Abstract: A system and procedure for using the system are disclosed for guiding instruments of varying sizes. The instruments can be guided into various portions of the anatomy for performing a procedure, providing a treatment, measuring a physiological response, or the like. Two or more instruments of varying sizes can be driven or guided relative to one another with the same system.

Abstract: This patent document discusses, among other things, assemblies and methods for retaining a plurality of surgical instruments. In one example, a retaining assembly includes a floating seat having a seat first side and a seat second side. One or both of the seat first or second sides include at least one recessed portion to receive an instrument. In another example, a first clamp member is positioned adjacent the seat first side and a floating second clamp member is positioned adjacent the seat second side. An actuator engaged with an actuator receiving lumen is disposed adjacent the seat second side. Movement of the actuator in a first direction advances the first clamp member, the floating seat, and the floating second clamp member toward one another. In varying examples, the floating second clamp member comprises a rocker configured to pivot in three-dimensions, while the floating seat is configured to pivot in two-dimensions.

Abstract: Device, system and method for drawing together patient tissue. A bridge segment has an axis and a first end and a second end opposite the first end. A first tine is coupled to the first end and projects from the bridge segment in a first direction orthogonal to the bridge segment. A second tine is coupled to the first end and projects from the bridge segment in a second direction approximately opposite the first direction. A third tine is coupled to the second end and projects from the bridge segment approximately in the first direction. A fourth tine is coupled to the second end and projects from the bridge segment approximately in the second direction. The first, second, third and fourth tines are each resiliently biased to form a coil approximately parallel to a plane orthogonal to the axis of the bridge segment.

Abstract: An apparatus configured to be placed about an implantable medical device having a face with a geometric center offset from a center of a recharge coil of the device includes first and second opposing major exterior surfaces, and a continuous exterior side surface joining the first and second opposing major exterior surfaces. A cavity is defined between, and an opening is formed by, the first and second major surfaces and the continuous side surface. The opening is in communication with the cavity and is configured to allow the device to access the cavity. An asymmetric region, adjacent to the cavity, is formed between a portion of the first and second major surfaces and the continuous side surface. The asymmetric region is configured to shift the geometric center of the combined apparatus and device, when the device is received in the cavity, towards the center of the recharge coil.

Abstract: Heteroatom-containing polymers such as polyketals, and methods of making and using such heteroatom-containing polymers are disclosed herein. The heteroatom-containing polymers can be useful for applications including, for example, medical devices and pharmaceutical compositions. In a preferred embodiment, the heteroatom-containing polymers are polyketals that are biodegradable.

Abstract: Apparatus and techniques to address problems associated with lead migration, patient movement or position, histological changes, neural plasticity or disease progression. Disclosed are techniques for implanting a lead having therapy delivery elements, such as electrodes or drug delivery ports, within a vertebral or cranial bone so as to maintain these elements in a fixed position relative to a desired treatment site. The therapy delivery elements may thereafter be adjusted in situ with a position control mechanism and/or a position controller to improve the desired treatment, such as electrical stimulation and/or drug infusion to a precise target. The therapy delivery elements may be positioned laterally in any direction relative to the targeted treatment site or toward or away from the targeted treatment site. A control system maybe provided for open- or closed-loop feedback control of the position of the therapy delivery elements as well as other aspects of the treatment therapy.

Abstract: This disclosure provides for methods and apparatus for preventing an early recurring atrial fibrillation and atrial flutter (AF) episode (herein “ERAF”). Some aspects of the foregoing involve commencing atrial overdrive pacing therapy delivery at an overdrive pacing rate upon detection of one of: (i) an AF episode and (ii) a relatively long pause between successive sensed P-waves during an AF episode. The AF episode typically has a cycle length interval of between about 100 ms and 300 ms, and the relatively long pause has a duration of between about 40 ms and 100 ms longer than the cycle length of the AF episode. Atrial overdrive pacing is delivered for a relatively short period of time after successful termination of the AF episode. Subsequently, the atrial pacing rate is rapidly decreased until either normal sinus rhythm or a lower programmed pacing rate is reached.

Abstract: An apparatus for managing a lead of an implantable medical device includes a lead retention element and a fixation element. The lead retention element has a proximal end, a distal end, and a lumen extending from the proximal end to the distal end. The lumen is configured to slidably receive the lead. The fixation element is configured to fix the lead retention element relative to the implantable medical device in an orientation orthogonal to a lead receptacle of the device such that the proximal end of the lead retention element is closer to an opening of the lead receptacle than the distal end of the retention element. The distal end of the lead retention element is configured to firmly engage the lead to resist proximal sliding of the lead in the lumen of the retention element once the lead has been moved distally through the lumen.

Abstract: When delivering a therapy to a patient, such as a drug to a brain of a patient, an optimized delivery point can be selected. The optimized point can be based on physics, physiology, and pharmacology. The optimized point can be used for planning and a surgical navigation procedure.

