Abstract: The disclosure describes a system that measures the distance between one or more electrodes and tissue of a patient, and controls one or more parameters of the stimulation delivered to the tissue by the electrodes based on the measured distance. The system controls the measurement of the distance between the electrodes and the tissue as a function of activity of the patient. The system uses, for example, a piezoelectric transducer to sense activity of the patient, and may determine whether or how frequently to measure the distance between electrodes and tissue based on the sensed physical activity. A piezoelectric transducer may be used both to sense activity and to measure the distance between the electrodes and the tissue.

Abstract: A lead having an extendable and retractable fixation mechanism has a rotating terminal pin at the terminal end which rotates the fixation mechanism at the distal end. As the terminal pin is rotated, the fixation mechanism is extended or retracted from the distal end of the lead. A threaded collar allows for the fixation mechanism to smoothly extend and retract from the lead, and allows for a 1:1 turn ratio between the terminal pin and the fixation mechanism. A fluoroscopic ring disposed at the distal end of the lead provides information during the implantation process.

Abstract: An exemplary implantable stimulation device includes an anode, a cathode, a circuit to generate an electrical potential between the anode and the cathode, and a resistance selected to divide current between a first current path to the anode and a second current path to the anode upon generation of the electrical potential between the anode and the cathode. Other exemplary methods, devices, systems, etc., are also disclosed.

Abstract: In an implantable heart-monitoring device and system, and a heart-monitoring method, a control circuit is connected to one or more sensors, a first of which is positionable in the coronary sinus region of a heart and senses at least one blood constituent, and at least one other of the sensors supplying a signal to the control circuit indicative of the activity of the heart. In response to signals from the first sensor and with information about the activity of the heart from the other sensor, the control circuit determines a first value of the blood constituent during a first portion of a heart cycle, and determines a second value of the blood constituent during a second portion of the heart cycle.

Abstract: High side driver circuitry for a defibrillator circuit employs respective capacitors connected to respective gates of silicon controlled rectifiers serving as high side switches. Applying a voltage pulse to a selected capacitor turns on the associated SCR. Positive turn-on of the high side SCRs is insured by inserting a constant current source into the low side activation current path at start-up.

Abstract: An implantable electrode array (30) that can adopt a first, preferably straight, configuration selected to allow the array to be inserted into an implantee's body, such as the cochlea, and at least a second, preferably spirally curved, configuration where the electrode array is adapted to apply tissue stimulation to the cochlea. The array (30) includes an elongate carrier (31) having a proximal end and a distal end and a plurality of electrodes (36) supported by the carrier (31) at respective longitudinally spaced locations thereon. The array (30) further comprises an outer layer (33) adhered to the elongate carrier (31) by an intermediate bioresorbable adhesive layer (32) positioned at least partially between the carrier (31) and the outer layer (33).

Abstract: At least one system and at least one method permit a clinician to view or hear power consumption data during a Spinal Cord Stimulation (SCS) system fitting procedure. For example, a clinician's programming computer includes a display of power consumption for each effective stimulation configuration under evaluation during fitting. A clinician performing the fitting procedure uses a programming computer to select various stimulation configurations. The power consumption of the SCS configuration(s) presently and/or previously exercised is displayed for the clinician. By comparing the power consumption for each configuration, the clinician may select a configuration consuming less power while providing effective therapy. Suggestions for low power configurations may be provided by the programming computer.

Abstract: A telemetry system is presented for enabling radio-frequency (RF) communications between an implantable medical device and an external device in a manner which reduces the power requirements of the implantable device by duty cycling its RF circuitry. A wakeup scheme for the implantable device is provided in which the external device transmits a data segment containing a repeating sequence of special wakeup characters in order to establish a communications session with the implantable device. The wakeup scheme may be designed to operate in the context of a handshaking protocol for collision avoidance.

Abstract: An electrical feedthrough for an implantable medical device (IMD) is provided that employs a feedthrough conductor having a non-platinum based inner core and one or more layers of a conductive coating to control oxide growth on the surface of the conductor. The coating permits soldering the feedthrough conductor to IMD electronics. The resulting feedthrough provides a substantial cost savings over feedthroughs employing a solid platinum or platinum-iridium conductor.

Abstract: An approach to providing disordered breathing therapy includes providing cardiac overdrive pacing using rate regularization. Overdrive pacing therapy may be initiated following detection or prediction of disordered breathing. Characteristics of the disordered breathing or other patient conditions may be used to modify the pacing therapy.

Abstract: An implantable lead having an elongated lead body that includes an electrical conductor extending between a distal end of the lead body and a proximal end of the lead body is disclosed. The lead further includes an electrode formed at the distal end of the lead body, the electrode being coupled to the electrical conductor and one or more passive fixation mesh sections coupled to the distal end of the lead body that promotes tissue over growth.

Abstract: It is an object of the invention to provide a vision regeneration assisting apparatus capable of assisting in vision regeneration without making a system structure complicated. In the invention, a vision regeneration assisting apparatus for regenerating a vision of a patient going blind by a disease of a retina includes a photosensor embedded in the retina of an eye of the patient and converting an optical signal into an electric signal, photographing means for photographing an object to be recognized by the patient, image processing means for carrying out an image processing to extract a feature with respect to an image of the object obtained by the photographing means, pulse light forming means for forming a luminous flux into a pulse light to induce a vision, and irradiating means provided before the eye of the patient and applying the pulse light toward the photosensor so as to be formed as an image processed by the image processing means.

Abstract: A medical device, such as a cardiac pacing device for an animal, includes an intravascular antenna that has a first coil for engaging a wall of a first blood vessel to receive a radio frequency signal. The first coil includes a first winding wound helically in a rotational direction along a longitudinal axis from a first end of the coil to a second end. A second winding that is connected to the a first winding at the second end, is wound helically in the same rotational direction along the longitudinal axis from the second end to the first end. An electronic circuit is implanted in the animal and is connected to the antenna to receive an electrical signal therefrom.

Abstract: An implantable medical device comprising a plurality of implantable electrodes to sense the electrical activity and an implantable medical device coupled to the electrodes. The implantable medical device includes a plurality of sense amplifiers in communication with the electrodes to produce analog electronic signals representative of the electrical activity and a programmable sampler. The implantable medical device also includes a controller that programmably enables the sampler to selectively sample the electronic signals. The controller also includes memory in communication with the controller for storage of the sample values. The controller configures the memory based on the programmable sampling.