Abstract: A method for use by an active medical device includes using a stimulation device and an endocardial acceleration sensor to obtain a plurality of hemodynamic parameters associated with at least three atrioventricular delays. The method further includes using the plurality of hemodynamic parameters to find a second derivative associated with the atrioventricular delays. The method further includes using interpolation to estimate an atrioventricular delay which will reduce the second derivative associated with the atrioventricular delays. The method further includes using the estimated atrioventricular delay in a subsequent stimulation.

Abstract: A connector for a multipolar lead has a cavity that contains a stack of alternating annular electrical contact elements and annular isolation elements. The isolation elements comprise an annular rigid sleeve and an annular flexible seal disposed against an annular face in an interior region of the rigid sleeve. The flexible seal extends axially from one lateral side of the rigid sleeve to the other in the interior region of the rigid sleeve. The sleeve and the seal include are immobilized relatively to each other in the axial direction by use of mating surface profiles respectively defined on an inner annular side of the sleeve and on an outer annular side of the flexible seal.

Abstract: A method, a system and an arrangement for predicting at least one system event and a corresponding computer program and a corresponding computer-readable storage medium are configured so that it is possible to predict a system event based on trends in observables over a certain period of time prior to the event occurring. One example of a system event is the failure of a system because the abnormal behavior of a component is reflected in irregularities in one or a plurality of observables. Another example of a system event is the early recognition or pre-acute prediction of a specific critical condition of a patient.

Abstract: A dissipation device having a proximal end, which is located outside the body, and a distal end, which is suited in particular for elongate medical instruments, in particular electrophysiological catheters or temporary electrode leads, placed temporarily in the body. The dissipation device including a dissipation sleeve which extends from the proximal end to the distal end of the dissipation device, and a lumen which extends from the proximal end to the distal end, and in which the instrument can be displaceably guided, wherein the lumen is enclosed by the dissipation sleeve. The dissipation device is characterized in that the dissipation sleeve is composed, at least partially, of electrically conductive material, and/or the dissipation sleeve includes dissipation means composed of electrically conductive material and, therefore, the dissipation sleeve is designed to dissipate or divert electrical energy induced by electromagnetic radiation.

Abstract: A screwless quick connection system for connecting a lead connector to a generator of an active implantable medical device is shown and described. The connector head includes a housing receiving a plug of a lead connector. A mechanism for locking the plug into the housing is provided by a U-folded leaf spring. Each branch of the U is provided with a respective hole sized so that the plug passes through the holes on both branches when it is inserted into the housing. The blade is deformable between a free state, in the absence of plug, and a deformed state, with the plug inserted therein. In the free state, both holes are misaligned, while in the deformed state they are aligned. In this way, an edge of both holes exerts by reaction a radial stress force against the smooth outer surface of the plug inserted therein.

Abstract: A pacing lead having a lead body comprising a hollow sheath by a first lumen and an extension body extending from the lead body, the extension body having a proximal end and a distal end, the distal end having an active lead region. The extension is traversed by a second lumen, the second lumen communicating with the first lumen of the lead body so as to receive a guide wire for the implantation of the lead. The extension has an outside diameter of between 1 and 3 French. The extension distal end comprises at least one electrically isolated peripheral conductor electrically insulated except for at least two denuded areas on an outer surface of the conductor to contact a wall of a target vein, so as to form a network of stimulation electrodes electrically connected together. The lead body proximal end includes an electrical connection for the peripheral conductor.

Abstract: An implantable biocompatible component (10) integrating an active element of the type of a sensor for the measurement of a physiologic parameter, a micro-electromechanical system and an integrated electronic circuit. This component (10) has a substrate (12) and a lid (22) in silicon or quartz. The substrate (12) integrates the active element (14) and biocompatible metallic pads (16), electrically connected to the active element. The lid (22) encompasses and peripherally closes the substrate in a hermetic manner, level with the face integrating the active element. This component is void of metallic case for insulation between the active element and outside environment, and of insulative feedthrough for electrical connection to the active element. The substrate and lid can be directly welded to each other through their faces in vis-à-vis, or by interpositioning a sealing ring made of a biocompatible material.

