Abstract: A lead for an implantable cardiac prosthesis, with protection against the thermal effects of MRI fields by terminating the lead head (10) with an electrically insulating tubular outer housing (28) and an anchoring mechanism. The tubular housing (28) carries an electrically isolated thermally conductive solid part in the outer region of its distal end forming a heat sink. The heat sink thermally conductive material is for example titanium, associated with an electrically insulating coating such as a diamond deposition. The anchor may be a projecting helical anchoring screw (20), axially extending the tubular housing, which is an electrically conductive active screw on at least one end portion.

Abstract: An implantable heart stimulator (10), which has a right-atrial sensing unit (62), which is connected or is to be connected to a right-atrial electrode for recording electrical potentials of the myocardium of a right atrium, and is implemented to process electrical signals recorded via the right-atrial electrode, and to detect signal features characterizing a right-atrial stimulation and contraction in the electrical signal recorded via the right-atrial electrode. The heart stimulator (10) additionally has a left-ventricular sensing unit (66), which is connected or is to be connected to a left-ventricular electrode for recording electrical potentials of the myocardium of a left ventricle of a heart and is implemented to process electrical signals recorded via the left-ventricular electrode. The left-ventricular sensing unit (66) is implemented to detect signal features in the electrical signal recorded via the left-ventricular electrode which characterize a left-atrial contraction.

Abstract: A connector for a multipolar lead having a substantially cylindrical cavity that contains a stack (200) of alternating annular electrical contact elements (210) and annular isolation elements (220). The isolation elements (220) 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. In addition, each lateral side of the flexible seal is projecting with respect to the corresponding lateral sides of the rigid sleeve.

Abstract: An RF telemetry receiver circuit for active implantable medical devices. The baseband binary signal (Db) is doubly modulated by a low frequency carrier (Fm) and by a high frequency carrier (Fc). The receiver circuit is a semi-passive non heterodyne circuit, devoid of a local oscillator and mixer. It comprises an antenna (104), a passive bandpass filter (108) centered on the high-frequency carrier (Fc), a passive envelope detector (120-126) and a, digital demodulator (116). The envelope detector comprises a first diode circuit (120) of non-coherent detection, an active bandpass filter (122) centered on a frequency (2.Fm) twice the low frequency carrier and having a bandwidth (2.Db) twice the baseband bandwidth, and a second diode circuit (124) of non-coherent detection, outputting a baseband signal applied to the digital demodulation stage (116).

Abstract: A leadless autonomous intracardiac implantable medical device having a releasable fastener system. This autonomous intracorporeal active medical device has two distinct elements connectable together and reversibly separable from one another, with a sealed capsule body (100) housing electronic circuitry (110), and a base (200) comprising a plate (202) having an outer face and an anchoring system on said outer face to anchor the base to a wall of an organ of a patient, and an inner face forming a support for the capsule body and having a fastening system to couple releasably the capsule body to the base. The capsule body comprises on its face turned towards the base at least one projection support (108) on an electrode surface for coming into contact with the wall of the organ of the patient when the capsule body is mounted on the base.

Abstract: A lead for an implantable cardiac prosthesis, having an integrated protection against the effects of magnetic resonance imaging (“MRI”) fields. A protection circuit (26), placed at the distal end of the lead comprises a resistive component (28) interposed between the electrode (E1, E2) and the distal end of the conductor (22, 24) associated with this electrode. A normally-open controlled active switch (34, 36), allows in its closed state to short-circuit the resistive component. A control stage. (32) is coupled to the conductors and detects the voltage of a stimulation pulse applied on the conductor(s), and selectively controls by this voltage the closing of the active switch for a duration at least equal to the duration of detected stimulation pulse.

