Abstract: An implantable medical device comprises therapy delivery circuitry and processing circuitry. The therapy delivery circuitry is configured to deliver anti-tachycardia pacing (ATP) therapy to a heart of a patient. The ATP therapy includes one or more pulse trains and each of the one or more pulse trains includes a plurality of pacing pulses. The processing circuitry is configured to, for at least one of the plurality of pacing pulses of at least one of the one or more pulse trains, determine at least one latency metric of an evoked response of the heart to the pacing pulse. The processing circuitry is further configured to modify the ATP therapy based on the at least one latency metric.

Abstract: In some aspects, a method includes measuring unipolar signals at one or more electrodes in response to electrical activity in a heart cavity. The method also includes determining, based at least in part on Laplace's equation, bipolar physiological information at multiple locations of a surface based on the measured unipolar signals and positions of the one or more electrodes with respect to the surface.

Abstract: Methods are provided to treat a neurological disorder in a patient by adjusting connectivity between network nodes in a brain of patient using electrical stimulation. Connectivity between network nodes may be increased by synchronous stimulation at multiple network nodes depending upon the neurological disorder. Also, connectivity may be decreased by asynchronous or randomized stimulation at multiple network nodes depending upon the neurological disorder.

Abstract: Presented herein are implantable digital communication techniques for use in implantable systems, such as implantable hearing systems. An implantable system in accordance with embodiments presented herein includes an implantable stimulator module and an implantable secondary module connected to the implantable stimulator module via a wire connection. The implantable secondary module is configured to generate and send a biphasic information signal to the implantable stimulator module via the wire connection. An error detector in the implantable stimulator module is configured to detect when the biphasic information signal includes an error.

Abstract: The present invention is an apparatus for detection of high-frequency heart sounds for diagnosing heart diseases. One embodiment utilizes an accelerometer-based detector that presents a light load to the chest, is sensitive to the desired high frequency range, and provides a quantitative measurement of the quality of the acquired signal. Two piezoelectric sensors are positioned so that they respond to the same mechanical energy and will produce identical electrical signals in the absence of noise. Through signal processing means the two signals can provide an estimate of the signal-to-noise ratio of the acquired signal. The two signals can also be combined to further improve the signal-to-noise ratio.

Abstract: A cardiac rhythm management system senses a cardiac signal indicative of heartbeats and an acoustic signal indicative of heart sounds and detects atrial tachyarrhythmia based on the sensed cardiac and acoustic signals. In various embodiments, the system senses the cardiac and acoustic signals without using an atrial lead, thus allowing for, for example, monitoring atrial fibrillation burden in a heart failure patient who does not wear an implantable device with an atrial lead. In various embodiments, the system detects heartbeats and heart sounds, measures parameters associated with the detected heartbeats and heart sounds, and detects one or more specified types of atrial tachyarrhythmia using the measured parameters. In various embodiments, the measured parameters are selected from heart rate, heart sound amplitude, cycle length variability, and systolic and diastolic intervals.

Abstract: The present disclosure provides systems and methods for classifying signals of interest in a cardiac rhythm management (CRM) device. A CRM device includes an intrinsic activation sensing circuit configured to pass signals falling within a first passband, a crosstalk sensing circuit configured to pass signals falling within a second passband, wherein the second passband contains higher frequencies than the first passband, and a computing device communicatively coupled to the intrinsic activation sensing circuit and the crosstalk sensing circuit, the computing device configured to classify a signal of interest as one of an intrinsic activation signal and a crosstalk signal based on whether the signal of interest is passed by the intrinsic activation sensing circuit and the crosstalk sensing circuit.

Abstract: A neuromodulation catheter in accordance with a particular embodiment includes an elongate shaft and a neuromodulation element operably connected to the shaft. The shaft includes a proximal hypotube segment at its proximal end portion and a jacket disposed around at least a portion of an outer surface of the hypotube segment. The jacket may be made at least partially of a polymer blend including polyether block amide and polysiloxane. The neuromodulation element includes a distal hypotube segment and a tubular jacket disposed around at least a portion of an outer surface of the distal hypotube segment. The jacket has reduced-diameter segments spaced apart along its longitudinal axis. The neuromodulation element further includes band electrodes respectively seated in the reduced-diameter segments and respectively forming closed loops extending circumferentially around the jacket.

Abstract: The invention relates to an active implantable medical device. The device includes a VNS pulse generator, an activity sensor for detecting a patient's current activity level, and a processor. The processor is configured to collect the electrical activity of the heart, such as a current intrinsic heart rate of the patient. The processor further calculates values of a reference heart rate based on the patient's current activity level. A first histogram is constructed from the reference heart rate values, and a second histogram is constructed from the intrinsic heart rate values. An index representative of the patient's condition is derived by comparing the first and second histograms.

Abstract: An apparatus comprises a stimulus circuit, a switch circuit, and a control circuit. The stimulus circuit is configured to provide electrical pulse stimulation to the plurality of electrodes. The switch circuit is configured to electrically couple different combinations of the electrodes to the stimulus circuit. The control circuit is to configure a stimulation vector that includes a first vector electrode and a plurality of other electrodes electrically coupled together to form a second combined vector electrode. The control circuit includes a capture detection sub-circuit configured to determine individual capture stimulation thresholds between the first vector electrode and each single electrode of the combined vector electrode. The control circuit is configured to determine a capture stimulation threshold of the stimulation vector using the determined individual capture thresholds.

