Abstract: A communications bridge device communicates between a consumer electronics device, such as a smart telephone, and an implantable medical device. The bridge forwards instructions and data between the consumer electronics device and the implantable medical device. The bridge contains a first transceiver that operates according to a communication protocol operating in the consumer electronics device (such as Bluetooth®), and second transceiver that operates according to a communications technique operating in the implantable medical device (e.g., Frequency Shift Keying). A software application is installed on the consumer electronics device, which provides a user interface for controlling and reading the implantable medical device. The software application is downloadable using standard cellular means. The bridge is preferably small, and easily and discreetly carried by the implantable medical device patient.

Abstract: In an embodiment, an antenna for a medical device, e.g., an implantable medical device (IMD), comprises an electrically conductive wire that spirals to form a three-dimensional shape of a rectangular cuboid. In another embodiment, the antenna comprises an electrically conductive wire that spirals to form a three-dimensional shape of an elliptical cylinder, an oval cylinder, an elongated pentagonal prism, an elongated hexagonal prism, or some other shape where the longitudinal diameter of the antenna is greater than the lateral diameter of the antenna. The antennas are sized to fit within a portion of a header of the medical device. Such antennas are designed to provide increased antenna gain and antenna bandwidth.

Abstract: An automated external defibrillator (AED) (10) having a treatment decision processor (28) is described which follows a “shock first” or a “CPR first” rescue protocol after identification of a treatable arrhythmia, depending upon an estimate of the probability of successful resuscitation made from an analysis of a patient parameter measured at the beginning of the rescue. The invention may also follow different CPR protocols depending on the estimate. The invention also may use the trend of the measured patient parameter to adjust the CPR protocol either during a CPR pause or after the initial CPR pause. The AED (10) thus enables an improved rescue protocol.

Abstract: A therapeutic stimulator, e.g., a spinal neurostimulator for pain relief, adapts stimulation delivered to the patient in dependence on measurements of patient orientation (e.g., from a three-axis accelerometer), and also on impedance measurements from leads situated within or upon the patient's body (e.g., from electrodes on neurostimulation leads extending alongside the spine). Since the impedance measurements can provide additional data regarding body positioning, as well as providing data regarding electrode status (such as lead migration, electrode encapsulation, etc.), use of the impedance measurements can provide more refined (and more appropriate) control of delivered stimulation.

Abstract: This document relates to systems and techniques for the treatment of a cardiac arrest victim via electromagnetic stimulation of physiologic tissue.

Abstract: Embodiments of the invention are related to biosorbable batteries, amongst other things. In an embodiment, the invention includes a biosorbable battery assembly including an anode, a cathode, and a biosorbable separation element. The anode can include an anode material, wherein electrochemical oxidation of the anode material results in the formation of reaction products that are substantially non-toxic. The cathode can include a cathode material, wherein electrochemical reduction of the cathode material results in the formation of reaction products that are substantially non-toxic, the cathode material having a larger standard reduction potential than the material of the anode. The biosorbable separation element can be disposed between the anode and the cathode and can be configured to provide electrical insulation between the anode and the cathode.

Abstract: The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include an implantable medical device that delivers therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state, a user interface that receives patient input associating one or more of the therapy parameter values with a second posture state different from the first posture state, and a processor that automatically defines therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.

Abstract: An ECG sensing apparatus and a method for removing a baseline drift in the clothing are provided. The ECG sensing apparatus filters ECG signals and filters a baseline drift noise which is caused by human body's motion and breathing. Accordingly, the baseline drift in the sensing apparatus is minimized even if there is a free motion.

Abstract: An implantable medical device can include a hermetically-sealed implantable housing, an exposed first conductor located on or near the housing, and at least one insulated second conductor located near the exposed first conductor. In an example, the implantable medical device can include an isolation test circuit to provide a test stimulus to the exposed first conductor and configured to measure a portion of the test stimulus coupled to the second conductor.

Abstract: An apparatus includes a cathode chamber configured to store a gel cathode and an anode chamber configured to store a gel anode. A cathode dispensing channel is in fluid communication with the cathode chamber and allows at least a portion of the gel cathode to be dispensed. An anode dispensing channel is in fluid communication with the anode chamber and allows at least a portion of the gel anode to be dispensed. A portion of the gel cathode and a portion of the gel anode come into contact upon being dispensed to form an active battery that can be used to generate an electrical current.

Abstract: A contact assembly for a medical device and, more specifically, to a header contact assembly for achieving electrical contact with an in-line IPG lead utilizing a contact structure such as a “toroidal spring in groove” device.

