Abstract: An implantable antitachycardiac cardiac stimulator has at least one right-ventricular sensing unit, a defibrillation shock generator and a control unit, as well as an additional detection unit for detecting ventricular events which operates independently of the right-ventricular detection electrode, and an evaluation unit (e.g., as an additional component of the control unit) which suppresses the delivery of a defibrillation shock on reliable detection of the normal rhythm via the additional detection unit.

Abstract: Device for adaptive processing of an endocardial acceleration signal. The device 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 patients 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 pre-processing parameters for calculating the EA signal average.

Abstract: An implantable arrangement including an implantable electromedical device having an exterior wall and an implantable sensor and/or actuator outside of the exterior wall. The sensor and/or actuator are in signal connection with the implantable device via an electric stage and a mechanical stage arranged in series, wherein the mechanical stage sends and/or receives mechanical vibration signals through the closed exterior wall, and the electrical stage sends and/or receives the same signals in electrical form.

Abstract: An implantable medical device has an impedance or admittance determination unit, an alternating current or voltage source, a measuring unit, and an analysis unit which is connected to the alternating current or AC voltage source and the measuring unit to calculate an impedance value or an admittance value at different times. The impedance or admittance determination unit may generate measuring current having two different frequencies (preferably below 100 kHz), and the analysis unit may calculate pairs of impedance or admittance values which are chronologically assigned to one another for different frequencies of the measuring current, and calculate a value for a blood impedance or blood admittance component which is independent of the impedance of the body tissue surrounding a particular blood vessel, The analysis unit may also determine trends in this value over time as an indicator for a change of blood hematocrit value.

Abstract: A swallowing stimulation system has a swallowing stimulator for use in triggering an act of swallowing in a patient. The swallowing system has an operating unit including operating elements for receiving user inputs, whereby the operating elements are allocated to different possible physical properties of a food, such that a user can allocate a particular food by means of the operating elements to at least one of at least two categories. The operating unit is designed to generate a control signal corresponding to a user input for the swallowing stimulator, and the swallowing stimulator is designed so that a stimulus for triggering an act of swallowing is formed in response to the control signal.

Abstract: A medical device for processing physiological signals such as electrocardiograms. The processing includes: sampling a physiologic signal in a first channel with a first sampling rate, simultaneously sampling the physiologic signal in a second channel with a higher sampling rate to thus generate pairs of sampling values, forming the difference between two sampling values of each pair, comparing said difference with a threshold, and generating a noise detection indicator whenever said threshold is exceeded.

Abstract: An apparatus and a system for seeking for an optimal configuration of a bi-, tri- or multi-ventricular cardiac resynchronization implantable medical device. This system includes ventricular pacing, a signal representative of an endocardial acceleration (EA) of a patient's heart, and isolating and pre-processing the EA signal to obtain an EA1 component and an EA2 component. The effectiveness of the current pacing configuration is evaluated by one or more composite indexes that combine at least two of the following parameters: peak-to-peak amplitude (PEA1) of the EA1 component; time occurrence (TstEA1) of the beginning of the EA1 component; time interval (LargEA1) between the beginning of the EA1 component and the moment of the energy peak of the EA1 component; and duration of systole (Syst), represented by the time interval between the beginning (TstEA1) of the EA1 component and the beginning (TstEA2) of the EA2 component.

Abstract: An electromedical implant having a far-field electrocardiogram detection unit connected or connectable to at least two implantable electrodes, at least one electrode of which is to be placed in the right atrium or right ventricle and is designed to record a far-field electrocardiogram via the terminal for the electrode to be placed in the right atrium or the right ventricle and one other electrode. The far-field electrocardiogram detection unit is connected to a far-field electrocardiogram evaluation unit, which is configured to detect signal features of the far-field electrocardiogram associated with an excitation or contraction of the left atrium and/or the left ventricle of the heart in a far-field electrocardiogram recorded by the far-field electrocardiogram detection unit.