Abstract: An electrical connection plug for a multipolar lead of an active implantable medical device. This plug has a cylindrical outer surface including a plurality of annular electrical contact zones axially separated and formed of conductive cylindrical rings (101, 102, 103), the electrical contact zones being alternatively separated by a plurality of intercalary insulating cylindrical zones. The plug includes an insulating monobloc core (200) of a generally cylindrical shape having a plurality of cylindrical side surfaces (213a) for coaxial centering, a conductive ring being placed on at least one centering side surface. The central core also includes housings for receiving conductive pods (240) on which connection wires (21, 22) are welded, a pod being welded to a conductive ring.

Abstract: A method, a system and an arrangement to predict at least one system event and a corresponding computer program and a corresponding machine-readable storage medium are configured so that the event is predictable because of trends in observables over a certain period before the occurrence of the events. The method, system and arrangement can be used in particular for patient-specific monitoring of patho-physiological changes but also in geophysical or abstract units such as population or economic systems in which the deviation from a defined normal condition is predicted.

Abstract: An apparatus for cooling ablation catheters via a coolant pump and liquid cooling medium controlled by a controller based on a characteristic state for an activity of a catheter and in addition a system that uses the apparatus for ablation of tissue in a human or animal body. The system includes an elongated ablation catheter, an ablation generator electrically connected to the catheter to generate a high-frequency energy pulse or a high-frequency energy field, the coolant pump connected to the catheter and the controller and a control line connected to the pump. The control line comprises an electric circuit designed to detect a high-frequency pulse or a high-frequency field.

Abstract: An implantable biosensor, which comprises a measuring (or first) chamber filled with the test fluid, which is able to convert a change of the concentration of a predetermined analyte or ion type into a change of a physical variable. To this end, the measuring chamber is closed by at least one membrane, which is permeable to the analyte or ion type and impermeable to the test fluid. In addition, the biosensor is equipped with at least one microacoustic sensor, which is operatively connected to the test fluid such that it can detect the physical variable that changes with the concentration of the analyte or ion type. Further relates to a sensor arrangement comprising at least one such implantable biosensor, the arrangement including a polling system that is wirelessly coupled to the biosensor.

Abstract: An implantable stimulation electrode lead for medical purposes includes a coaxial lead structure with an inner supply lead and an outer supply lead electrically insulated from the inner supply lead, and first and second electrodes which are provided at or near the distal end of the lead structure. The outer supply lead is guided to the first electrode, which is at the tip of the lead structure, and the inner supply lead is guided to the second electrode, which is proximal to the first electrode, such that the electrical connections cross over along the radius of the device.

Abstract: An electromedical implant, having a far-field electrocardiogram capturing unit for recording a far-field electrocardiogram signal, which is connected or can be connected to at least two electrodes for recording electric signals reflecting the curve of the far-field electrocardiogram of the right and left atria, a detection unit, which is designed to detect signal features characterizing atrial cardiac actions in an electrocardiogram signal, an averaging unit, which is connected to the recording unit and the detection unit and designed to generate an averaged P-wave signal in that the averaging unit averages a plurality of signal sections of the electrocardiogram signal associated with a particular detected atrial cardiac action, and an evaluation unit, which is connected to the averaging unit and designed to determine the duration of an averaged P-wave in the particular averaged P-wave signal.

Abstract: A patient device (PD) for wireless data communication with an implant. The PD can be at least in an unpaired state or a paired state. In the paired state the PD is paired to a specific implant specified by an implant's identification code (IIC). The IIC is stored in PD memory. Automatic pairing of the PD to a specific implant is performed upon receiving an incoming data packet containing an IIC when the PD is in its unpaired state with no valid IIC stored in memory. Thus, the PD is tentatively paired to an implant identified by the IIC contained in the incoming data packet by storing the IIC in the memory. Tentative pairing is cancelled if no further communication occurs within a predetermined period of time. A soft paired state is entered if further data communication does occur.

Abstract: Heart monitor for detecting ectopic beats in an input electrocardiogram signal that includes an electrocardiogram signal input and a morphological signal analyzer connected to the electrocardiogram signal input, the analyzer being adapted to generate a first time series of values representing the input electrocardiogram signal, a second signal analyzer adapted to generate generating a modified time series of values representing a trend of values of the first time series and a comparison stage being adapted to compare the first time series with the modified time series to thus detect ectopic beats.

