Abstract: An implantable medical device, contains control circuitry and communication circuitry for communicating with another implantable medical device. The communication circuitry includes a transmission unit and a reception unit. The transmission unit, for establishing a communication link with the other implantable medical device, is configured to transmit a multiplicity of transmit communication signals, wherein each transmit communication signal is associated with a dedicated sub-range of a predefined frequency range. The reception unit is configured to receive a response communication signal in response to a transmit communication signal. The control circuitry is configured to determine whether a response communication signal in response to a transmit communication signal associated with a dedicated sub-range has been received, and to establish the communication link based on the determination.

Abstract: The disclosure related to an implant comprising a substrate, a housing, wherein the housing is disposed on the substrate, an electronic circuit disposed on the substrate inside the housing, an electronic component disposed on the substrate outside the housing, and a conductor track, wherein the conductor track connects the electronic circuit to the electronic component. The conductor track is embedded into the substrate at least in sections in such a way that at least one section of the conductor track is completely surrounded by the substrate. Furthermore, a method for creating an implant is disclosed.

Abstract: An assembly for an electrode connection device of an implant has a continuous receiving unit for a plug, a first connecting element which is arranged in a front region of the receiving unit and has at least two flat lateral surfaces, and a second connecting element, which is arranged in a rear region of the receiving unit. The second connecting element includes at least two flat lateral surfaces. Furthermore, an electrode connection device, an implant, and a method for mounting an electrode connection device all utilize the assembly.

Abstract: A defibrillation generator for an implantable defibrillation system comprises a housing, a connector block for connecting an electrode lead assembly to be non-transvenously implanted in a patient, and control device for controlling the operation of the defibrillation generator. The connector block has two connectors, to each of which an electrode lead of the electrode lead assembly, said electrode leads having at least one defibrillation electrode pole, is connectable, wherein the control device is configurable to assume a first operating state if an electrode lead is connected to just one of the two connectors, or a second operating state if electrode leads are connected to each of the two connectors.

Abstract: An intracardiac pacemaker device, comprising a housing that is configured to be implanted entirely within a ventricle (V) of a heart (H), an electronic module for generating pacing pulses, a battery for supplying energy to the electronic module, an elongated lead extension protruding from the housing, at least a first electrode arranged on the elongated lead extension, and a pacing electrode and a return electrode for applying the pacing pulses to cardiac tissue, wherein the pacing electrode is arranged on the housing. The electronic module is electrically coupled to the pacing electrode via the housing, and wherein the electronic module is configured to carry out measurements of electrical activity via the at least one first electrode of the elongated lead extension.

Abstract: A leadless pacemaker device for providing an intra-cardiac pacing includes processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate, a first sensor configuration receiving a first sense signal, and a second sensor configuration receiving a second sense signal. The processing circuitry derives, in a first sensing state, atrial events from the first sense signal for controlling the ventricular pacing rate based on the atrial events. The processing circuitry switches, based on at least one switching criterion, from the first sensing state to a second sensing state in which the processing circuitry derives atrial events from the second sense signal. The second sense signal is received by the second sensor configuration for detection of atrial events and the second sensor configuration is a motion sensor or a sound sensor. A method for operating the pacemaker device is also provided.

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: A connection pin of a feedthrough of an implantable medical electronic device has a primarily cylindrical pin body and at least one flattened end section. The flattened end section has at least one planar connecting surface formed on it, especially for connection by material bonding of a band-shaped conductor.

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 managing a wireless communication between an implantable medical device and at least two external devices includes associating the implantable medical device with a first external device so as to enable communication between the first external device and the implantable medical device via a wireless connection, and activating a search mode of the implantable medical device. In the search mode, the implantable medical device wirelessly sends out an advertising message that indicates its availability for association with at least a second external device. A blocking mode of the first external device is activated in response to the activation of the search mode of the implantable medical device. In the blocking mode, the first external device is disconnected from the implantable medical device and does not attempt to connect with the implantable medical device.

Abstract: A multilumen body for a medical device, comprising a first tubular element and a second tubular element, which is arranged in the first tubular element and which is in contact with the first tubular element at least in sections and movable relative to the first tubular element, an inner surface of the first tubular element having a first profile and/or an outer surface of the second tubular element having a second profile so that the contact surface between the first tubular element and the second tubular element is smaller than without the first profile and/or without the second profile. The multilumen body is characterized in that the first profile and/or the second profile include a plurality of alternating elevations and depressions, wherein a maximum distance between two neighboring elevations is 100 ?m.

