Abstract: Methods for monitoring an infection in proximity to an implantable medical device include monitoring a first indicator of infection in proximity to a medical device implanted in a patient; monitoring a second patient parameter; and determining whether the combination of the first indicator and the second parameter are indicative of infection in proximity to the implanted device. If a determination is made that the combination of the first indicator and the second parameter are indicative of infection, an alert may be issued.

Abstract: Implantable medical devices include a sensor module capable of detecting an indicator of infection in proximity to the device. The sensor module is activated following a detection of an event associated with the device, such as, for example, refill of an implantable infusion device or implantation. The sensor module is deactivated two or more hours following activation. Methods include detecting a first event associated with an implanted medical device; activating a sensor module of the implanted medical device at or after the detection of the first event; deactivating the sensor module two hours or more after the sensor module is activated; and determining whether information regarding the indicator of infection is indicative of an infection.

Abstract: Implantable medical devices include a sensor capable of detecting an indicator of infection in proximity to the device. Sensed information regarding the indicator of infection is provided to the device for a time period of between two hours and six months after the device is implanted. A determination may be made as to whether the sensed information is indicative of infection. The determination may be made in the implanted device or in an external device in wireless communication with the implanted device. If the information is indicative of infection, an alert may be issued from the implanted device or an external device.

Abstract: A method for monitoring infection in proximity to an implanted medical device includes monitoring an indicator of infection in proximity to the device and determining whether a value associated the indicator of infection crosses a first threshold indicative of infection. The method further includes detecting an event associated with the device. The event is capable of affecting the indicator of infection. The method also includes determining whether the value associated with the indicator of infection crosses a second threshold indicative of infection if the event is detected. The method may further include issuing an alert if (i) the first threshold is crossed and the event is not detected, or (ii) the second threshold is crossed and the event is detected.

Abstract: A method for monitoring an infection in proximity to an implantable medical device includes monitoring an indicator of infection in proximity to an implanted medical device; determining whether the indicator crosses a first threshold indicative of infection for a first period of time; and issuing a first alert if the indicator crosses the first threshold for the first period of time. The method further includes determining whether the indicator crosses a second threshold indicative of infection for a second period of time. A value associated with the second threshold is less indicative of an infection than a comparable value associated with the first threshold. The second period of time is greater than the first period of time. The method further includes issuing a second alert if the indicator crosses the second threshold for the second period of time. The first and second alert may be the same or different.

Abstract: A method includes monitoring an indicator of infection in proximity to an implanted active therapy delivering medical device and providing information regarding the monitored indicator to the implanted medical device. The method further includes determining whether the information regarding the monitored indicator is indicative of infection in proximity to the implanted medical device.

Abstract: In general, the disclosure is directed to an implantable neurostimulator and system capable of providing adaptive neurostimulation therapy to alleviate incontinence. The neurostimulator operates according to a set of stimulation parameters stored in memory. During operation, information is obtained from the patient, the implanted neurostimulator, one or more implanted sensors, or some combination thereof. A processor analyzes the information to automatically generate proposed adjustments to the stimulation parameters applied by the neurostimulator. The adjustments provide an adaptive neurostimulation therapy that supports or enhances therapeutic efficacy based on the information.