Abstract: Techniques and systems for monitoring cardiac arrhythmias and delivering electrical stimulation therapy using a subcutaneous implantable cardioverter defibrillator (SICD) and a leadless pacing device (LPD) are described. For example, the SICD may detect a tachyarrhythmia within a first electrical signal from a heart and determine, based on the tachyarrhythmia, to deliver anti-tachyarrhythmia shock therapy to the patient to treat the detected arrhythmia. The LPD may receive communication from the SICD requesting the LPD deliver anti-tachycardia pacing to the heart and determine, based on a second electrical signal from the heart sensed by the LPD, whether to deliver anti-tachycardia pacing (ATP) to the heart. In this manner, the SICD and LPD may communicate to coordinate ATP and/or cardioversion/defibrillation therapy. In another example, the LPD may be configured to deliver post-shock pacing after detecting delivery of anti-tachyarrhythmia shock therapy.

Abstract: Generally, the disclosure is directed one or more methods or systems of cardiac pacing employing a right ventricular electrode and a plurality of left ventricular electrodes. Pacing using the right ventricular electrode and a first one of the left ventricular electrodes and measuring activation times at other ones of the left ventricular electrodes. Pacing using the right ventricular electrode and a second one of the ventricular electrodes and measuring activation times at other ones of the left ventricular electrodes. Employing sums of the measured activation times to select one of the left ventricular electrodes for delivery of subsequent pacing pulses.

Abstract: Dynamic sampling of physiological parameters based on the next anticipated occurrence of a relatively periodic physiological event. Embodiments of the invention may be used to increase the battery life or effective data storage capacity of implantable medical devices while retaining or improving measurement resolution.

Abstract: User interfaces for medical perfusion systems that provide oxygenation, filtering, and recirculation of blood in connection with various medical procedures are provided. In particular, user interfaces for use with blood pumps that assist in managing alarms commonly encountered during cardiopulmonary bypass surgeries are provided.

Abstract: Improved methods and apparatus that make more accurate and reduces risk of filling reaction chambers of cartridge cells with blood samples to conduct blood coagulation tests of the type employing the plunger technique are disclosed. A cartridge holder is provided that secures a test cartridge in a fixed upright position and deflects the plunger flag of each cartridge cell to enable manual insertion of a blood dispenser deeply into the reaction chamber to fill the reaction chamber and avoid contamination of surfaces of the cartridge outside the reaction chamber. Preferably, the cartridge holder provides illumination of the reaction chamber during filling, so that the user can judge when the reaction chamber is properly filled with blood dispensed from the blood dispenser. The cartridge holder may incorporate image magnification to facilitate viewing of the reaction chamber as it is filled.

Abstract: A sheath for delivering a lead or other device into a body lumen is adapted to be removed from around the delivered lead or device via a longitudinally extending feature. This feature of the sheath may be a ripcord, a seam or interlocking features the releasably engage one another.

Abstract: An implantable medical lead includes a lead body having a proximal end, a distal end, and a spiral segment between the proximal end and the distal end. The spiral segment has a center, a proximal beginning point and a distal ending point. The proximal beginning point is closer to the center than the distal ending point. The lead further includes a contact element disposed in proximity to the proximal end of the lead body and an array of electrodes disposed at the spiral shaped segment of the lead body. A conductor extends within the lead body from the contact element to an electrode of the array and electrically couples the contact element and the electrode of the array.

Abstract: In general, the invention is directed to strategies pertaining to implantation of an implantable medical device between a scalp and a skull of the patient. The invention pertains to collection of data such as data pertaining to the skull of the patient, the scalp of the patient, the vascular structure or neurological structures in the head of the patient, and the like. The data may be in the form of images, such as images generated by X-ray, magnetic resonance imaging, CT-scan and fluoroscopy. A surgeon can use the collected data to determine, for example, whether the patient is a candidate for a cranial implantation, whether the patient's skull and scalp can support the implantation, what configuration of device should be implanted, where the device should be implanted, and how the surgical incisions should be made.

Abstract: A method and apparatus for manufacturing a centering, perfusion catheter balloon. A mold member is formed having an axial aperture. A plurality of axially spaced sets of transverse holes through the mold member. Each set of holes includes one or more holes, with the holes in each succeeding set at a predetermined angle to the holes in the immediate preceding set. A tight fitting sleeve is provided around the mold member. A plastic tube is inserted into the axial hole and the assembly is heated and the tube is internally pressurized to cause the tube to expand the tube into the holes, forming outwardly extending knobs on the tube. The tube is cooled and fluid is evacuated from the tube, causing the tube to draw the knobs into the axial aperture to permit the completed tube to be withdrawn. The tube can then be assembled into a treatment catheter assembly with the knobs maintaining a treatment device centered in the balloon while the knobs allow fluid perfusion along the catheter.

Abstract: An implantable medical device system including an implantable electronic device having multiple electrical connectors and an associated electrical lead also having a corresponding set of electrical connectors which engage with the connectors on the device. The lead has a connector assembly mounted to its proximal end, including the lead's electrical connectors and a mechanical connector. The device has a connector block with a bore extending therethrough sized to receive the connector assembly of the lead. A pulling tool is provided for pulling the lead connector assembly proximally in the bore of said connector block from a first position in which the lead's connector assembly is not fully inserted in the connector block to a second position in which said connector assembly is fully inserted in the connector block, the pulling tool being provided with a mechanical connector which engages with mechanical connector on the lead's connector assembly.