Abstract: An implantable medical device comprises a sensor device for obtaining a signal indicative of cardiac activity within a patient, and a processor device configured to process said signal obtained using the sensor device. The processor device is configured to detect a peak indicative of a cardiac event in said signal by comparing said signal to a sense threshold. The processor device in addition is configured to adaptively control said sense threshold such that the sense threshold in at least one time period assumes a value which is constant over said at least one time period, wherein the sense threshold is reduced after lapse of said at least one time period.

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 sensor system detects a presence or concentration of an analyte in a medium. The sensor system contains a sensor having a sensor head with a chamber. The sensor head has a permeable area through which the analyte can pass into the chamber when the sensor head contacts the medium. A cross-linked hydrogel fills the chamber, the hydrogel is configured to undergo a change in volume when contacting the analyte passed into the chamber which leads to a change in pressure in the chamber. A pressure sensor is configured to measure the pressure in the chamber for detecting the presence or concentration of the analyte.

Abstract: A catheter device for repositioning or explanting an implantable medical device comprises an outer catheter, and a steerable catheter extending through the outer catheter, wherein the outer catheter is axially movable with respect to the steerable catheter. A snare catheter extends through the steerable catheter, wherein the snare catheter is axially movable relative to the steerable catheter. A mandrel may extend through the snare catheter and comprising a distal end, wherein the mandrel is axially movable relative to the snare catheter. A snare may be arranged on the distal end of the mandrel for establishing a connection to the implantable medical device, wherein the snare, by moving the mandrel with respect to the snare catheter, is at least partially retractable into the snare catheter.

Abstract: A catheter device for implanting a medical device comprises a steerable catheter, and a delivery catheter extending through the steerable catheter and being configured to interact with the medical device for implanting the medical device at an implantation site within a patient, wherein the delivery catheter is axially movable with respect to the steerable catheter. The steerable catheter comprises a first steering articulation zone and a second steering articulation zone arranged distally with respect to the first steering articulation zone, wherein the steerable catheter is steerable by a deflection in the first steering articulation zone and the second steering articulation zone.

Abstract: A device housing for an IMD is suggested, the device housing having: a front side, a flat end face that is arranged perpendicular to the front side and connects to a straight upper edge of the front side, the front side having a maximum width (Bmax) that is measured parallel to the straight upper edge, and a maximum height (Hmax) that is measured perpendicular to the straight edge, wherein the ratio R of maximum width (Bmax) to maximum height (Hmax), i.e., Bmax/Hmax, is between 1.05 and 1.35.

Abstract: An analysis device for supporting the implantation of a system for stimulating the human heart or animal heart, comprising a processor and a memory unit. The memory unit includes a computer-readable program, which prompts the processor to carry out the following steps when the program is being executed on the processor: a) receiving an electrocardiogram of a human heart or an animal heart into which a system for stimulating this heart is being implanted; b) automatically identifying signals of the electrocardiogram caused by a His bundle stimulation, a signal being identified which appears between an atrial signal and a ventricular signal; c) marking the previously identified signals in the received electrocardiogram; and d) outputting the electrocardiogram thus marked on an output device. The analysis device comprises a detection unit having a sensitivity of at least 0.25 mV.

Abstract: An implantable device comprises a housing having an oblong shape extending along a longitudinal axis, and a coil arrangement for communicating with an external device, the coil arrangement comprising a coil winding and a bobbin on which the coil winding is arranged. The coil arrangement is received in the housing such that the coil winding and the bobbin extend along a transverse direction with respect to the longitudinal axis, wherein the coil winding is wound on the bobbin about the transverse direction and has an elongated shape along the transverse direction.

Abstract: A connector cavity assembly for a medical device, comprising at least one connector cavity comprising a plurality of electrically conductive electrode contacts spaced apart from each other and a plurality of electrically insulating insulation elements, wherein the electrode contacts and the insulation elements are arranged alternatingly; and a connector cavity housing. The connector cavity assembly is characterized in that the at least one connector cavity is removably arranged within the connector cavity housing, wherein the connector cavity housing exerts a pretension on the at least one connector cavity leading to a liquid-tight sealing between the insulation elements and the electrode contacts.