Abstract: A magnetic core flux canceling device according to embodiments of the present invention includes a magnetic field sensor adapted for placement at a ferrite material core in an implantable medical device, the magnetic field sensor adapted to transmit a signal corresponding to a magnitude of a first magnetic field. Such a device may also include a coil disposed around the ferrite material core and a driver circuit configured to receive the signal and to vary a voltage applied across the coil based on the signal, the voltage applied across the coil creating a second magnetic field at least partially in a direction opposite the first magnetic field. According to some embodiments of the present invention, multiple coils may be used to cancel magnetic fields in multiple directions. A voltage applied across the coil varies in magnitude and/or direction to cancel or weaken an MRI-related magnetic field.

Abstract: Implantable medical leads having resistance characteristics adapted to dissipate radio frequency (RF) electromagnetic energy during medical procedures such as magnetic resonance imaging (MRI) are disclosed. An illustrative medical device includes a lead having an inner electrical conductor operatively coupled to an electrode and a pulse generator, and one or more outer resistive shields that radially surround the inner conductor and dissipate RF energy into the surrounding body tissue along the length of the lead.

Abstract: A medical device includes a pulse generator, an electrode configured to contact tissue in a coronary vessel, a lead comprising a lead conductor, the lead conductor connecting the pulse generator with the electrode, and a filter circuit electrically connected in series between the lead conductor and the electrode. The filter circuit may include a band pass filter that attenuates signals having a frequency other than a natural resonance frequency (e.g. MRI device signals), and the pulse generator may transmit therapy signals to the electrode as a sinusoidal voltage wave at the natural resonance frequency. The filter circuit may include a diode that rectifies the sinusoidal voltage wave before the rectified sinusoidal voltage wave passes to the electrode. In some embodiments, therapy signals may be provided to the electrode through the band pass filter over a natural resonance frequency range.

Abstract: A system and method for wirelessly transferring information electromagnetically at a specified first operating frequency range in a first medium and at a specified second operating frequency range in a second medium using an implantable multi-length antenna. The implantable multi-length antenna can be configured to appear electrically as a first electrical length in the first medium and as a different second electrical length in the second medium. In other examples, the first operating frequency range can be specified using the first electrical length and the second operating frequency range can be specified using the second electrical length.

Abstract: Systems and methods of dynamically controlling an implanted medical device located within a patient's body in the presence of a gradient magnetic field or other external interference are disclosed. The system can include a reference model of the implanted medical device and of body tissue within the patient's body in the absence of a gradient magnetic field, and a control unit configured to dynamically control voltages or currents applied to a lead of the implanted medical device based on predicted parameters determined by the reference model.

Abstract: A medical device includes a pulse generator and an electrode configured to contact tissue in a body vessel. The medical device includes a lead that includes a lead connector. The lead connector connects a pulse generator with an electrode via a conductive path. An electrode switch is electrically connected between the lead conductor and the electrode. The electrode switch includes an open state preventing the conductive path between the lead and the electrode. The electrode switch includes a closed state establishing the conductive path between the lead and the electrode when a voltage is applied across the electrode switch that exceeds a threshold voltage. The electrode switch in the open state electrically shields the electrode from electromagnetic radiation and induced voltages during magnetic resonance imaging.

Abstract: A medical device includes a pulse generator and an electrode configured to contact tissue in a body vessel. The medical device includes a lead that includes a lead connector. The lead connector connects a pulse generator with an electrode via a conductive path. An electrode switch is electrically connected between the lead conductor and the electrode. The electrode switch includes an open state preventing the conductive path between the lead and the electrode. The electrode switch includes a closed state establishing the conductive path between the lead and the electrode when a voltage is applied across the electrode switch that exceeds a threshold voltage. The electrode switch in the open state electrically shields the electrode from electromagnetic radiation and induced voltages during magnetic resonance imaging.

Abstract: A medical device includes a pulse generator, a lead, and an electrode. The lead includes an electrode and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths. The medical device includes first and second switches. The first switch is disposed along the first conductive path and includes an open state in the presence of a magnetic field and a closed state in the absence of the magnetic field. The second switch is disposed along the second conductive path and includes an open state when a voltage applied across the second switch is at or below a threshold voltage and a closed state when the voltage applied across the second switch exceeds a threshold voltage.

Abstract: A medical device includes a pulse generator, a lead, and an electrode. The lead includes an electrode and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths. The medical device includes first and second switches. The first switch includes a non-conductive state in the presence of a magnetic field, the non-conductive state preventing formation of the first conductive path between the pulse generator and the electrode. The second switch includes a non-conductive state that prevents formation of the second conductive path between the pulse generator and the electrode. The first switch in the non-conductive state and the second switch in the non-conductive state electrically shields the electrode from electromagnetic radiation and induced voltages during a magnetic resonance imaging procedure.

Abstract: Systems and methods for improving response of implantable leads to magnetic fields during medical procedures such as magnetic resonance imaging (MRI) are described. In various embodiments, the lead includes an inner conductor that is helically shaped and radially surrounded, at least in part, by one or more high-voltage conductors. The high-voltage conductor can be mechanically and/or electrically coupled, via a coupler, to the shocking coil. The pitch of the inner and/or outer conductor can be varied (e.g., continuously or at certain points) along the length of the lead. In some embodiments, the filar thickness, the pitch, and the mean coil diameter of the inner coil, the high voltage conductor coil, and the shock coil can be configured such that these coils have a desired inductance value when subjected to externally applied electromagnetic energy at radio frequencies commonly generated by MRI scanners (e.g., 40 MHz to 300 MHz).

