Abstract: An implantable medical electrical lead particularly for stimulation of the sacral nerves comprises a lead body extending between a distal end and a proximal end, and the distal end having at least one electrode of an electrode array extending longitudinally from the distal end toward the proximal end. The lead body at its proximal end may be coupled to a pulse generator, additional intermediate wiring, or other stimulation device. A fixation mechanism is formed on or integrally with the lead body proximal to the electrode array that is adapted to be implanted in and engage subcutaneous tissue, particularly muscle tissue, to inhibit axial movement of the lead body and dislodgement of the stimulation electrodes.

Abstract: Systems and methods for efficiently transmitting power using a high frequency (e.g., RF) telemetry transmitter are provided. The telemetry transmitter may include a fixed clock source (which may provide a fixed clock signal), telemetry phase shift circuitry (which may include switching circuitry and phase shifting circuitry), and a push-pull network. The telemetry phase shift circuitry generates a phase shifted clock signal that is phase shifted with respect to the fixed clock signal. The fixed and phase shifted clock signals may drive the switching circuitry to produce a high frequency signal that is passed through the push-pull network. The power or magnitude of the high frequency signal is based on the phase delay between the fixed clock signal and the phase shifted clock signal.

Abstract: A system and method for repeating radio frequency (RF) transmissions between a programmer and an implantable medical device (IMD) is provided. One aspect of this disclosure relates to an RF repeater. According to various embodiments, the repeater includes a first antenna and a first communication circuit electrically connected to the first antenna. The first communication circuit is adapted to communicate with an IMD, the IMD including a built-in active telemetry transceiver, over a first channel. The device also includes a second antenna and a second communication circuit electrically connected to the second antenna. The second communication circuit is adapted to communicate with a programmer over a second channel different from the first channel. The device also includes a control circuit coupled to the first and second communication circuits. The control circuit is adapted to enable or disable the first and second communication circuits. Other aspects and embodiments are provided herein.

Abstract: An implantable medical device (IMD), such as a defibrillator, performs a capacitor reform or other temporary high current mode, such as to maintain efficacy of a battery or a high voltage defibrillation energy storage capacitor in spite of non-use. Before performing the capacitor reform or other high current mode, a voltage delay test can be performed. A voltage delay can be declared when an initial battery voltage measurement is less than a later battery voltage measurement during a loaded condition such as the charging of the capacitor. If a voltage delay is present, the capacitor reform or other temporary high current mode is enabled, otherwise, the capacitor reform or other temporary high current mode is inhibited. This saves energy, increasing the life of the IMD before explant.

Abstract: A method of treating sleep disordered breathing in a patient includes the steps of monitoring the patient for a pre-inspiratory drive signal indicative of the breathing cycle by sensing electroneurogram activity of a hypoglossal nerve of the patient; and electrically stimulating the hypoglossal nerve of the patient following each detection of the pre-inspiratory drive signal. An implantable apparatus for stimulating a hypoglossal nerve of a patient for the treatment of sleep disordered breathing includes an electrode positioned at least partially around the hypoglossal nerve with a monitoring contact and a stimulation contact and a controller operatively coupled to the monitoring contact and the stimulation contact. The monitoring contact monitors the electroneurogram activity of the hypoglossal nerve for a pre-inspiratory drive signal indicative of the onset of inspiration and sends a signal to the controller which in turn causes the stimulating electrode to electrically stimulate the hypoglossal nerve.

Abstract: A method and apparatus for treating or preventing neurocardiogenic syncope is disclosed. Upon detection of bradycardia or a drop in blood pressure indicating the onset of syncope, electrostimulation pulses are delivered during the heart's refractory period. The pulses are non-excitatory but increase myocardial contractility and thereby increase cardiac output.

Abstract: Aspects provide methods and sound processor for encoding stimulation signals to convey pitch perception information to a recipient. The method may comprise identifying a first stimulation site based on a selected frequency component of the sound signal that contains pitch perception information, wherein a stimulation signal is generated based on the selected frequency component; determining a second stimulation site adjacent to the first stimulation site; and determining a time delay between when the second stimulation site is independently stimulated with the stimulation signal and when the first stimulation site is independently stimulated with the stimulation signal.

Abstract: A tissue stimulation system and computer software and method of monitoring a neurostimulation lead having a plurality of electrodes implanted within a patient (e.g., adjacent the spinal cord) is provided. Neurostimulation lead models are provided, each of which includes estimated electrical parameter data (e.g., electrical field potential data) corresponding to a predetermined position of the neurostimulation lead. Electrical energy is transmitted to or from the electrodes, and electrical parameter data (e.g., electrical field potential data) is measured in response to the transmitted electrical energy. The measured electrical parameter data is compared with the estimated electrical parameter data of each of the neurostimulation lead models, and a position of the neurostimulation lead is determined based on the comparison.

Abstract: A pancreatic controller, comprising: at least one electrode adapted for electrifying at least a portion of a pancreas; and a controller programmed to electrify said electrode so as to positively control at least the effect of at least two members of a group consisting of blood glucose level, blood insulin level and blood level of another pancreatic hormone. In one example, the controller controls insulin, glucagon and/or glucose blood levels.

Abstract: The present invention is device for delivering an electrode into a lateral vein of the coronary sinus. The device includes a support structure, a stent, a tether coupled to the stent and a removable sheath disposed about the stent. The stent is carried on the support structure and is deployable from a first collapsed configuration to a second expanded configuration for engaging the inner walls of the selected vessel. The sheath is sized to retain the stent in the first collapsed configuration. The electrode is carried on the stent or on a lead threaded over the tether.