Abstract: A retractable screw-type stimulation or defibrillation intracardiac lead is disclosed. According to one embodiment, the lead comprises a flexible hollow sheath (12) having at its distal end a lead head (10) and a connector (66) at its proximal end. The connector comprises a pin (62) connected to a lead head electrode (18). The lead head comprises a tubular body (28), at least one electrode (18, 20) for stimulation or defibrillation, a moving element translationally and rotationally moving within the tubular body in a helical motion, and an anchoring screw (24) axially moving with respect to the tubular body, and a deployment mechanism (22) to deploy the anchoring screw out of the tubular body (28).

Abstract: According to a first aspect, the invention relates to a device (10) for electrochemically releasing a composition and comprising: one working electrode (30) comprising an electroactive conjugated polymer (40) containing or doped with said composition, a counter electrode (50), and a reference electrode (60). The device (10) is characterized in that it comprises electrical means (95, 100; 320; 165, 180) connected to the working electrode (30) and to the counter electrode (50) for obtaining at said working electrode (30) at least one composition releasing sequence (65) with respect to said reference electrode (60), each composition releasing sequence (65) comprising: a first voltametric pulse (70), followed by a rest period (80) during which no current is able to flow through said working electrode (30), followed by a second voltametric pulse (90), followed by an intermediate period (160) during which no current is able to flow through said working electrode (30).

Abstract: A contact configuration for producing an electrical connection between a plug and a socket, preferably for connecting an electrode to an electronic implantable device (such as a pacemaker), has a contact section on the plug and/or the socket. The contact section includes metallic conductive fibers which project between the plug and socket when the socket receives the plug. The contact configuration has a high degree of redundancy in providing electrical communication between the socket and plug, and high contact stability under mechanical load. In addition, friction corrosion is avoided.

Abstract: A lead for active implantable medical devices comprising a chip, notably for electrode multiplexing. The lead includes an insulating supporting tube interposed in a flexible elongated tube, with a central bore coaxial with the lumen of the lead. The supporting tube comprises on its surface at least one crossing conductive strip extending in the axial direction. A chip on a flexible substrate is disposed with a bent or curved conformation in a receptacle of the supporting tube isolated from the conductive strip. An electrode, e.g., for cardiac sensing/pacing, carried by the supporting tube is electrically connected to an outer conductive pad of the chip. The conductive strip is connected (i) at each end, face to face to a conductive connection, housed in the sheath, and (ii) in a central region, to an inner conductive pad of the chip.

Abstract: Systems, methods, and devices for protecting against effects of magnetic fields are provided. One implantable medical device includes a lead including a first conductor and a second conductor. The device further includes a generator including an electronic circuit, a metal housing that has a ground potential, and one or more switching devices. The switching devices, in a safekeeping configuration, are configured to disconnect the second conductor from the electronic circuit and to connect the second conductor to the ground potential of the metal housing. The first conductor is connected to the electronic circuit in the safekeeping configuration. The switching devices, in the safekeeping configuration, are configured to cause the second conductor to shield the first conductor from at least a portion of the effects of the magnetic field while the first conductor remains connected to the electronic circuit for use in performing a sensing operation and/or a stimulation operation.

Abstract: An implantable cardiac stimulation lead for implantation along the septal wall and/or the free wall of the left ventricular is disclosed. The lead is a microlead formed in its distal portion by a microcable with an active portion comprising a series of exposed areas forming the stimulation electrodes. This lead is implanted by an accessory with a needle having a puncture pointed free end and an opposite end mounted on a gripping end tip, and a releasable device for holding the microcable along the length of the needle. The microlead is introduced by injection of the microcable with penetration of the needle into the wall thickness of the interventricular septum or in the thickness of the free wall of the left ventricle, below the surface and along this wall between the apex region the atrial region.

