Abstract: An implantable medical device for stimulating a heart, comprising a stimulation unit configured to stimulate a cardiac region of the heart, wherein the stimulation unit comprises an electrode having a first electrode pole and a second electrode pole. During operation, the device performs the following steps: a) determining appropriate stimulation parameter values of a stimulation pulse to be delivered to a cardiac region of a human or animal heart by the first electrode pole in a unipolar manner; b) storing the determined stimulation parameter values in the memory unit; c) checking an occurrence of an electrode failure of the electrode when operating the electrode in a bipolar manner; d) in the event of an electrode failure, automatically switching from a bipolar operation of the electrode to a unipolar operation of the electrode and automatically applying the stored stimulation parameter values for a unipolar stimulation of the cardiac region.

Abstract: An intra-body network system, comprises a first implantable medical device comprising a first communication circuitry and a second implantable medical device comprising a second communication circuitry. The first and second communication circuitries are configured to establish, in an implanted state of the first and second implantable medical devices, a communication for transmitting a communication signal from the first implantable medical device to the second implantable medical device and from the second implantable medical device to the first implantable medical device.

Abstract: An implantable medical device configured to provide for an intracardiac function comprises a body, a sensor arrangement arranged on the body and configured to receive cardiac sense signals, and a processing circuitry operatively connected to the sensor arrangement. The processing circuitry is configured to process cardiac sense signals received using the sensor arrangement to detect atrial events caused by atrial activity based on a comparison of the cardiac sense signals to a sense threshold for a number of cardiac cycles, to evaluate whether a reduction criterion is fulfilled, wherein the reduction criterion is fulfilled if in X1 out of Y1 cardiac cycles no atrial events have been detected, X1 being a natural number equal to or larger than 1 and Y1 being a natural number equal to or larger than X1, and to reduce the sense threshold if said reduction criterion is fulfilled.

Abstract: Electrical component for an implantable medical device comprises an outer shell forming first and second side faces, a functional element enclosed in the outer shell, and an arrangement of connection devices arranged on the outer shell for establishing an electrical connection of the functional element to a component of the implantable medical device outside of the outer shell. A first connection device is arranged on the first side face and a second connection device is arranged on the second side face, wherein the electrical component is configurable to assume different configuration states, wherein in a first configuration state the first connection device is configured to establish said electrical connection and the second connection device is deactivated, and in a second configuration state the first connection device is deactivated and the second connection device is configured to establish said electrical connection.

Abstract: An implantable electrode includes an outer tube, which has a distal end and a proximal end, wherein the implantable electrode is connectable in the region of the proximal end to an active device. At least one electrode line is arranged in the outer tube. At least one electrode pole, which is electrically connected to the at least one electrode line, for electrically contacting tissue surrounding the electrode in the implanted state of the electrode is arranged in the region of the distal end. A stub line for extending the electrical length of the at least one electrode line is connected to the at least one electrode line in the region of the distal end or the proximal end.

Abstract: Method for supporting a patient's cardiac health control, using an at least partially extracorporeally located remote device comprising a processor and a memory connected to the processor, comprising the step of correcting those data value/values of at least one second data set of a physiological measure by means of a pre-defined correction factor determined for the respective second data set whose corresponding data value/values of a first data set of a physiological measure lies outside the first reference range by the processor, wherein the pre-defined correction factor of the respective second data set is previously determined for the respective second data set using a correction factor determining AI algorithm. The remote server is capable of analyzing the relationships among the collection of physiological data measured by the medical to reduce “information overload” and provide a more accurate picture of the patient's health condition.

Abstract: The disclosure relates to a display device for a programmer of an implant, wherein the display device comprises a frame which receives and holds the following components: a display module which is designed to generate and display a representation, a shielding layer which is arranged on the display module, a flat capacitive touch sensor which is arranged on the shielding layer, and a cover which is arranged on the touch sensor. The display device further comprises an antenna, wherein the antenna is designed to transmit and/or receive in the MICS frequency band. Furthermore, a programmer for an implant is disclosed.

Abstract: The disclosure relates to a method for determining a QT interval of an electrocardiogram (ECG) signal comprising the steps of: determining a QT interval of an electrocardiogram (ECG) signal comprising the steps of: determining a maximum slope of the ECG signal after a T wave maximum of the ECG signal, and fixing an end of the QT interval by performing, for example, extrapolating the maximum slope to a zero line of the ECG signal.

Abstract: Implantable intracardiac device and a header assembly for such device having at least one tine extending from a base ring, further comprising a spacer and a header cap, wherein the base ring of the anchoring device is conically formed. The inventive intracardiac device has small dimensions and provides, at the same time, a robust attachment mechanism.

Abstract: An implantable medical device for stimulating a heart, comprising a control unit, a memory unit, a stimulation unit for stimulating a cardiac region of a heart, and a detection unit for detecting an electrical signal of the heart. The memory unit comprises a computer-readable program that causes the control unit to perform the following steps: a) detecting capture thresholds during an observation period, each capture threshold detected in response to a sequence of pacing pulses delivered by the stimulation unit; b) storing the detected capture thresholds in the memory unit; c) determining threshold-to-threshold differences between two consecutive capture thresholds; and d) if a maximum determined threshold-to-threshold difference within the observation period is equal to or greater than a predetermined limit, adjusting a pacing output of the stimulation unit based on the maximum capture threshold determined within a first time period which is equal to or shorter than the observation period.