Abstract: Apparatus (18) is provided for defibrillating a heart (20) of a person. The apparatus (18) includes one or more electrodes (100) that are adapted to be coupled to the heart, and a control unit (90) that is adapted to drive the electrodes to apply electrical pulses to the heart at a rate which is typically greater than about 10 Hz. The control unit terminates the electrical pulses, so that the heart beats without fibrillation. Other embodiments are also described.

Abstract: A prosthetic hearing device comprising a biocompatible housing having a surface that vibrates in response to sound waves traveling through tissue; and an interferometer mounted in the housing, the interferometer is constructed and arranged to generate a light beam that impinges on a reflective interior surface of the vibrating surface, and to receive light reflected from the reflective interior surface. The device detects ambient sound by impinging a light beam on a portion of the vibrating surface; receiving light reflected from the reflective portion; measuring the movement of the vibrating surface based on an interference pattern of the impinging and reflected light; and determining at least a frequency of the incident sound wave based on the interference pattern.

Abstract: An external defibrillator enclosure for use in conjunction with a defibrillator accessory, such as an electrode pad assembly, includes a front panel and a rear panel which are mated together and secured by a coupling means. The enclosure also includes a plate secured by a coupling means to the second panel. The plate and second panel are positioned relative to each other to form a slot that is sized to receive a portion of the electrode assembly. The enclosure also includes a connector port that allows for the electrode pad assembly to be pre-connected to the electronics within the enclosure. The electrode pad assembly includes a cable and a connector at the end of the cable, and the exterior face of enclosure rear panel includes a groove that is sized to receive and retain the cable. The groove holds the cable in place against the surface of the enclosure while the cable is connected to the connector port.

Abstract: A delivery system for implanting a biostimulation device comprising a stylet extending along an axis from knob end to a threaded end configured to engage an internally threaded nut of the biostimulation device and a catheter tube configured to axially contain the stylet. The catheter tube comprises a feature that engages a corresponding feature on the biostimulation device whereby the stylet can be rotated relative to the catheter tube for disengagement of the stylet threaded end from the biostimulation device threaded end.

Abstract: The invention is directed to medical leads for use with implantable medical devices. Various features of medical leads are described, many of which may be useful in a variety of different leads, e.g., used in a variety of different applications. In one embodiment, the invention provides a medical lead of varying stiffness characteristics. In another embodiment, the invention provides a medical lead having a semi-conical shaped distal tip that becomes wider at more distal tip locations. In either case, described lead features may be particularly useful for J-shaped lead configurations used for implantation in a patient's right atrium. Many other types of leads, however, could also benefit from various aspects of the invention.

Abstract: An implantable cardioverter defibrillator (ICD) has a programmable ICD energy level corresponding to the maximum defibrillation energy deliverable with each defibrillation shock pulse. The ICD energy level is programmable within the maximum energy capacity of the defibrillation capacitor(s) of the ICD. In various embodiments, after a user enters the ICD energy level, one or more corresponding ICD performance parameters are presented. Restrictions are applied to the energy level programming of the ICD to ensure the predictability of the one or more ICD performance parameters.

Abstract: A mechanism for transferring energy from an external power source to an implantable medical device is disclosed. An antenna is positioned in proximity of the implantable medical device. The position of a core of the antenna is adjusted relative to the implantable medical device while the antenna is maintained substantially stationary. A frequency of transmission of a power source is adjusted, and the antenna is driven at the adjusted frequency to transfer energy transcutaneously to the implantable medical device. In one embodiment, the frequency of transmission is selected based on an amplitude of a signal in the antenna.

Abstract: A fluid pressure generating means (10) for a heart assist device having blood pumping means. The pressure generating means (10) includes a housing (11), defining an interior volume (18), and having a substantially rigid first housing portion (12), a substantially rigid second housing portion (14), a flexible third housing portion (16) extending between the first (12) and second (14) housing portions and an inlet/outlet port (15) adapted for fluid communication with the blood pumping means. The pressure generating means (10) also includes a fluid filling the housing and a motor (20) disposed within the housing (11) and connected between the first (12) and second (14) housing portions. Actuation of the motor (20) moves the first (12) and second (14) housing portions relative to one another to generate fluid pressure changes at the inlet/outlet port (15). A related heart assist device and method for the treatment of congestive heart failure, myocardial ischemia and like conditions are also disclosed.

Abstract: According to a charging system of this invention, an alternating current required for charging of an electric double layer capacitor of a storage device in the body may be transmitted from a feeding device outside the body through power receiving and power transmitting coils. The electric double layer capacitor may be charged in a contactless mode, without incising the body of the artificial organ user, while the storage device remains embedded in the body. The electric double layer capacitor may be charged reliably by avoiding a shortage of charging since the charge status of the electric double layer capacitor of the storage device is known during a charging operation.

Abstract: A medical lead having a conductor assembly and a segmented electrode assembly. The segmented electrode assembly includes a conductive segment electrically coupled to a conductor of the conductor assembly. A passageway is positioned between an inner surface and outer surface of the conductive segment. An electrically insulating material extends through the first passageway and into a gap adjacent the conductive segment. A segmented electrode assembly is also provided. The segmented electrode assembly includes a conductive segment having a passageway between an inner surface and outer surface of the conductive segment. An electrically insulating material extends through the passageway and into a gap adjacent the conductive segment.