Abstract: The invention relates to a device for detecting a signal from a human or animal organism which, during operation, carries out the following steps: detecting a signal from a human or animal organism in a time-dependent manner; subdividing a signal segment into first blocks; determining a total number of the first blocks; determining a measure for a signal swing in each of the first blocks; determining a number of first blocks in which the measure for the signal swing is less than a predeterminable first threshold value; calculating a first quotient from the number of first blocks in which the measure for the signal swing is less than the first threshold value and the total number of first blocks; comparing the first quotient with a second threshold value; classifying a state of the human or animal organism as physiological or as pathophysiological as a function of the previous comparison.

Abstract: An implantable cardioverter-defibrillator including: a housing, wherein the housing includes a stimulation unit and a sensing unit; a combined defibrillation and sensing electrode for delivering stimulation pulses to a patient in need thereof and for sensing electrocardiogram signals of the same patient, wherein the combined defibrillation and sensing electrode is electrically connected to the stimulation unit and to the sensing unit. The combined defibrillation and sensing electrode includes an electrode pole that serves for delivering stimulation pulses to a patient in need thereof and for sensing electrocardiogram signals of the same patient. In addition, the sensing unit includes a circuitry enabling the sensing unit to tolerate a post-potential of a stimulation pulse delivered by the combined defibrillation and sensing electrode.

Abstract: An implantable pulse generator comprises a pulse generation device generating an output pulse, the pulse generation device comprising a control unit, shock generation circuitry and output circuitry. The shock generation circuitry comprises a first energy storage device, a second energy storage device and a switching device. The switching device is electrically connected to the first energy storage device, and is configured to connect, in a closed state, the first energy storage device with the second energy storage device, and to disconnect, in an open state, the first energy storage device from the second energy storage device. The shock generation circuitry configured to generate an output pulse by supplying energy to the output circuitry, in the open state, from the first energy storage device via a first connection line and, in the closed state, from the first energy storage device and the second energy storage device via a second connection line.

Abstract: An evaluation system for evaluating an estimate of a placement of implantable electrode poles of an implantable medical device, in particular of a subcutaneous implantable cardioverter defibrillator device, includes an arrangement of electrodes configured to be placed on a patient and a measurement device comprising an excitation circuitry for generating an excitation signal for injection into the patient using said arrangement of electrodes, a sensing circuitry for sensing a sense signal in reaction to said excitation signal using said arrangement of electrodes, and a processing circuitry for processing said sense signal to identify said estimate of the placement of the implantable electrode poles of the implantable medical device.

Abstract: An implantable device for stimulating a heart to lower blood pressure, comprising: a stimulation unit configured to stimulate a ventricle, and a sensing unit for detecting atrial activity of the heart, wherein the stimulation unit is configured to stimulate the ventricle for at least one cardiac cycle with a predefined delay after detection of an atrial activity or to not stimulate the ventricle for at least one cardiac cycle.

Abstract: The present invention relates an implantable pulse generator comprising an electric circuit, wherein the electric circuit comprises: a primary energy store, at least one secondary energy store, and a control unit, wherein the control unit is configured to activate an electric switch in the electric circuit in such a way that, in a first interval of a first phase of a pulse delivery, the primary energy store is discharged via a therapeutic current path, and to activate an electric switch in the electric circuit in such a way that, in a second interval of the first phase of the pulse delivery, the secondary energy store is discharged via the therapeutic current path, wherein the primary energy store and the at least one secondary energy store are fixedly connected, or connectable, in series, and wherein the implantable pulse generator is designed to deliver a shock having an approximately rectangular pulse waveform.

Abstract: An active implantable medical device comprising a housing and a first component and a second component received within the housing, wherein the first component and the second component are stabilized and mechanically linked to each other by a connecting element to form a composite unit. The connecting element has a film-like shape with a thickness lying in a range of from 0.01 mm to 0.1 mm and adheres at least section-wise to the first component as well as to the second component.

Abstract: An implantable medical device, in particular an extravascular cardioverter-defibrillator, comprises: an implantable housing for accommodating a control unit configured to generate and/or process electrical signals; wherein an outer surface of the housing comprises at least one electrode portion for receiving electrical signals to be processed by the control unit and/or for providing electrical signals generated by the control unit, the electrode portion being surrounded along its outer contour by an insulating portion which electrically insulates the electrode portion from a remainder of the housing; wherein both the electrode portion and the remainder of the housing are made of a biocompatible and electrically conductive first material; wherein the insulating portion is made of a biocompatible and electrically insulating second material comprising a titanium oxide compound.

Abstract: A non-transvenous ICD system comprises a defibrillation generator, a controller, an electrode line, a shock electrode arranged at the electrode line and at least three sensing electrodes arranged at various positions within the ICD system. The defibrillation generator is configured for generating electric shocks and applying the electric shocks to cardiac tissue of a patient via the shock electrode. The controller is configured for (i) sensing plural signals indicating a cardiac activity by detecting an electric voltage along each of a plurality sensing vectors, wherein each sensing vector extends between two of the sensing electrodes, (ii) automatically selecting at least one of the sensed signals based on predetermined criteria being fulfilled, and (iii) controlling the defibrillation generator for generating the electric shocks based on the at least one selected signal.

Abstract: An active electrical system comprising implantable components and an external programming unit, the system further comprising an algorithm for classifying the sensed electrical cardiac signals, and a control unit configured to drive the pulse delivery unit in a first mode to deliver a predetermined number of pulses at repetition rates greater than or equal to a threshold value, and to drive the pulse delivery unit in a second mode to deliver a predetermined maximum number of pulses at repetition rates below the threshold value, and wherein the control unit in the second mode is configured to switch to the first mode or terminate pulse delivery depending on a classification result of the algorithm.

