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 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: 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: 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: 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 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.

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: 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: 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: 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: 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: 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: A process for fixing an implant to a balloon includes providing, in an interior of a sleeve, a heated balloon having a pressurizable balloon interior and an implant crimped to the balloon. The implant has a supporting structure with a multiplicity of through openings. A negative pressure is applied in the interior of the sleeve and a positive pressure is applied to the balloon interior, so that the balloon is deep-drawn into the openings of the implant, producing a form-locking connection between the balloon and the implant. A configuration for carrying out the process and an apparatus for fixing an implant to a balloon are also provided.

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.