Abstract: The invention relates to an intracardial implantable electrode line for connection to an implantable medical device, in particular a cardiac pacemaker or cardioverter/defibrillator or the like, which has an acceleration sensor in the area of its distal end, which is implemented to record and differentiate acceleration values in at least two different directions. The invention additionally relates to a cardiac stimulation configuration which also has a cardiac stimulator in addition to such an electrode line.

Abstract: An Inductive power switching supply with a digital control for active implantable medical devices is disclosed. A switching power supply (14) receives as input (12) an input voltage (Vi) from a battery (10) and delivers as output (16) an output voltage (VO). The switching power supply comprises an inductor having an inductance value (L) and a switching network (S1 . . . S5, D1 . . . D4), providing, according to a predefined topology, at least two alternative configurations including a charge phase and a discharge phase. The switching network is controlled at the end of the charging and discharging phases and the output voltage is regulated as a function of the input voltage from the nominal voltage. The switching network control does not measure current through the inductor. An analog-to-digital converter (20) is used to deliver a digital value representative of the input voltage (Vi).

Abstract: A circuit for controlled commutation of multiplexed electrodes, for an active implantable medical device. This circuit is located in a lead equipped with multiplexed sensing/pacing electrodes. This circuit decodes a signal generated by a generator, commanding a series of switches, which ensures selective coupling of the various electrodes to the proximal and distal terminals of the generator. This signal is a modulated signal comprising a coded series of logic pulses defining a particular configuration for coupling the lead electrodes to the proximal or distal terminal of the generator. The signal comprises a micropulse, that precedes the coded series of logic pulses and has an amplitude and duration lower than the amplitude and duration of each of the logic pulses. The detection of this micropulse activates, in response, all the circuit switches to an open position over a duration (PHASE 1) at least equal to the duration of reception of the coded series of logic pulses.

Abstract: An LTCC substrate structure with at least one contact element for connecting a wire conductor, which has a first metallization (20) arranged on and/or in the ceramic substrate for electrical connection to the wire conductor, wherein the first metallization (20) preferably contains silver or a silver alloy. To avoid via posting or a plating process, a diffusion barrier layer covering the first metallization or metal layer, which diffusion barrier layer (22) covering the first metallization (20), which diffusion barrier layer is produced with a locally acting application method, and a second metal layer (24) arranged on the diffusion barrier layer (22) are provided, wherein the second metal layer (24) preferably contains gold and/or platinum and/or an alloy that has at least one of these elements. The invention also discloses a production method for an LTCC substrate structure of this type.

Abstract: The invention relates to a brain stimulation electrode line (10) for electric stimulation of the brain areas with an elongated flexible electrode line body (12) having on or near its distal end at least one stimulation electrode (18) designed for delivering electric pulses to surrounding body tissue in the event of use. The brain stimulation electrode line (10) is characterized in that the electrode line body has on its distal end at least one ultrasonic transducer (20), which is arranged so that it can detect reflected ultrasound in a detection range aligned distally along the longitudinal direction of the electrode line body (12).

Abstract: An implantable cardiac stimulator includes a cardioversion/defibrillation unit connected to at least one electrode pair for generation and delivery of cardioversion or defibrillation shocks; an atrial sensing unit detecting atrial contraction, and outputting an atrial sensing signal indicating a atrial event when an atrial contraction is detected; a ventricular sensing unit detecting ventricular contraction, and outputting a ventricular sensing signal when a ventricular contraction is detected; a tachycardia detection unit connected to the atrial and ventricular sensing units and detecting a tachycardia, and classifying it as a ventricular tachycardia (VT) or as a supraventricular tachycardia (SVT); and a treatment control unit designed to trigger at least one atrial cardioversion shock when a ventricular rhythm detected by the ventricular sensing unit is faster than a programmed frequency limit, and the tachycardia detection unit classifies an SVT as an atrial fibrillation (AFib).

