Abstract: A hermetically sealed feedthrough filter assembly is attachable to an active implantable medical device and includes an insulator substrate assembly and a feedthrough filter capacitor disposed on a device side. A conductive leadwire has a proximal leadwire end extending to a distal leadwire end, wherein the proximal leadwire end is connectable to electronics internal to the AIMD. The distal leadwire end is disposed at least partially through a first passageway of the feedthrough filter capacitor and is in contact with, adjacent to or near a device side conductive fill. A first electrically conductive material makes a three-way electrically connection that electrically connects the device side conductive fill to an internal metallization of the feedthrough filter capacitor and to the distal leadwire end. A second electrically conductive material electrically connects an external metallization of the feedthrough filter capacitor to a ferrule or an AIMD housing.

Abstract: A lithium ion electrochemical cell having an electrolyte with reduced carbonate content is described. The reduced carbonate electrolyte minimizes electrolyte out-gassing when the cell is exposed to temperatures above 100° C. The preferred electrolyte comprises a primary solvent of ?-butyrolactone and a secondary solvent comprising an aliphatic or halogen constituent. A most preferred electrolyte consists essentially of ?-butyrolactone as a primary solvent, fluorotoluene as a secondary solvent, and an electrolyte additive formulation of vinylene carbonate, fluorinated ethylene carbonate, and polyvinyl pyridine-co-styrene. An alkali metal salt is added to the solvent admixture.

Abstract: In various examples, an apparatus includes an instrument body including a protrusion configured to be sized according to an anatomy of a bone of a patient. A guide is configured to guide an aspect of a resection procedure of the bone, wherein the protrusion, when sized, is configured to abut the patient's bone to maintain the instrument body in a first position with respect to the bone during at least part of the resection procedure.

Abstract: A torque limiting tool is described. The tool comprises a torque limiting mechanism that drives a shank about a rotational axis. The torque limiting mechanism comprises a plurality of opposed first and second gears having a plurality of outwardly extending first and second gear prongs. The plurality of first and second gear prongs extends outwardly at an inclined angle along an intermediate prong portion from a prong proximal end positioned along the disc sidewall surface to a prong distal portion. Each of the prong distal portions comprises a plateau portion that extends about parallel with the disc sidewall surface and resides at a distance away from the sidewall surface of the respective first and second discs. The mechanism is constructed such that toque is transferred therebetween when the respective intermediate portions of the opposed first and second prongs are in physical contact.

Abstract: An EMI/energy dissipating filter for an active implantable medical device (AIMD) is described. The filter comprises a first gold braze hermetically sealing the insulator to a ferrule that is configured to be mounted in an opening in a housing for the AIMD. A lead wire is hermetically sealed in a passageway through the insulator by a second gold braze. A circuit board substrate is disposed adjacent the insulator. A two-terminal chip capacitor disposed adjacent to the circuit board has an active end metallization that is electrically connected to the active electrode plates and a ground end metallization that is electrically connected to the at least one ground electrode plates of the capacitor. A ground path electrically extends between the ground end metallization of the chip capacitor and the ferrule. The ground path comprises a conductive pin electrically and mechanically connected to the ferrule by a third gold braze.

Abstract: An orthopedic reamer cutting tool is disclosed. The reamer is constructed having a hemispherical cutting shell that extends from an equatorial base to an apex. A plurality of cutting teeth, each having a primary tissue cutting surface, extend from the exterior surface of the cutting shell. A plurality of retractable blades, each having a secondary tissue cutting surface, are supported on a rotatable cam positioned at the base of the shell. Rotation of the cam in one of a clockwise or counterclockwise direction causes the retractable blades to extend through respective slits that extend through the thickness of the reamer shell. Rotation of the cam in the opposite direction causes the retractable blades to retract through the slits, back into the interior of the shell.

Abstract: An EMI/energy dissipating filter for an active implantable medical device (AIMD) is described. The filter comprises a first gold braze hermetically sealing the insulator to a ferrule that is configured to be mounted in an opening in a housing for the AIMD. A lead wire is hermetically sealed in a passageway through the insulator by a second gold braze. A circuit board substrate is disposed adjacent the insulator. A two-terminal chip capacitor disposed adjacent to the circuit board has an active end metallization that is electrically connected to the active electrode plates and a ground end metallization that is electrically connected to the at least one ground electrode plates of the chip capacitor. There is a ground path electrically extending between the ground end metallization of the chip capacitor and the ferrule.

