Abstract: A method of controlling the blood pressure in a patient with high blood pressure or low blood pressure utilizing a non-invasive nerve stimulation device applied to the wrist.

Abstract: Apparatus for reducing signal noise in a fetal ECG signal obtained by using a unipolar ECG lead configuration 1, 3 thereby detecting a predominant T wave vector and avoiding changes in ECG waveform shape due to fetal rotation through the birth canal. The ECG signal is transmitted by means of a first signalling link 5 to the signal noise reducing components which include a conventional analogue filter 7, a digital high pass filter 9 for attenuating low frequencies and with a predetermined cut-off frequency, the cut-off frequency being essentially between 0.2 and 1.7 Hz, and a further digital filter 11. The filtered ECT signal is arranged as output signal from the electrical arrangement by means of a second signalling link 13.

Abstract: A controller module for an implantable pump system which has a pump motor includes a processor, a motor controller electrically coupled to the processor and adapted to power the pump motor such that the pump motor operates at a desired speed. The motor controller outputs digital representations of the pump motor operating parameters to the processor. A first memory device is coupled to the processor for storing the digital signals representing the pump motor operating parameters. The controller module further includes a user interface. The controller module may be coupled to a data acquisition system, which provides power and exchanges data with the controller module. The controller module may alternately be coupled to a home support system which provides power for the controller module and storage for system components.

Abstract: A medical testing system includes telemetry features whereby physiological data collected by a collection device at a medical facility is transmitted to a remote processing center for analysis by a trained analyst to provide a test result. In one embodiment, the collection device is a heart rate monitor capable of collecting data with which heart rate variability can be assessed. The heart rate monitor includes a display on which is displayed a waveform showing the breathing performance of the patient during data collection along with standards against which to compare the waveform in order to determine the extent to which the patient followed a predetermined breathing regimen during data collection. The operator of the monitor can use the performance waveform to assess how well the test was taken (i.e., how well the patient complied with the prescribed breathing regimen) and can accept or reject the physiological data accordingly.

Abstract: A system and method for use in an implantable cardiac device permits the monitoring of progression and regression in heart disease, such as congestive heart failure. During a monitoring period, a sensing circuit produces an electrogram signal of the patient's heart and a sound sensor produces a phonocardiogram of the patient's heart. A processor determines a predetermined characteristic of the heart sounds, such as amplitude, time intervals between selected heart sounds, and time intervals between selected heart sound and selected electrogram features for each cardiac cycle occurring during a monitoring period. The predetermined characteristics are thereafter averaged and stored in a memory for later retrieval. Relative changes in the average time intervals over time provides an indication of the progression or regression of the heart disease.

Abstract: An implantable microphone system senses “sound” by sensing motion of middle ear components using a linear-variable-differential transformer. The transformer has a movable floating core that is affixed to one or more of the movable middle ear components, such as the tympanic membrane, incus, malleus, stapes, or oval window membrane. Motion of the middle ear component is sensed by applying out-of-phase signals to primary windings of the transformer while monitoring the signal magnetically induced through the movable core on a secondary winding of the transformer. In another embodiment, a capacitor has a movable plate affixed to the movable middle ear component, and motion of the middle ear component is sensed by applying out-of-phase signals to fixed plates of the capacitor.

Abstract: The present disclosure relates to methods and apparatuses for treating snoring by implanting a stimulating electrode into a patient. The electrode is placed in stimulating contact with an airway passage-controlling muscle of the patient. The electrode is energized to contract the muscle and alter the airway passage.

Abstract: A method of after-care in relation to patients with at least one electromedical implant. Data is transmitted from the implant to an external apparatus providing information for an examining clinician on the occasion of an after-care examination of the patient in an after-care arrangement. In an after-care interrogation up-to-date available data of the implant are interrogated and sent for output to corresponding output means, the data interrogation operation being effected prior to the after-care examination automatically after the patient enters an interrogation region of the after-care arrangement.

Abstract: A progressive radial correction hand device for correcting ulnar finger deviation in a rheumatoid arthritic hand is described. The device comprises four elongate, soft, flexible finger straps, each of which is least about an inch wide in finger-contacting regions. Distal end regions of the finger straps are attached together to form a finger strap assembly. Described is a flexible fabric hand pad having finger and palm supporting regions and having a padded, hand-contacting upper region. The pad has a thumb-receiving aperture and four generally parallel slits formed in the palm supporting region for receiving, from the under side of the pad, the four finger straps.

Abstract: A unified, non-blood contacting, implantable heart assist system surrounds the natural heart and provides circumferential contraction in synchrony with the heart's natural contractions. The pumping unit is composed of adjacent tube pairs arranged along a bias with respect to the axis of the heart and bound in a non-distensible sheath forming a heart wrap. The tube pairs are tapered at both ends such that when they are juxtaposed and deflated they approximately follow the surface of the diastolic myocardium. Inflation of the tube pairs causes the wrap to follow the motion of the myocardial surface during systole. A muscle-driven or electromagnetically powered energy converter inflates the tubes using hydraulic fluid pressure. An implanted electronic controller detects electrical activity in the natural heart, synchronizes pumping activity with this signal, and measures and diagnoses system as well as physiological operating parameters for automated operation.

