Abstract: Systems, apparatus, methods and computer-readable storage media facilitating management of operation of an implantable medical device (“IMD”) using a number of communication modes are provided. An IMD is configured to operate in a disabled mode wherein radio frequency (RF) telemetry communication is disabled, or operate in a first advertising mode using the RF telemetry communication. The IMD receives a clinician session request from a clinician device via an induction telemetry protocol while operating in the disabled mode or the first advertising mode, and transitions to operating from the disabled mode or the first advertising mode to operating in a second advertising mode based on receiving the clinician session request. From the second advertising mode, the IMD can establish a clinician telemetry session with the clinician device using the RF telemetry communication and a unique security mechanism facilitated by an identifier for the clinician device included in the clinician session request.

Abstract: In an implanted medical device system, an internal controller, external power transmitter and methods for performing battery conditioning are disclosed. According to one aspect, an internal controller includes processing circuitry configured to cause conditioning of an internal battery of the internal controller responsive to a direction from an external power transmitter in radio communication with the internal controller.

Abstract: In an implanted medical device system, an external power transmitter and methods for adjusting a rate of search pulse transmission by an external power transmitter of an implanted medical device system are disclosed. According to one aspect, a method includes detecting a condition of the external power transmitter, and selecting among rates of transmission of search pulses based on the detected condition.

Abstract: A method of estimating power dissipated by a foreign metallic object in a transcutaneous energy transfer system (TETS) includes estimating power loss between an external coil of the TETS and an implanted coil of the TETS using a transfer function, the transfer function including inputs, the inputs including: a power supplied to the external coil, a power received by the implanted coil, a measured current within the external coil, and a carrier frequency between the external coil and the implanted coil and generating an alert if the estimated power loss between the external coil and the implanted coil exceeds a predetermined threshold.

Abstract: An internal controller implantable within the body of a patient as part of a left ventricular assist device (LVAD) system and a method therefore are provided. According to one aspect, the internal controller includes processing circuitry configured to establish a radio frequency (RF) communication session with a first external power transmitter that responds to the advertisement. The processing circuitry is also configured to determine when a power transmission status of the first external power transmitter does not match a power receipt status of the internal controller, and then terminate the RF communication session with the first external power transmitter and cause the radio interface to broadcast another advertisement.

Abstract: An external power transmitter of an implanted medical device system such as a left ventricular assist device (LVAD) system and a method therefore are provided. According to one aspect, a method includes transitioning from applying a first external coil current limit to applying a second external coil current limit to limit current of an external coil coupled to the external power transmitter, the transitioning being based on at least one of an intent to enter a free mode of operation of the implanted medical device system, an existence of an alarm condition, and an existence of transcutaneous energy transfer system (TETS) power transfer.

Abstract: A method of controlling operation of an implantable blood pump includes attempting to restart a stopped implantable blood pump for a predetermined number of attempts with either power from an internal battery of a controller in communication with the implantable blood pump or transcutaneous energy transfer system (TETS) power in communication with the internal battery and the implantable blood pump. Following the predetermined number of attempts, the method includes pausing attempting to restart the implantable blood pump and begin attempting to recharge the internal battery with TETS power.

Abstract: A transcutaneous energy transfer system (TETS) that includes external and internal coils that have permeable cores is provided. According to one aspect, the TETS includes an external coil having disposed in proximity thereto, a first set of at least one permeable core that is wound by windings of the external coil. The TETS also includes an internal coil having disposed in proximity thereto, for each permeable core disposed in proximity to the external coil, a corresponding permeable core that is wound by windings of the internal coil.

Abstract: A method of managing a speed of implantable blood pump. The implantable blood pump is in communication with an internal battery and a transcutaneous energy transfer system (TETS). The method includes starting the pump at a programmed set speed. The speed of the pump is decreased from the programmed set speed to a minimum set speed if either a capacity of the internal battery is less than a predetermined reserve level and TETS power is unavailable, or there is insufficient TETS power to maintain the programmed set speed. The speed of the pump is progressively decreased from the programmed set speed if there is insufficient power to maintain the programmed set speed.

Abstract: A method of managing multiple power sources for an implantable blood pump includes operating the implantable blood pump with both power from an internal battery, the internal battery being disposed within an implantable controller and in communication with the implantable blood pump, and with transcutaneous energy transfer system (TETS) power in communication with the implantable blood pump, if TETS power is available.

