Abstract: The invention is directed to a communication system for a wireless message transfer between an implantable medical device (IMD) and an external device. A communication system is disclosed that effectively throttles/manages messages in a limited resource communication scheme, wherein the IMD is configured to monitor the health status of a patient and/or configured to deliver a therapy signal to the patient, wherein the IMD comprises a processor and a transceiver module configured to bi-directionally exchange the messages with the external device, wherein the processor adopts at least a predefined active state and a predefined processing state, wherein the processor of the IMD is configured to produce response messages in order to send these response messages from the transceiver module to the external device. The invention is further directed to a respective communication method, computer program product and computer readable data carrier.

Abstract: An electrode connector device for an implant. A radiographic marker is integrated in a metal conducting element. There is also described an implant with an electrode connector.

Abstract: The present invention relates to determining a deterioration of a health state of a patient. A system comprises: a) means for receiving a first acoustic input, associated with the health state of the patient at a first time, and a second acoustic input, associated with the health state of the patient at a second time; b) means for determining whether the health state of the patient has deteriorated based at least in part on a comparison of the first acoustic input with the second acoustic input; c) means for indicating the deterioration of the health state of the patient, if it is determined that the health state of the patient has deteriorated.

Abstract: The present disclosure relates to an implantable defibrillator which comprises at least one energy source and at least one electrical component. The implantable defibrillator further comprises means for activating a coupling between the energy source and the electrical component, based at least in part on an orientation and/or a motional state of the energy source, wherein the electrical component is a capacitor.

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: An electrode element (1) for an energy storage unit (200), such as a capacitor, has an electrode body (100) made of an active electrode material (E), wherein the electrode body (100) includes one or more of: at least one cavity (110) on its surface or in its interior; at least one partial volume (120) of lower density; and/or a surface coating (D) covering at least a portion of the surface of the electrode body (100), such that the surface area covered by the surface coating (D) remains unwetted when in contact with an electrolyte. Energy storage units (200) incorporating the electrode element (1) are particularly suitable for use in implantable electrotherapeutic devices.

Abstract: The invention relates to a device and method for protecting sensitive personal data held in a public storage, comprising a trusted tokenization system having at least one trusted interface to an instance that may provide, process, possess, and/or retrieve sensitive personal data, and at least one interface to a public storage not containing sensitive personal data, wherein the tokenization system is configured to replace a sensitive personal reference of the data in the public storage with a non-sensitive data element and to store an association between the sensitive personal reference and the non-sensitive data element in a secure environment, wherein the non-sensitive data element is generated in a user-specific manner such that the non-sensitive data element can be processed in an existing infrastructure of a user without adaptation of said infrastructure.

Abstract: The present invention relates to a capacitor comprising an electrically conductive housing having a housing inner surface and a housing interior substantially defined by the housing inner surface, at least one first electrode having a first polarity and being arranged in the housing interior, at least one separator element being arranged between the housing inner surface and said at least one first electrode, and an electrically conductive coating being arranged between the housing inner surface and the at least one separator element. According to invention, the housing inner surface comprises at least one recess, and the electrically conductive coating is arranged in the at least one recess.

Abstract: A medical implant is in the form of an implantable pulse generator. The implantable pulse generator includes a housing and a socket arranged on the housing for receiving an end portion of a lead. The socket provides a strain relief for the lead. The strain relief forms a sleeve which surrounds a through-opening for receiving the lead. A seal protrudes from an inner side of the sleeve facing the through-opening and is designed to sealably close the through-opening when no lead is inserted into the through-opening.

Abstract: The invention relates to a method for manufacturing a structured cathode of an electrolytic capacitor, comprising the following steps: a) filling an electrically conductive coating composition into a micro extruder; b) moving the micro extruder with a computer-assisted electric movement system relatively to a cathode current collector to be coated, wherein the movement system allows a relative movement between the micro extruder and the cathode current collector with at least three degrees of freedom; c) applying the coating composition in a desired thickness and in a desired pattern onto the cathode current collector without contacting the cathode current collector with the micro extruder.

Abstract: A manufacturing method for a header assembly for an implantable intracardiac device, wherein the header assembly comprises at least one tine extending from a conically formed base ring, further comprising a header cap and a header base, wherein the header cap and the header base each comprises a supporting side surface corresponding to the conical form of the base ring, the method comprising: an assembly step, wherein the base ring is placed between the header base and the header cap such that the base ring is located adjacent the supporting header base side surface and the supporting header cap side surface, and a subsequent fixing step, wherein the header cap is permanently fixed to the header base such that the base ring is located in a base ring groove formed by the supporting header cap side surface and the supporting header base side surface.

Abstract: An implantable pulse generator comprises a pulse generation device generating an output pulse, the pulse generation device comprising a control unit, shock generation circuitry and output circuitry. The shock generation circuitry comprises a first energy storage device, a second energy storage device and a switching device. The switching device is electrically connected to the first energy storage device, and is configured to connect, in a closed state, the first energy storage device with the second energy storage device, and to disconnect, in an open state, the first energy storage device from the second energy storage device. The shock generation circuitry configured to generate an output pulse by supplying energy to the output circuitry, in the open state, from the first energy storage device via a first connection line and, in the closed state, from the first energy storage device and the second energy storage device via a second connection line.

