Abstract: Percutaneously advanced, distally into tissue of a subject, are (i) an implant, including an electrode and an anchor, and (ii) a tool. The tool includes an implant-storage member that houses the implant, and shaped to define a distal opening, and (b) a delivery manipulator, configured to facilitate bidirectional movement of the implant through the distal opening. Subsequently, the anchor and the electrode are exposed from the implant-storage member by withdrawing the implant-storage member proximally with respect to the implant. While the anchor and the electrode remain exposed from the implant-storage member, the implant is repositioned within the tissue by moving the implant, the implant-storage member, and the delivery manipulator with respect to the tissue. Subsequently, the tool is decoupled from the implant, and the tool is removed from the subject. Other embodiments are also described.

Abstract: An apparatus and method are provided for spatially-selective administration of actions by at least one device in the body using a transducer that is sensitive to a spatially-variant energy field imposed on the at least one device by a source external to a subject's body; and at least one component in the at least one device, wherein interaction of the transducer with the imposed spatially-variant energy field causes or enables at least one component in the at least one device to affect nearby tissues in the body.

Abstract: Described is an apparatus which comprises: a current source to generate a current having AC and DC components; a current-to-voltage converter to convert the current or a copy of the current to a voltage proportional to a resistance, the voltage having AC and DC components that correspond to the AC and DC components of the current; a first sample-and-hold circuit to sample and filter the AC component from the voltage and to provide an output voltage with the DC component; a second sample-and-hold circuit to sample the output voltage; a voltage-to-current converter to convert the sampled output voltage to a corresponding current; and an amplifier to receive the output voltage.

Abstract: A flexible circuit electrode array with more than one layer of metal traces comprising: a polymer base layer; more than one layer of metal traces, separated by polymer layers, deposited on the polymer base layer, including electrodes suitable to stimulate neural tissue; and a polymer top layer deposited on the polymer base layer and the metal traces. Polymer materials are useful as electrode array bodies for neural stimulation. They are particularly useful for retinal stimulation to create artificial vision, cochlear stimulation to create artificial hearing, or cortical stimulation many purposes. The pressure applied against the retina, or other neural tissue, by an electrode array is critical. Too little pressure causes increased electrical resistance, along with electric field dispersion. Too much pressure may block blood flow.

Abstract: Examples of a spectroscopy system with a specially design ambient illumination system are disclosed. The ambient illumination system comprises one or more light emitting diodes (LEDs) that provide illumination light in the wavelength of 400-785 nm. The ambient illumination system can further comprise a filter to block light above 785 nm. The filter can be placed directly in front of LED emitters. The LEDs can be white LEDs or RGB LEDs. The spectroscopy system can further comprise a control system that can receive a signal from the spectral probe when the spectral measurements commence and can instantaneously send a signal to automatically switch off the ambient illumination system and to receive a signal from the spectral probe when the spectral measurements are terminated and automatically switch on the ambient illumination system. Examples of methods of operating the spectroscopy system and the ambient illumination system are disclosed.

Abstract: A method, device and/or system for generating arbitrary waveforms of a desired shape that can be used for generating a stimulation pulse for medical purposes such as for spinal cord stimulation therapy, including the option of using such arbitrary waveforms for charge balancing purposes.

Abstract: The present invention relies on a controller-transmitter device to deliver ultrasound energy into cardiac tissue in order to directly improve cardiac function and/or to energize one or more implanted receiver-stimulator devices that transduce the ultrasound energy to electrical energy to perform excitatory and/or non-excitatory treatments for heart failure. The acoustic energy can be applied as a single burst or as multiple bursts.

Abstract: An electronic medical system is described. The system comprises an external RF power transmitter configured to emit a first power signal via an electromagnetic coupling, said RF power transmitter being configured to emit said first energy signal with a power no greater than 1 W. The system further comprises an implantable medical device comprising: at least one receiver antenna configured to receive said first energy signal via an electromagnetic coupling; an RF power receiver module configured to extract a second energy signal having a power of at least 1 mW and to be powered by said second energy signal; a power actuator module, operatively connected to the RF power receiver module, powered by said second energy signal. The power actuator module is configured to deliver a medical treatment to at least a target tissue of a patient on the basis of a control signal generated by the RF power receiver module.

Abstract: Systems and methods for controlling a guide with the aid of optical coherence tomography (OCT) data are described. A guide wire includes at least one optical fiber, a flexible substrate, and one or more optical elements. The at least one optical fiber transmits a source beam of radiation. The flexible substrate includes a plurality of waveguides. At least one of the plurality of waveguides transmits one or more beams of radiation away from the guide wire, and at least one of the plurality of waveguides receives one or more beams of scattered radiation that have been reflected or scattered from a sample. The multiplexer generates the one or more beams of exposure radiation from the source beam of radiation. The one or more optical elements at least one of focus and steer the one or more beams of radiation.