Abstract: An electrical connection assembly of a medical device includes a plurality of electrical contact blocks and a sealing member, which are held within a cavity of a base of the assembly. The sealing member includes a plurality of openings, at least one interior surface surrounding a bore and at least one void. Each electrical contact block extends into a corresponding opening of the sealing member, and a conductive sidewall of each block defines a portion of a perimeter of an area for receiving a lead connector, while the bore of the sealing member forms another portion of the perimeter of the area. The at least one void provides a compressible space in a bulk volume of the sealing member. When the lead is inserted within the area, and a cap is engaged with the base, the at least one interior surface of the sealing member is compressed about the lead.

Abstract: A method for manufacturing an implantable electrical medical device includes forming a conductive substrate, placing the conductive substrate in a deposition chamber; and forming a conformal coating over the conductive substrate using atomic layer deposition. In various embodiments, the conformal coating is a conductive coating and in other embodiments the conformal coating is a dielectric coating.

Abstract: The present invention relates to a method and related apparatus for rotating a piston of a drug pump during the pumping stroke to reduce drug pump wear. The actuator may move a piston that pumps fluid through a pumping channel. In the present invention, the armature includes one or more openings or shapes that cause the actuator, including the armature and the piston, to rotate about a longitudinal axis of the piston during the pumping stroke. Rotation of the actuator member may help to reduce wear to the actuator member and the pump itself caused by repetitive pumping motions.

Abstract: An electromagnetic interference immune defibrillator lead has a first electromagnetic insulating layer. A first layer is formed on the first electromagnetic insulating layer, the first layer having a plurality of first conductive rings composed of first conductive material, each first conductive ring being separated by first insulating material. A second electromagnetic insulating layer is formed on the first layer. A second layer is, formed on the second electromagnetic insulating layer, the second layer having a plurality of second conductive rings composed of second conductive material, each second conductive ring being separated by second insulating material. A third electromagnetic insulating layer is formed on the second layer. The second conductive rings of second conductive material are positioned such that a second conductive ring overlaps a portion of a first conductive ring and overlaps a portion of a second conductive ring, the second conductive ring being adjacent to the first conductive ring.

Abstract: A medical electrical lead having an elongated lead body extending from a proximal end to a distal end, a first electrode positioned at the distal end of the lead body, a second electrode spaced proximally from the first electrode, the second electrode being a flexible conductive coil and having a distal end. A first electrode sleeve is coupled to the first electrode, and a second electrode sleeve is coupled to the second electrode and positioned within the proximal end of the lead body and proximal the distal end of the second electrode to provide flexibility in a distal lead body portion.

Abstract: The housing of an implantable medical device is made of a titanium alloy that provides improved electrical performance, mechanical strength, and reduced MRI heating. The titanium alloy housing includes portions formed by metal injection molding and welded together. Wall thickness of at least a portion of one major face of the housing is reduced by chemical etching a metal injected molded housing portion.

Abstract: Compounds of the formula: where X and Y are each independently H, halo, or C1-C6 straight or branched chain substituted or unsubstituted alkyl.

Abstract: The disclosure describes an implantable stimulation system that guides programming with a therapeutic tree. All possible stimulation parameters are arranged on the therapeutic tree, with each level of the therapeutic tree containing a different stimulation parameter type. Each level includes nodes that are connected to nodes of adjacent levels. A program path is created by moving through nodes of lower levels. The stimulation parameter types are arranged so that coarse adjustments occur at higher levels of the tree and fine adjustments occur at lower levels of the tree. The nodes of the program path define the stimulation parameters of the delivered stimulation therapy. The user may provide information such as efficacy input and/or medication dosage information to the system for identifying the most efficacious program path in treating pain of the patient. Additionally or alternatively, efficacy feedback may be received from physiological parameter sensors.

Abstract: In general, the disclosure is directed toward transmitting radiant energy across a boundary of a medical device via an optical feedthrough. A system for transmitting radiant energy across a boundary of a medical device includes a first functional module of a medical device, a second functional module of the medical device, an optical feedthrough assembly coupled to the first functional module, and a radiant energy source that emits a beam through the optical feedthrough assembly to perform a manufacturing process on the first functional module and the second functional module.

Abstract: In general, the disclosure is directed toward releasing material within a medical device via an optical feedthrough. A system for releasing material with a medical device comprises a cup that holds a material, wherein the cup includes a discharge port, a seal disc that seals the material within the cup, an optical feedthrough assembly coupled to the cup, a shell that defines a chamber within a medical device, wherein the optical feedthrough assembly is coupled to the shell, and a radiant energy source that shines a beam through the optical feedthrough assembly to puncture the seal disc to allow the material to enter the chamber via the discharge port.

Abstract: A capacitor is presented that includes a housing, an electrode stack, a liner, and a fill port. The liner is located between the housing and the electrode stack. The liner includes a recessed portion. A fill port extends through the housing across from the recessed portion in the liner. A gap is formed between the recessed portion and the fill port.