Abstract: The present disclosure relates to a system (1) for remote assessment of a patient (P1), comprising: a first device (2) associated to a physician (P2), a second device (3) associated to the patient (P1), a medical device (4) associated to the patient (P1), wherein the second device (3) is configured to communicate with the medical device (4), and wherein the medical device (4) is configured to be programmed via the second device (3), wherein the first device (2) is further configured to communicate with the second device (3), and wherein the second device (3) is configured to be controlled via the first device (2), and wherein the second device (3) is configured to acquire data (S1, S2) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P1). Furthermore, a method for remote assessment is provided.

Abstract: An intracardiac system has an intracardiac pacemaker and a cover. The cover at least partially surrounds the pacemaker. An inner surface of the cover, which faces the pacemaker, includes an inner layer with bioresorbable material. There are also described methods for implanting and explanting an intracardiac pacemaker.

Abstract: The present disclosure relates to a system for remote assessment of a patient, comprising: a first device associated to a physician, a second device associated to the patient, a medical device associated to the patient, wherein the second device is configured to communicate with the medical device, and wherein the medical device is configured to be programmed via the second device, wherein the first device is further configured to communicate with the second device, and wherein the second device is configured to be controlled via the first device, and wherein the second device is configured to acquire data indicative of at least one physiological parameter or of several physiological parameters of the patient. Furthermore, a method for remote assessment is provided.

Abstract: The disclosure related to an implant comprising a substrate, a housing, wherein the housing is disposed on the substrate, an electronic circuit disposed on the substrate inside the housing, an electronic component disposed on the substrate outside the housing, and a conductor track, wherein the conductor track connects the electronic circuit to the electronic component. The conductor track is embedded into the substrate at least in sections in such a way that at least one section of the conductor track is completely surrounded by the substrate. Furthermore, a method for creating an implant is disclosed.

Abstract: The present disclosure relates to a system (1) for remote assessment of a patient (P1), comprising: a first device (2) associated to a physician (P2), a second device (3) associated to the patient (P1), a medical device (4) associated to the patient (P1), wherein the second device (3) is configured to communicate with the medical device (4), and wherein the medical device (4) is configured to be programmed via the second device (3), wherein the first device (2) is further configured to communicate with the second device (3), and wherein the second device (3) is configured to be controlled via the first device (2), and wherein the second device (3) is configured to acquire data (S1, S2) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P1). Furthermore, a method for remote assessment is provided.

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 includes a housing having a proximal end and a distal end. The implantable medical device is placeable on cardiac tissue in the region of the distal end. An anchoring device is fixedly attached to the housing in the region of the distal end. The anchoring device includes at least one anchoring member. The at least one anchoring member includes a first end and a second end opposite the first end. The second end is disposed on the housing. The at least one anchoring member longitudinally extends between the first end and the second end along an axis of extension and is formed by a flat strip which is twisted by a twist angle about the axis of extension between the first end and the second end. A method for manufacturing an implantable medical device is also provided.

Abstract: A leadless pacemaker includes at least one fixation element for fixing the leadless pacemaker to cardiac tissue, a communication unit electrically connected to the fixation element, so that the fixation element is configured to act as a communication antenna for transmitting signals generated by the communication unit to an external device and/or receiving signals from an external device, and a therapy unit for generating electrical signals to electrically stimulate cardiac tissue. The fixation element is configured to act as an electrode for electrically stimulating cardiac tissue and/or sensing electrical signals of the cardiac tissue. A method for electrically stimulating cardiac tissue, a method for sensing electrical signals of cardiac tissue by using the leadless pacemaker, and a method for communicating between a leadless pacemaker and an external device are also provided.

Abstract: A system for collecting information concerning a patient's health status at an event, comprising: a medical device recording physiological data of a patient, a remote control device allowing the patient to initiate said recording of physiological data at an event, wherein the remote control device sends a control signal to the medical device in response to a corresponding operation of the remote control device by the patient for initiating a recording of physiological data by the medical device, wherein the medical device records said physiological data when receiving said control signal, and a patient device that prompts the patient after initiation of said recording to input information on the patient's health status at the time of said event that lead the patient to initiate recording of physiological data. Further, the present invention relates to a method for collecting information concerning a patient's health status.

Abstract: A leadless pacemaker device for providing an intra-cardiac pacing includes processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate, a first sensor configuration receiving a first sense signal, and a second sensor configuration receiving a second sense signal. The processing circuitry derives, in a first sensing state, atrial events from the first sense signal for controlling the ventricular pacing rate based on the atrial events. The processing circuitry switches, based on at least one switching criterion, from the first sensing state to a second sensing state in which the processing circuitry derives atrial events from the second sense signal. The second sense signal is received by the second sensor configuration for detection of atrial events and the second sensor configuration is a motion sensor or a sound sensor. A method for operating the pacemaker device is also provided.

