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 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 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: 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 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: 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: 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: 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 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: 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 stent system comprising a stent, a first pressure sensor and a second pressure sensor, wherein the first pressure sensor and the second pressure sensor are configured for communication with each other.

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.

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: A leadless pacemaker device configured to provide for an intra-cardiac pacing, including: processing circuitry configured to generate ventricular pacing signals for stimulating ventricular tissue, and a reception device for receiving a sensing signal indicative of an atrial activity, wherein the processing circuitry is configured to detect an atrial event derived from said sensing signal, wherein the atrial event is a valid atrial sense event, where a series of atrial events lie within a range for a normal atrial rate, and/or when the atrial rate variability is within a certain range indicating a regular atrial rhythm, wherein in case a valid atrial sense event is detected, the processing circuitry is further configured to: determine ventricular pacing events according to atrial events, calculate ventricular-atrial time delays, determine a correction value based a measured time delay and the calculated time delay, and adjust the ventricular pacing timing based on the correction value.

Abstract: An energy supplying component (100) includes a plurality of power sources (161, 171, 181, 191) and at least one switch (163, 165, 167, 173, 175, 177, 183, 185, 187, 193, 195, 197). Each power source of the plurality of power sources is configured to output a defined energy level. The at least one switch is configured to reversibly combine two or more power sources of the plurality of power sources for enabling the energy supplying component to supply requested energy at one or both of a needed voltage or a needed current.

Abstract: A computer-implemented method for classification of a medical relevance of a deviation between cardiac current curves, comprising applying a machine learning algorithm to the pre-acquired first cardiac current curve data and the pre-acquired at least second cardiac current curve data for classification of the medical relevance of the deviation between the pre-acquired first cardiac current curve data and the pre-acquired at least second cardiac current curve data. Furthermore, a corresponding system and a method for providing a trained machine learning algorithm are provided.

Abstract: An implant communication system configured to receive the data transferred by the first control unit and to simulate the communication interface, the back-end communication unit further comprising a programmer app unit configured to read out data from the communication interface simulation unit, the back-end communication unit further comprising a second control unit configured to control the communication interface simulation unit and the programmer app unit in such a way that the data is saved, in particular as a report, in a storage unit communicatively connected to the second control unit and/or the back-end communication unit, said data being accessible by the health care provider. Furthermore, the invention relates to a computer implemented method for communicating with an implantable medical device and a computer program.