Abstract: A torque wrench for implantable medical devices is disclosed. The torque wrench comprises a first and a second component. The first component has first and second ends with a bore extending between the first and second ends of the first component. The first component includes a plurality of anti-rotation members extending from an inner surface of the bore at the second end of the first component. A second component includes a middle portion having a first and second ends. A drive shaft extends from the first end and a plurality of fingers extends from an exterior surface of the second end. The second component is received in the bore of the first component such that the fingers are interdigitate with the anti-rotation members.

Abstract: A patient state is detected with at least one classification boundary generated by a supervised machine learning technique, such as a support vector machine. In some examples, the patient state detection is used to at least one of control the delivery of therapy to a patient, to generate a patient notification, to initiate data recording, or to evaluate a patient condition. In addition, an evaluation metric can be determined based on a feature vector, which is determined based on characteristics of a patient parameter signal, and the classification boundary. Example evaluation metrics can be based on a distance between at least one feature vector and the classification boundary and/or a trajectory of a plurality of feature vectors relative to the classification boundary over time.

Abstract: This disclosure describes techniques implemented by a medical device, such as an implantable medical device (IMD). The IMD may be configured to detect a posture state of a patient, and deliver posture-responsive therapy. In particular, the IMD not only detects the posture state of a patient, but also detects timing associated with the detected posture state, such as the time of day, the day of the week, or a specific time of day associated with a specific day. In this way, the posture-responsive therapy delivered by the IMD may be dependent not only on the posture state of the patient, but also on the timing associated with the posture state. The same posture state, therefore, may result in different types of therapy to the patient if the same posture occurs at different times of the day.

Abstract: A system for securing at least one electrode to an anatomy is provided. The system can include a first plate, which can include at least one first passage. The at least one first passage can be configured to receive a lead of the at least one electrode. The system can also include a second plate configured to move relative to the first plate. The movement of the second plate relative to the first plate can at least partially occlude the at least one passage of the first plate to secure the lead of the at least one electrode to the anatomy.

Abstract: An implantable medical device comprises a fluid reservoir configured to store a therapeutic agent; a port configured to deliver the therapeutic agent to a patient; a medical pump subassembly configured to actively transfer the therapeutic fluid from the fluid reservoir to the port; and a housing that contains the fluid reservoir, the port and the medical pump subassembly. The medical pump subassembly is configured to facilitate mechanical and electrical testing of the medical pump subassembly as a standalone component.

Abstract: Patient efficacy inputs are received over a period of time during which posture-responsive therapy is delivered to the patient while the patient occupies a plurality of posture states. The patient inputs are correlated with the times at which the inputs were received, a sensed posture state of the patient, and a therapy program defining therapy delivery at each of the times the posture state was sensed. Posture-responsive therapy is adjusted based on the historical posture-responsive therapy information correlating the patient input, patient input time, sensed posture state, and therapy program.

Abstract: Posture-responsive therapy is delivered by the medical system based on posture state input from only one of multiple posture sensors at any given time. An example implantable medical system includes a first posture sensor and a second sensor. A processor controls therapy delivery to the patient based on at least one of a patient posture state or a patient activity level determined based on input from only one of the first or second posture sensors. In some examples, one of multiple posture sensors of an implantable posture-responsive medical system is used to automatically reorient another posture sensor (of the system), which has become disoriented. The disoriented posture sensor may be automatically reoriented for one or more posture states at a time.

Abstract: A patient state is detected with at least one classification boundary generated by a supervised machine learning technique, such as a support vector machine. In some examples, the patient state detection is used to at least one of control the delivery of therapy to a patient, to generate a patient notification, to initiate data recording, or to evaluate a patient condition. In addition, an evaluation metric can be determined based on a feature vector, which is determined based on characteristics of a patient parameter signal, and the classification boundary. Example evaluation metrics can be based on a distance between at least one feature vector and the classification boundary and/or a trajectory of a plurality of feature vectors relative to the classification boundary over time.

Abstract: A torque wrench for implantable medical devices is disclosed. The torque wrench comprises a handle, drive shaft member, and a torque wrench tool interface. The handle is coupled to the drive shaft member. The torque wrench tool end is coupled to the drive shaft member. The torque wrench tool end includes a plurality of prongs configured to engage an external tool end of a connector.

