Abstract: An energy supplying component (100) includes a plurality of power sources (161, 171, 181, 191) and at least one switch (163, 165, 167, 173, 175, 177, 183, 185, 187, 193, 195, 197). Each power source of the plurality of power sources is configured to output a defined energy level. The at least one switch is configured to reversibly combine two or more power sources of the plurality of power sources for enabling the energy supplying component to supply requested energy at one or both of a needed voltage or a needed current.

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: A remote monitoring server (RMS) configured to be used in a system comprising a medical device and a remote device of the group comprising a patient remote device and a health care professional remote device. The RMS comprises a communication module configured to communicate with the remote device, a central data repository, and a processor, wherein the central data repository is configured to store data collected by the medical device and the remote device, wherein the RMS further comprises an artificial intelligence (AI) module integrated within the processor and/or cooperating with the processor, wherein the AI module is configured to process data stored in the central data repository and/or to control data communication using the communication module and/or to provide services of a search engine. Further provided is a system comprising the RMS, the medical device and the remote device, and a method for operating the RMS.

Abstract: A communication system for establishing an intra-body communication comprises a multiplicity of implantable medical devices, each of the multiplicity of implantable medical devices comprising communication circuitry for communicating with another of the multiplicity of implantable medical devices using a first signaling technique. At least one external device comprises first communication circuitry for communicating with the multiplicity of implantable medical devices using said first signaling technique and second communication circuitry for communicating with a remote system using a second signaling technique different than the first signaling technique.

Abstract: A method programs an implantable medical device to configure the implantable medical device for stimulating neural tissue by at least one electrode. The method includes: performing, by the implantable medical device, an evoked compound action potential (eCAP) threshold search by stimulating the neural tissue with test stimulation pulses; determining, based on the eCAP threshold search, an eCAP threshold amplitude and a coupling factor that is indicative of a coupling between the at least one electrode and the neural tissue; and generating a first set of stimulation parameters containing at least a stimulation amplitude that is determined in dependence on the eCAP threshold amplitude and the coupling factor.

Abstract: An energy supplying component (100) includes a plurality of power sources (161, 171, 181, 191) and at least one switch (163, 165, 167, 173, 175, 177, 183, 185, 187, 193, 195, 197). Each power source of the plurality of power sources is configured to output a defined energy level. The at least one switch is configured to reversibly combine two or more power sources of the plurality of power sources for enabling the energy supplying component to supply requested energy at one or both of a needed voltage or a needed current.

Abstract: A method programs an implantable medical device to configure the implantable medical device for stimulating neural tissue by at least one electrode. The method includes: performing, by the implantable medical device, an evoked compound action potential (eCAP) threshold search by stimulating the neural tissue with test stimulation pulses; determining, based on the eCAP threshold search, an eCAP threshold amplitude and a coupling factor that is indicative of a coupling between the at least one electrode and the neural tissue; and generating a first set of stimulation parameters containing at least a stimulation amplitude that is determined in dependence on the eCAP threshold amplitude and the coupling factor.

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 leadless pacemaker device for providing an intra-cardiac pacing includes processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate, a first sensor configuration receiving a first sense signal, and a second sensor configuration receiving a second sense signal. The processing circuitry derives, in a first sensing state, atrial events from the first sense signal for controlling the ventricular pacing rate based on the atrial events. The processing circuitry switches, based on at least one switching criterion, from the first sensing state to a second sensing state in which the processing circuitry derives atrial events from the second sense signal. The second sense signal is received by the second sensor configuration for detection of atrial events and the second sensor configuration is a motion sensor or a sound sensor. A method for operating the pacemaker device is also provided.

Abstract: A method programs an implantable medical device to configure the implantable medical device for stimulating neural tissue by at least one electrode. The method includes: performing, by the implantable medical device, an evoked compound action potential (eCAP) threshold search by stimulating the neural tissue with test stimulation pulses; determining, based on the eCAP threshold search, an eCAP threshold amplitude and a coupling factor that is indicative of a coupling between the at least one electrode and the neural tissue; and generating a first set of stimulation parameters containing at least a stimulation amplitude that is determined in dependence on the eCAP threshold amplitude and the coupling factor.

Abstract: A delivery tool for an implantable medical device to be introduced into a human or animal body, in particular, an implantable leadless pacemaker, the delivery tool having an outer sheath and an inner sheath, wherein the inner sheath is configured to be retractable into a lumen of the outer sheath, wherein a distal side of the inner sheath is configured to provide regions which are reversibly collapsible and non-collapsible in diameter, wherein a non-collapsible region is arranged at the distal end of the inner sheath. A system including a delivery tool and an implantable medical device is also provided.

