Abstract: Portable transdermal electrical stimulation (TES) applicators for modifying a subject's cognitive state. In general, the portable applicators described are specifically configured and adapted to be lightweight and may be wearable, and to deliver a high-intensity TES able to evoke or enhance a predetermined cognitive effect. These TES applicators may include a pair of electrodes and a TES control module comprising a processor, a timer and a waveform generator. TES control module is adapted to deliver a biphasic electrical stimulation signal of 10 seconds or longer between the first and second electrodes having a frequency of 400 Hz or greater, a duty cycle of greater than 10 percent, an intensity of 3 mA or greater, with a DC offset.

Abstract: A device for generating a plurality of output voltages from a single input energy supply source is described. The device includes a switched capacitor voltage converter that provides each of the output voltages having different supply ratios. The supply ratio is defined as a function of the input voltage provided to the switched capacitor voltage converter by the energy supply source. The switched capacitor voltage converter includes a plurality of capacitors selectively coupled to a plurality of switches that dynamically configure the capacitors into a plurality of stacked configurations. Switching between the plurality of stacked configurations may be controlled based on predetermined criteria.

Abstract: The invention relates to a fluid pump, in particular to a liquid pump having a rotor with at last one rotor blade for conveying the fluid, the rotor being variable with respect to its diameter between a first, compressed state and a second expanded state. In order to produce a simple compressibility and expandability of the rotor of the pump, it is provided according to the invention that at least one rotor blade is deformable between a first state which it assumes in the compressed state of the rotor and a second state which it assumes in the expanded state of the rotor by means of a fluid counterpressure during a rotation of the rotor during pump operation.

Abstract: Methods and systems for controlling power output from an external power source in a transcutaneous energy transfer (TET) system are provided to prevent inadvertent energy transfer when no secondary coil is present. The system operates by transmitting power transcutaneously from an external primary coil and determining whether a response from a secondary coil implanted within a patient is detected. If no response is detected, the power output of the primary coil is decreased. The decrease in power output can be accomplished by operating the primary coil at a lower average power level, which can include variations in power level, duty cycle, etc. The system can also be configured to periodically repeat the process in order to continue searching for a coupled secondary coil.

Abstract: Techniques are provided for use by an implantable medical device for assessing and controlling concurrent anodal/cathodal capture. In one example, the device delivers bipolar pacing stimulus while sensing a bipolar intracardiac electrogram (IEGM) and while adjusting a magnitude of the pacing stimulus. The device analyzes the bipolar IEGM signals to detect an indication of activation representative of concurrent anodal and cathodal capture. Preferably, the pulse magnitude is set relative to the anodal/cathodal capture threshold based upon clinician programming in response to the needs of the patient. In this manner, concurrent anodal and cathodal capture can be selectively activated or deactivated based on clinician instructions received from a device programmer or other external programming device. Techniques exploiting both bipolar and unipolar IEGM signals to assess and control concurrent anodal/cathodal capture are also described.

Abstract: A transcutaneous energy transfer (TET) system is provided having a plurality of secondary coils adapted for disposition in a patient, at least one primary coil configured to transmit transcutaneous energy, and a controller adapted for disposition in a patient. The controller includes circuitry to isolate the secondary coils from each other and direct electric current from at least one of the secondary coils to a charge storage device and/or implantable medical device.

Abstract: An exemplary method includes a fitting subsystem 1) receiving a request to register a cochlear implant emulation device with the fitting subsystem, 2) initiating, in response to the request, a registration process, 3) obtaining, during the registration process, a unique identifier for the cochlear implant emulation device, and 4) registering, during the registration process, the cochlear implant emulation device with the fitting subsystem, the registering including storing the unique identifier in registration data maintained by the fitting subsystem. Corresponding systems and methods are also described.

Abstract: Temporary touch-proof connectors are disclosed that include an insulating body defining a passageway having an open leading end configured to receive a connector element of a medical lead and an enclosed trailing end shielding the connector element.

Abstract: An electrode apparatus may be configured to provide electro-stimulation. The apparatus may include a current spreader and a spongeless volume disposed adjacent to the current spreader. The current spreader may be configured to spatially distribute electrical current across a stimulation area of a subject's skin. The spongeless volume may be configured to carry liquid gel or other fluent conductive substance that is configured to conduct electrical current between the current spreader and the stimulation area of the subject's skin to provide electro-stimulation.

Abstract: In an implantable medical device, such as a bi-ventricular pacemaker and a method for detecting and monitoring mechanical dyssynchronicity of the heart, a dyssynchronicity measure indicating a degree of mechanical dyssynchronicity of a heart of a patient is calculated. A first intracardiac impedance set is measured using electrodes placed such that the first intracardiac impedance set substantially reflects a mechanical activity of the left side of the heart and a second intracardiac impedance set is measure using electrodes placed such that the second intracardiac impedance set substantially reflects a mechanical activity of the right side of the heart.

