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 method/device for fixing an intracardiac device at an anchoring region within the tissue of a patient's heart which allows fixing at a thin wall. The intracardiac device comprises one electrode and at least two tines attached at a distal end of the intra-cardiac device adjacent the electrode. Each of the tines has an S-form. The method including: the intra-cardiac device is moved towards the anchoring region with the tines facing forwards until the tines touch the tissue at the anchoring region, the tines are pressed against the tissue at the anchoring region such that the tines are pivoted and/or bent outwards, with the distal ends of the tines penetrating the tissue, and, the pressure on the tines is against the tissue is removed, thereby bunching a wall segment of the tissue by the tines and pulling this wall segment towards the electrode.

Abstract: A system for remote assessment of a patient, comprising: a first device associated to a physician, a second device associated to the patient, a medical device associated to the patient, wherein the second device is configured to communicate with the medical device, and wherein the medical device is configured to be programmed via the second device, wherein the first device is further configured to communicate with the second device, and wherein the second device is configured to be controlled via the first device, and wherein the second device is configured to acquire data indicative of at least one physiological parameter or of several physiological parameters of the patient. Furthermore, a method for remote assessment is provided.

Abstract: A system comprising a first intracardiac device for implantation within a patient's heart and at least one second implantable device, wherein the second device, preferably for implantation within the heart's atrium, can be designed with less electronic components, smaller and has a longer device lifetime. The first intracardiac device comprises a first processing unit for controlling a first signal generator unit, a first data memory comprising pre-defined first signal parameters for a first treatment signal and a first measurement unit for determining at least one first bodily value and at least one second bodily value, and the second device comprises a second processing unit for controlling a second signal generator unit and a second data memory comprising pre-defined second signal parameters for a second treatment signal and a second measurement unit for determining at least one third bodily value. A method of operation of such system is also disclosed.

Abstract: The present disclosure relates to a system for remote assessment of a patient, comprising: a first device associated to a physician, a second device associated to the patient, a medical device associated to the patient, wherein the second device is configured to communicate with the medical device, and wherein the medical device is configured to be programmed via the second device, wherein the first device is further configured to communicate with the second device, and wherein the second device is configured to be controlled via the first device, and wherein the second device is configured to acquire data indicative of at least one physiological parameter or of several physiological parameters of the patient. Furthermore, a method for remote assessment is provided.

Abstract: An implant arrangement comprising an active implantable medical device and a remote data-monitoring device is disclosed, wherein the active implantable medical device comprises a sensing unit for sensing at least one diagnostic parameter of a human or animal patient and a data transfer interface for transferring data on the at least one diagnostic parameter sensed by the sensing unit to the remote data-monitoring device, wherein the remote data-monitoring device is configured to apply at least one post-processing function on the data received from the active implantable medical device, wherein the remote data-monitoring device is further configured to allow an adjustment of at least one configuration parameter of the post-processing function in dependence on a user input received by the remote data-monitoring device, wherein the at least one configuration parameter alters an effect of the post-processing function on the data received from the active implantable medical device.

Abstract: A computer implemented method for controlling an implantable medical device comprising the steps of detecting a geographic location of the implantable medical device and/or a proximity of the implantable medical device to an object and/or person, and at least temporarily activating and/or deactivating at least one diagnostic function of the implantable medical device and/or at least temporarily changing a transmission frequency and/or a selection of at least one medical parameter of a patient detected by the implantable medical device if the detected geographic location of the implantable medical device and/or the proximity of the implantable medical device to the object and/or person meets a predetermined condition. A system for controlling an implantable medical device, a computer program and a computer-readable data carrier are also provided.

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 computer implemented method for classification of similar biosignal curves detected by an implantable medical device, comprising the steps of providing a plurality of biosignal curves by the implantable medical device, storing the detected biosignal curves in a storage medium, applying an algorithm to the plurality of biosignal curves to determine a similarity of each of the plurality of biosignal curves with the plurality of biosignal curves with respect to at least one signal feature according to predetermined similarity criteria, and classifying biosignal curves matching the predetermined similarity criteria. Furthermore, a system for classification of similar biosignal curves detected by an implantable medical device is also provided.

Abstract: A sensing system for sensing biological signals externally on a patient comprises a medical device comprising at least one electrode for sensing biological signals on a patient. An adapter element is mountable on said at least one electrode to electrically contact with the at least one electrode. A fastening component is mountable on said adapter element and configured to attach the medical device externally to the patient. A contact element is mountable to the fastening component and configured to attach externally to the patient's skin for receiving biological signals and conducting said biological signals to the adapter element. A casing serves for encasing the medical device and the adapter element in a mounted state in which the adapter element is mounted on said at least one electrode.

Abstract: The present invention relates to a method for controlling the operation of at least two implantable medical devices for stimulating a human or animal heart, the method comprising the following steps: a) receiving, with a control device, a first operational parameter of a first device of the at least two implantable medical devices; b) receiving , with the control device, a second operational parameter of a second device of the at least two implantable medical devices; c) automatically checking whether there exists a conflict between the first operational parameter and the second operational parameter precluding a safe operation of the first device and the second device; and d) if a conflict has been identified, visualizing the first operational parameter, the second operational parameter, and data on the conflict on a display of the control device.

Abstract: A medical device for implantation within or mounting on a patient's body includes an accelerator unit, a data memory unit and a processor which are electrically interconnected. Three orthogonal axes (XD, YD, ZD) are defined for the medical device and three orthogonal axes (XP, YP, ZP) are defined for the patient's body. The accelerator unit is configured to determine 3-dimensional proper acceleration data along sensitive axes corresponding to the three orthogonal axes of the medical device (XD, YD, ZD). In order to provide an automatic estimation of medical device orientation with regard to a patient's body (thereby overcoming the drawbacks of manual calibration methods) which does not make a priori assumptions about the device's orientation or specific prevalence, the processor is configured to process said acceleration data determined by the accelerator unit.

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.