode array configuration.

Abstract: A method and system for Sleep Apnea Syndrome (SAS) screening are disclosed. The method comprises detecting at least one physiological signal, converting the at least one physiological signal into at least one sensor stream, and processing the at least one sensor stream to perform the SAS screening. The system includes a sensor to detect at least one physiological signal, a processor coupled to the sensor, and a memory device coupled to the processor, wherein the memory device includes an application that, when executed by the processor, causes the processor to convert the at least one physiological signal into at least one sensor stream and to processor the at least one sensor stream to perform the SAS screening.

Abstract: A system and method are provided for the detection of a heart-related condition by obtaining information in real-time when a condition is initially identified as potentially occurring. A physical exercise and recovery episode is initially detected from physiological signals sensed in a patient. Once detected, a HR-ST segment deviation hysteresis analysis is performed in an implantable medical device (IMD) from certain physiological signals over portions of the exercise and recovery episode to identify the probability that a certain condition is occurring. Once a desired level of probability that the heart-related condition has been detected exists, data utilized in the analysis can be transmitted remotely for clinical review and confirmation of the device's detection of the condition. The patient may be prompted to answer questions related to symptoms that patient is experiencing through an input device in order further confirm the probability that the condition is occurring in the patient.

Abstract: NMES systems and methods for stimulating muscle tissue, and in some embodiments deep muscle tissue. The impedance near the surface of the skin is controllably increased to increase the percentage of energy delivered to a subject that stimulates muscle tissue.

Abstract: A spectral electrotherapy device and a method of controlling the same are introduced, wherein a central processing unit provides a control signal for controlling the switching operation of an output driver to generate output voltage, thereby controlling output features of the spectral electrotherapy device. The control signal provided by the central processing unit to a switching unit uses central frequency f0 as a standard to thereby define the bandwidth of the central frequency f0 with difference ?f and define the points in time of the next change in the central frequency f0 and the difference ?f with first and second time intervals t1, t2, respectively. Values of the central frequency f0, the difference ?f, the first time interval t1, the second time interval t2 are generated from a dynamic parameter generating unit in different points in time. Electrical stimulation thus performed on the human body is complete and comprehensive.

Abstract: A medical device performs a method for computing an estimate of a physiological variable. The method includes sensing a physiological signal and measuring an event of the physiological signal. The device initializes a value of a long-term metric of the event measurement, wherein the long-term metric corresponds to a time interval correlated to a response time of the physiological variable to changes in the event. The estimate of the long-term metric is updated in a memory of the medical device using a previous long-term metric and a current measurement of the event. The device detects a need for computing the physiological variable and computes an estimate of the physiological variable using the updated long-term metric.

Abstract: A sound processor, for use with a cochlear implant, that includes directional microphone capabilities.

Abstract: An extra-corporeal controller unit for an implantable ventricular assist device (VAD) includes control circuitry integrated with a rechargeable power source without including any power cables between the control circuitry and the rechargeable power source. The rechargeable power source includes two or more rechargeable batteries configured in respective battery modules. The battery modules are configured for removable installation in a housing of the controller unit. Mating power connectors are integrated in the battery modules and the housing. The mating connectors are configured to couple each battery to the control circuitry whenever the respective battery module containing the battery is installed in the housing. An energy storage unit may be permanently included in the controller unit and configured to remain fully charged and provide power to the VAD when the battery modules are removed.

Abstract: System and methods for programming and delivering electrical stimulation to treat hypertension are described. In various embodiments, an ambulatory stimulator system, such as an implantable medical device, can detect a respiration-mediated heart rate variation (RM-HRV), monitor the efficacy of hypertension therapy and adjust the stimulation parameters using the detected RM-HRV to achieve desired therapy outcome. In some embodiments, the system can be configured to synchronize the detected heart rates to one or more respiration cycles or respiration phases within the respiration cycles, and determine the RM-HRV using the heart rates synchronized with the respiration cycles or the respiration phases. The RM-HRV may be presented to the system operator to monitor the efficacy of the AHT therapy. The ambulatory stimulator system can adjust the stimulation parameters using at least the RM-HRV.

Abstract: An apparatus configured to be placed about an implantable medical device having a face with a geometric center offset from a center of a recharge coil of the device includes first and second opposing major exterior surfaces, and a continuous exterior side surface joining the first and second opposing major exterior surfaces. A cavity is defined between, and an opening is formed by, the first and second major surfaces and the continuous side surface. The opening is in communication with the cavity and is configured to allow the device to access the cavity. An asymmetric region, adjacent to the cavity, is formed between a portion of the first and second major surfaces and the continuous side surface. The asymmetric region is configured to shift the geometric center of the combined apparatus and device, when the device is received in the cavity, towards the center of the recharge coil.

Abstract: An exemplary method includes performing a capture threshold assessment using a bipolar electrode configuration, deciding if capture occurred for a maximum energy value of the capture threshold assessment and, if capture did not occur, then performing a lead impedance test for the lead associated with the bipolar electrode configuration. Such a test may aim to detect an insulation defect and/or a conductor defect. Other exemplary methods, devices, systems, etc., are also disclosed.

Abstract: Systems and methods are provided for delivering neurostimulation therapies to patients. A titration process is used to gradually increase the stimulation intensity to a desired therapeutic level. Between titration sessions one or more parameters, such as, for example, an acclimation interval, may be adjusted based on the patient's response to the stimulation. This personalized titration process can minimize the amount of time required to complete titration so as to begin delivery of the stimulation at therapeutically desirable levels.

Abstract: An electronic medical system is described. The system comprises an external RF power transmitter configured to emit a first power signal via an electromagnetic coupling, said RF power transmitter being configured to emit said first energy signal with a power no greater than 1 W. The system further comprises an implantable medical device comprising: at least one receiver antenna configured to receive said first energy signal via an electromagnetic coupling; an RF power receiver module configured to extract a second energy signal having a power of at least 1 milliwatts and to be powered by said second energy signal; a power actuator module, operatively connected to the RF power receiver module, powered by said second energy signal. The power actuator module is configured to deliver a medical treatment to at least a target tissue of a patient on the basis of a control signal generated by the RF power receiver module.

Abstract: The present invention relates to a catheter set for nerve treatment used for delivering a stimulus or a drug to nerves in the human body. According to the present invention, the catheter set for nerve treatment includes: a catheter capable of delivering a drug to a target nerve through a tube line, having a tube shape; a cylindrical cannula for supporting the catheter when inserted into the body tissue while slidably accommodating the catheter inside; a conductive guide wire to be accommodated inside the catheter, having one exposed end; and a conductive first stimulator connector for delivering an electric stimulus to the one exposed end of the guide wire, electrically connected to the other end of the guide wire. Therefore, it is possible to accurately place the end of the catheter at the location of the target nerve, to prevent the end of the catheter from deviating from the target nerve during an operation, and to finely adjust the location of the catheter even after removing the cannula.

Abstract: A method of treating or preventing a nail disorder comprises administering to a subject having/suffering from or susceptible/predisposed to, said nail disorder, a therapeutically effective amount or dose of microwave energy.

Abstract: A wireless implantable system is provided that is externally powered and comprises of a closed-loop feedback for treating both patients with obstructive and central sleep apnea. A method is provided for treating sleep apnea using an implantable device. The method comprises sensing an inspiration (IN) signal representative of inspiration experienced by a patient from a respiratory surrogate signal and sensing a respiratory effort (RE) signal representative of an amount of effort exerted by the patient during respiration.