Abstract: The invention relates to a process for production of an electrode structure, including: producing a longitudinal body having a core and at least one layer made of an electrode material surrounding the core; removing a part of the layer made of electrode material while forming a plurality of electrodes that are arranged such as to be distributed in the longitudinal direction and which are separated from each other, and contact paths that extend in the longitudinal direction and adjoin the electrodes, each, as the same part; applying a layer made of a polymeric material while embedding, at least in part, the electrodes and/or contact paths.

Abstract: Methods and devices to treat discogenic lumbar back pain are disclosed. Electrodes are implanted within the anterior epidural space of the patient. A pulse generator that is connected to the electrodes delivers electrical impulses to sympathetic nerves located within the posterior longitudinal ligament (PLL) of the lumbar spine and outer posterior annulus fibrosus of the intervertebral disc. In alternate embodiments, energy directed to nerves in the PLL may be from light or mechanical vibrations, or the nerves may be cooled. The electrodes may also be used diagnostically to correlate spontaneous nerve activity with spinal movement, fluctuations in autonomic tone and the patient's experience of pain. The electrodes may also be used to generate diagnostic evoked potentials. The diagnostic data are used to devise parameters for the therapeutic nerve stimulation. Automatic analysis of the data may be incorporated into a closed-loop system that performs the nerve stimulation automatically.

Abstract: An implantable medical device includes operational circuitry and a power source configured to deliver energy to the operational circuitry. The operational circuitry includes, for example, a therapy circuit. The implantable medical device also includes a deactivation element configured to disable the therapy circuit. The implantable medical device also includes a power manager configured to detect an end-of-life condition of the power source and, in response to detecting the end-of-life condition, to cause the deactivation element to disable the therapy circuit.

Abstract: An exemplary system includes 1) a programming device configured to be located external to a cochlear implant patient and communicatively coupled to a cochlear implant system associated with the patient, 2) a programming interface device communicatively coupled to the programming device and configured to be located external to the patient, and 3) a receiver communicatively coupled directly to the programming interface device. The programming device directs at least one of the cochlear implant system and the receiver to apply stimulation to the patient, records an evoked response that occurs in response to the stimulation, and performs a predetermined action in accordance with the evoked response. Corresponding systems and methods are also disclosed.

Abstract: A medical device includes a device housing and a door mounted to the device housing. The device also includes a first magnet mounted to the door, wherein magnetic force applied to the door exerts a moment on the door, and a second magnet mounted in the housing and positioned to hold the door shut by magnetic interaction with the first magnet. In addition, the device includes a user-movable mode-changing mechanism attached to a third magnet, and arranged to hold the third magnet out of proximity with the first and second magnets when the device is in a first mode, and to move the third magnet into proximity with the first and second magnets when the device is in a second mode so as to expel the first magnet away from the housing and open the door to expose items positioned behind the door.

Abstract: A probe for resecting and coagulating tissue comprises an outer sleeve having a tissue cutting window and an inner sleeve having a tissue cutting distal end. And RF cutting region is formed at the distal end of the inner member and an RF coagulation region is formed on an exterior surface of the inner member immediately proximal to the cutting surface. A single power supply providing a single RF energy mode can be connected to both RF applicator regions to simultaneously cut and coagulate tissue.

Abstract: Designs and methods of construction for an implantable medical device employ an internal support structure. The single-piece support structure holds various electronic components such as a communication coil and a circuit board, and further is affixed to a battery, thus providing a subassembly that is mechanically robust. The support structure further provides electrical isolation between these and other components. A method of construction allows for the subassembly to be adhered to a case of the implantable medical device at the battery, and possibly also at the support structure. The battery includes an insulating cover having holes. An adhesive is used consistent with the location of the holes to affix the battery to the case without electrically shorting the battery to the case.

Abstract: Methods and devices to treat discogenic lumbar back pain are disclosed. Electrodes are implanted within the anterior epidural space of the patient. A pulse generator that is connected to the electrodes delivers electrical impulses to sympathetic nerves located within the posterior longitudinal ligament (PLL) of the lumbar spine and outer posterior annulus fibrosus of the intervertebral disc. In alternate embodiments, energy directed to nerves in the PLL may be from light or mechanical vibrations, or the nerves may be cooled. The electrodes may also be used diagnostically to correlate spontaneous nerve activity with spinal movement, fluctuations in autonomic tone and the patient's experience of pain. The electrodes may also be used to generate diagnostic evoked potentials. The diagnostic data are used to devise parameters for the therapeutic nerve stimulation. Automatic analysis of the data may be incorporated into a closed-loop system that performs the nerve stimulation automatically.

Abstract: A device (10, 50, 60, 70, 80, 90) is used to apply an electric pulse or spike to a patient to treat the patient. The device can have a series of preset treatments programmed therein. A user can select a treatment from menus displayed on a display (100). The impedance of the skin and underlying tissue to be treated can be measured prior to the treatment to locate active areas on the skin for treatment. A variety of probes can be used with the device, with the device automatically detecting the type of probe attached. Multiple electrodes can be used on the probe, which allows the active areas in contact with the probe to be identified prior to treatment to allow the treatment to concentrate on the active areas.

Abstract: Impedance information of an implantable medical device is displayed. One or more impedance values are received over a period of time for a plurality of channels. The channels may each include an electrode contact on an implantable lead. A graph is displayed that illustrates a variation of the impedance values over at least a portion of the period of time for one or more of the channels. A visual landscape that is representative of the impedance values for the plurality of channels is also displayed.