Abstract: A leadless pacemaker device configured to provide for an intra-cardiac pacing includes a processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate and a sensor configuration configured to receive a sense signal over a multiplicity of heart cycles. The processing circuitry is configured to derive, from signal portions of the sense signal relating to the multiplicity of heart cycles, a combined signal portion and to analyze the combined signal portion for obtaining information relating to an atrial event. The processing circuitry is configured to sum a predefined number of signal portions relating to different heart cycles to obtain the combined signal portion. The leadless pacemaker device allows, in particular, for a reliable detection of signals relating to an atrial activity and the use of such signals for controlling a ventricular pacing rate for a ventricular pacing.

Abstract: An intracardiac pacing system comprising a fixation element for fixing the intracardiac pacing system to body tissue is disclosed. The fixation element comprises a metallic material, and is at least partially coated with a metal-ion release inhibiting material. Also, a method for coating at least part of an intracardiac pacing system is disclosed.

Abstract: An anchoring device for anchoring an implantable medical device to tissue of a patient, wherein the anchoring device comprises at least one marker that is visible when using an imaging technique such as x-ray imaging.

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: A monitoring system and method for detecting an infection or for assessing a suitability of neuromodulation therapy for a patient. R-R intervals of a patient are detected and stored for a first time period. A heart rate variability (HRV) of the stored R-R intervals is determined using at least one of a time domain analysis, an entropy analysis, a frequency domain analysis, a wavelet analysis, or a detrended fluctuation analysis. The patient is identified as exhibiting symptoms of a systemic infection and/or identified as suitable for neuromodulation therapy if the HRV is higher than a first threshold.

Abstract: An implantable medical device comprises a housing having a proximal end and a distal end, an electrode device arranged in the region of the distal end, and an anchoring device fixedly attached to the housing in the region of the distal end. The anchoring device comprises at least one anchoring member having a pre-shaped first configuration, the at least one anchoring member being deflectable from the pre-shaped first configuration into a strained second configuration for placement of the implantable medical device on an object. The at least one anchoring member comprises a tip section and a connection section extending in between the tip section and the distal end of the housing, wherein at least in the pre-shaped first configuration the tip section comprises a straight portion adjoining the connection section at a transition location by forming a bend in between the straight portion and the connection section.

Abstract: A header for an implantable medical device includes at least an antenna and a receptacle for receiving a signal transmission line. Either one or a combination of the antenna and the receptacle are encased in a dielectric material. The dielectric material can be one of or include one of a polymer, a ceramic material, polyoxymethylene, polysulfone, polybutylene terephthalate. A medical device and a method for assembling a medical device are also provided.

Abstract: A catheter for delivering an implantable stimulation device in a patient, the catheter including a probe having a plurality of electrodes, wherein the probe is transferrable from a reduced delivery state for movement within a human body to an expanded tissue contacting state, in which at least one electrode of the plurality of electrodes is in contact with tissue; and at least one holder to which an implantable stimulation device is attachable, wherein the at least one holder is positioned proximally to the probe section by a predefined distance “d”.

Abstract: An implantable leadless pacemaker (iLP) for a human or animal heart is provided that includes a housing, at least two electrode poles for picking up electrical potentials and/or delivering electrical stimulation, a stimulation control unit in connection with the electrode poles, a sensing unit that is in connection with at least one electrode pole, a signal processing unit in connection with the sensing unit, a signal evaluation unit in connection with the signal processing unit and/or the sensing unit, and an energy source. The sensing unit is configured to sense a first signal associated with an activity of the first heart chamber, and the stimulation control unit is configured to deliver electrical stimulation in the first heart chamber via the at least two electrode poles. The sensing unit is configured to sense a second signal associated with an activity of a second heart chamber.

Abstract: An implantable leadless pacemaker (iLP) for a human or animal heart, wherein the iLP includes a housing, at least two electrode poles for picking up electrical potentials and/or delivering electrical stimulation, a stimulation control unit in connection with the electrode poles, a sensing unit that is in connection with at least one electrode pole, a signal processing unit in connection with the sensing unit, a signal evaluation unit in connection with the signal processing unit and/or the sensing unit, and an energy source. The sensing unit is configured to sense a first signal associated with an activity of the first heart chamber, and the stimulation control unit is configured to deliver electrical stimulation in the first heart chamber via the at least two electrode poles. wherein the sensing unit is configured to sense a second signal associated with an activity of a second heart chamber.