Abstract: An electrode catheter that includes an elongate electrode catheter body having a distal end and a proximal end, at least one electrode pole in the area of the distal end of the electrode body, and at least one supply line, which runs insulated in the electrode body in the main direction (H) from the proximal end to the distal end, to the at least one electrode pole, wherein the at least one supply line is configured to desensitize the electrode catheter to the radiation of an electromagnetic field of an interfering frequency having a specific wavelength(?), with the supply line changing its run direction at least twice in such a way that it runs at least once opposite to the main direction (H), the distance (L1,L2) between two direction changes (R) is shorter than half of the wavelength (?/2) of the interfering frequency.

Abstract: An implantable electrostimulation device having at least three input channels, (each forming a sensing channel), which are each connected to at least one electrode or to one terminal for an electrode, using which at least three different electrical potentials accompanying an excitation of cardiac tissue (myocardium) in a heart may be detected. Uses a signal processing unit which is connected to the input channels and is implemented to analyze the time curve of the potentials detected via the three sensing channels as three input signals in chronological relation to a periodically repeating trigger signal, which triggers a time window, and which is also implemented to detect predefined signal features for each of the three input signals within the time window triggered by the trigger signal, store them, and compare them to corresponding signal features of preceding time windows or of another input channel within the same time window.

Abstract: The invention comprises a system for the secure remote programming of an implant. A TAN server is provided for this purpose, in which a user is first accredited and which then generates a TAN upon a request and provides it to the user on one hand and to a patient intermediate device assigned to the implant to be reprogrammed on the other hand.

Abstract: An active implantable medical device including circuits for calculating an atrio ventricular delay (AVD) period. The device is able to detect the atrial and ventricular events; calculate an AVD and to start the AVD on detection of a spontaneous or paced atrial event. The device is able to deliver a low energy ventricular stimulation pulse at the expiration of the AVD in the absence of a detected spontaneous ventricular event. To calculate the AVD, the device uses an acceleration sensor to deliver an endocardiac acceleration (EA) signal representative of the movements produced by the contractions of the atrial cavity; and analyzes the EA signal to identify and isolate in the EA signal a component corresponding to the fourth peak of endocardiac acceleration (PEA4) associated to the atrial activity, and to calculate the AVD based on a parameter of this component.

Abstract: An active implantable medical device for cardiac resynchronization with automatic optimization of atrioventricular and interventricular delays is disclosed. The device collects an endocardial acceleration signal EA and calculates the atrioventricular delay AVD and the interventricular delay VVD. The device isolate in the EA signal a component EA4 corresponding to the fourth EA peak and measure a temporal parameter related to a time interval between the detection of an atrial event (P/A) and the occurrence of the EA4 component. The device isolates an EA1 component corresponding to the first EA peak and measures a non-temporal parameter (APEA1) related to the peak amplitude or a signal energy of the EA1 component. The optimal AVD (AVDO) is determined by the temporal parameter related to the EA4 component, and is calculated for a plurality of different values of VVD to obtain a plurality of pairs of optimal values {AVDO, VVD}.

Abstract: An active implantable medical device with atrial pacing for the treatment of diastolic heart failure. This device comprises circuits and leads for collecting right and left atrial events (16,18) and pacing the left atrium (18) and a sensor detecting myocardium contractions, preferably an endocardial acceleration sensor (20), delivering a signal representative of the myocardium contractions. Analysis of the signal allows a determination of the presence or absence of a detectable left atrial contraction distinguishable from the ventricular contraction. An interatrial delay is applied between the collection of a right atrial depolarization and the delivery of a left atrial pacing pulse. In the absence of left atrial contraction, the interatrial delay is iteratively reduced in successive cardiac cycles from an initial value to an adjustment value ensuring that a left atrial contraction appears, and then so maintained while the presence of a left atrial contraction continues.