Abstract: A programming device for programming an implantable medical device for stimulating a human or animal heart, wherein the programming device carries out the steps: a) allowing to select one of at least two electrode lead configurations for stimulating a heart, wherein the at least two electrode lead configurations comprise: i) a first electrode lead in which an atrial electrode lead and a right ventricular electrode lead are connected to electrode lead ports, and ii) a second electrode lead in which an atrial electrode lead and a His bundle electrode lead are connected to electrode lead ports; b) allowing to select a first timing parameter value if the first electrode lead is selected and to select a second timing parameter value if the second electrode lead is selected, wherein the first timing parameter value is an atrioventricular interval and the second timing parameter value is an atrial-His interval.

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: An implantable medical device for stimulating a human/animal heart having a stimulation unit which stimulates the His bundle and a detection unit which detects an electrical signal at the His bundle. The device performs: a) determining a first value of a parameter of a first measuring pulse measured between a first electrode pole and a housing; b) determining a second value of the same parameter of a second measuring pulse measured between the first electrode pole and a second electrode pole; c) comparing the first and second values; d) determining, based on the comparing step, whether the first or second measuring pulses enables a higher available level control range of the analog-to-digital converter; e) measuring an impedance in a unipolar manner between the first electrode pole and the housing or in a bipolar manner between the first electrode pole and the second electrode pole depending on the determining step.

Abstract: An implantable medical device for stimulating a human/animal heart, comprising a first electrode lead port for receiving an electrode lead. The first electrode lead port comprises a first marking element and a second marking element, wherein the first marking element indicates a first kind of electrode lead that can be received by the first electrode lead port and for an operation of which the first electrode lead port is designed to be configured, wherein the first kind of electrode lead is a His bundle electrode lead , wherein the second marking element indicates a second kind of electrode lead that can be received by the first electrode lead port and for an operation of which the first electrode lead port is designed to be configured. The second kind of electrode lead includes one of an atrial electrode lead, a right ventricular electrode lead, and a left ventricular electrode lead.

Abstract: A programming device for programming an implantable medical device for stimulating a human or animal heart, wherein the following steps are performed: a) allowing to select one of at least two electrode lead configurations for stimulating a human or animal heart, wherein the at least two electrode lead configurations comprise a second electrode lead configuration in which at least one electrode lead is connected to an electrode lead port, the electrode lead port being configured to receive an electrode lead for stimulating a second cardiac region or detecting an electric signal at the second cardiac region, wherein the second cardiac region is a part of a ventricular conduction system of the heart, wherein the at least one electrode lead is intended to be implanted or is implanted in the second cardiac region; b) generating and releasing a notification signal if the second electrode lead configuration is selected.

Abstract: A catheter tube comprises a tube wall, which surrounds a tube lumen, wherein the tube wall comprises the following: a mesh; and a guide lumen around which the mesh is braided and in which a pull element extends from a proximal portion of the catheter tube to a distal portion of the catheter tube. The pull element is connected in a tension-resistant manner to the tube wall in the distal portion. The guide lumen guides the pull element at least partially around the tube lumen.

Abstract: A medical device and a manufacturing method for such medical device having an assembly comprising: an elongated solid housing with an outer surface and a maximum outer diameter, at least one electrical contact area at the outer surface of the housing, and a processor encapsulated within the housing, wherein the method comprises the following steps: providing the assembly and a tube consisting of a plastic and electrically insulating material, wherein an inner diameter of the tube is greater than the maximum outer diameter (108) of the assembly, accommodating the assembly within the tube such that at least one electrical contact area of the assembly is not covered, and applying a shrinking step to the tube such that the shrunken tube is firmly attached to the outer surface of the housing. The manufacturing method is cheaper and less time consuming than state-of-the-art methods, and also better suitable for automation.

Abstract: An implantable medical device for stimulating a human or animal heart, comprising a first processor, a first memory unit, a stimulation unit configured to stimulate a first cardiac region of a human or animal heart, and a detection unit configured to detect an electric signal at the first cardiac region of the same heart, wherein the detection unit comprises i) an electrode lead having an electrode pole and ii) a first channel for measuring electric signals provided by the electrode lead. A maximum sensitivity of the first channel of the detection unit is adjustable in dependence on a stimulation site of the electrode pole, wherein the maximum sensitivity of the first channel lies in a range of from 0.1 mV to 0.4 mV if the electrode pole is intended to detect electric signals at the His bundle of the heart.

Abstract: An implantable medical device comprises a housing, a circuit board structure arranged within in the housing and comprising at least one flexible section, an electronic module comprising at least one electronic component arranged on the circuit board structure, and an energy storage device for providing electrical energy for operation of the implantable medical device. The energy storage device is a solid-state battery mounted on the circuit board structure. An energy generation device connected to the energy storage device is a secondary cell, wherein the energy generation device is configured to convert patient energy to electrical energy for charging the energy storage device.

Abstract: A lead for an implantable stimulation device for cardiac stimulation of a patient generally extends along a longitudinal axis. The lead comprises a body section, a distal lead section extending from the body section along the longitudinal axis and forming a distal end, a first electrode device arranged on the distal lead section for at least one of transmitting an electrical pacing signal and sensing an electrical sense signal, the first electrode device being configured for placement in or on intra-cardiac tissue, and a second electrode device arranged on the body section for emitting an electrical defibrillation signal. The distal lead section in at least one portion comprises a reduced bending stiffness with respect to at least a portion of said body section.

