Abstract: The present invention relates to a capacitor having an electrically conductive housing with a housing inner surface and a housing interior substantially defined by the housing inner surface, at least one first electrode having a first polarity and being arranged in the housing interior, at least one separator element being arranged between the housing inner surface and the at least one first electrode, and an electrically conductive coating being arranged between the housing inner surface and the at least one separator element. The housing inner surface includes at least one recess, and the electrically conductive coating is arranged in the at least one recess.

Abstract: A catheter having a catheter shaft connected to a two-part connecting piece. The catheter shaft includes a first tube forming an inflation lumen and a second tube disposed at least partially within the first tube to form a second lumen. The first tube and the second tube terminate proximally at a same longitudinal position. An outer surface of the second tube is welded longitudinally to an inner surface of the first tube to form a weld seam. The connecting piece includes a channel through a body of the connecting piece extending to and in fluid communication with the inflation lumen and a conical-shaped proximal section or element with a conical-shaped outer contour that fits into a distal element so that the second lumen seals around the proximal element and sole access to a proximal end of the inflation lumen is through the distal element.

Abstract: An electrolyte for electropolishing metal surfaces, in particular workpieces, in particular made of titanium or titanium alloys such as nitinol. The electrolyte composition includes methanesulfonic acid and more than one polyhydric alcohol. The content of methanesulfonic acid is less than 15 vol %, the polyhydric alcohols having at least one diol and at least one polyalcohol.

Abstract: The present invention relates an implantable pulse generator comprising an electric circuit, wherein the electric circuit comprises: a primary energy store, at least one secondary energy store, and a control unit, wherein the control unit is configured to activate an electric switch in the electric circuit in such a way that, in a first interval of a first phase of a pulse delivery, the primary energy store is discharged via a therapeutic current path, and to activate an electric switch in the electric circuit in such a way that, in a second interval of the first phase of the pulse delivery, the secondary energy store is discharged via the therapeutic current path, wherein the primary energy store and the at least one secondary energy store are fixedly connected, or connectable, in series, and wherein the implantable pulse generator is designed to deliver a shock having an approximately rectangular pulse waveform.

Abstract: An implantable medical device, in particular an extravascular cardioverter-defibrillator, comprises: an implantable housing for accommodating a control unit configured to generate and/or process electrical signals; wherein an outer surface of the housing comprises at least one electrode portion for receiving electrical signals to be processed by the control unit and/or for providing electrical signals generated by the control unit, the electrode portion being surrounded along its outer contour by an insulating portion which electrically insulates the electrode portion from a remainder of the housing; wherein both the electrode portion and the remainder of the housing are made of a biocompatible and electrically conductive first material; wherein the insulating portion is made of a biocompatible and electrically insulating second material comprising a titanium oxide compound.

Abstract: A cardiac pacing device for implantation in a patient's heart, wherein the cardiac pacing device comprises a processing unit for controlling a pacing signal generator and further comprises a detector configured to measure a time-dependent signal of an intrinsic atrial activity, wherein the processing unit is configured to detect a presence and absence of an intrinsic atrial event within a cardiac cycle based on the measured signal of the atrial activity within the respective cardiac cycle received from the detector, wherein the processing unit is configured to control the pacing signal generator to provide an electrical signal based on the presence and absence of an intrinsic atrial event. Further, a system comprising such first cardiac pacing device and a second cardiac pacing device is explained as well as respective operation methods.

Abstract: A non-transvenous ICD system comprises a defibrillation generator, a controller, an electrode line, a shock electrode arranged at the electrode line and at least three sensing electrodes arranged at various positions within the ICD system. The defibrillation generator is configured for generating electric shocks and applying the electric shocks to cardiac tissue of a patient via the shock electrode. The controller is configured for (i) sensing plural signals indicating a cardiac activity by detecting an electric voltage along each of a plurality sensing vectors, wherein each sensing vector extends between two of the sensing electrodes, (ii) automatically selecting at least one of the sensed signals based on predetermined criteria being fulfilled, and (iii) controlling the defibrillation generator for generating the electric shocks based on the at least one selected signal.

Abstract: A method/device for fixing an intracardiac device at an anchoring region within the tissue of a patient's heart which allows fixing at a thin wall. The intracardiac device comprises one electrode and at least two tines attached at a distal end of the intra-cardiac device adjacent the electrode. Each of the tines has an S-form. The method including: the intra-cardiac device is moved towards the anchoring region with the tines facing forwards until the tines touch the tissue at the anchoring region, the tines are pressed against the tissue at the anchoring region such that the tines are pivoted and/or bent outwards, with the distal ends of the tines penetrating the tissue, and, the pressure on the tines is against the tissue is removed, thereby bunching a wall segment of the tissue by the tines and pulling this wall segment towards the electrode.

Abstract: A paddle lead for implantation in the epidural space through an insertion tool, the paddle lead comprising a paddle structure with a first paddle wing, a second paddle wing and at least one resilient element connected with at least one of the first paddle wing and the second paddle wing, wherein the at least one resilient member biases at least one of the first paddle wing and the second paddle wing to an expanded state. According to an aspect of the invention, the at least one resilient element has a longitudinal extension direction that runs exclusively along the longitudinal extension direction of the paddle structure and in that the at least one resilient element has a wall that surrounds alone or with another part of the paddle structure a hollow space, wherein the hollow space also extends exclusively along the longitudinal extension direction of the paddle structure.