Abstract: A method for manufacturing of a powder mixture for a battery electrode that includes suspending of particles of at least one binder within an inert solvent producing a first suspension, slowly suspending of particles of an active material within the first suspension producing a second suspension, drying of the second suspension producing a granulate material. Further relates to a respective powder mixture, an electrode and a method of manufacturing the electrode.

Abstract: An energy harvester device for an autonomous intracorporeal leadless capsule having an outside surface (42) on the body (40) of the capsule, that is deformable under the effect of pressure variations in the environment surrounding the capsule. A first capacitor electrode coupled to the deformable surface and a mechanical damping element (68) form a high-pass filter with respect to the pressure variations, and a second capacitor electrode (54) is mounted on a support (56) connected to the body. The deformable surface movement produces a correlative modification of the spacing between the two electrodes with a correlative variation of the capacity of said capacitor. The capacitor is preloaded when its capacity is maximum, it is unloaded by transferring its energy into a storage circuit when this capacity decreases under the effect of a reduction in the opposing surfaces and/or of an increase of the dielectric gap.

Abstract: A method for quantification of the desynchronization between the clocks of two medical devices communicating wirelessly, for example, by HBC signals. The devices are separately clocked by slow clocks (CLK1/32k, CLK2/32k) and include selectively activated fast clocks (CLK1/10M, CLK2/10M). The method comprises: a) on a predetermined transition (T1) of a slow clock, transmission by one device of a synchronization query signal (SYNC) to the other device, b) counting of the pulses of the activated fast clock to detect a predetermined transition (T3) of the first slow clock, then c) transmitting from the other device to the first device a response signal (D1) and d) upon reception of the response signal, computing a temporal shift (OFFSET) according to the result (D1, D2) of the counting of the pulses of the fast clock. Two fast clocks, one on each device, also can be used.

Abstract: Improving cardiac response in terms of pressure, ejected volume, and filling and ejection times by cardiac reverse remodelling, including temporary, occasionally harmful stimulation sequences. An original pacing configuration (a) is switched to a modified pacing configuration (b) in a direction opposite to that of an optimization of the hemodynamic parameters, to cause an immediate change in the response to controlled stimulation of the myocardium. This response is assessed based on: the maximum value (P (b, a)) achieved by the peak-to-peak (PEA (i)) of the first peak of endocardial acceleration (PEA) after a pacing configuration change, the mean PEA value (A (b, a)) after stabilization, the PEA variability (V (b, a)) around this average value, and the duration (T (b, a)) of stabilization after the pacing configuration change.

Abstract: The invention relates to a method and arrangement for determining a power supply state variable, particularly of the maintenance state of a battery or rechargeable battery, in an active medical implant, wherein the power supply is subjected to a predetermined load, and the output voltage thereof is detected multiple times during at least one time segment of the load phase, and the measurement values are subjected to a comparison to a respective comparison value, or the chronological curve of the voltage obtained from the measurement values is subjected to a comparison to at least one comparison curve, wherein the comparison result is considered characteristic for the state variable.

Abstract: An electronic implant is designed to detect at least one technical or physiological patient parameter, and has an exhaustible power source. The electronic implant also has an integrated mobile wireless antenna, a low-current mobile wireless modem with a low maximum transmission power, a low-current mobile wireless field-strength-measuring unit, and a control unit connected to the field-strength-measuring unit and to the mobile wireless modem. The control unit triggers access to a mobile wireless network as a function of the transmission power needed for data transmission by the low-current mobile wireless modem, taking into account a mobile wireless field strength value determined by the field-strength-measuring unit, and also taking into account the urgency of the data content to be transmitted. Network access only occurs when the needed transmission power does not exceed a specific maximum value for the particular urgency.