Abstract: An energy harvester device for an autonomous intracorporeal leadless capsule comprises a surface formed on the outside of the body of the capsule that is deformable under the effect of pressure variations in the environment surrounding the capsule. A first capacitor electrode coupling to the deformable surface with the interposition of a damping element forming high-pass filter with respect to pressure variations in the surrounding medium, and a second capacitor electrode mounting on a support connected to the body. The movement of the deformable surface produces a modification of surfaces in vis-à-vis of the two electrodes and/or of the dielectric gap which separates them, with a variation of the capacity of said capacitor. The capacitor is preloaded when its capacity is maximum, and unloaded by transferring energy into storage circuit when this capacity decreases from a reduction in surfaces in vis-à-vis and/or of an increase of the dielectric gap.

Abstract: A pacing lead for a left cavity of the heart, implanted in the coronary system. The lead includes a lead body with a hollow sheath of deformable material, having a central lumen open at both ends, and at least one telescopic microcable of conductive material. The microcable slides along the length of the lead body and extends beyond the distal end thereof. The part emerging beyond the distal end is an active free part comprising a plurality of distinct bare areas, intended to come into contact with the wall of a target vein of the coronary system, so as to form a network of stimulation electrodes electrically connected together in parallel. The microcable further comprises, proximally, a connector to a generator of active implantable medical device such as a pacemaker or a resynchronizer.

Abstract: A intracorporeal medical capsule is shown and described. The capsule includes an elastically deformable base having an anchor at one end and coupled to a capsule body at the opposite end. An energy harvesting element is elastically coupled to a seismic mass within the capsule body. The elastically deformable base increases energy harvested at the energy harvesting element due to elastic movement of the capsule body in the presence of blood flow around the capsule body.

Abstract: A system and method for optimizing cardiac resynchronization therapy and visualizing cardiac pacing intervals. The system comprises at least one hemodynamic sensor; at least one electrode; a learning module; a micro controller; and at least one graphical interface for showing at least one of a PRV vs. PLV diagram and a responder curve.

Abstract: A processor-based method for use with an active implantable medical device for cardiac pacing, resynchronization, and/or defibrillation includes forming a plurality of first and second endocardial acceleration vectors using a plurality of endocardial acceleration signals acquired using stimulation to cause capture and a spontaneous rhythm of the patient in the absence of ventricular pacing, respectively. An at least two dimension space is created using the first and second endocardial acceleration vectors, including two subspaces corresponding to the presence and absence of capture, respectively. Ventricular capture is tested for after acquiring a new endocardial acceleration signal. The testing includes forming a new endocardial acceleration signal based on the new vector. Presence or absence of capture is determined for the new signal based on the position of the new vector relative to the two subspaces.

Abstract: A device, for adaptive processing of an endocardial acceleration signal, continuously collects an endocardial acceleration EA signal and divides it into EA sub-signals, each over the duration of one cardiac cycle. The EA sub-signals are separated into the EA1 and EA2 components. A cross-correlation between the EA sub-signals of each component and a time calibration compared to a reference cycle, and a series of validation criteria is applied. The result is an average overall EA signal for a cycle. A change in the patient's condition or an occurrence of a predetermined event in the patient is detected (24) and, as a result there is dynamic adaptation of at least one of said validation criteria and/or at least one of the preprocessing parameters for calculating the EA signal average.

Abstract: An active implantable medical device for vagal stimulation with optimization of ventricular filling is disclosed. The device delivers stimulation pulses to the vagal nerve of the patient with an adjustable energy level. The device includes a hemodynamic sensor for measuring hemodynamic parameters of the patient's cardiac cycles and delivering a timing parameter representative of the ventricular filling time. The energy level of the vagal stimulation pulses is adjusted dynamically and repeatedly over several cardiac cycles. The energy level is varied during successive cardiac correlative changes in the filling time (FT1, FT2) are assessed, and the energy level is set to a level that maximizes the ventricular filling time.