Abstract: Systems, methods, and computer-readable media are disclosed for identifying when a subject is likely to be affected by a medical condition. For example, at least one processor may be configured to receive information reflective of an external soft tissue image of the subject. The processor may also be configured to perform an evaluation of the external soft tissue image information and to generate evaluation result information based, at least in part, on the evaluation. The processor may also be configured to predict a likelihood that the subject is affected by the medical condition based, at least in part, on the evaluation result information.

Abstract: An extensible implantable electrical lead includes a lead body having a proximal end and a distal end. The lead body is formed of a polymeric material that is extensible between a first length and a second length. A plurality of electrical conductors are disposed within the lead body and extend between the proximal end and the distal end. The plurality of electrical conductors are each electrically insulated from each other and form a braided coil extending between the proximal end and the distal end. The plurality of electrical conductors are electrically insulated and separated from each other and have a braided coil diameter.

Abstract: System for electrically ablating tissue of a patient through a plurality of electrodes includes a memory, a processor and a treatment control module stored in the memory and executable by the processor. The treatment control module generates an estimated treatment region based on the number of electrical pulses to be applied.

Abstract: A medical device, such as an intra-aortic balloon pump or carrier with an extendable wheel track and handle configured to be removably carried and integrated with a cart. The wheel track is configured to extend upon extension of the handle and to return to its original position upon retraction of the handle.

Abstract: An electric stimulator for heart (as in heart pacemakers), brain (as in DBS), organs and general cells, with a supporting structure where there exists a first plurality of electrically isolated electrodes called field-shaping electrodes that are located under the surface of the supporting structure, and a second plurality of ordinary electrically stimulating electrodes called active electrodes, that are located at the surface of the supporting structure, capable of injecting electric charges in the space surrounding the supporting structure. Both types of electrodes are controlled by an appropriate electronics control unit and powered by some electric energy storage, as a battery. Field-shaping electrodes are electrically insulated, being unable to inject current in the surrounding medium, but they are capable of shaping the electric field, which has consequence on the path of the stimulating currents injected by active electrodes.

Abstract: Methods and devices are disclosed herein for therapeutically treating atrial tissue to lessen the effects of mechanical stress on atrial tissue, where reducing mechanical stress in the portion of atrial tissue reduces formation of at least one arrhythmia substrate. In one example, the devices and methods are suitable for minimally invasive surgery. More particularly, methods and devices described herein permit creating an ablation pattern on an organ while reducing excessive trauma to a patient.

Abstract: The invention is a heart assist device which has been developed in order to maintain the blood circulation in end-stage heart patients who do not respond to medical treatment, and it has been designed in size and shape so that it can be installed into the anatomically spacious root sections of the aorta and main pulmonary artery. With its small volume, and exceptional motor design without a shaft, the device, which contains a brushless, asynchronous and three-phase electric motor, will consume much less energy. The three-phase current required for the motor is provided from the power supply outside the body through the synchronous and wireless transmission of three phases. The invention is about a permanent endovascular cardiac support device which contains a three-phase, brushless, asynchronous electric motor, and the required energy is provided through the three-phase wireless power transmission from outside the body.

Abstract: A biological signal measuring system includes a sensor and a biological signal measuring apparatus configured to calculate a blood refill time of a living tissue of a subject. The sensor includes a pressure applying portion configured to apply pressure on the living tissue, a light emitter configured to emit light toward the living tissue, a light receiver configured to receive reflected light or transmitted light from the living tissue, a first light transmitting member made of a light transmitting material and having one side contacting the light emitter and the other side arranged to contact the subject, a second light transmitting member made of a light transmitting material and having one side contacting the light receiver and the other side arranged to contact the subject, and a light blocking member configured to block light between the light emitter and the light receiver.

Abstract: Circuitry useable to protect and reliably charge a rechargeable battery, even from a zero-volt state, is disclosed, and is particularly useful when employed in an implantable medical device. The circuit includes two charging paths, a first path for trickle charging the battery at a relatively low current when the battery voltage is below a threshold, and a second path for charging the battery at relatively higher currents that the battery voltage is above a certain threshold. A passive diode is used in the first trickle-charging path which allows trickle charging even when the battery voltage is too low for reliable gating, while a gateable switch (preferably a PMOS transistor) is used in the second higher-current charging path when the voltage is higher and the switch can therefore be gated more reliably. A second diode between the two paths ensures no leakage to the substrate through the gateable switch during trickle charging.

Abstract: An external device transfers a key to an implantable medical device over a proximity communication and then establishes a first far field communication session with the implantable medical device where the key is used for the first communication session. This first communication session may occur before implantation while the implantable medical device is positioned outside of the sterile field so that using a proximity communication is easily achieved. Once the implantable medical device is passed into the sterile field for implantation, the external device may then establish a second far field communication session with the implantable medical device where the last key that was used for the first communication session is again used for the second communication session which avoids the need for another proximity communication to occur within the sterile field.