Abstract: A straight-forward and tool-less mechanism is provided for securing lead wires to an implantable neurostimulator, or similar medical device. In one embodiment, a clip lock mechanism is pivotally connected to the enclosure of the medical device, which enclosure also includes at least one receptacle with contacts to the components within the device. The proximal end of the lead wires terminate in a connector, including at least one plug and at least one pin with contacts corresponding to the electrodes or other devices along the distal end of the lead. The pin is inserted into the receptacle, thus completing the connection between the pin and receptacle contacts, and the clip is pivoted over the plug. The plug preferably has depressions that provide a clear visual and tactual indication of the position of the properly placed clip.

Abstract: A microcurrent therapy device (MCTD) for use in applying a DC current of less than one milliampere between two conductive pads through the tissue of a therapy recipient has an electronic stack that can be placed in electrical connection with the user's skin and thus in electrical connection with the other skin contact plate, a profile minimizing system using an off the shelf “coin ” battery within the electronic stack, and a battery clip used in conjunction with a coin battery and the circuit board of the MCTD.

Abstract: A method of activating electrodes in a multichannel electrode array using channel specific sampling sequences is presented. A channel specific sampling sequence is defined for each electrode, the sequence having a particular duration, amplitude, and number of pulses. A weighting factor is applied to the channel specific sampling sequence. Each electrode in the multichannel electrode array is then simultaneously activated using sign-correlated pulses, the sign-correlated pulses based on parameters of spatial channel interaction, non-linear compression, and each electrode's weighted channel specific sampling sequence.

Abstract: A method and apparatus are provided for distributing power within a cardiac treatment and monitoring system which includes a defibrillator releasably coupled to a patient monitoring unit. The method includes the steps of determining a battery reserve capacity within the patient monitoring unit and distributing power from the patient monitoring system to a defibrillator when the determined battery reserve capacity exceeds a threshold value.

Abstract: A process for sampling a cardiac parameter, in particular an intracardiac impedance, in an active implantable medical device such as a pacemaker, defibrillator, cardioverter and/or multisite device. The process includes carrying out in a repeated manner over a plurality of successive cardiac cycles (CYCLE 1 . . . CYCLE 8), the steps of detecting a moment (E) at which a ventricular event occurred, and then sampling the aforesaid signal during each cardiac cycle with a constant sampling step and a predetermined temporal shift (&Dgr;t1 . . . &Dgr;t8) between the detected ventricular event and the first sample in each cycle, this temporal shift being a progressive variable shift from one cycle to the following cycle.

Abstract: An implantable cardiac stimulation device with automatic threshold testing capabilities. The device utilizes an algorithm for measuring a first and a second threshold settings. The first threshold setting is determined by decreasing the stimulation energy from an initially high, supra-threshold value until loss of capture is detected, and is set as the pulse energy at which capture is still detected. The second threshold setting is determined by increasing the stimulation energy from an initially low, sub-threshold value until capture is detected, and is set as the stimulation energy at which capture is regained. The algorithm further determines if the threshold test results are reliable by comparing the difference between the first and second threshold settings to an expected difference, known as the Wedensky Effect value. A deviation from the Wedensky Effect value which is known for a given patient, indicates a discrepancy in the threshold test result.

Abstract: The invention is a percutaneous electrical therapy system providing electrode axial stability during electrode insertion. In a preferred embodiment, the system includes a control unit; an electrode electrically connectable to the control unit to deliver electrical therapy to a patient, the electrode having a sharp point at a distal end adapted to be inserted into a patient's tissue; and an electrode insertion axial supporter adapted to provide axial support to the electrode during insertion of the electrode into the patient's tissue. The invention also includes an electrode and an electrode insertion axial supporter apart from the control unit.

Abstract: A cardiac defibrillator for discharging an electrical charge into a patient includes a device for storing mechanical energy, a generator, a capacitor, a charging circuit, a patient interface, an input device, and a control unit. The generator converts mechanical energy stored in the mechanical energy storage device into electrical energy. The charging circuit transfers the electrical energy to the capacitor, wherein the electrical energy is stored in the capacitor. The patient interface provides an electrical path for discharging the electrical energy stored in the capacitor into the patient. The input device is configured to generate a discharge signal. The control unit controls the discharge of the electrical energy into the patient in response to the discharge signal. The mechanical-to-electrical energy converter assembly can also be used to power other medical devices that conventionally run on batteries or AC power line sources.

Abstract: A system for a method of classifying distinct signals sensed from an electrode of an implantable cardiac pacing system positioned within an atrium of a heart of a patient is disclosed. The cardiac pacing system includes a pulse generator for generating pacing pulses and a controller for controlling the operation of a pacemaker. The method includes collecting atrial event signals consisting of P-wave signals and far field R-wave signals. An interim form factor histogram is generated based upon a form of collected atrial event signals. The interim form factor histogram includes an interim P-wave form factor histogram and an interim far field R-wave form factor histogram, each having bins of atrial event signals. A previously generated form factor histogram is weighted and combined with the interim form factor histogram to create a representative form factor histogram.

Abstract: A method and apparatus for protecting an electronic implantable medical device prior to it being implanted in a patient's body. The apparatus affords protection against electronic component damage due to electrostatic discharge and/or physical damage due to improper handling. The apparatus is comprised of a circuit board having first and second spring clips mounted on the board. The spring clips are configured to receive and releasably grasp the electrodes of a medical device housing to support the housing just above the surface of the circuit board. First and second conductive paths are formed on the circuit board extending between the first and second clips for shunting electrostatic discharge currents to prevent such currents from passing through the device electronic circuitry. The respective shunt paths include oppositely oriented diodes, preferably comprising diodes which emit light (i.e., LEDs) when current passes therethrough.