Abstract: A model of flow through a left ventricular assist device (LVAD) can be used for preoperative planning of implantation of the LVAD into a patient and/or optimization of the LVAD after implantation into the patient are described. At least one imaging data set related to a patient and at least one physiological data set related to the patient can be received. An ideal parameter related to the LVAD can be determined based on the at least one imaging data set related to the patient, the at least one physiological data set related to the patient using a model of circulation in a large spatial region of the patient's body and a three-dimensional anatomical model of at least one component of the region of the patient's body and at least one component of the LVAD. Flow patterns within the three-dimensional anatomical model are calculated using computational fluid dynamics.

Abstract: The present invention concerns a device for the ventricular emergency support, comprising: a first flexible catheter (2), with a variable transversal section, provided with an extremal balloon (7) for the controlled occlusion of the ascending aorta (AA) of the treated patient; a first pump (12), associated to said first catheter (2) for the aspiration and contemporary input of equivalent blood quantifies into the blood circle of the treated patient; a second flexible catheter (32), with a fixed transversal section, provided with a couple of extremal balloons (34), spaced apart, for the controlled occlusion of the inferior vena cava (CA) and of the superior vena cava (CD) of the treated patient; a second pump (35), associated to said first and second catheter (2, 32) for inflating and deflating said extremal balloons (7, 34) of said first and second catheter (2, 32); an electronic control unit (36) for adjusting and controlling the operational parameters of said first and second pump (12, 35), and for the dete

Abstract: A medical electrical lead includes a lead body, a high voltage electrode positioned on the lead body, the high voltage electrode comprising a proximal coated portion, a distal coated portion, and an uncoated portion. Additionally, the medical electrical lead includes a first low voltage electrode and a second low voltage electrode distal to the first low voltage electrode, wherein a first line passes through the first low voltage electrode and the second low voltage electrode, wherein a second line passes through the first low voltage electrode and the uncoated portion, the second line forming a first angle with the first line, and wherein a third line passes through the second low voltage electrode and the uncoated portion, the third line forming a second angle with the first line.

Abstract: An apparatus for a heart of a patient having a cardiac assist device adapted to be implanted into the patient to assist the heart with pumping blood. The apparatus has a sensor adapted to be implanted into the patient. The sensor in communication with the cardiac assist device and the heart which measures native volume of the heart. Alternatively, the sensor monitors the heart based on admittance while the cardiac assist device. Alternatively, the sensor monitors the heart based on impedance.

Abstract: An attachment device has a sewing ring frame and a locking mechanism movably mounted on the sewing ring frame. The locking mechanism includes a biasing element projecting from the outer surface of the sewing ring frame and a slide substantially co-planar to the sewing ring frame. The slide further includes a first mating member. Additionally, the locking mechanism includes at least one guide member overlapping the slide and a locking pin disposed between the slide and the sewing ring frame. The biasing element is movably coupled to the locking pin and the slide and is transitionable between a first configuration in which the first mating member is in a disengaged position to a second configuration in which the first mating member is in an engaged position.

Abstract: Systems, methods, and computer program product embodiments are disclosed for displaying cardiac signals based on a signal pattern. An embodiment operates by accessing an input cardiac signal. The embodiment matches a portion of the input cardiac signal to a known signal pattern. The embodiment then displays an indication of a degree of the match.

Abstract: Methods and devices for managing establishment of a communications link between an external instrument (EI) and an implantable medical device (IMD) are provided. The methods and devices comprise storing, in memory in at least one of the IMD or the EI an advertising schedule defining a pattern for advertisement notices. The advertisement notices are distributed un-evenly and separated by unequal advertisement intervals. The method transmits, from a transmitter in at least one of the IMD or the EI the advertisement notices. The advertisement notices are distributed as defined by the advertising schedule. The method establishes a communication session between the IMD and the EI.

Abstract: A system and method for measuring vital signs and motion from a patient comprising a plurality of sensors, each comprising a processor and analog-to-digital converter configured to generate the physiologic data waveform(s) from the sensor as synchronized, separately resolvable digital data comprising a header indicating the sensor from which the digital data originates, and to transmit the physiologic data waveform(s) to a processing system via a cable comprising a terminal connector that reversibly mates with one of a plurality functionally equivalent of connectors to operably connect the sensor to the processing system. The processing system receive sthe physiologic data waveforms and determines therefrom one or more vital signs for the individual, which are transmitted to a remote vital sign monitor.

Abstract: Methods of treating subjects may include assisting breathing of the subject via an external respiratory support device. The methods of treating subjects may further include delivering an electrical signal to a first nerve of the subject, wherein delivering of the first signal blocks a pain signal from a pulmonary stretch pain receptor. The methods may further include placing one or more electrodes proximate a first nerve, wherein the first electrodes are supported on an intravenous catheter.

Abstract: A medical device is disclosed. The device may include a service component for use in detecting patient data, at least one processor coupled with the service component, a care protocol module executable by the at least one processor to provide healthcare to a patient at least in part by generating a request for processing by the service component, and a resource module executable by the at least one processor to manage access to the service component by identifying a level of service associated with the care protocol module and responding to the request by managing the service component to meet the level of service. The care protocol module implements a patient care protocol that includes a sequence of actions directed to the patient. The level of service indicates a level of performance that the patient care protocol requires of the resource module. Selective offloading of modular functions is also enabled.

