Abstract: Disclosed herein, among other things, are methods and apparatus related to ablation catheters with wireless temperature sensing. The present subject matter provides an ablation catheter system including an ablation transducer and a wireless temperature sensor. The wireless temperature sensor includes at least one temperature sensing element configured to sense a temperature-dependent parameter, circuitry configured to measure the sensed parameter and compute a temperature, a transmitter configured to wirelessly transmit a signal including at least one of the sensed parameter and the computed temperature, and a power supply. A controller is provided to coordinate timing of ablation therapy and sensing of the wireless temperature sensor, in various embodiments.

Abstract: Disclosed herein, among other things, are methods and apparatus related to ablation catheter systems with wireless temperature sensing. The present subject matter provides an ablation catheter system including an ablation catheter configured to ablate a target zone of tissue and at least one temperature sensitive resonator coupled to the ablation catheter. The resonator is configured to wirelessly emit a signal indicative of a sensed temperature in response to an interrogation signal. The ablation catheter system also includes an external device configured to provide the interrogation signal and to receive and decode the emitted signal from the resonator. The temperature sensitive resonator is configured to be placed proximate to and in thermal conduction with the target zone of tissue and to resonate at a frequency dependent upon a temperature of the resonator when excited by the interrogation signal, in various embodiments.

Abstract: Systems for nerve and tissue modulation are disclosed. An example system may include an intravascular nerve modulation system including an elongated shaft having a proximal end region and a distal end region. The system may further include a bar element extending distally from the distal end region of the elongated shaft and one or more ablation transducers affixed to the bar element.

Abstract: Systems for nerve and tissue modulation are disclosed. An example system may include a first elongate element having a distal end and a proximal end and having at least one nerve modulation element disposed adjacent the distal end. The nerve modulation element may be positioned or moveable to target a particular tissue region. The nerve modulation element may be an ultrasound transducer.

Abstract: Methods, systems, and apparatus for recharging medical devices implanted within the body are disclosed. An illustrative rechargeable system includes a charging device that includes an elongate shaft having a proximal section and a distal section. The distal section is configured to be delivered to a location within the body adjacent to the implanted medical device. The charging device includes a charging element configured to transmit charging energy to a receiver of the implanted medical device.

Abstract: Methods, systems, and apparatus for recharging medical devices implanted within the body are disclosed. An illustrative method of recharging an implanted medical device includes delivering a charging device to a location adjacent to the implanted medical device, activating a charging element coupled to the charging device and transmitting charging energy to a receiver of the implanted medical device, and charging the implanted medical device using the transmitted charging energy from the charging device.

Abstract: Systems and methods of acoustically interrogating a packaged medical implant such as an implantable sensor are disclosed. An illustrative system includes a sterilizable package including a package tray and a cover, a sensor module disposed within the package, and an acoustic coupling member disposed within an interior space of the package tray. An external interrogator located outside of the sealed package can be used to acoustically communicate with the sensor module.

Abstract: An implantable system for ambulatory monitoring of a high-risk heart failure patient includes a first pressure sensor implantable within an abdomen of the patient for sensing and generating an output representative of a baseline intra-abdominal pressure value of the patient and for chronically sensing and generating an output representative of an intra-abdominal pressure value of the patient at periodic intervals. At least one second implantable sensor is provided for sensing and generating an output representative of a second physiological parameter of the patient. Additionally, the system includes a processor for correlating the output of the first pressure sensor and the second physiologic sensor, and for comparing differences between the baseline intra-abdominal pressure value and subsequent intra-abdominal pressure values. The processor can reside in another implantable device or in an external device/system.

Abstract: An acoustic energy delivery system for delivering acoustic energy to an implantable medical device (“IMD”). The system includes an IMD having a power source and an energy delivery device. The energy delivery device includes a controller and an array of ultrasonic elements electrically coupled to the controller and configured to deliver acoustic energy to the IMD. Methods of delivering acoustic energy to an IMD are also disclosed.

Abstract: Systems and methods for wireless signal transfers between ultrasound-enabled medical devices are disclosed. An illustrative system includes a source device equipped with multiple transducer elements configured to transmit an acoustic wave, a target device including an acoustic transducer for receiving the acoustic wave from the source device, and a controller configured to determine adjustments to one or more transmission parameters of the source device for increasing the signal coherence of the acoustic wave at the target device.

Abstract: An acoustic energy delivery system for delivering acoustic energy to an implantable medical device (“IMD”). The system includes an IMD having a power source and an energy delivery device. The energy delivery device includes a controller and an array of ultrasonic elements electrically coupled to the controller and configured to deliver acoustic energy to the IMD. Methods of delivering acoustic energy to an IMD are also disclosed.