Abstract: A capacitor is described. A casing for the capacitor has a surrounding sidewall extending to opposed first and second open ends. An inwardly extending ledge of the sidewall is intermediate the first and second open ends. A partition plate is supported on the ledge. A first lid is secured to the first annular edge to close the first capacitor compartment bounded by the partition plate, the surrounding sidewall and the first lid, and a second lid is secured to the second annular edge to close the second capacitor compartment bounded by the opposite side of the partition plate, the surrounding sidewall and the second lid. At least one anode resides in each of the first and second capacitor compartments spaced from cathode active material supported on the casing walls facing the anodes. There is also a separator intermediate the anode and cathode. Insulative seals supported by the casing electrically isolate anode leads connected to the respective anodes from the casing serving as a terminal for the cathode.

Abstract: A surrogate implantable medical device includes a thermally conductive and electrically conductive housing. A header connector block includes a header block body, where the header block body is attached to the housing. At least one connector cavity is located within the header block body and configured to be attachable to an implantable lead. At least one conductive leadwire is disposed at least partially within the header block body having a first end and a second end. The at least one conductive leadwire's first end is electrically connected to the at least one connector cavity and the at least one conductive leadwire's second end is electrically connected to the housing. The housing does not contain active electronics.

Abstract: A filter feedthrough is described. The filter feedthrough includes a conductive ferrule supporting a dielectric substrate having a body fluid side and a device side. At least one via hole provided with a conductive fill is disposed through the dielectric substrate from the body fluid side to the device side. At least one MLCC-type capacitor is supported by the dielectric substrate. A first circuit trace couples from an active metallization connected to the active electrode plates of the capacitor to conductive fill in the via hole. A second circuit trace couples from the ground electrode plate of the capacitor to a metallization contacting an outer surface of the dielectric substrate. Then, a conductive material couples from the ground metallization to the ferrule to thereby electrically couple the capacitor to the ferrule.

Abstract: A capacitor having at least two side-by-side anodes with a cathode current collector disposed between the anodes and housed inside a casing is described. Cathode active material is supported on the opposed major faces of the current collector and the current collector/cathode active material subassembly is housed in a first separator envelope. The first separator envelope is positioned between the side-by-side anodes and this electrode assembly is then contained in a second separator envelope. The two anodes can be connected in parallel inside or outside casing, or they can be unconnected to each other. There is also cathode active material supported on inner surfaces of the casing in a face-to-face alignment with an adjacent one of the anodes. That way, the second separator envelope also prevents direct physical contact between the anode pellets and the cathode active material supported on the casing sidewalls.

Abstract: A hermetically sealed filtered feedthrough assembly for an active implantable medical device includes an electrically conductive ferrule hermetically sealed by a first braze to an insulator. A conductor is hermetically sealed to and disposed through the insulator. A filter capacitor has an active electrode plate and a ground electrode plate which are disposed within and supported by a capacitor dielectric in an interleaved, partially overlapping relationship. A first passageway is disposed through the capacitor dielectric having a capacitor internal metallization which is connected to the active electrode plate. A capacitor external metallization electrically connects to the ground electrode plate. An oxide-resistant metal addition includes a conductive core with a conductive cladding of a different material. A first electrical connection is between the oxide-resistant metal addition and the capacitor external metallization.

Abstract: A medical device includes a housing configured for implantation within a body of a patient. Detection circuitry is disposed in the housing and coupled to an electrode arrangement. The detection circuitry is configured to sense a cardiac electrical signal from the patient. A processor is coupled to the detection circuitry and configured to compute a first measure of heart rate variability (HRV) using the cardiac electrical signal, and compute a second measure of HRV using the cardiac electrical signal, the second measure of HRV differing from the first measure of HRV. The processor is also configured to produce an index of patient status derived from a ratio of the first and second measures of HRV, such that the index is a normalized HRV metric personalized to the patient. The processor or a remote system can use the index to assess acute and chronic changes in patient status.