Abstract: An implantable medical device for stimulating a heart, comprising a control unit, a memory unit, a stimulation unit for stimulating a cardiac region of a heart, and a detection unit for detecting an electrical signal of the heart. The memory unit comprises a computer-readable program that causes the control unit to perform the following steps: a) detecting capture thresholds during an observation period, each capture threshold detected in response to a sequence of pacing pulses delivered by the stimulation unit; b) storing the detected capture thresholds in the memory unit; c) determining threshold-to-threshold differences between two consecutive capture thresholds; and d) if a maximum determined threshold-to-threshold difference within the observation period is equal to or greater than a predetermined limit, adjusting a pacing output of the stimulation unit based on the maximum capture threshold determined within a first time period which is equal to or shorter than the observation period.

Abstract: An implantable medical device for stimulating a heart, comprising a control unit, a memory unit, a stimulation unit for stimulating a cardiac region of a heart, and a detection unit for detecting an electrical signal of the heart. The memory unit comprises a computer-readable program that causes the control unit to perform the following steps: a) detecting capture thresholds during an observation period, each capture threshold detected in response to a sequence of pacing pulses delivered by the stimulation unit; b) storing the detected capture thresholds in the memory unit; c) determining threshold-to-threshold differences between two consecutive capture thresholds; and d) if a maximum determined threshold-to-threshold difference within the observation period is equal to or greater than a predetermined limit, adjusting a pacing output of the stimulation unit based on the maximum capture threshold determined within a first time period which is equal to or shorter than the observation period.

Abstract: An implantable medical device for stimulating a heart, comprising a stimulation unit configured to stimulate a cardiac region of the heart, wherein the stimulation unit comprises an electrode having a first electrode pole and a second electrode pole. During operation, the device performs the following steps: a) determining appropriate stimulation parameter values of a stimulation pulse to be delivered to a cardiac region of a human or animal heart by the first electrode pole in a unipolar manner; b) storing the determined stimulation parameter values in the memory unit; c) checking an occurrence of an electrode failure of the electrode when operating the electrode in a bipolar manner; d) in the event of an electrode failure, automatically switching from a bipolar operation of the electrode to a unipolar operation of the electrode and automatically applying the stored stimulation parameter values for a unipolar stimulation of the cardiac region.

Abstract: An implantable medical device configured to provide for an intracardiac function comprises a body, a sensor arrangement arranged on the body and configured to receive a cardiac sense signal, and a processing circuitry operatively connected to the sensor arrangement. The processing circuitry is configured to process the cardiac sense signal received using the sensor arrangement to detect, in a cardiac cycle, a first atrial event candidate based on a comparison of the cardiac sense signal with a sense threshold, to determine a modified sense threshold, to monitor, by comparing the cardiac sense signal to said modified sense threshold following the detection of the first atrial event candidate, whether in the same cardiac cycle a second atrial event candidate is detected.

Abstract: An intra-body network system, comprises a first implantable medical device comprising a first communication circuitry and a second implantable medical device comprising a second communication circuitry. The first and second communication circuitries are configured to establish, in an implanted state of the first and second implantable medical devices, a communication for transmitting a communication signal from the first implantable medical device to the second implantable medical device and from the second implantable medical device to the first implantable medical device.

Abstract: An implantable medical device configured to provide for an intracardiac function comprises a body, a sensor arrangement arranged on the body and configured to receive cardiac sense signals, and a processing circuitry operatively connected to the sensor arrangement. The processing circuitry is configured to process cardiac sense signals received using the sensor arrangement to detect atrial events caused by atrial activity based on a comparison of the cardiac sense signals to a sense threshold for a number of cardiac cycles, to evaluate whether a reduction criterion is fulfilled, wherein the reduction criterion is fulfilled if in X1 out of Y1 cardiac cycles no atrial events have been detected, X1 being a natural number equal to or larger than 1 and Y1 being a natural number equal to or larger than X1, and to reduce the sense threshold if said reduction criterion is fulfilled.

Abstract: Electrical component for an implantable medical device comprises an outer shell forming first and second side faces, a functional element enclosed in the outer shell, and an arrangement of connection devices arranged on the outer shell for establishing an electrical connection of the functional element to a component of the implantable medical device outside of the outer shell. A first connection device is arranged on the first side face and a second connection device is arranged on the second side face, wherein the electrical component is configurable to assume different configuration states, wherein in a first configuration state the first connection device is configured to establish said electrical connection and the second connection device is deactivated, and in a second configuration state the first connection device is deactivated and the second connection device is configured to establish said electrical connection.

Abstract: An implantable electrode includes an outer tube, which has a distal end and a proximal end, wherein the implantable electrode is connectable in the region of the proximal end to an active device. At least one electrode line is arranged in the outer tube. At least one electrode pole, which is electrically connected to the at least one electrode line, for electrically contacting tissue surrounding the electrode in the implanted state of the electrode is arranged in the region of the distal end. A stub line for extending the electrical length of the at least one electrode line is connected to the at least one electrode line in the region of the distal end or the proximal end.