Abstract: Systems and methods for ultrasonically monitoring implantable medical devices are disclosed. An ultrasonic monitoring system includes an ultrasonic transmitter that transmits an ultrasonic wave into the body, an implantable medical device including at least one ultrasonic reflecting unit configured for reflecting a portion of the ultrasonic wave, and an ultrasonic imaging monitor configured to receive a reflected portion of the ultrasonic wave and produce an ultrasonic image of the implantable medical device within the body. The ultrasonic reflecting unit can include an echogenic fluid medium that reflects a portion of the ultrasonic wave received from the ultrasonic transmitter. The ultrasonic reflecting units can be positioned at various locations on the device to produce localized areas of increased echogenicity, which can be used by the implanting physician to gauge the location of the device within the body.

Abstract: A system and method for in situ trimming of oscillators in a pair of implantable medical devices is provided. Each frequency over a range of oscillator trim frequencies for an initiating implantable medical device is selected and a plurality of commands are sent via an acoustic transducer in situ over the frequency selected. Each frequency over a range of oscillator trim frequencies for a responding implantable medical device is selected and a response to each of the commands received is sent via an acoustic transducer in situ over the frequency selected. The responses received by the initiating implantable medical device are evaluated and a combination of the oscillator trim frequencies for both implantable medical devices that together exhibit a strongest acoustic wave is identified. Oscillators in both implantable medical devices are trimmed to the oscillator trim frequencies in the combination identified.

Abstract: An apparatus comprising an implantable acoustic transducer, an acoustic transducer interface circuit communicatively coupled to the acoustic transducer, and a controller circuit communicatively coupled to the acoustic transducer interface circuit. The controller is configured to, in response to receiving an indication of a patient condition associated with a development of a blood vessel obstruction, initiate delivery of acoustic energy that mitigates the blood vessel obstruction. Other systems and methods are described.

Abstract: Systems and methods of acoustically interrogating a packaged medical implant such as an implantable sensor are disclosed. An illustrative system includes a sterilizable package including a package tray and a cover, a sensor module disposed within the package, and an acoustic coupling member disposed within an interior space of the package tray. An external interrogator located outside of the sealed package can be used to acoustically communicate with the sensor module.

Abstract: A system includes a first implantable acoustic transducer, a second implantable transducer a memory circuit, and a processor. The first implantable acoustic transducer is configured to receive transmitted acoustic energy from a thorax region of a subject and the second implantable acoustic transducer is configured to transmit the acoustic energy to the thorax region. The processor is communicatively coupled to the first acoustic transducer, the second acoustic transducer, and the memory circuit. The processor includes a parameter module configured to measure a parameter of the received acoustic energy, and a trending module configured to trend the measured parameter and to provide an indication of pulmonary edema status of the subject using the parameter trend.

Abstract: Devices, systems, and methods for monitoring and analyzing physiologic parameters within the body using an intrabody ultrasound signal are disclosed. An illustrative method includes receiving an ultrasound signal transmitted from a remote device containing encoded sensor data, converting the ultrasound signal into an electrical signal, decoding the sensor data from the electrical signal and generating a first physiological waveform, generating a second physiological waveform by analyzing fluctuations of the electrical signal caused by physiologic modulation of the ultrasound signal during propagation through the body, and analyzing one or more characteristics of the first and second waveforms to determine one or more physiologic parameters within the body.

Abstract: An implantable system for ambulatory monitoring of a high-risk heart failure patient includes a first pressure sensor implantable within an abdomen of the patient for sensing and generating an output representative of a baseline intra-abdominal pressure value of the patient and for chronically sensing and generating an output representative of an intra-abdominal pressure value of the patient at periodic intervals. At least one second implantable sensor is provided for sensing and generating an output representative of a second physiological parameter of the patient. Additionally, the system includes a processor for correlating the output of the first pressure sensor and the second physiologic sensor, and for comparing differences between the baseline intra-abdominal pressure value and subsequent intra-abdominal pressure values. The processor can reside in another implantable device or in an external device/system.

Abstract: Methods, systems, and apparatus for recharging medical devices implanted within the body are disclosed. An illustrative method of recharging an implanted medical device includes delivering a charging device to a location adjacent to the implanted medical device, activating a charging element coupled to the charging device and transmitting charging energy to a receiver of the implanted medical device, and charging the implanted medical device using the transmitted charging energy from the charging device.

Abstract: An acoustic energy delivery system for delivering acoustic energy to an implantable medical device (“IMD”). The system includes an IMD having a power source and an energy delivery device. The energy delivery device includes a controller and an array of ultrasonic elements electrically coupled to the controller and configured to deliver acoustic energy to the IMD. Methods of delivering acoustic energy to an IMD are also disclosed.