Abstract: An electrical stimulation system provides stimulation therapy to a patient. The system includes a neurostimulation lead that contacts patient tissue and couples with an implantable stimulation device, such as an implantable pulse generator, that receives stimulation parameters for providing stimulation therapy to a patient. The implantable stimulation device includes a header with a plurality of connector assemblies that receive an end of the neurostimulation lead, and a case containing a charging coil and a telemetry coil coupled to programming circuitry on a printed circuit board, which is in turn coupled to the connector assemblies via a feedthrough assembly. The telemetry coil receives data from an external programmer and transmits the data to the programming circuitry, which in turn uses the data to communicate to the connector assemblies and the neurostimulation lead to provide stimulation therapy to a patient.

Abstract: Systems and methods of performing rhythm discrimination within a patient's body using sensed hemodynamic signals are disclosed. The method can include the steps of receiving an electrical activity signal from an electrode located within or near the heart, detecting an event of the heart based on the received electrical activity signal, sensing one or more mechanical measurements using a sensor located within the body, analyzing a mechanical activity signal received from the sensor, and confirming the type of event based on the mechanical and electrical activity signals. The sensor can comprise a single pressure sensor configured to sense both atrial and ventricular activity within the heart.

Abstract: A system may include an active implantable medical device implantable in a body of a patient and a patient programmer for the AIMD. The patient programmer may be configured to obtain magnetic resonance imaging (MRI) compatibility information relating to compatibility of the AIMD with an MRI modality.

Abstract: Composite electrode pads/plugs are configured to be utilized in an electrical stimulator device, particularly one designed to provide surface-applied electrical twitch obtaining intramuscular stimulation (eToims®). The composite pads/plugs include a porous liquid absorbent (e.g., felt) plug sized to be placed in a receptacle of the stimulator device, and a composite pad of porous liquid absorbent (e.g., cotton) material that covers the plug. In an embodiment, the composite pad is formed of cotton stuffing material encased between two sheets of cotton mesh/pad material. The composite pads/plugs can serve to increase, and improve wetting of, the surface area which contacts the patient and delivers the electrical stimulation. In addition to convenience of application, the disclosed structures have been found to help reduce sharp pain felt by the patient during stimulation, without interfering with the ability of the electricity to penetrate deeply in order to provide effective eToims®.

Abstract: Techniques are provided for controlling neurostimulation such as spinal cord stimulation (SCS) using a cardiac rhythm management device (CRMD). In various examples described herein, neurostimulation is delivered to a patient while regional cardiac performance of the heart of the patient is assessed by the CRMD. The delivery of further neurostimulation is adjusted or controlled based, at least in part, on the regional cardiac performance, preferably to enhance positive effects on the heart due to the neurostimulation or to mitigate any negative effects. Regional cardiac performance is assessed based on parameters derived from cardiogenic impedance signals detected along various vectors through the heart.

Abstract: A system and method for treating anorectal dysfunction includes implanting, in a minimally invasive manner, an electro-medical device for stimulation of two or more separate and distinct anatomical or histological structures of the anorectal region. Electrodes operably connected to the device are positioned proximate the target anatomical or histological structures. The device provides either the same or different stimulation algorithms to each anatomical or histological structure. Smooth muscle, such as the internal anal sphincter, is provided with a continuous stimulation algorithm, while skeletal muscle, such as the external anal sphincter, is provided with an on demand stimulation algorithm. Varying stimulation algorithms applied to multiple structures results in improved anorectal function without developing muscle fatigue and tolerance.

Abstract: A medical device having a sensor sensing an n-dimensional signal during a first known variable condition and during a second known variable condition different from the first known variable condition, a processor performing principal component analysis (PCA) on the sensed n-dimensional signal to generate a first template corresponding to a principal component of variation associated with the first known variable condition and a second template corresponding to a principal component of variation associated with the second known variable condition, a storage device storing the first template and the second template, and a controller detecting a patient condition in response to the stored templates.

Abstract: An implantable control module for an electrical stimulation system includes an electronic subassembly disposed in a sealed conductive housing. A plurality of feedthrough pins extend through the sealed housing and couple connector contact of an external connector to the electronic subassembly. Each of the plurality of conductive pathways electrically couples a different one of the plurality of feedthrough pins to the electronic subassembly. A ground line electrically couples the electronic subassembly to the housing. A capacitive flex circuit is disposed in the housing and couples to each of the feed through pins. For each of the plurality of feedthrough pins the capacitive flex circuit includes a first conductive path electrically coupling the feedthrough pin to a corresponding conductive pathway of the plurality of conductive pathways, and a second conductive path electrically coupling the feedthrough pin to the ground pin.

Abstract: A hearing assistance device and method is presented. An electrode is configured to be disposed within a cochlea of a user. A processor is in communication with the electrode and is configured to stimulate the electrode. The processor is configured to receive an input audio signal, band-pass filter the input audio signal into a plurality of channel signals, apply a Hilbert transform to at least one of the plurality of channel signals to generate a transformed audio signal, and analyze the transformed audio signal to identify at least one positive-moving zero crossing of the transformed audio signal. Upon identifying the at least one positive-moving zero crossing of the transformed audio signal, the processor is configured to trigger an electric current pulse to be delivered to the electrode.