Abstract: The invention relates to a device for detecting a signal from a human or animal organism which, during operation, carries out the following steps: detecting a signal from a human or animal organism in a time-dependent manner; subdividing a signal segment into first blocks; determining a total number of the first blocks; determining a measure for a signal swing in each of the first blocks; determining a number of first blocks in which the measure for the signal swing is less than a predeterminable first threshold value; calculating a first quotient from the number of first blocks in which the measure for the signal swing is less than the first threshold value and the total number of first blocks; comparing the first quotient with a second threshold value; classifying a state of the human or animal organism as physiological or as pathophysiological as a function of the previous comparison.

Abstract: An implantable medical device for stimulating a human or animal heart. In operation, the device performs the following steps: a) sensing an atrial electric signal a the first detection unit; b) sensing an electric signal at the His bundle with a second detection unit upon termination of a first time period starting upon sensing the atrial electric signal with the first detection unit and/or starting upon applying a stimulation pulse, wherein the first time period lies in a range of from 10 ms to 100 ms; c) classifying the electric signal sensed with the second detection unit as His bundle activity signal or as ventricular activity signal.

Abstract: The disclosure relates to an implant comprising a housing, in which there are arranged an energy store and an electronics module, wherein a feedthrough to an electrode connection device is formed on the housing, wherein a first contact forms an electrical connection between the energy store and the electronics module, wherein a second contact forms an electrical connection between the electronics module and the feedthrough, and wherein the first contact and the second contact are oriented in the same contact direction. A method for assembling an implant is also disclosed.

Abstract: A method for establishes a communication connection between at least one health care professional (HCP) remote device (CP, 3) and at least one medical device (7). The method includes: establishing a first communication connection between the CP with a remote monitoring server (RMS, 1), establishing a second communication connection between the RMS and a patient remote device (PR, 5), and establishing a third communication connection between the PR and the medical device. The CP is configured to optimize an internal device process such that the first communication connection can be maintained as continuous communication connection. The PR is configured to optimize an internal device process such that the second and/or third communication connection can be maintained as continuous communication connection. A remote programming session and/or interrogation session of the medical device is initiated if the communication connection between the CP and the medical device is successfully established.

Abstract: A method programs an implantable medical device to configure the implantable medical device for stimulating neural tissue by at least one electrode. The method includes: performing, by the implantable medical device, an evoked compound action potential (eCAP) threshold search by stimulating the neural tissue with test stimulation pulses; determining, based on the eCAP threshold search, an eCAP threshold amplitude and a coupling factor that is indicative of a coupling between the at least one electrode and the neural tissue; and generating a first set of stimulation parameters containing at least a stimulation amplitude that is determined in dependence on the eCAP threshold amplitude and the coupling factor.

Abstract: A sealing ring for a header of an implantable device has an outer ring and an inner ring. The outer ring is formed with, or of, a high-performance thermoplastic material. The inner ring is formed with, or of, liquid silicone or polyurethane. The inner and outer rings are arranged with a form-fit relative to each other. There is also described a method for manufacturing such a sealing ring and also a contact socket and an implantable device with such a sealing ring.

Abstract: An implantable medical device comprises a sensing device for sensing a measurement quantity indicative of a presence of an MRI device, a processing device for controlling operation of the implantable medical device and for identifying a presence of an MRI device based on measurement values obtained from the sensing device; and a program memory. An analysis module is configured to store information concerning a multiplicity of events relating to operation of the implantable medical device. The program memory is configured to store at least two program routines for operating the implantable medical device in case of a presence of an MRI device. The processing device is configured, for controlling operation of the implantable medical device in the presence of an MRI device, to select one of said at least two program routines based on a statistical analysis of information concerning a predefined number of events of said multiplicity of events.

Abstract: An implantable leadless pacemaker configured to provide antibradycardia pacing of a human or animal heart, comprising: an electrical energy source, a sensor configured to sense intracardiac potentials of the heart, a pulse generator configured to generate electrical pacing pulses, a control unit for controlling the pulse generator, wherein the control unit is configured to inhibit generation of an electrical pacing pulse when an intracardiac potential is sensed, wherein the control unit is further configured to permanently switch off the pulse generator after passing of a predetermined timespan and/or after a pre-defined event detected by the pacemaker, an electrode pole for electrical stimulation and sensing intracardiac potentials, at least one fastening element for fastening the pacemaker to heart tissue, wherein the implantable leadless pacemaker is adapted such that a lifetime of the implantable leadless pacemaker is smaller than one year, particularly smaller than one month, particularly smaller than tw

Abstract: An active medical device, comprising a processor, a memory unit, and at least one of an accelerometer and a detection unit configured to detect a body impedance. During operation, the active medical device carries out the following steps: a) measuring a body impedance of a patient with the detection unit during a first period of time to obtain time-dependent impedance data and calculating a power spectral density of the impedance data; b) alternatively or additionally to step a), measuring an acceleration of a body of the patient with the accelerometer during the first period of time to obtain time-dependent acceleration data and calculating a power spectral density of the acceleration data; c) identifying coughing of the patient on the basis of the calculated power spectral density if at least 1% of all values of the power spectral density have a frequency of at least 1 Hz.