Abstract: A fluid pump includes a rotor with at least one rotatable impeller blade, the rotor having a compressed state and an expanded state, and a support device coupled to an outer radial edge of the at least one impeller blade. The support device is changeable between a first state in which the support device is radially compressed associated with the compressed state of the rotor, and a second state in which the support device is radially expanded associated with the expanded state of the rotor. In the expanded state of the rotor, the at least one impeller blade extends at least partly radially inward from the support device. The support device is a ring that at least partly surrounds the at least one impeller blade, the ring having a longitudinal axis parallel to an axis of rotation of the rotor.

Abstract: An irrigated ablation catheter adapted for direct tissue contact has micro-elements that provide more accurate sensing of tissue, including thermal and electrical properties for temperature and impedance measurements. The micro-elements extend through a hollow chamber of an irrigated ablation electrode, and distal ends thereof can protrude outside of electrode or be flush with the electrode. The micro-elements have a protective guide tube in which components enabling temperature sensing or electrical sensing are encased.

Abstract: This document discusses, among other things, systems and methods to determine amplitude and morphology variations of a first heart sound over a first number of cardiac cycles, and to calculate an atrial fibrillation metric indicative of an atrial fibrillation episode of the heart using the determined amplitude and morphology variations. The systems and methods can determine a variability score using the determined amplitude and morphology variations, and can calculate the atrial fibrillation metric using the variability score.

Abstract: A method of monitoring the cardiac function of a patient includes receiving a position input from a position sensor attached to the patient and classifying the position input into a position class. Cardiac waveform data is received for the patient and then the cardiac waveform data is compared to model waveform parameters for the position class.

Abstract: A system for controlling a position of a patient's tongue includes attaching at least one electrode to the patient's Hypoglossal nerve and applying an electric signal through the electrode to at least one targeted motor efferent located within the Hypoglossal nerve to stimulate at least one muscle of the tongue. The system may also include the use of more than one contact to target more than one motor efferent and stimulating more than one muscle. The stimulation load to maintain the position of the tongue may be shared by each muscle. The position of the patient's tongue may be controlled in order to prevent obstructive sleep apnea.

Abstract: Methods and systems for treating a tissue with a high frequency electric field to activate MAPK/ERK pathways, induce angiogenesis, induce angionenic factos such as NO and VEGF, or promote wound healing. Aspects of the invention are directed to methods of treating chronic wounds such as diabetic ulcers and hypoxia induced wounds. Aspects utilize high frequency electric field having a frequency in the GHz range, and preferably between about 1 GHz and about 10 GHz.

Abstract: Systems and methods may facilitate selection of a vector for delivering electrical stimulation to a patient's heart. One illustrative method may include delivering electrical stimulation at a first voltage to each vector in a first set of two or more vectors of a multi-vector medical system, determining whether the delivered electrical stimulation at the first voltage resulted in capture for each of the vectors in the first set of two or more vectors, identifying those vectors of the first set of two or more vectors that were determined to result in capture as a second set of vectors, delivering electrical stimulation at a second voltage that is lower than the first voltage to each vector in the second set of vectors, and determining whether the delivered electrical stimulation at the second voltage resulted in capture for each of the vectors in the second set of vectors.

Abstract: The present disclosure relates to devices, systems and methods for evaluating the success of a treatment applied to tissue in a patient, such as a radio frequency ablative treatment used to neuromodulate nerves associated with the renal artery. A system monitors parameters or values generated during the course of a treatment. Feedback provided to an operator is based on the monitored values and relates to an assessment of the likelihood that a completed treatment was technically successful. In other embodiments, parameters or values generated during the course of an incomplete treatment (such as due to high temperature or high impedance conditions) may be evaluated to provide additional instructions or feedback to an operator.

Abstract: A wearable patch system includes an electrocardiogram (ECG) sensor having electrodes configured to contact a subject. An electronic stethoscope has a diaphragm structure responsive to sounds from the subject. The ECG sensor and the electronic stethoscope are co-located to measure respective parameters concurrently from a same position. A housing is configured to support the diaphragm structure and the electrodes. The housing includes a mechanical interface configured to mount on the subject. A communications circuit is disposed on or in the housing to communicate with a remote component.

Abstract: The invention relates to a method and device for neuromuscular stimulation of one or more muscles, or muscle groups, with one or more beneficial effects selected from increasing arterial, venous and capillary blood flow, increasing flux of interstitial fluid and lymphatic drainage, increasing tissue oxygenation, enhancing heat distribution, enhancing the distribution of pharmaceutical products, and enhancing performance and recovery from exertion in horses.

Abstract: A method for detecting a position of a signal source in a living body includes: arranging three electrodes on a surface of the living body and alternately connecting a first external resistance and a second external resistance in parallel between the electrodes and a ground potential; measuring first voltages Vi (i=1, 2, 3) generated at the respective electrodes when the first external resistance is connected in parallel between the electrodes and the ground potential, and second voltages Vi (i=1, 2, 3) generated at the respective electrodes when the second external resistance is connected in parallel between the electrodes and the ground potential; and calculating three ratios Vi/V?i (i=1, 2, 3) from the first and second voltages Vi and V?i, and detecting the position of the signal source in the living body based on the three ratios Vi/V?i (i=1, 2, 3).