Abstract: The invention relates to an implantable sensor for detecting an electrical excitation of muscle cells, in particular cardiac muscle cells, wherein it is provided that the sensor comprises a dielectric component and a contact point for contacting muscle cells, which is connected to the dielectric component, so that an electric field in the dielectric component, and correspondingly a capacitance of the dielectric component, change with an electrical excitation of the muscle cells. The invention furthermore relates to a system comprising a sensor and an implant.

Abstract: A coil is produced by winding a wire that is clad with an electrical insulation so as to form a coil bundle of successive windings. The coil bundle has at least one first winding formed by a first end section of the wire and at least one second winding formed by a second end section of the wire. A portion of the electrical insulation of the at least one first winding is removed to expose a portion of the first end section of the wire for forming a first electrical contact of the coil, and a portion of the electrical insulation of the at least one second winding is removed to expose a portion of the second end section of the wire for forming said second electrical contact of the coil. There is also described a coil.

Abstract: An implantable cardiac pacemaker, wherein the pacemaker is configured to apply pacing pulses to the heart of a person during operation of the pacemaker, and wherein the pacemaker comprises a motion detection system that comprises a first module and a second module. The first module is configured to continuously run during operation of the pacemaker. The second module is configured to receive a trigger signal to change from an idle state to an active state or to receive a further trigger signal to change from an active state to an idle state. An energy consumption per time unit of the second module in the active state is larger than in the idle state. When the second module is in its active state, the second module is configured to execute a rate adaptation algorithm that adapts a rate of the pacing pulses to meet a metabolic demand of the person.

Abstract: A material comprising a silicone, wherein a polymer is arranged on the surface of the silicone, the polymer is characterized by a higher wear resistance than the silicone, and the polymer is attached to the surface of the silicone by non-covalent bonds.

Abstract: In a method for initiating a data transfer from an implantable medical device a relay data request is generated at a remote device, the relay data request containing an implant interrogation request representing a request for the implantable medical device to create an interrogation data set. The relay data request is transferred to a patient device, and a communication link between the patient device and the implantable medical device is established to transmit said implant interrogation request to the implantable medical device. An implant interrogation response is transferred from the implantable medical device to the patient device, the implant interrogation response representing a response from the implantable medical device containing said interrogation data set. The implant interrogation response is transferred from the patient device to the remote device.

Abstract: An apparatus for explanting an intracardiac medical device that comprises a casing, a proximal end and a distal end comprising an anchor element, wherein the intracardiac medical device is anchored to a heart tissue of a patient via the anchor element, wherein heart tissue adheres to the casing. The apparatus comprises a protector device that extends along an extension direction and is configured to surround the casing, when the protector device is positioned at the casing. Further, the apparatus comprises an alignment device configured to align the protector device and the casing with each other, when the alignment device engages the intracardiac medical device. The apparatus also comprises a shearing element. The shearing element is configured to move along the casing, when the protector device is moved along the casing in a moving direction towards the distal end, for shearing off heart tissue adhered to the casing.

Abstract: Implantable medical device for stimulating a human or animal heart comprises a processor, a memory unit, a stimulation unit configured to stimulate a cardiac region of a heart, a detection unit configured to detect an electrical signal of the same heart, and a temperature sensor for sensing a body temperature. In operation, the device performs the following steps: a) causing the temperature sensor to repeatedly sense a body temperature of a person to whom the implantable medical device is implanted: b) storing body temperature values obtained in step a) in the memory unit; c) performing a statistical analysis on at least a subset of the stored body temperature values to calculate at least one of a body temperature reference value, a variation of the sensed body temperature values and a variability of the sensed body temperature values; and d) performing at least one defined task with the calculated values.

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.

Abstract: A system for generating an alert for a systemic infection of a patient comprises an implantable medical device configured to measure a measurement parameter indicative of the heart rate at rest of the patient, and a remote monitoring system configured to receive information from the implantable medical device. A module is configured to analyze information relating to said measurement parameter indicative of the heart rate at rest of the patient to generate an alert signal for a systemic infection of the patient based on a state of the heart rate at rest.

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 electrode lead having proximal and distal ends, comprising an electrode lead body and a pulling element. The pulling element has first and second ends. At the first end, the pulling element is connected to the distal end of the electrode lead or in the vicinity of the electrode lead distal end; referred to as the distal region of the electrode lead. Proceeding from the joining site between the first end of the pulling element and the electrode lead, the pulling element extends from the first end thereof toward the second end thereof to the proximal end of the electrode lead. The pulling element, proceeding from the joining site, extends outside the electrode lead body. A tensile force exerted onto the second end of the pulling element exerts a bending moment onto the electrode lead distal region. This bending moment results in bending of the electrode lead distal region.

Abstract: A delivery system for implanting a medical device comprises a delivery catheter having an inner lumen, a mandrel received in the inner lumen of the delivery catheter and movable with respect to the delivery catheter, and an adapter piece connected to the mandrel, wherein the adapter piece, by moving the mandrel with respect to the delivery catheter, is displaceable between a first position in which the adapter piece is received within the inner lumen of the delivery catheter and a second position in which the adapter piece is arranged outside of the inner lumen of the delivery catheter. A tethering member comprises a positive-locking member adjoining a tether portion, wherein the positive-locking member in a connection state is received on the adapter piece, but is releasable from the adapter piece by displacing the adapter piece from the first position towards the second position.

Abstract: A catheter system for explanting an intracardiac medical device, comprising: a catheter having a distal catheter tip configured to surround the intracardiac medical device and an encapsulation tissue that has grown around the intracardiac medical device, and a deployable cutting element at the distal catheter tip.

Abstract: The disclosure relates to an implant comprising an electronics module and an energy store, wherein the volume of the electronics module is less than 25% of the volume of the energy store.

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: 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: The invention relates to an implantable sensor for detecting an electrical excitation of muscle cells, in particular cardiac muscle cells, wherein it is provided that the sensor comprises a dielectric component and a contact point for contacting muscle cells, which is connected to the dielectric component, so that an electric field in the dielectric component, and correspondingly a capacitance of the dielectric component, change with an electrical excitation of the muscle cells. The invention furthermore relates to a system comprising a sensor and an implant.

Abstract: A medical device for generating electrical stimulation of a patient includes: a pulse generator configured to generate current pulses for electrical stimulation of the patient, and at least one electrode lead configured to be connected to the pulse generator. The electrode lead has a plurality of electrode contacts for delivering the current pulses to tissue of the patient. The pulse generator is configured to generate the current pulses with a rate in the range from 1 Hz to 100 kHz, and the individual current pulse has a pulse width in a range from 10 ?s to 10 ms.

Abstract: The disclosure relates to an implant comprising an electrode connection device and a housing, wherein a cover for closing the housing is formed on the electrode connection device. A method for producing an implant is also disclosed.

Abstract: The present disclosure relates to a device for determining fluid accumulation in a lower extremity of a patient. The device comprises a housing and an electrode, wherein the device is configured to measure an impedance in the lower extremity of the patient. Also, a system and a method for determining fluid accumulation in a lower extremity of a patient are disclosed.