Abstract: Leadless pacemakers and methods of implanting the same are provided for a cardiac conduction system. A leadless pacemaker includes an implantable housing including a mounting interface, an electronic circuitry and a power source received by the implantable housing, and an electrode system connected to the electronic circuitry via the mounting interface. The electrode system includes electrodes configured to insert into a septum and having a length to reach pathways of the cardiac conduction system.

Abstract: A lead for cardiac conduction system includes a proximal end, a lead body extending from the proximal end, and a distal end extending from the lead body. The lead body includes a non-conductive spacer. The distal end includes a helix electrode distal to the spacer. The lead further includes a ring electrode proximal to the spacer and surrounding a portion of the lead body. The helix electrode includes a core disposed within a helical space of the helix electrode. Another lead for cardiac conduction system includes a proximal end, a lead body extending from the proximal end, and a distal end extending from the lead body. The distal end includes a first helix electrode extending from the lead body and a second helix electrode extending from the lead body. A tip of the first helix electrode is distal to a tip of the second helix electrode.

Abstract: Systems and methods for determining parameters and/or configurations for implantable pulse generator and/or lead(s) for the cardiac conduction system. The method includes configuring a stimulation vector. The method also includes configuring an AV delay to be less than an intrinsic AV delay, controlling a pulse generator to deliver pacing with a pacing amplitude, determining a sensing signal from artifacts of the pacing, adjusting the pacing amplitude based on the determined sensing signal and a capture signal, and determining the pacing threshold based on the adjusted pacing amplitude. The method further includes configuring the AV delay to a percentage of an intrinsic AV delay, controlling the pulse generator to deliver pacing with the AV delay, determining a sensing signal from artifacts of the pacing, adjusting the AV delay based on the determined sensing signal, and configuring the pulse generator with the adjusted AV delay.

Abstract: A lead for a cardiac conduction system. The lead includes a lead body; a distal end including a first electrode configured to be inserted into a portion of a ventricular septum; a second electrode coupled to the lead body; a fixation element configured to fix the lead to the portion of the ventricular septum; and a proximal end. The lead further includes a shocking coil coupled to the lead body and spaced away from the second electrode.