Abstract: Cardiac pacemaker for a patient's heart including a processing unit with a data memory, further including a first detector, and a second detector, a pacing signal generator, which are all electrically connected to the processing unit, wherein the first detector is configured to detect time-dependent electrical signals of the heart, wherein the second detector is configured to detect time-dependent bodily signals of the patient different from the signals detected by the first detector, wherein the first detector and the second detector are configured to transmit the detected and, if applicable, pre-processed signals to the processing unit, wherein the processing unit is configured to process the signals received from the first detector and the signals from the second detector and to detect from the received signals of the first detector intrinsic atrial events, intrinsic ventricular events and pacing events and to determine an actual cardiac rate.

Abstract: A leadless cardiac pacemaker device is configured to provide HIS bundle pacing and contains a housing having a tip, a first electrode arranged on the housing in the vicinity of the tip, the first electrode being configured to engage with intra-cardiac tissue, and a second electrode arranged on the housing at a distance from the tip of the housing. A processor is enclosed in the housing and operatively connected to the first electrode and the second electrode. The processor is configured to process a reception signal received by at least one of the first electrode and the second electrode and to generate a pacing signal to be emitted using at least one of the first electrode and the second electrode.

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: A leadless cardiac pacemaker device is configured to provide HIS bundle pacing and contains a housing having a tip, a first electrode arranged on the housing in the vicinity of the tip, the first electrode being configured to engage with intra-cardiac tissue, and a second electrode arranged on the housing at a distance from the tip of the housing. A processor is enclosed in the housing and operatively connected to the first electrode and the second electrode. The processor is configured to process a reception signal received by at least one of the first electrode and the second electrode and to generate a pacing signal to be emitted using at least one of the first electrode and the second electrode.

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: 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 catheter device for repositioning or explanting an implantable medical device comprises an outer catheter, and a steerable catheter extending through the outer catheter, wherein the outer catheter is axially movable with respect to the steerable catheter. A snare catheter extends through the steerable catheter, wherein the snare catheter is axially movable relative to the steerable catheter. A mandrel may extend through the snare catheter and comprising a distal end, wherein the mandrel is axially movable relative to the snare catheter. A snare may be arranged on the distal end of the mandrel for establishing a connection to the implantable medical device, wherein the snare, by moving the mandrel with respect to the snare catheter, is at least partially retractable into the snare catheter.

Abstract: A catheter device for implanting a medical device comprises a steerable catheter, and a delivery catheter extending through the steerable catheter and being configured to interact with the medical device for implanting the medical device at an implantation site within a patient, wherein the delivery catheter is axially movable with respect to the steerable catheter. The steerable catheter comprises a first steering articulation zone and a second steering articulation zone arranged distally with respect to the first steering articulation zone, wherein the steerable catheter is steerable by a deflection in the first steering articulation zone and the second steering articulation zone.

Abstract: An implantation tool for implanting a medical device subcutaneously includes a core extending along a longitudinal axis. The core is formed with a longitudinal recess extending along the longitudinal axis. A shell protrudes from an end of the core in the direction of the longitudinal axis. The shell defines a compartment for carrying the medical implant. The compartment is connected to the longitudinal recess. A rod that extends along the longitudinal axis is arranged in the longitudinal recess.

Abstract: A biventricular (BiV) implantable cardiac stimulator contains a stimulation control unit, one or more stimulation units, an impedance measurement unit and an impedance evaluation unit. The stimulation control unit is operatively connected to one or more stimulation units to control delivery of stimulation pulses by the one or more stimulation units. The stimulation control unit is configured to assess ventricular contractility based on an impedance signal generated by the impedance evaluation unit and to switch between at least a univentricular left ventricular stimulation mode and a biventricular stimulation mode and to evaluate the ventricular contractility in relation to the respective ventricular stimulation mode.

Abstract: An intracardiac pacing system comprising a fixation element for fixing the intracardiac pacing system to body tissue is disclosed. The fixation element comprises a metallic material, and is at least partially coated with a metal-ion release inhibiting material. Also, a method for coating at least part of an intracardiac pacing system is disclosed.

Abstract: Various embodiments are directed toward a system and method for determining an orientation of an implantable medical device (“IMD”) and automatically adjusting a subcutaneous electrocardiogram (“ECG”) signal based on the determined orientation. The method can further include tagging generated SECG signals so as to identify whether a SECG signal had been generated from an implantable monitoring device with its first electrode being superior or inferior relative to its second electrode. Further embodiments can include automatically adjusting the orientation of the generated SECG signals to match that of a preferred orientation.

Abstract: In an electrostimulator which applies electrical stimulation to patient tissue, measurements of lead impedance (tissue resistance), battery status, and like matters are used to format and/or truncate the ranges of programmable therapeutic output settings available for selection by a clinician. The clinician can therefore better tell whether chosen settings can actually be successfully implemented, and/or whether they may have adverse effects on device lifespan or patient safety.

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 said 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: An implantable device system for applying electrical stimulation to a patient, including: a first implantable device configured to measure at least one parameter indicative of a physiological or an activity state of the patient, a second implantable device configured to apply and/or adapt electrical stimulation to the patient in response to said at least one parameter, and wherein the first implantable device is further configured to communicate information pertaining to said at least one parameter to the second implantable device.

Abstract: Various embodiments are directed toward a system and method for determining an orientation of an implantable medical device (“IMD”) and automatically adjusting a subcutaneous electrocardiogram (“ECG”) signal based on the determined orientation. The method can further include tagging generated SECG signals so as to identify whether a SECG signal had been generated from an implantable monitoring device with its first electrode being superior or inferior relative to its second electrode. Further embodiments can include automatically adjusting the orientation of the generated SECG signals to match that of a preferred orientation.

Abstract: An implantable medical device including a data communication interface connected to a pulse generator. The pulse generator generates and delivers forward current pulses and reverse current pulses, wherein a polarity of the reverse current pulses is opposite to the polarity of the forward current pulses. Generates pulses representing binary digits, wherein a first kind of digits (1 or 0) is represented by a current pulse, and a second kind of digit respective of the other type of binary digits (0 or 1) is represented by a pause between current pulses. The data communication interface together with the pulse generator deliver current pulses with strictly alternating polarity such that every other current pulse is a reverse current pulse of opposite polarity compared to an immediately preceding forward current pulse. Thus, every string of current pulse is both, charge balancing and information encoding.

Abstract: A sterilizable containment that includes an inner packaging and an outer packaging. The outer packaging encloses the inner packaging and includes at least two electric feedthroughs. The inner packaging includes at least two electric contacts, wherein each of the at least two electric contacts of the inner packaging matches one of the at least two electric feedthroughs of the outer packaging to provide an electric connection between a respective feedthrough and the corresponding contact when the inner and the outer packaging are closed. Each of the contacts of the inner packaging feed electrical charge from outside of the inner packaging to the inside of the inner packaging and vice versa. The inner packaging includes electrically conducting media that allows propagation of electrical charge between the contacts of the inner packaging and an implantable medical device included inside in a packaging when the containment is filled.