Abstract: A non-transvenous implantable cardioverter defibrillator device comprises a generator device comprising a processing circuitry and a shock generation circuitry, and at least one lead comprising a shock electrode for emitting electrical shock pulses externally to a patient's heart. The processing circuitry is configured to identify a sensed ventricular contraction event in a sensed electrocardiogram signal or said processing circuitry is configured to control said shock generation circuitry to generate at least one conditioning pulse for emission by said shock electrode to cause an induced ventricular contraction event. The processing circuitry is further configured to control said shock generation circuitry to generate a fibrillation pulse for emission by said shock electrode at a delay time after said sensed or induced ventricular contraction event in order to induce a cardiac fibrillation state.

Abstract: An implantable cardioverter defibrillator device comprises a generator device having a processing circuitry and a shock generation circuitry, and at least one lead comprising a shock electrode for emitting an electrical output pulse. The shock generation circuitry comprises an energy supply arrangement containing at least one energy storage device for supplying energy to form an output pulse, an output circuit for outputting said output pulse to the shock electrode, and a current limiting circuit arranged electrically in between the energy supply arrangement and the output circuit such that a current supplied from the energy supply arrangement flows through the current limiting circuit towards the output circuit. The current limiting circuit comprises at least one current limiting component, wherein the current limiting circuit is controllable by the processing circuitry to modulate a current flowing through the current limiting circuit.

Abstract: An implantable therapy system for an antibradycardia and antitachycardia stimulation comprises an implantable pacemaker device for emitting a cardiac stimulation signal for achieving an intra-cardiac pacing, and an implantable non-transvenous defibrillator device for emitting a shock pulse for achieving a defibrillation. The implantable pacemaker device is configured to transmit an advertising signal for advertising said cardiac stimulation signal. The implantable non-transvenous defibrillator device is configured to receive said advertising signal and to modify at least one processing function in response to receiving said advertising signal.

Abstract: An implantable medical device for providing a diagnostic and/or therapeutic cardiac function within a patient comprises a sensing arrangement for sensing electrocardiogram signals, a communication circuitry for data communication with a device external to the patient and a processing circuitry for processing sensed electrocardiogram signals. The processing circuitry is configured to identify, based on the sensed electrocardiogram signals, a stimulation event caused by an implantable pacemaker device and to cause a transmission of information concerning said identification of a stimulation event to the device external to the patient.

Abstract: An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable pacing device is further configured to signal an unavailability of anti-tachycardia pacing to the implantable cardioverter defibrillator, and wherein the implantable cardioverter defibrillator is configured, in response to the signal of the implantable pacing device, to adjust predetermined shock therapy parameters and/or to send a message to a remote monitoring system. A computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier are also provided.

Abstract: An implantable cardioverter-defibrillator having a housing comprising a processor, a memory unit, a single electrode connection port, a stimulation unit configured to provide an electrode being connected to the electrode connection port with an electric pulse to stimulate a human or animal heart, and a detection unit configured to receive an electric signal of the same heart from the same electrode. According to an aspect of the invention, the electrode connection port is configured to receive a transvenously implantable electrode or a substernally implantable electrode, wherein the memory unit comprises a computer-readable program that causes the processor to operate the stimulation unit and/or the detection unit in a first operational mode if a transvenously implantable electrode is connected to the electrode connection port and in a second operational mode if a substernally implantable electrode is connected to the electrode connection port.

Abstract: An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable cardioverter defibrillator is further configured to signal an availability and/or unavailability of defibrillation to the implantable pacing device, and wherein the implantable pacing device is configured, in response to the signal of the implantable cardioverter defibrillator to enable and/or disable anti-tachycardia pacing. The invention further relates to a computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier.

Abstract: Method for fabricating an implantable medical device comprising: providing a housing, an electronic module and a plurality of periphery components, the electronic module comprises module contacts for inputting/outputting electric energy to/from the electronic module, each periphery component comprises component contacts for inputting/outputting electric energy to/from the periphery component; arranging the electronic module and the periphery components in a first configuration wherein each component contact of each periphery component is positioned at a same initial distance relative to a corresponding module contact; displacing the electronic module and the periphery components by the initial distance relative to each other into a second configuration in which all component contacts of each periphery component directly mechanically contact respective corresponding module contacts; fixing the electronic module and the periphery components in the second configuration; accommodating the electronic module and

Abstract: An electrode element (1) for an energy storage unit (200), such as a capacitor, has an electrode body (100) made of an active electrode material (E), wherein the electrode body (100) includes one or more of: at least one cavity (110) on its surface or in its interior; at least one partial volume (120) of lower density; and/or a surface coating (D) covering at least a portion of the surface of the electrode body (100), such that the surface area covered by the surface coating (D) remains unwetted when in contact with an electrolyte. Energy storage units (200) incorporating the electrode element (1) are particularly suitable for use in implantable electrotherapeutic devices.

Abstract: An implantable pulse generator comprises a pulse generation device generating an output pulse, the pulse generation device comprising a control unit, shock generation circuitry and output circuitry. The shock generation circuitry comprises a first energy storage device, a second energy storage device and a switching device. The switching device is electrically connected to the first energy storage device, and is configured to connect, in a closed state, the first energy storage device with the second energy storage device, and to disconnect, in an open state, the first energy storage device from the second energy storage device. The shock generation circuitry configured to generate an output pulse by supplying energy to the output circuitry, in the open state, from the first energy storage device via a first connection line and, in the closed state, from the first energy storage device and the second energy storage device via a second connection line.