Abstract: A cochlear implant is disclosed in an embodiment. The implant includes a signal level detector configured to determine a total signal level of an incoming acoustic signal and a processing unit configured to determine, in accordance with the determined total signal level, an intermediate knee point for each of a plurality of frequency bands. The implant includes a bandpass filters configured to generate a plurality of band limited audio signals in dependence upon the incoming acoustic signal, each band limited acoustic signal representing an associated audio frequency range relating to at least one electrode of a plurality of an implanted electrode array of the cochlear implant. The implant includes a pulse controller configured to deliver electrical stimulation signals to the plurality of electrodes of the implanted electrode array based on the generated signals and the determined intermediate knee point corresponding to the frequency range.

Abstract: The present disclosure may take the form of a method of optimizing CRT wherein candidate pacing settings are administered at a candidate lead implantation site. Such a method may comprise: determining a navigation sensor path at a measurement site for each candidate pacing setting at the candidate lead implantation site; and identifying which navigation sensor path corresponds to a most efficient cardiac tissue displacement.

Abstract: An electrosurgical wand is described, for treating a target tissue using electrosurgical energy, which has an elongate shaft with a handle end and a distal end. A first active electrode surface is disposed on the distal end of the shaft and a first digester electrode surface is recessed away from the first active electrode surface and electrically connected with the first active electrode surface. An aspiration aperture is also disposed adjacent the first active electrode surface and fluidly connected with an aspiration lumen, wherein the first digester electrode surface is disposed within the aspiration lumen.

Abstract: Various examples are provided for securing deep brain stimulation (DBS) leads. In one example, among others, a DBS cap for securing a DBS lead includes a base ring adapted to be mounted within a counterbore opening formed in the skull, a lead securing element that mounts to the base ring, and. a top cover that mounts to the base ring. In another example, a method for securing a DBS lead includes forming a counterbore opening in the skull, securing a DBS cap within the counterbore opening, passing a DBS lead through the DBS cap and the counterbore opening and positioning a tip of the lead in brain tissue, and securing the DBS lead to the DBS cap using an adhesive. The skull opening includes a lower bore, a concentric upper bore, and a step positioned at the interface of the upper and lower bores.

Abstract: A leadless implantable medical device comprises a first electrode configured to deliver electrical pacing energy, a second electrode configured to sense intrinsic electrical cardiac activity, and a third electrode configurable to both deliver electrical pacing energy and sense intrinsic electrical cardiac activity. The first and third electrodes are used for delivering electrical pacing energy and the second and third electrodes are used to sense intrinsic electrical cardiac activity. None of the first, second and third electrodes are incorporated into a lead.

Abstract: A artificial ventricle comprises an inlet for receiving blood, an outlet for discharging blood, and a chamber disposed between the inlet and the outlet. There is also a mechanism for actuating the artificial ventricle between an expanded configuration and a contracted configuration. In the expanded configuration, blood flows into the inlet. In the contracted configuration, blood flows out of the outlet. There may be a one-way valve at the outlet for preventing blood flow back into the chamber. The one-way valve may be a diaphragm valve. The chamber may have a resilient outer wall. The chamber may have an ovoid shape.

Abstract: Methods for treating a network of organs including generating a map of at least a portion of the network of organs using a rendering system; selecting at least one treatment location within the luminal passageway of the network of organs; and applying an energy therapy to the treatment location to treat the smooth muscle tissue, where the energy therapy applied to the respective treatment location is defined by a plurality of parameters that are associated with a map. Such a system allows for historical or ideal treatment parameters to be identified, visually or otherwise to actual treatment locations. Also, control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: Apparatus and methods for stimulating tissue employing local current imbalance to facilitate more effective stimulation regimens.

Abstract: An external control device for use with a neurostimulator coupled to electrodes. The external control device comprises a user interface configured for receiving input from a user, and including a display screen configured for displaying graphical representations of the electrodes. The external control device further comprises a controller/processor configured for, in response to the input from the user, linking a subset of the electrodes together, and globally assigning at least one of the same stimulation amplitude value and same on/off state to each of the electrodes. The controller/processor may also be configured for, in response to the input from the user, assigning at least one stimulation parameter value to one of the electrodes, copying/cutting the at least one stimulation parameter value from the one electrode, and pasting the at least one stimulation parameter value to the other electrode and modifying current values of other electrodes to maintain 100% current.

Abstract: A surgical device for operating on tissue comprises an end effector, a disposable shaft assembly, and an interface assembly. The shaft assembly comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pivotable base sections. The interface assembly comprises a plurality of drive components associated with drive shafts driven by an external system and each drive component is associated with a section of the base. The drive components are operable to cause rotation of one or both of the shaft or end effector and movement of components of the end effector. The drive components are further operable to cause articulation of the articulation section. The base sections are pivotable toward each other to couple with the shaft assembly or away from each other to disengage the shaft assembly.

