Abstract: This invention relates to a device for adapting a LAA occluder after implantation, especially an adjustable custom made occluder for placement within the left atrial appendage (LAA). The invention relates to a medical occluder made of self expanding shape memory material configured to be inserted into a patient?s left atrial appendage cavity, said occluder comprising a disc being connected to a lobe, the lobe is configured to move between a first size-restricted configuration and at least one second enlarged configuration, the restricted configuration is of substantially smaller diameter than the enlarged configuration, the lobe comprises at least one restriction element to control the diameter of the lobe. The restriction element is a surgical thread or a screw-in thread running inside the lobe of the occluder.

Abstract: An implantable sealing device is disclosed herein and includes an elongated elastic member having distal and a proximal ends, at least one sealing element including braiding having outside and inside faces. The braiding can include of a plurality of fine threads of a memory metal alloy and wherein at least one face of the braiding is coated by a membrane. The braiding can also include a fixing member positioned at one of the distal and proximal ends of the elastic member and being positioned opposite to the braiding.

Abstract: An insertion device that allows gaining access to the left ventricle of the heart, via the tissue forming the wall of the right ventricle and via the ventricular septum, which includes a tubular shaft with a lumen extending there through, the shaft comprising distal, proximal and central sections, whereby the distal and proximal sections are disc-shaped extended thus forming each a double disc and whereby the central section links the distally placed double disc with the proximally placed double disc and whereby pressure valves are fixed inside the shaft preferably on its distal and proximal end.

Abstract: The invention relates to a multi-pole esophageal electrode catheter that can be used for monitoring, pacing, and cardioversion of atrial fibrillation of the heart, the catheter having a flexible shaft (15) having a proximal end and a distal end and a multipolar electrode (3), characterized in that the distal end of the catheter is formed as a side arranged inflatable balloon (4) so that the multi-pole electrode (3) is aligned in the direction of the heart wall is constantly by means of the balloon.

Abstract: The invention relates to a multi-pole esophageal electrode catheter that can be used for monitoring, pacing, and cardioversion of atrial fibrillation of the heart, the catheter having a flexible shaft (15) having a proximal end and a distal end and a multipolar electrode (3), characterized in that the distal end of the catheter is formed as a side arranged inflatable balloon (4) so that the multi-pole electrode (3) is aligned in the direction of the heart wall is constantly by means of the balloon.

Abstract: An implantable sealing device is disclosed herein and includes an elongated elastic member having distal and a proximal ends, at least one sealing element including braiding having outside and inside faces. The braiding can include of a plurality of fine threads of a memory metal alloy and wherein at least one face of the braiding is coated by a membrane. The braiding can also include a fixing member positioned at one of the distal and proximal ends of the elastic member and being positioned opposite to the braiding.

Abstract: An apparatus (1) is used to examine or monitor the state or state of health of plants (2) with the aid of a bipolar electrode (4) which uses its at least two different poles (5) to measure corresponding potentials of the plant and supply them to a detector and/or memory (7), in particular via an amplifier (9), with the result that conclusions regarding the state of, or the possible damage to, a plant (2) can be drawn from changes in the electrical signals and can ensure remedial action.

Abstract: A breast implant (1) having a flexible, but impermeable casing (2) and with an electrically conductive filling (3) is provided with an internal electrode (4) and an external electrode (5), with the electrodes being connected to a resistance or impedance measurement device integrated in a transponder (6). In case of perforation of the casing (2), if filling (3) escapes, then the electrical contact between the electrodes (4) and (5) is completed, and a drop in resistance or impedance is registered by the measurement device. In suspicious cases, the implant could be inspected of the measured resistance or impedance values with an external transmitter-receiver unit (13 or 14) and dangerous damage to the breast implant could be determined.

Abstract: A medical device (1), in particular an occlusion instrument, for closing congenital or pathologically formed openings in the human body, with a collapsible braid (2) of wires and/or filaments made of nitinol or of similar material having a shape-memory effect, wherein the ends (3) of the wires or filaments of the braid are brought together by at least one closure assembly (4) and are held there. To ensure a secure connection of the free ends (3) of the wires of the braid (2), and to be able to easily handle the device and connect it quickly and reliably in a releasable manner to a positioning means, it is provided that the closure assembly (4) is formed by a sleeve into which the ends (3) are inserted and clamped in order to secure them against escape from the sleeve. Good clamping is provided by a clamping element (5) separate from the sleeve.

Abstract: An occlusion element (1) for unwanted openings in the heart is provided. The braid forming the occlusion element (1) is radially constricted in a middle area (3) that passes through the opening in the heart when it is in the position of use, such that, on both sides of this constricted middle area (3), braided occlusion discs (4) and (5) are formed, which engage on both sides over the edges of an unwanted opening in the heart in the position of use. In the starting position, prior to the constriction of the middle area (3), a tubular braid is formed with a double wall along at least part of its axial extent, having a first braid portion (6) of smaller cross section surrounded at a distance on the outside by a second braid portion (7) of greater cross section.

Abstract: An apparatus (1) is used to examine or monitor the state or state of health of plants (2) with the aid of a bipolar electrode (4) which uses its at least two different poles (5) to measure corresponding potentials of the plant and supply them to a detector and/or memory (7), in particular via an amplifier (9), with the result that conclusions regarding the state of, or the possible damage to, a plant (2) can be drawn from changes in the electrical signals and can ensure remedial action.

Abstract: An occlusion element (1) for closing an unwanted opening in the heart having two occlusion disks (3) formed from a braid of threads (2) is provided, wherein the threads (2) and the braid of these occlusion disks are each held by a sleeve or holder (5) and (6). The two occlusion disks (3) are initially separate and can be connected with their respective holders (5) and (6), which are oriented toward each other for forming the final shape of the occlusion element (1). The holders (5) and (6) form a spacing between the two occlusion disks (3) and a region (4) with reduced radial dimensions relative to the occlusion disks (3), and provide an arrangement where there are no projecting holders for the braid or threads on the outsides or end faces of the occlusion element (1) and the occlusion disks (3).

Abstract: A device (1) used for the implantation of an occlusion (2) in an undesired opening in a septum (3) in a heart (4) is provided and has a catheter (5) with a displacement element (7) (pusher) that can move in a longitudinal direction of the catheter in the interior and on whose distal end the occlusion (2) is fixed detachably and can be brought into its position of use, whereupon the displacement element (7) is detached again from the occlusion (2). The occlusion (2) connected to the displacement element (7) is arranged for the implantation process in the distal end region of the catheter (5) and is completely or at least partially enclosed by this end region.

Abstract: A pacemaker electrode array (1) which includes a pacemaker electrode (5) that acts upon the outside of a heart (2) and that is disposed with one pole (3), in the operational position, in the cardiac tissue and extends to an implanted pacemaker (4). The array includes a puncturing needle (7) and an insertion tube (8) for the puncturing needle to assist in installation. The inner diameter of the tube is sufficiently large enough for the pacemaker electrode (5) to fit into the insertion tube (8) once the puncture needle (7) is withdrawn and to be introducible into the cardiac tissue while inserted in the tube. The introduction tube (8) can be withdrawn in a known manner or can be removed laterally through a lateral opening.