Abstract: An implantable system for treating a heart contains a processor, a memory unit, a treatment unit including a treatment electrode, and a detection unit for detecting a cardiac event requiring treatment. The memory unit includes a computer-readable program, which prompts the processor to perform the following steps: a) detecting by way of the detection unit whether a cardiac event to be treated has occurred in the heart; b) if a cardiac event to be treated has occurred, determining a position of the treatment electrode or determining a variable correlating with this position; and c) comparing the position of the treatment electrode or the variable correlating with the position to a reference variable, and carrying out, or not carrying out a cardiac treatment by way of the treatment unit and the treatment electrode as a function of the position of the treatment electrode or the variable correlating with the position.

Abstract: An implantable medical device for implantation into a patient comprises a body, an anchoring device for anchoring the body to tissue at a location of interest, the anchoring device being arranged on the body, and an electrode device for at least one of emitting an electrical stimulation signal and sensing an electrical sense signal. The electrode device comprises at least one electrode and a helically extending coil body, wherein the electrode device is movable with respect to the body between a retracted position, in which the electrode device at least partially is received within the body, and an engagement position, in which the electrode device is moved to protrude from the body to engage with tissue.

Abstract: An implantable medical device which performs the following steps during operation: a) performing a detection of whether the implantable medical device is in an implanted state; b) if it is detected that the implantable medical device is in an implanted state, activating a first diagnostic or therapeutic function of the implantable medical device, and subsequently activating a second diagnostic or therapeutic function of the implantable medical device, wherein the second diagnostic or therapeutic function is activated only after the fulfillment of at least one activation criterion selected from the group consisting of an elapse of a first time period from the activation of the first diagnostic or therapeutic function, an elapse of a second time period from the detection that the implantable medical device is in an implanted state, and a passing of a function test.

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: An implantable medical device for stimulating a human/animal heart, comprising a housing, a processor, a memory unit, a stimulation unit configured to stimulate the His bundle, and a detection unit configured to detect an electrical signal at the His bundle. The device performs: a) stimulating the His bundle with a stimulation pulse delivered by the stimulation unit; b) measuring an electric signal at the His bundle with the detection unit upon termination of a first period of time starting upon delivering of the stimulation pulse, wherein the first period of time is from 35 ms to 500 ms; c) measuring an impedance of the same heart with the detection unit upon termination of a second period of time starting upon delivering of the stimulation pulse, wherein the second period of time is equal to or longer than the first period of time and is from 50 ms to 500 ms.

Abstract: A medical electrode device for implantation comprises a carrier formed from an electrically insulating material and defining a surface extending along a plane of extension, and at least one electrode arranged on the carrier for emitting an electrical stimulation signal and/or receiving an electrical sense signal. The at least one electrode comprises first and section wall sections. Said first wall section, in a cross-section along a cross-sectional plane perpendicular to said plane of extension, extends straight along a perpendicular direction with respect to said plane of extension or at an oblique angle with respect to said perpendicular direction, the first wall section in contact with the carrier electrically insulating material. Said second wall section, in said cross-section along said cross-sectional plane perpendicular to said plane of extension, adjoins said first wall section and is curved, the second wall section not in contact with the carrier electrically insulating material.

Abstract: The present disclosure relates to a system, comprising: an implantable medical device, wherein the implantable medical device comprises an ultrasound transducer configured to receive an ultrasound wave, a packaging, wherein the packaging encloses an internal space, wherein the implantable medical device is arranged in the internal space, and a device mount arranged in the internal space, wherein the implantable medical device is fastened to the device mount in a releasable fashion, and wherein the device mount contacts an inner side of a portion of the packaging and forms an acoustic coupler configured to pass an ultrasound wave applied to an outer side of the portion of the packaging to the ultrasound transducer of the implantable medical device.

Abstract: An implantable medical device includes an electronic processing device configured for processing a physiological signal, a memory, and a communication device for communicating with an external device. The processing device includes a coding module for coding the physiological signal to obtain an output signal for transmission by the communication device to the external device. The coding module is configured to encode the physiological signal using at least one fixed Huffman code table stored in the memory to obtain the output signal.

Abstract: A system for predicting heart failure hospitalization, comprises a processing device configured to process data derived from signals sensed by an implantable medical device, said signals being indicative of cardiac activity, to obtain a heart failure prediction index. The processing device is configured to process a multiplicity of variables relating to different cardiac characteristics to obtain a multiplicity of processed variables, and to combine said processed variables using a mathematical model to compute said heart failure prediction index.

Abstract: An implantable electrode lead comprises at least one electrode pole and a plurality of electrical conductors, at least one of which is electrically connected to the at least one electrode pole. The plurality of conductors are connected to one another to form a braid extending along a longitudinal axis, at least one first conductor of the plurality of conductors being helically wound about the longitudinal axis in a first direction of rotation, and at least one second conductor of the plurality of conductors being helically wound about the longitudinal axis in a second direction of rotation, which is opposite the first direction of rotation.