Abstract: A ventricularly implantable medical device that includes a sensing module that is configured to detect an atrial fiducial and identify an atrial contraction based at least on part on the detected atrial fiducial. Control circuitry in the implantable medical device is configured to deliver a ventricular pacing therapy to a patient's heart based at least in part on the identified atrial contraction, and can automatically switch or revert the ventricular pacing therapies on the fly.

Abstract: A circulation assist system measures impeller displacement for use in estimating a blood flow rate related parameter. A circulation assist system includes a blood pump and a controller. The blood pump includes an impeller magnetically supported within a blood flow channel. The blood pump includes one or more sensors configured to generate output indicative of displacement of the impeller along the blood flow channel induced by a blood-flow induced thrust load applied to the impeller. The controller is configured to process the output generated by the one or more sensors to determine the displacement of the impeller along the blood flow channel. The controller is configured to process the determined displacement of the impeller to estimate at least one of the thrust load applied to the impeller, a pressure differential of the blood impelled through the blood flow channel, and a flow rate of blood pumped by the blood pump.

Abstract: The present disclosure relates to a modular system for deep brain stimulation (DBS) and electrocorticography (ECoG). The system may have an implantable neuromodulator for generating electrical stimulation signals adapted to be applied to a desired region of a brain via an attached electrode array. An aggregator module may be used for collecting and aggregating electrical signals and transmitting the electrical signals to the neuromodulator. A control module may be used which is in communication with the aggregator module for controlling generation of the electrical signals and transmitting the electrical signals to the aggregator.

Abstract: An implantable pump is configured to be implanted in series with blood flow from a heart. The pump includes a frame configured to be implanted within the natural blood flow of the heart such as a ventricular outflow tract an outlet valve of the heart, and a central axle configured to be affixed within the frame parallel to the blood flow. The pump also includes a rotor attached to the central axle and configured to rotate in order to pump blood, and at least two electromagnetic coils configured to be energized in order to cause the rotor to rotate.

Abstract: A cochlear stimulation system for determining a Temporal Fine Structure (TFS) parameter of a spectral component of an incoming acoustic signal is provided. The system comprises a transducer receiving an incoming acoustic signal, and wherein a sampled audio signal of length N samples is provided based on the incoming acoustic signal, a storing unit including a plurality of window frequency differences and/or a plurality of window energy level differences. The system further comprises a signal processor for estimating the TFS parameter of the full frequency range of the sampled audio signal by locating a main spectrum sample of the plurality of spectrum samples having a maximum energy level within a range of frequencies centered around the main spectrum sample, and determining the TFS parameter based on the energy level difference for one or more of the spectrum samples of the group of spectrum samples and the window function.

Abstract: A system and method for providing electrical stimulation to biological tissue to treat medical conditions. The system can include a lead configured to be positioned in contact with biological tissue proximate one or more occipital nerves, an implantable pulse generator configured to deliver electrical stimulation to the biological tissue via the one or more leads, and/or a power source configured to operatively connect and supply power to the implantable pulse generator. The system can further include a processor configured to communicate with the implantable pulse generator. The processor can operate the implantable pulse generator to deliver the electrical stimulation to the biological tissue via the lead. The implantable pulse generator can deliver the electrical stimulation by applying a stimulation waveform or a stimulation pattern. The stimulation waveform can include a series of stimulation pulses that can vary over time, which can reduce an effect of neural accommodation or adaptation.

Abstract: Leads for use with implantable medical devices may be implanted in the venous, arterial, or lymphatic networks. The diameter of a microlead may be at most equal to 1.5 French (0.5 mm), and it may include a plurality of micro-cables each including: an electrically conductive core cable for connection to one pole of a multipolar generator of an active implantable medical device, and a polymer insulation layer surrounding the core cable. At least one exposed area may be formed in the insulation layer to form a detection/stimulation electrode.

Abstract: Some embodiments of pacing systems employ wireless electrode assemblies to provide pacing therapy. The wireless electrode assemblies may wirelessly receive energy via an inductive coupling so as to provide electrical stimulation to the surrounding heart tissue. In certain embodiments, the wireless electrode assembly may include one or more biased tines that shift from a first position to a second position to secure the wireless electrode assembly into the inner wall of the heart chamber.

Abstract: A method and medical device for determining sensing vectors that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a plurality of sensing vectors, determining a sensing vector metric in response to the sensed cardiac signals, determining a morphology metric associated with a morphology of the sensed cardiac signals, determining vector selection metrics in response to the determined sensing vector metric and the determined morphology setting, and selecting a sensing vector of the plurality of sensing vectors in response to the determined vector selection metrics.

Abstract: A method and apparatus for long-term assisting the left ventricle of a heart to pump blood is disclosed which includes at least one transluminally deliverable pump and a transluminally deliverable support structure which secures the at least one pump within the aorta for long-term use.