Abstract: An implantable system for stimulating a heart contains a processor, a memory, a stimulator, and a first detection unit for detecting a cardiac rhythm disturbance of a cardiac region. The memory includes a computer-readable program, which prompts the processor to carry out the following steps: a) detecting via the first detection unit whether a cardiac rhythm disturbance is present in a cardiac region of a heart of a patient; b) when a cardiac rhythm disturbance is present, selecting a stimulation strategy based on a selection criterion; c) stimulating the cardiac region in which the cardiac rhythm disturbance was detected by way of the stimulator, using the selected stimulation strategy; d) detecting a success and/or an efficiency of the conducted stimulation; e) comparing the success and/or the efficiency to a predefinable success and/or efficiency criterion; and f) if the predefinable success and/or efficiency criterion was not achieved, optimizing the stimulation strategy.

Abstract: The present disclosure relates to a medical system, comprising at least an implantable medical device, and a multi-axis accelerometer comprised by the implantable medical device for measuring an acceleration of the implantable medical device along a plurality of vectors, wherein the multi-axis accelerometer is configured to provide for each vector a signal indicative of the acceleration of the implantable medical device in the direction of the respective vector. The medical system is configured to assess said signals to automatically select or propose a vector of said plurality of vectors that comprises the best alignment with a pre-defined vector.

Abstract: A feedthrough connector contains an electrically insulating body formed from glass. The body has a front side and a back side facing away from the front side. The body further has a circumferential lateral side extending from the front side to the back side of the body. The body has a plurality of through-openings, wherein each through-opening extends from the front side to the back side of the body. A plurality of electrical conductors is provided and, each conductor is arranged in one of the through-openings to hermetically seal the respective through-opening. The respective conductor contains a metallic material. A first end of the conductor is arranged at the front side and is connected to a first contact pad arranged on the front side, and an opposing second end is arranged at the back side and is connected to a second contact pad arranged on the back side.

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 implantable medical device includes a housing having a proximal end and a distal end. The implantable medical device is placeable on cardiac tissue in the region of the distal end. An anchoring device is fixedly attached to the housing in the region of the distal end. The anchoring device includes at least one anchoring member. The at least one anchoring member includes a first end and a second end opposite the first end. The second end is disposed on the housing. The at least one anchoring member longitudinally extends between the first end and the second end along an axis of extension and is formed by a flat strip which is twisted by a twist angle about the axis of extension between the first end and the second end. A method for manufacturing an implantable medical device is also provided.

Abstract: An implantable system for stimulating a human/animal heart, comprising a processor, a memory unit, a stimulation unit for stimulating a His bundle of a human/animal heart, and a detection unit for detecting an electrical signal of the heart. The memory unit includes a computer-readable program that prompts the processor to perform the following steps when the program is executed on the processor: a) detecting by way of the detection unit whether a tachycardia is present in a human/animal heart; and b) when a tachycardia is present, carrying out a His bundle stimulation by way of the stimulation unit using at least one stimulation pulse having an amplitude in a range of 7.5 V to 30 V, and having a pulse width in a range of 1 ms to 15 ms. The program prompts the processor to classify a detected tachycardia into one of at least two classes.

Abstract: An implantation tool for implanting a medical device subcutaneously includes a core extending along a longitudinal axis. The core is formed with a longitudinal recess extending along the longitudinal axis. A shell protrudes from an end of the core in the direction of the longitudinal axis. The shell defines a compartment for carrying the medical implant. The compartment is connected to the longitudinal recess. A rod that extends along the longitudinal axis is arranged in the longitudinal recess.

Abstract: An implantable system for stimulating a human/animal heart, comprising a processor, a memory unit, a stimulation unit for stimulating a His bundle of a heart, and a detection unit for detecting an electrical signal of the heart. The memory unit includes a computer-readable program prompting the processor to perform the following steps when the program is executed on the processor: a) carrying out a cardiac stimulation via the stimulation unit; b) detecting a cardiac electrical signal, which was generated by a cardiac excitation as a result of the cardiac stimulation carried out beforehand, via the detection unit; c) ascertaining an excitation state of a heart stimulated by the cardiac stimulation based on the electrical signal; d) classifying the excitation state into one of at least three classes; and e) automatically adapting at least one control parameter of the system as a function of the classification that was carried out.

Abstract: An implantable system for stimulating a human heart or an animal heart, comprising a first stimulation unit and a first detection unit, wherein the first stimulation unit is used to stimulate at least one cardiac region of a human or an animal heart, and wherein the first detection unit is used to detect an electrical signal of at least one cardiac region of the same human or animal heart. The system comprises a first timer, which is used to provide a defined delivery of stimulation pulses, in terms of time, by the first stimulation unit. The system comprises a second timer, which is provided and configured to match a delivery point in time of at least one pulse to be delivered by the second stimulation unit to a delivery point in time of at least one pulse to be delivered by the first stimulation unit.

Abstract: An electrode lead for the coronary sinus, with a lead body that has a distal section for insertion into the coronary sinus, and at least one electrode to make contact with body tissue, the at least one electrode being arranged on the distal section of the lead body. The electrode lead has a fixation device that can be extended out of the lead body to fix the electrode lead in a blood vessel.