Abstract: The disclosure relates to systems and methods for cardiac rhythm management. In some cases, a system may include a pulse generator for generating pacing pulses for stimulating a heart of a patient; a memory; and a sensor configured to sense a response to a unwanted stimulation and to produce a corresponding sensor signal. A processing circuit may receive the sensor signal for a time after one or more pacing pulses, and may derive a time-frequency representation of the sensor signal based on the received sensor signal. The processing circuit may use the time-frequency representation of the sensor signal to help identify unwanted stimulation. Once unwanted stimulation is detected, the processing circuit may change the pacing pulses to help reduce or eliminate the unwanted stimulation.

Abstract: A leadless cardiac pacing system includes first and second leadless pacing seeds configured to deliver pacing therapy to a first and second location in a patient, respectively. The second seed includes an electrode, a therapy circuit configured to provide electrostimulation energy to the electrode, a communications component, and a power source. The second seed also includes a power manager configured to detect an end-of-life condition associated with the seed and, in response to detecting the end-of-life condition, to communicate a signal that causes the first seed to change from a first operational state to a second operational state, in which the first seed implements one or more operational parameters configured to adapt to a change in an output from the second seed resulting from the second seed entering the end-of-life condition.

Abstract: An exemplary electronic device is in a housing to be gripped by a right hand and a left hand of a user, and has a plurality of manipulable portions. The electronic device includes: electrodes placed at positions which come in contact with the right hand and left hand of the user gripping the housing; an extractor for extracting an electrocardiographic component of the user from a potential difference between the electrodes; a determination section for determining whether the extracted electrocardiographic component is in a positive direction or a negative direction by referring to a prestored criterion; and a change section for, in accordance with a result of determination by the determination section, changing assignment between each of the plurality of manipulable portions and a manipulation signal generated in response to a manipulation.

Abstract: Fluid pressure or flow in a human body may be adjusted with circulation or perfusion systems and methods. The system may include a first pump implantable in a chamber or vessel of the human body, and a plurality of struts connected to a housing of said first pump, wherein the struts secure the first pump in a desired location of the chamber or vessel. The system may also include one or more flow modification elements disposed on the first pump, where the flow modification elements direct flow to a desired organ or a desired vessel to adjust pressure or flow as desired.

Abstract: A scaffold defines a plurality of channels, into which axons of a severed nerve may regenerate, such as after limb amputation. Each channel includes a corresponding electrode. Regenerating axons may make electrical contact with the electrodes. Each channel is at least partially filled with a growth factor selected to selectively stimulate axon regeneration. Adjacent channels may include different growth factors, so as to attract different types of axons, for example efferent axons and afferent axons, to each of the adjacent channels. The growth factors may be distributed in the channels so as to present a gradient across a geometry of each channel. This gradient provides enhanced differentiated geometric guidance to the axons, thereby yielding better specificity, in terms of which axons regenerate into which channels. Topography, such as geometric patterns in walls, ceilings and floors of the channels, may also be used to selectively encourage axon regeneration into the channels.

Abstract: Apparatus is provided for treating hypertension of a subject. The apparatus includes an implantable element which has a non-circular shape and which is configured to reduce the hypertension by facilitating an assumption of a non-circular shape by a blood vessel in a vicinity of a baroreceptor of the subject, during diastole of the subject. Other embodiments are also described.

Abstract: An exemplary system includes 1) a programming device configured to be located external to a cochlear implant patient and communicatively coupled to a cochlear implant system associated with the patient, 2) a programming interface device communicatively coupled to the programming device and configured to be located external to the patient, and 3) a receiver communicatively coupled directly to the programming interface device. The programming device directs at least one of the cochlear implant system and the receiver to apply stimulation to the patient, records an evoked response that occurs in response to the stimulation, and performs a predetermined action in accordance with the evoked response. Corresponding systems and methods are also disclosed.

Abstract: A method and apparatus for making a connection with a part of a body to transfer an electromagnetic signal for a predetermined purpose, the apparatus including: a garment including one or more electrode capable of passing the signal to or from the part of the body; and a controller for controlling the nature of or processing the signal dependant on one or more parameters in order to vary the nature of the signal dependant on the purpose; wherein at least one parameter of the one or more parameters is stored on a data storage device included in the garment.

Abstract: An electrosurgical pencil with integrated tweezers includes-an elongated housing having an open distal end and an actuator operatively associated therewith. First and second jaw members extend distally through the open distal end of the elongated housing and are transitionable between a closed position and an open position upon actuation of an actuator. One or both of the jaw members is configured to treat tissue with monopolar energy and both jaw members are configured to treat tissue with bipolar energy. One or more switches is operably coupled to a controller disposed in the housing and configured to activate the first and second jaw members to treat tissue with monopolar and bipolar energy.

Abstract: In a visual prosthesis or other neural stimulator it is advantageous to provide non-overlapping pulses in order to provide independent control of brightness from different electrodes. Non-overlapping pulses on geographically close electrodes avoid electric-field interaction which leads to brightness summation or changes in the shape and area of percepts. It is advantageous to apply pulses to nearby electrodes in a way that the currents do not overlap in time at all. ‘Nearby’ is defined as within a few millimeters of each other. The same parameters that provide independent control of brightness also produce spatial patterns that the subjects' report as being similar to the sum of individual electrode phosphenes. Simultaneous stimulation of multiple electrodes can sometimes produce physical sensation or discomfort in the eye. Time-shifting the pulses cab also be used to reduce the physical sensations felt by the patient.