Abstract: In some examples, a method of making a therapy delivery element configured for at least partial insertion in a living body includes braiding a plurality of fibers to form an elongated braided structure with a lumen. At least one reinforcing structure is weaved into the fibers of the braided structure. A portion of the reinforcing structure is extended from the braided structure to form at least one fixation structure. At least one of the braided structure or the reinforcing structure can be attached to at least one of an electrode assembly or a connector assembly.

Abstract: Methods of treating premature ejaculation include arranging one or more electrodes to face dorsal penile nerves (DPNs) of a patient with premature ejaculation, and applying an electro stimulation having a frequency and a current by which seminal fluid expulsion is not induced in the patient by the one or more electrodes during a time period from before the start of sexual intercourse to ejaculation. The electro stimulation reversibly extends an intravaginal ejaculatory latency time (IELT) of the patient. Methods of controlling a premature ejaculation treatment device are also provided.

Abstract: An electrosurgical system includes an electrosurgical power generating source, an energy applicator operably associated with the electrosurgical power generating source, a processor unit, and a data acquisition module configured to receive a reflected signal. The processor unit is disposed in operative communication with the data acquisition module and adapted to determine a tissue desiccation rate around at least a portion of the energy applicator based on one or more signals received from the data acquisition module.

Abstract: A telemetry port for providing an open space in which an antenna may transmit and receive signals free from interference from the metal shell of an implantable medical device, the telemetry port includes a housing defining a void space for receiving an antenna. The void space is configured to provide the antenna with sufficient space such that the antenna does not contact the housing. The housing further includes a periphery positioned along a bottom edge capable of being integrated to an implantable medical device, and forming a hermetic seal with the implantable medical device.

Abstract: Apparatus and methods are described, including apparatus for pacing a heart of a subject. The apparatus includes an implantable pulse generator (IPG) and a coiled lead connected to the IPG. The coiled lead includes a smaller-diameter coiled portion, a lumen of which having a first coil-lumen-diameter, and a larger-diameter coiled portion electrically in series with the smaller-diameter coiled portion, a lumen of the larger-diameter coiled portion having a second coil-lumen-diameter that is larger than the first coil-lumen-diameter. A perpendicular distance from a central longitudinal axis of the smaller-diameter coiled portion to the lumen of the larger-diameter coiled portion is greater than an outer radius of the smaller-diameter coiled portion, when the central longitudinal axis of the smaller-diameter coiled portion is parallel to a central longitudinal axis of the larger-diameter coiled portion. Other applications are also described.

Abstract: The invention relates to an arrangement for implanting in a human or animal body, comprising a carrier device which provides a receiving means and which is made from a synthetic mesh or fabric material, and an electronic element which is fixed to the carrier device in the region of the receiving means. Also provided is a method for implanting the arrangement in a human or animal body.

Abstract: A control device of an electrostimulator is used in the electrostimulator including an electrode and an angular velocity sensor. The control device includes a controller that controls electrostimulation which is output from the electrode and a storage that stores a first threshold value and a second threshold value. The first threshold value is greater than the second threshold value. The controller causes the electrode to output electrostimulation based on a state in which angular velocity reaches one threshold value of the first threshold value and the second threshold value, and then, reaches the other threshold value.

Abstract: A wireless cardiac stimulation device is disclosed comprising a controller-transmitter, a receiver, and a stimulating electrode, wherein the stimulating electrode and the receiver are separately implantable at cardiac tissue locations of the heart and are connected by a local lead. Having separately implantable receiver and stimulating electrodes improves the efficiency of ultrasound mediated wireless stimulation by allowing the receiver to be placed optimally for reception efficiency, thereby resulting in longer battery life, and by allowing the stimulating electrode to be placed optimally for stimulus delivery. Another advantage is a reduced risk of embolization, since the receiver and stimulating electrode ensemble is attached at two locations of the heart wall, with the connecting local leads serving as a safety tether should either the receiver or the stimulating electrode become dislodged.

Abstract: An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.

Abstract: Some embodiments of the present disclosure include a water flosser handle for providing treatment deep into a user's gum pockets. The water flosser handle may include a chamber configured to hold a treatment tablet, a flosser tip attached to a distal end of the handle, and a water supply tube attached to a proximal end of the handle. The handle may be configured to allow passage of pressurized water therethrough into a user's mouth. A treatment tablet may be positioned within the chamber such that the water pressure of the water configured to flow through the handle at least partially dissolves and transports the treatment tablet into the user's mouth and gums.