Abstract: An implantable medical device for generating electrical stimulations, wherein the medical device is embodied to generate and emit, during a first stimulation phase, at least one first stimulation that has a first amplitude by means of energy from an energy storage element, and wherein the medical device is embodied, during a second stimulation phase following the first stimulation phase, to generate and emit at least one second stimulation that has a second amplitude by means of energy from the energy storage element, wherein the energy storage element is charged at least prior to the generation of the at least one first stimulation and after the generation of the at least one first stimulation, and wherein the medical device is embodied not to completely discharge the energy storage element by generating the at least one first stimulation. The invention furthermore relates to a method for controlling such a device.

Abstract: A medical system, comprising a plurality of devices forming nodes of a network, each device of said plurality of devices is configured to communicate with another device in a wireless fashion by receiving a message from another device in the network or by transmitting a message to another device in the network. A priority is assigned to each device, wherein as long as no other transmission of a message is ongoing in the network, each device is configured to initiate a transmission of a message by transmitting a start signal, wherein the higher the priority of the respective device, the higher the duration of the start signal allocated to the respective device. In case several devices in the network simultaneously initiate a transmission of a message by transmitting a start signal, a permission to transmit a message is automatically granted to the device in the network with the highest priority.

Abstract: The present invention relates to a method for establishing an access of an external device to an implantable medical device, comprising the steps of: Allowing the implantable medical device to assume an activated mode by letting a user of the implantable medical device apply a magnetic field to the implantable medical device, wherein in the activated mode the implantable medical device is enabled to receive authentication information for authenticating the user of the implantable medical device, and providing authentication information to the implantable medical device, when the latter is in the activated mode to establish said access. Furthermore, the present invention relates to a corresponding medical system.

Abstract: A medical device for electrical stimulation of a patient. A pulse generator generates current pulses for the electrical stimulation. An electrode lead with a plurality of electrode contacts delivers the pulses to tissue of the patient. The pulse generator repeatedly delivers a current pulse between two electrodes forming a first group and delivers a charge balancing current pulse after each current pulse between the electrodes of the first group. The respective current pulse is separated from the succeeding charge balancing current pulse by an inter pulse interval. The respective current pulse has an amplitude with the same absolute magnitude as the succeeding charge balancing current pulse, but is of opposite sign. The pulse generator delivers between each current pulse and the succeeding charge balancing current pulse a current pulse between two further electrodes forming a second group of electrode contacts of the plurality of electrode contacts.

Abstract: An implantable pacemaker is configured to provide electrical pacing pulses to the heart of a patient. The pacemaker has a pulse generator configured to generate the electrical pacing pulses, at least one pacing electrode to apply the electrical pacing pulses to the heart, a sensing unit configured to sense events of electrical activity of a ventricle of the heart, a sensor configured to measure a signal relating to the patient, and a memory configured to store values of a parameter. The pacemaker is configured to be operated in a first mode to generate a reference curve and to select a target range of values of the parameter corresponding to a desired range of atrioventricular delays. The pacemaker is further configured to be operated in a second mode for approaching the target range.

Abstract: An implantable medical device has a device housing. The device housing has a first device housing shell and a second device housing shell. The device housing surrounds an interior space. The implantable medical device further has an electrical component arranged in the interior, as well as a mounting frame, which is arranged in the interior and surrounds the electrical component. The mounting frame has at least one clamping structure. The at least one clamping structure is configured to exert a force onto the electrical component in order to fix the electrical component in the interior of the device housing.

Abstract: A medical system contains a first implantable device and a second implantable device. Each implantable device contains a communication unit configured to transmit an ultrasonic signal to the communication unit of another implantable device of the medical system. The first implantable device is configured to periodically transmit a broadcast message to at least the second implantable device using the communication unit of the first implantable device.

Abstract: A printed circuit board assembly of an implantable medical device comprises a printed circuit board and a sensor device that is arranged at the printed circuit board and joined to the printed circuit board by way of an adhesive layer. It is provided in the process that the adhesive layer is formed of an adhesive compound in which glass spheres are embedded. In this way, a printed circuit board assembly is provided which, in a simple, inexpensive manner, allows a sensor device to be joined to a printed circuit board for installation in a medical device, with advantageous mechanical decoupling and improved process reliability.

Abstract: An implantable extravascular electrode lead, having a proximal end and a distal end, comprises an electrode lead body that extends from the proximal end of the electrode lead to the distal end of the electrode lead, a connecting device arranged at the proximal end of the electrode lead body, and a fixing device arranged in the distal region of the electrode lead body or at the distal end of the electrode lead body. Once the electrode lead has been inserted into an extravascular region of a patient, the fixing device is actively actuatable from outside the body for fixing the electrode lead to patient body tissue.

Abstract: Medical system and method for operation of an active implantable medical device (IMD) and an extracorporeal device attached to a patient's skin, comprising: determining data regarding a bodily parameter of the patient by the IMD, processing the determined data and detecting a condition from a plurality of predefined conditions based on the determined data, periodically sending an intra-body communication signal representing the detected condition by the IMD to the extracorporeal device, receiving the intra-body communication signal by the extracorporeal device, providing a predefined notification signal by the extracorporeal device to the patient to motivate the patient to perform a predefined action based on the received intra-body communication signal, sending a termination signal by the extracorporeal device to the IMD, and receiving the termination signal by the IMD and subsequently terminating sending the intra-body communication signal which was initiated by the previously detected condition.