Abstract: A system for identifying an active medical implant, comprising an active medical implant configured to store information related to the active medical implant in a memory of the active medical implant, wherein the active medical implant has a first short-range communication module; and a mobile terminal having a second short-range communication module configured to directly communicate with the first short-range communication module of the active medical implant via a communication link, wherein the active medical implant is configured to transmit the information related to the active medical implant to the mobile terminal via the communication link.

Abstract: An implantable medical device (IMD) comprising at least one sensor, a processor and a transceiver module, wherein the at least one sensor is configured to monitor at least one predefined body function of a patient, wherein the transceiver module is configured to bi-directionally exchange messages with an external device, namely, to receive request messages from the external device and to send respective response messages to the external device replying to the request messages. In order to best leverage the limited data communication throughput of IMDs to enable body function data streaming the processor is configured to receive signals of the at least one predefined body function detected by the at least one sensor. Further, a communication system comprising the IMD, a communication method as well as a computer program product and a computer readable data carrier is also provided.

Abstract: An active electrical system comprising implantable components and an external programming unit, the system further comprising an algorithm for classifying the sensed electrical cardiac signals, and a control unit configured to drive the pulse delivery unit in a first mode to deliver a predetermined number of pulses at repetition rates greater than or equal to a threshold value, and to drive the pulse delivery unit in a second mode to deliver a predetermined maximum number of pulses at repetition rates below the threshold value, and wherein the control unit in the second mode is configured to switch to the first mode or terminate pulse delivery depending on a classification result of the algorithm.

Abstract: A leadless cardiac pacemaker device is configured to provide HIS bundle pacing and contains a housing having a tip, a first electrode arranged on the housing in the vicinity of the tip, the first electrode being configured to engage with intra-cardiac tissue, and a second electrode arranged on the housing at a distance from the tip of the housing. A processor is enclosed in the housing and operatively connected to the first electrode and the second electrode. The processor is configured to process a reception signal received by at least one of the first electrode and the second electrode and to generate a pacing signal to be emitted using at least one of the first electrode and the second electrode.

Abstract: An implantable medical device for sensing physiological signals comprises an arrangement of at least a first electrode pole, a second electrode pole and a third electrode pole, said arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole being configured to sense physiological signals. A processing module is configured for processing physiological signals received via said arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole. The processing module in particular is configured to process different physiological signals received by different pair of electrode poles of the arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole and to assess a cardiac function based on the processing.

Abstract: 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: A method for remote programming a therapy device for neurostimulation comprises: generating a stimulation program for the therapy device by means of a clinician programmer; transferring the stimulation program to a patient programmer; loading the stimulation program on the therapy device from the patient programmer; and increasing a stimulation amplitude of the stimulation program by means of the patient programmer. An initial stimulation amplitude setting of the stimulation program is limited to a minimal dose amplitude.

Abstract: A method for connecting an X-ray marker to a base body of an implant is provided. The based body includes a receptacle for receiving an X-ray marker. A flexible film and an X-ray marker are arranged so that at least a section of the film is located between the receptacle and the X-ray marker. The X-ray marker is pressed into the receptacle while interposing the film so that the X-ray marker is plastically deformed and, together with the film, is fixed in a force-fit manner in the receptacle. The film prevents contact between the X-ray marker and the base body.

Abstract: A clip for making a mechanical and electrically conductive connection between the clip and an electrically conductive pin. The clip has a base, and a first arm and an opposite second arm projecting out from the base. The first and the second arms each having a clipping area, the clipping areas of the first and second arms running toward one another and being designed to lie against the pin to make the mechanical and electrically conductive connection when the pin is arranged between the clipping areas of the first and second arms, respectively. A centering area departs from each of the clipping areas, that is, the clipping area of the first arm and the clipping area of the second arm, the centering area of the first arm and the centering area of the second arm diverging from one another.

Abstract: An implantable device comprising means for deriving a circadian rhythm associated with a physiological parameter. The implantable device further comprises means for determining a blood pressure, based at least in part on the circadian rhythm. Further aspects relate to a method carried out by such a device and a computer program.

Abstract: Cardiac pacing arrangement comprising first and second leadless pacing devices, wherein the second leadless pacing device is operated in standby or operational states. During operation, the cardiac pacing arrangement carries out the following steps: a) determining whether a condition for transferring the second leadless pacing device from the standby to the operational state is fulfilled, wherein the condition is chosen from the group consisting of i) delivering N consecutive stimulating pulses (N is an integer from 2-10), ii) non-detection of any stimulation pulse over a predeterminable time period (0.5-72 hours) and detection of an existing intrinsic rhythm of the patient at the same time, and iii) detecting M consecutive non-capturing stimulation pulses (M is an integer from 2-10); and b) transferring the second leadless pacing device from the standby to the operational state if the condition is fulfilled.