Abstract: This invention relates to a device for adapting a LAA occluder after implantation, especially an adjustable custom made occluder for placement within the left atrial appendage (LAA). The invention relates to a medical occluder made of self expanding shape memory material configured to be inserted into a patient?s left atrial appendage cavity, said occluder comprising a disc being connected to a lobe, the lobe is configured to move between a first size-restricted configuration and at least one second enlarged configuration, the restricted configuration is of substantially smaller diameter than the enlarged configuration, the lobe comprises at least one restriction element to control the diameter of the lobe. The restriction element is a surgical thread or a screw-in thread running inside the lobe of the occluder.

Abstract: Endocardial or intravascular cardiac pacemaker having a sealed housing, in which a battery and a pacemaker controller connected to the battery, as well as at least one stimulation pulse generator, are situated, the housing being oblong and having a length of less than 70 mm and a cross-sectional area of less than 100 mm2 and carrying at least two electrodes, each of which has an outwardly directed, electrically conductive surface and is implemented as a stimulation electrode and is at least sometimes electrically connected to the stimulation pulse generator via an electrical connection situated in the interior of the housing.

Abstract: Endocardial or intravascular cardiac pacemaker having a sealed housing, in which a battery and a pacemaker controller connected to the battery, as well as at least one stimulation pulse generator, are situated, the housing being oblong and having a length of less than 70 mm and a cross-sectional area of less than 100 mm2 and carrying at least two electrodes, each of which has an outwardly directed, electrically conductive surface and is implemented as a stimulation electrode and is at least sometimes electrically connected to the stimulation pulse generator via an electrical connection situated in the interior of the housing.