Abstract: An active medical device, comprising a processor, a memory unit, and at least one of an accelerometer and a detection unit configured to detect a body impedance. During operation, the active medical device carries out the following steps: a) measuring a body impedance of a patient with the detection unit during a first period of time to obtain time-dependent impedance data and calculating a power spectral density of the impedance data; b) alternatively or additionally to step a), measuring an acceleration of a body of the patient with the accelerometer during the first period of time to obtain time-dependent acceleration data and calculating a power spectral density of the acceleration data; c) identifying coughing of the patient on the basis of the calculated power spectral density if at least 1% of all values of the power spectral density have a frequency of at least 1 Hz.

Abstract: A device for neurostimulation has a number N of electrodes. N is equal to or larger than 3. The device is configured to deliver via each electrode therapeutic electric phases of amplitudes I1, I2, . . . IN, with a frequency f and after each therapeutic electric phase a number of N?1 charge balancing electric phases. The charge balancing electric phases of the respective electrode each have a polarity that is opposite the polarity of the preceding therapeutic electric phase of the respective electrode. The device is configured to return for each electrode the current of each therapeutic electric phase in the other N?1 electrodes.

Abstract: A device for neurostimulation has a number N of electrodes. N is equal to or larger than 3. The device is configured to deliver via each electrode therapeutic electric phases of amplitudes I1, I2, . . . IN, with a frequency f and after each therapeutic electric phase a number of N?1 charge balancing electric phases. The charge balancing electric phases of the respective electrode each have a polarity that is opposite the polarity of the preceding therapeutic electric phase of the respective electrode. The device is configured to return for each electrode the current of each therapeutic electric phase in the other N?1 electrodes.

Abstract: A system for generating an alert for a systemic infection of a patient comprises an implantable medical device configured to measure at least one physiological parameter, a remote monitoring system configured to receive information from the implantable medical device, and an information system configured to communicate with said remote monitoring system. At least one of the implantable medical device, the remote monitoring system and the information system is configured to analyze information relating to said at least one physiological parameter to generate an alert signal for a systemic infection of the patient based on a state of the at least one physiological parameter, wherein at least one of the implantable medical device, the remote monitoring system and the information system is further configured to generate an alert message to be provided to a specified destination based on said alert signal.

Abstract: A pacing device, a system comprising the pacing device and a method for operation of the pacing device, wherein the pacing device comprises a housing, a processor and a receiver electrically connected to the processor, wherein the processor is adapted to deliver signals for electric stimulation of a patient's heart according to at least one first stimulation mode and deliver signals for electric stimulation of the patient's heart according to an antitachycardiac pacing mode (ATP mode), wherein the ATP mode is initially deactivated and/or is to be upgraded, wherein the receiver is adapted to receive an ATP confirmation signal transmitted by an external device or produced by operation of an actuator accommodated at the housing of the pacing device, wherein the processor is adapted to upgrade the ATP mode and/or to activate the ATP mode only if the ATP confirmation signal comprises a pre-defined confirmation information.

Abstract: Modular cardiac rhythm management system and method, including: a first implantable stimulation device (ISD), and a second ISD, wherein the first ISD comprises a first detection unit detecting a patient's cardiac rhythm and a first processor analyzing the detected patient's cardiac rhythm and delivering a first antitachycardia pacing therapy (APT), wherein the second ISD comprises a second detection unit detecting the patient's cardiac rhythm and a second processor analyzing the detected patient's cardiac rhythm and delivering shock therapy or a second APT, and wherein the first processor allows delivery of APT only if analysis of the patient's cardiac rhythm within preceding time period A reveals tachycardia criterion A? and absence of shock therapy, and/or wherein the second processor allows delivery of shock therapy or second APT only if analysis of the patient's cardiac rhythm within preceding time period B reveals tachycardia criterion B? and absence of first APT.

Abstract: The present invention relates to a system and method for replacing an implanted medical device with an implantable medical replacement device, wherein a programming device sends a command signal to the medical device to change an address of the medical device to a new address being different from an address of the replacement device to allow independent communication of the programming device with both the medical device and the replacement device.

Abstract: The disclosure relates to an implant comprising a substrate, a housing, wherein the housing is disposed on the substrate, an electronic circuit disposed on the substrate inside the housing, an electronic component disposed on the substrate outside the housing, and a conductor track, wherein the conductor track connects the electronic circuit to the electronic component. The conductor track is embedded into the substrate at least in sections in such a way that at least one section of the conductor track is completely surrounded by the substrate. Furthermore, a method for creating an implant is disclosed.

Abstract: A header for an implantable medical device includes at least an antenna and a receptacle for receiving a signal transmission line. Either one or a combination of the antenna and the receptacle are encased in a dielectric material. The dielectric material can be one of or include one of a polymer, a ceramic material, polyoxymethylene, polysulfone, polybutylene terephthalate. A medical device and a method for assembling a medical device are also provided.

Abstract: The disclosure related to an implant comprising a substrate, a housing, wherein the housing is disposed on the substrate, an electronic circuit disposed on the substrate inside the housing, an electronic component disposed on the substrate outside the housing, and a conductor track, wherein the conductor track connects the electronic circuit to the electronic component. The conductor track is embedded into the substrate at least in sections in such a way that at least one section of the conductor track is completely surrounded by the substrate. Furthermore, a method for creating an implant is disclosed.