Abstract: A system and method for installing/implanting a leadless implant can include a leadless implant with shortened tine-based anchors and an implantation tool with a modified tip. The tines can extend from a surface of the leadless implant and may include a preformed curve or other shape to enable the tine to hook into or grapple tissue. The implantation tool may be provided with a modified tip to assist with proper alignment, insertion, and anchoring of the shortened tines. A tip of the implantation tool can have a reduced inner diameter to cause the tine tips to be approximately normal to the surface of the tissue to which the implant is being anchored. Upon deployment of the leadless implant, the tines of the anchoring mechanism are appropriately aligned for proper insertion so that robust anchoring is achieved.

Abstract: The present disclosure relates to a system (1) for remote assessment of a patient (P1), comprising: a first device (2) associated to a physician (P2), a second device (3) associated to the patient (P1), a medical device (4) associated to the patient (P1), wherein the second device (3) is configured to communicate with the medical device (4), and wherein the medical device (4) is configured to be programmed via the second device (3), wherein the first device (2) is further configured to communicate with the second device (3), and wherein the second device (3) is configured to be controlled via the first device (2), and wherein the second device (3) is configured to acquire data (S1, S2) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P1). Furthermore, a method for remote assessment is provided.

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: The present disclosure relates to a system (1) for remote assessment of a patient (P1), comprising: a first device (2) associated to a physician (P2), a second device (3) associated to the patient (P1), a medical device (4) associated to the patient (P1), wherein the second device (3) is configured to communicate with the medical device (4), and wherein the medical device (4) is configured to be programmed via the second device (3), wherein the first device (2) is further configured to communicate with the second device (3), and wherein the second device (3) is configured to be controlled via the first device (2), and wherein the second device (3) is configured to acquire data (S1, S2) indicative of at least one physiological parameter or of several physiological parameters (HR, F, P) of the patient (P1). Furthermore, a method for remote assessment is provided.

Abstract: A leadless pacemaker includes at least one fixation element for fixing the leadless pacemaker to cardiac tissue, a communication unit electrically connected to the fixation element, so that the fixation element is configured to act as a communication antenna for transmitting signals generated by the communication unit to an external device and/or receiving signals from an external device, and a therapy unit for generating electrical signals to electrically stimulate cardiac tissue. The fixation element is configured to act as an electrode for electrically stimulating cardiac tissue and/or sensing electrical signals of the cardiac tissue. A method for electrically stimulating cardiac tissue, a method for sensing electrical signals of cardiac tissue by using the leadless pacemaker, and a method for communicating between a leadless pacemaker and an external device are also provided.

Abstract: A leadless pacemaker device for providing an intra-cardiac pacing includes processing circuitry configured to generate ventricular pacing signals for stimulating ventricular activity at a ventricular pacing rate, a first sensor configuration receiving a first sense signal, and a second sensor configuration receiving a second sense signal. The processing circuitry derives, in a first sensing state, atrial events from the first sense signal for controlling the ventricular pacing rate based on the atrial events. The processing circuitry switches, based on at least one switching criterion, from the first sensing state to a second sensing state in which the processing circuitry derives atrial events from the second sense signal. The second sense signal is received by the second sensor configuration for detection of atrial events and the second sensor configuration is a motion sensor or a sound sensor. A method for operating the pacemaker device is also provided.

Abstract: A system for collecting information concerning a patient's health status at an event, comprising: a medical device recording physiological data of a patient, a remote control device allowing the patient to initiate said recording of physiological data at an event, wherein the remote control device sends a control signal to the medical device in response to a corresponding operation of the remote control device by the patient for initiating a recording of physiological data by the medical device, wherein the medical device records said physiological data when receiving said control signal, and a patient device that prompts the patient after initiation of said recording to input information on the patient's health status at the time of said event that lead the patient to initiate recording of physiological data. Further, the present invention relates to a method for collecting information concerning a patient's health status.

Abstract: A monitoring system and method for detecting an infection or for assessing a suitability of neuromodulation therapy for a patient. R-R intervals of a patient are detected and stored for a first time period. A heart rate variability (HRV) of the stored R-R intervals is determined using at least one of a time domain analysis, an entropy analysis, a frequency domain analysis, a wavelet analysis, or a detrended fluctuation analysis. The patient is identified as exhibiting symptoms of a systemic infection and/or identified as suitable for neuromodulation therapy if the HRV is higher than a first threshold.