Abstract: An end effector of a forceps includes first and second jaw members movable between spaced-apart and approximated positions for grasping tissue. Each jaw member includes a tissue sealing plate that is selectively energizable. The tissue sealing plates are configured to conduct energy therebetween and though tissue to seal tissue. A knife includes a distal surface and an upper surface. The knife is selectively translatable between a retracted position and an extended position wherein the knife extends between the jaw members. The distal surface is configured for dynamic tissue cutting upon translation of the knife from the retracted to the extended position. The upper surface is configured for static tissue cutting with the knife in the extended position. The knife is selectively energizable and is configured to conduct energy between the knife and one or both of the tissue sealing plates and through tissue to electrically cut tissue.

Abstract: Devices and systems are disclosed for the non-invasive treatment of medical conditions through delivery of energy to target tissue, comprising a source of electrical power, a magnetically permeable toroidal core, and a coil that is wound around the core. The coil and core are embedded in a continuous electrically conducting medium, which is adapted to have a shape that conforms to the contour of an arbitrarily oriented target body surface of a patient. The conducting medium is applied to that surface by any of several disclosed methods, and the source of power supplies a pulse of electric charge to the coil, such that the coil induces an electric current and/or an electric field within the patient, thereby stimulating tissue and/or one or more nerve fibers within the patient. The invention shapes an elongated electric field of effect that can be oriented parallel to a long nerve. In one embodiment, the device comprises two toroidal cores that lie adjacent to one another.

Abstract: A medical device includes an insertion tube, which has a distal end for insertion into a body of a subject, and a distal tip, which is fixed to the distal end of the insertion tube and is coupled to apply energy to tissue inside the body. The distal tip has an outer surface with a plurality of circumferentially distributed perforations formed therethrough. The perforations have diameters between 10 ?m and 25 ?m. A lumen passes through the insertion tube and delivers a cooling fluid to the tissue via the perforations.

Abstract: Exemplary systems and methods for loading a pre-curved electrode array onto a straightening member are described herein. An exemplary system may include a loading tool including a housing and a slider member disposed at least partially within the housing. The slider member may be slidable from a first position to a second position and configured to move a pre-curved electrode array from a curved configuration to a straightened configuration as it slides from the first position to the second position. The exemplary system may also include a straightening member configured to be inserted into the pre-curved electrode array. Corresponding methods are also described.

Abstract: An electrical stimulator line protector, comprising a case having an upper surface and a lower surface, the case configured for implantation in the scalp or other subcutaneous areas of a patient; a storage slot disposed between the upper surface and the lower surface of the case, the slot configured to allow at least one electrical line to coil therearound, the upper surface, the lower surface and the slot to thereby shield the line.

Abstract: Suture anchors for securing therapy delivery elements, such as stimulation leads or catheters, within a living body. The suture anchor includes an inner sleeve constructed with an inner layer of a softer, more pliable material that easily conforms to the therapy delivery element to reduce slippage and an outer layer constructed from a harder, stiffer durometer material that protects the therapy delivery elements from damage due to over-tightening the tie down sutures. A suture material located in the suture groove is tensioned to apply a radial compressive force. The reinforcing structure spreads the radial compressive force along a greater surface area of the therapy delivery element.

Abstract: An electrode cuff includes a first elongate portion and a second elongate portion. The first elongate portion is configured to removably contact a length of a nerve while the second elongate portion extends outwardly at an angle relative to a first side edge of the first elongate portion to at least partially wrap about the nerve. The electrode cuff includes a first series of electrodes that is spaced apart longitudinally along the first elongate portion. A width of the second elongate portion is sized to fit between adjacent branches extending from a nerve.

Abstract: An electrode for use with an external defibrillator for a patient includes a first combination circuit including a circuit node electrically coupled to an adapter for coupling to the defibrillator. The circuit node is further coupled to a monitoring node defined by a monitoring segment of a first pad of the electrode and to a therapy node defined by a therapy segment of the first pad of the electrode. The therapy segment is electrically insulated from the monitoring segment. The first combination circuit further includes a capacitor coupled between the circuit node and the therapy node. The electrode of this disclosure hence provides additional solutions for reducing ECG artifact during the operation of the electrode.

Abstract: A device according to some embodiments may include an implantable flexible carrier and a pair of electrodes located on the carrier. The electrodes may be spaced from each other by a distance greater than 3 mm, and may be configured to cause, when supplied with an electrical signal, a unidirectional electric field sufficient to modulate at least one nerve.

Abstract: An exemplary system includes at least one computing device communicatively coupled to a cochlear implant system and that 1) determines one or more control parameters to be used by the cochlear implant system to apply electrical stimulation to a patient, 2) determines, based on the one or more control parameters, a target stimulation level to be used by the cochlear implant system to apply the electrical stimulation to the patient, and 3) displays a pre-stimulation visual cue indicative of the determined target stimulation level in a graphical user interface prior to the cochlear implant system using the one or more control parameters to apply the electrical stimulation to the patient. Corresponding systems and methods are also described.