Abstract: A method of estimating a depth of an implanted receiving coil of a transcutaneous energy transfer system (TETS) includes aligning the implanted receiving coil with an external transmission coil. A coupling coefficient between the implanted receiving coil and the external transmission coil is estimated based on a first transfer function and operating conditions. The depth of the implanted receiving coil is estimated from the estimated coupling coefficient based on a second transfer function.

Abstract: A controller implantable within the body of a patient as part of a left ventricular assist device (LVAD) system and a method therefore are provided. According to one aspect, the controller includes processing circuitry configured to receive inputs from at least one of: at least one internal component of the LVAD system, at least one external component of the LVAD system, and at least one clinician's device, and determine a charging rate for charging a battery of the LVAD system internal to the patient based on at least one of the received inputs.

Abstract: A TETS having an external controller having a power source, a transmission coil in communication with the external controller, a receiving coil configured for transcutaneous inductive communication with the transmission coil, and an implantable controller in communication with the receiving coil and an implantable blood pump. The implantable controller has a battery configured to receive power from the receiving coil and the external controller is configured to categorize power transfer states based on predetermined thresholds of efficiency and power demand, and user display states (associated with optional configurable notifications) based on the power transfer states and predetermined temperature thresholds of the transmission coil.

Abstract: A system for minimizing misalignment notifications for a TETS having an implantable blood pump, an external controller having a power source and a processing circuitry, a transmission coil in communication with the external controller, a receiving coil configured for transcutaneous inductive communication with the transmission coil, and an implantable controller in communication with the receiving coil and the implantable blood pump. The implantable controller having a power source configured to receive power from the receiving coil. The processing circuitry may be configured to: operate in a first mode where an alert is generated when a power efficiency transfer between the transmission coil and the receiving coil is below a first predetermined threshold; and operate in a second mode where the alert is only generated when the power remaining in the power source for the implantable controller is below a first predetermined power source threshold.

Abstract: A method, implantable medical system and an external system for communicating an alert signal via a transcutaneous energy transfer system (TETS), with or without the presence of transmission of the alert signal by an alternative wireless communication system, are disclosed. According to one aspect, a method in an implanted medical system includes obtaining the alert signal based on an occurrence of an event, and transmitting the alert signal from the implanted medical device to the external system via a TETS used to transfer power requests to the external system.

Abstract: According to one or more embodiments, a system is provided. The system includes a power device implantable within a patient for powering an implantable medical device. The power device includes a first coil configured to receive wireless power signals for powering the implantable medical device and processing circuitry configured to determine at least one measurable electrical characteristic in a plurality of electrical pathways in the power device including an electrical pathway to the first coil, and detect reduced performance in receiving wireless power signals based at least in part on the determined at least one measurable electrical characteristic.

Abstract: Systems, apparatus, methods and non-transitory computer readable media facilitating telemetry data communication security between an implantable device and an external clinician device are provided. An implantable device can include a security component configured to generate security information based on reception of a clinician telemetry session request from the clinician device via a first telemetry communication protocol. The security information can include a session identifier and a first session key, and the clinician telemetry session request can include a clinician device identifier associated with the clinician device.

Abstract: Systems, apparatus, methods and non-transitory computer readable media facilitating telemetry data communication security between an implantable device and an external clinician device are provided. An implantable device can include a security component configured to generate security information based on reception of a clinician telemetry session request from the clinician device via a first telemetry communication protocol. The security information can include a session identifier and a first session key, and the clinician telemetry session request can include a clinician device identifier associated with the clinician device.

Abstract: The present application relates to a multilayer heat insulation board for thermal insulation for buildings, a back layer for a heat insulation board, a process for preparing a back layer, and the use of a multilayer heat insulation board for thermal insulation for buildings, especially for thermal insulation for ventilated facades.

Abstract: A method of employing an implantable medical device to detect pacemaker mediated tachycardia (PMT) and adjusting a parameter (e.g. PVARP) in response to confirmation of the PMT. The method comprises, with a processor located in the implantable medical device, (1) measuring a first Vp-As (VA1), (2) lengthening SAV by 50 ms for 1 beat in response to measuring VA1, (3) measuring a second Vp-As (VA2), (4) returning to a normal SAV, (5) measuring a third Vp-As (VA3), (6) determining whether VA1=VA2 and VA1=VA3, (7) in response to determining whether VA1=VA2 and VA1=VA3, confirming presence of PMT, and (8) in response to confirming presence of PMT, PVARP is extended.