Abstract: A system and method for creating lesions and assessing their completeness or transmurality. Assessment of transmurality of a lesion is accomplished by monitoring the depolarization signal in a local electrogram taken using electrodes located adjacent the tissue to be ablated. Following onset of application of ablation energy to heart tissue, the local electrogram is measured with electrodes located adjacent tissue to be ablated so that the ablation energy to ablation elements can be selectively reduced or terminated when transmurality is detected.

Abstract: A battery cell in an implantable medical device is presented. The battery cell includes an anode, a cathode, an insulator therebetween, and an electrolyte. The cathode includes silver vanadium oxide and fluorinated carbon (CFx). The CFx includes fluorine at greater than or equal to 61 percentage (%) by weight.

Abstract: An implantable medical device and associated method for automatically generating morphology templates during fast cardiac rhythms, confirming a provisional template as a confirmed template, and using the confirmed template to classify subsequent detected arrhythmias. A provisional SVT template may be created during a fast ventricular rate and activated as a confirmed SVT template upon verification that the fast rate was due to an SVT. The confirmed SVT template may be used to discriminate SVT from VT/VF.

Abstract: Method and apparatus for monitoring a plurality of physiological factors contributing to physiological conditions of a heart, that determines a first impedance, corresponding to the plurality of physiological factors, across a plurality of vectors, and a second impedance, corresponding to the plurality of physiological factors, across the plurality of vectors subsequent to determining the first impedance.

Abstract: A programmer allows a clinician to identify desirable combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The clinician may create neurostimulation therapy programs that include identified desirable electrode combinations. In some embodiments, the clinician may use the programmer to select a program, such as a program identified during a neurostimulation programming session, and direct the programmer to replicate the selected program. The programmer may change one or more parameters of the selected program, such as pulse amplitude or duty cycle, when generating the copy of the selected program.

Abstract: The invention is directed to techniques for monitoring organ rejection. An implanted device monitors the impedance of the transplanted organ. When the impedance measurements indicate that the organ is being rejected, the device provides early warning of rejection.

Abstract: The disclosure describes a method and system that allows a user to configure electrical stimulation therapy by defining a stimulation field. After a stimulation lead is implanted in a patient, a clinician manipulates a stimulation field on the display to encompass desired anatomical regions of the patient. In this manner, the clinician determines which anatomical regions to stimulate, and the system generates the necessary stimulation parameters. In some cases, a lead icon representing the implanted lead is displayed to show the clinician where the lead is relative to anatomical regions of the patient.

Abstract: Disclosed is an apparatus for oxygenating and controlling the temperature of blood in an extracorporeal circuit. The apparatus has an inlet and an outlet that is located radially outward from the inlet in order to define a flowpath through the apparatus. The apparatus comprises at least one integrated pump that is provided in a core of the apparatus and to which blood from a patient can be supplied through the inlet; a heat exchanger comprising a plurality of heat transfer elements that are arranged around the at least one integrated pump and between which blood from the at least one integrated pump can move radially outward; an oxygenator comprising a plurality of gas exchange elements that are arranged around the heat exchanger and through which blood from the heat exchanger can move radially outward; and an optional filter arranged around the oxygenator and through which blood from the oxygenator can move radially outward before exiting the apparatus through the outlet.

Abstract: Device, system and method for drawing together patient tissue. A tether loop is coupled to a first end loop and a second end loop. The first end loop and the second end loop each have an end and are resiliently biased to coil when deployed from a delivery catheter. When positioned within the delivery catheter the first end loop and the second end loop become substantially linear. Upon deployment from the delivery catheter the end loops coil and the first end passes through a first piece of tissue while the second end passes through a second piece of tissue. Each piece of tissue is captured within the corresponding end loop, the coiling of each of which draws the two pieces of tissue together.

Abstract: Device for adapting a temperature probe for a use in a port in a heart-lung machine. An adaptor slip is tapered at an adaptor taper angle less than a port taper angle. The adaptor slip is sized such that the exterior wall of the adaptor slip provides an interference fit with at least a portion of the fluid port. The adaptor slip has an external shoulder abutting the end of the fluid port. The adaptor slip additionally has a sleeve having a closed end having a position with respect to the end of the adapter slip. A probe is configured to be seated in a lumen of the adaptor slip with a proximate end of the probe being proximate to the closed end of said sleeve.

Abstract: Embodiments of the invention may include a spinal implant that has both an elastomeric element for connecting between two anatomic structures and a limit element wrapped transversely around the elastomeric element along at least a portion of the elastomeric element. The limit element may be separately or in conjunction connected to the two anatomical structures.