Abstract: An intracardiac pacemaker device, comprising a housing that is configured to be implanted entirely within a ventricle (V) of a heart (H), an electronic module for generating pacing pulses, a battery for supplying energy to the electronic module, an elongated lead extension protruding from the housing, at least a first electrode arranged on the elongated lead extension, and a pacing electrode and a return electrode for applying the pacing pulses to cardiac tissue, wherein the pacing electrode is arranged on the housing. The electronic module is electrically coupled to the pacing electrode via the housing, and wherein the electronic module is configured to carry out measurements of electrical activity via the at least one first electrode of the elongated lead extension.

Abstract: A leadless pacemaker device for providing an intra-cardiac pacing includes processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate, a first sensor configuration receiving a first sense signal, and a second sensor configuration receiving a second sense signal. The processing circuitry derives, in a first sensing state, atrial events from the first sense signal for controlling the ventricular pacing rate based on the atrial events. The processing circuitry switches, based on at least one switching criterion, from the first sensing state to a second sensing state in which the processing circuitry derives atrial events from the second sense signal. The second sense signal is received by the second sensor configuration for detection of atrial events and the second sensor configuration is a motion sensor or a sound sensor. A method for operating the pacemaker device is also provided.

Abstract: An implantable medical device includes a housing having a proximal end and a distal end. The implantable medical device is placeable on cardiac tissue in the region of the distal end. An anchoring device is fixedly attached to the housing in the region of the distal end. The anchoring device includes at least one anchoring member. The at least one anchoring member includes a first end and a second end opposite the first end. The second end is disposed on the housing. The at least one anchoring member longitudinally extends between the first end and the second end along an axis of extension and is formed by a flat strip which is twisted by a twist angle about the axis of extension between the first end and the second end. A method for manufacturing an implantable medical device is also provided.

Abstract: A system for generating an alert for a systemic infection of a patient comprises an implantable medical device configured to measure a measurement parameter indicative of the heart rate at rest of the patient, and a remote monitoring system configured to receive information from the implantable medical device. A module is configured to analyze information relating to said measurement parameter indicative of the heart rate at rest of the patient to generate an alert signal for a systemic infection of the patient based on a state of the heart rate at rest.

Abstract: Implantable medical device for stimulating a human or animal heart comprises a processor, a memory unit, a stimulation unit configured to stimulate a cardiac region of a heart, a detection unit configured to detect an electrical signal of the same heart, and a temperature sensor for sensing a body temperature. In operation, the device performs the following steps: a) causing the temperature sensor to repeatedly sense a body temperature of a person to whom the implantable medical device is implanted: b) storing body temperature values obtained in step a) in the memory unit; c) performing a statistical analysis on at least a subset of the stored body temperature values to calculate at least one of a body temperature reference value, a variation of the sensed body temperature values and a variability of the sensed body temperature values; and d) performing at least one defined task with the calculated values.

Abstract: An active medical device, comprising a processor, a memory unit, and at least one of an accelerometer and a detection unit configured to detect a body impedance. During operation, the active medical device carries out the following steps a) measuring a body impedance of a patient with the detection unit during a first period of time to obtain time-dependent impedance data and calculating a power spectral density of the impedance data; b) alternatively or additionally, to step a), measuring an acceleration of a body of the patient with the accelerometer during the first period of time to obtain time-dependent acceleration data and calculating a power spectral density of the acceleration data; c) identifying coughing of the patient on the basis of the calculated power spectral density if at least 1% of all values of the power spectral density have a frequency of at least 1 Hz.

Abstract: A device for neurostimulation includes a pulse generator for generating current having pulses and at least one first pair of electrodes connected to the pulse generator. The device provides a user-programmable therapy strength parameter configuration and at least two current parameter configurations for neurostimulation stored in the pulse generator. The current parameter configurations are controlled by the therapy strength configuration, at least one of the current parameter configurations is associated with a level of paresthesia sensation of a patient and at least one of the current parameter configurations is associated with a paresthesia-free therapy for the patient. The association between therapy strength parameter and current parameter configurations uniquely adjusts the current parameter configurations based on paresthesia or paresthesia-free intent, when neurostimulation is performed using parameter configurations.

Abstract: A device for neurostimulation includes a pulse generator for generating current having pulses and at least one first pair of electrodes connected to the pulse generator. The device provides a user-programmable therapy strength parameter configuration and at least two current parameter configurations for neurostimulation stored in the pulse generator. The current parameter configurations are controlled by the therapy strength configuration, at least one of the current parameter configurations is associated with a level of paresthesia sensation of a patient and at least one of the current parameter configurations is associated with a paresthesia-free therapy for the patient. The association between therapy strength parameter and current parameter configurations uniquely adjusts the current parameter configurations based on paresthesia or paresthesia-free intent, when neurostimulation is performed using parameter configurations.

Abstract: A delivery tool for an implantable medical device to be introduced into a human or animal body, in particular, an implantable leadless pacemaker, the delivery tool having an outer sheath and an inner sheath, wherein the inner sheath is configured to be retractable into a lumen of the outer sheath, wherein a distal side of the inner sheath is configured to provide regions which are reversibly collapsible and non-collapsible in diameter, wherein a non-collapsible region is arranged at the distal end of the inner sheath. A system including a delivery tool and an implantable medical device is also provided.

Abstract: A system and method for installing/implanting a leadless implant can include a leadless implant with shortened tine-based anchors and an implantation tool with a modified tip. The tines can extend from a surface of the leadless implant and may include a preformed curve or other shape to enable the tine to hook into or grapple tissue. The implantation tool may be provided with a modified tip to assist with proper alignment, insertion, and anchoring of the shortened tines. A tip of the implantation tool can have a reduced inner diameter to cause the tine tips to be approximately normal to the surface of the tissue to which the implant is being anchored. Upon deployment of the leadless implant, the tines of the anchoring mechanism are appropriately aligned for proper insertion so that robust anchoring is achieved.