Abstract: An EMI/energy dissipating filter for an active implantable medical device (AIMD) is described. The filter comprises a first gold braze hermetically sealing the insulator to a ferrule that is configured to be mounted in an opening in a housing for the AIMD. A lead wire is hermetically sealed in a passageway through the insulator by a second gold braze. A circuit board substrate is disposed adjacent the insulator. A two-terminal chip capacitor disposed adjacent to the circuit board has an active end metallization that is electrically connected to the active electrode plates and a ground end metallization that is electrically connected to the at least one ground electrode plates of the capacitor. A ground path electrically extends between the ground end metallization of the chip capacitor and the ferrule. The ground path comprises a conductive pin electrically and mechanically connected to the ferrule by a third gold braze.

Abstract: An electrochemical cell comprising an electrode assembly having a plurality of cathodes in which the plurality of cathodes is electrically connected together at a connection tab junction is disclosed. The junction preferably comprises a plurality of cathode connection tabs that are folded over each other to construct a junction that is mechanically and electrically robust. The junction is comprised of a plurality of connection tabs that each extend from a cathode. Each of the respective tabs is folded over each other to form a compact electrode junction having redundant connections. An elongated lead extends from the junction to provide an electrical connection to the plurality of cathodes. The junction is welded together such as by a laser, resistance or ultrasonic weld joint. The cathode junction is suitable for either primary or secondary cells, particularly those powering implantable biomedical devices.

Abstract: A hermetically sealed feedthrough for attachment to an active implantable medical device includes a dielectric substrate configured to be hermetically sealed to a ferrule or an AIMD housing. A via hole is disposed through the dielectric substrate from a body fluid side to a device side. A conductive fill is disposed within the via hole forming a filled via electrically conductive between the body fluid side and the device side. A conductive insert is at least partially disposed within the conductive fill. Then, the conductive fill and the conductive insert are co-fired with the dielectric substrate to form a hermetically sealed and electrically conductive pathway through the dielectric substrate between the body fluid side and the device side.

Abstract: A wet tantalum capacitor of either a single anode design or of multiple anode configurations having cathode active material supported on the casing and sealed in its own separator material is described. The separator “covers’ the cathode active material and is adhered directly to the casing. For a multiple anode design, an inner cathode foil positioned between opposed anode pellets is sealed in its own separator bag. Preferably, a polymeric restraining device prevents the anode from contacting the casing. The completed anode/cathode electrode assembly is sealed in the casing, which is filled with electrolyte thru a port. The fill port is hermetically sealed to complete the capacitor.

Abstract: A multilayer helical wave filter having a primary resonance at a selected RF diagnostic or therapeutic frequency or frequency range, includes an elongated conductor forming at least a portion of an implantable medical lead. The elongated conductor includes a first helically wound segment having at least one planar surface, a first end and a second end, which forms a first inductive component, and a second helically wound segment having at least one planar surface, a first end and a second end, which forms a second inductive element. The first and second helically wound segments are wound in the same longitudinal direction and share a common longitudinal axis. Planar surfaces of the helically wound segments face one another, and a dielectric material is disposed between the facing planar surfaces of the helically wound segments and between adjacent coils of the helically wound segments, thereby forming a capacitance.

Abstract: A hermetically sealed filtered feedthrough assembly for an AIMD includes an insulator hermetically sealed to a conductive ferrule or housing. A conductor is hermetically sealed and disposed through the insulator in non-conductive relation to the conductive ferrule or housing between a body fluid side and a device side. A feedthrough capacitor is disposed on the device side. A first low impedance electrical connection is between a first end metallization of the capacitor and the conductor. A second low impedance electrical connection is between a second end metallization of the capacitor and the ferrule or housing. The second low impedance electrical connection includes an oxide-resistant metal addition attached directly to the ferrule or housing and an electrical connection coupling the second end metallization electrically and physically directly to the oxide-resistant metal addition.

Abstract: A secondary header for an active implantable medical device (AIMD) incorporates a secondary header plug configured for mating insertion into an AIMD ISO DF4 or IS4 connector cavity, a secondary header ISO DF4 or IS4 connector cavity, and at least one replacement lead connector cavity. The secondary header plug has four electrical contacts which correspond to four electrical contacts of the AIMD connector cavity. The secondary header connector cavity has less than four electrical contacts conductively coupled to the secondary header plug electrical contacts. The replacement lead connector cavity has at least one electrical contact conductively coupled to at least one electrical contact of the secondary header plug. An intermediate conformal section between the secondary header plug and a housing for the secondary header connector cavity places the secondary header connector cavity housing adjacent to an exterior surface of the AIMD.