Abstract: An implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can include one or more MRI Safe components. In an example, the implantable device includes a capacitor including a first electrode including a first slot extending from a perimeter of the first electrode to an interior of the first electrode. A second electrode is separated from the first electrode by a first distance. The second electrode includes a second slot extending from a perimeter of the second electrode to an interior of the second electrode. The first and second slots are configured to at least partially segment surface areas of the first and second electrodes, respectively, to reduce a radial current loop size in each of the first and second electrodes.

Abstract: An implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can include one or more MRI Safe components. In an example, the implantable device includes a battery including a first electrode and a second electrode separate from the first electrode. The second electrode includes a first surface and a second surface. The second electrode includes a slot through the second electrode from the first surface toward the second surface. The slot extends from a perimeter of the second electrode to an interior of the second electrode. The slot is configured to at least partially segment a surface area of the second electrode to reduce a radial current loop size in the second electrode.

Abstract: A medical device lead includes a proximal connector configured to couple the lead to a pulse generator, an insulative lead body extending distally from the proximal connector, and a conductor assembly extending distally from the proximal connector within the lead body. The conductor assembly includes a conductor having a proximal end electrically coupled to the connector and a distal end electrically coupled to a defibrillation coil. A first portion of the defibrillation coil is exposed at an outer surface of the medical device lead and a second portion of the defibrillation coil is insulated at the outer surface of the medical device lead.

Abstract: A medical device lead includes a conductor and one or more band stop filters. The conductor extends through a lead body and includes a proximal end and a distal end. The one or more band stop filters each have a first end and a second end and include a conductive coil. At least one of the first end and second end of each band stop filter is coupled to the conductor. A length of each band stop filter is such that, at magnetic resonance imaging (MRI) frequencies, the band stop filter phase shifts an MRI-induced signal on the conductor by 180° to attenuate the MRI-induced signal on the conductor.

Abstract: An implantable medical device lead includes an insulative lead body, an outer conductive coil extending through the lead body, and an inner conductive coil extending coaxially with the outer conductive coil. The outer conductive coil, which is coupled to a proximal electrode at a distal end of the outer conductive coil, has a first outer conductive coil diameter. The inner conductive coil is coupled to a distal electrode at a distal end of the inner conductive coil. The inner conductive coil includes a filar having a filar diameter and a coil pitch that is about one to one and a half times the filar diameter. The inner conductive coil transitions from a first inner conductive coil diameter to a larger second inner conductive coil diameter between the proximal electrode and the distal electrode.

Abstract: This document discusses, among other things, a system and method for wirelessly transferring information electromagnetically at a specified first operating frequency range in a first medium and at a specified second operating frequency range in a second medium using an implantable multi-length antenna. In certain examples, the implantable multi-length antenna can be configured to appear electrically as a first electrical length in the first medium and as a different second electrical length in the second medium. In certain examples, the first operating frequency range can be specified using the first electrical length and the second operating frequency range can be specified using the second electrical length.

Abstract: Systems and methods of dynamically controlling an implanted medical device located within a patient's body in the presence of a gradient magnetic field or other external interference are disclosed. The system can include a reference model of the implanted medical device and of body tissue within the patient's body in the absence of a gradient magnetic field, and a control unit configured to dynamically control voltages or currents applied to a lead of the implanted medical device based on predicted parameters determined by the reference model.

Abstract: A magnetic core flux canceling device according to embodiments of the present invention includes a magnetic field sensor adapted for placement at a ferrite material core in an implantable medical device, the magnetic field sensor adapted to transmit a signal corresponding to a magnitude of a first magnetic field. Such a device may also include a coil disposed around the ferrite material core and a driver circuit configured to receive the signal and to vary a voltage applied across the coil based on the signal, the voltage applied across the coil creating a second magnetic field at least partially in a direction opposite the first magnetic field. According to some embodiments of the present invention, multiple coils may be used to cancel magnetic fields in multiple directions. A voltage applied across the coil varies in magnitude and/or direction to cancel or weaken an MRI-related magnetic field.

Abstract: A medical device includes a pulse generator, an electrode configured to contact tissue in a coronary vessel, a lead comprising a lead conductor, the lead conductor connecting the pulse generator with the electrode, and a filter circuit electrically connected in series between the lead conductor and the electrode. The filter circuit may include a band pass filter that attenuates signals having a frequency other than a natural resonance frequency (e.g. MRI device signals), and the pulse generator may transmit therapy signals to the electrode as a sinusoidal voltage wave at the natural resonance frequency. The filter circuit may include a diode that rectifies the sinusoidal voltage wave before the rectified sinusoidal voltage wave passes to the electrode. In some embodiments, therapy signals may be provided to the electrode through the band pass filter over a natural resonance frequency range.

Abstract: A medical device includes a pulse generator, a lead, and an electrode. The lead includes an electrode and a lead conductor connecting the pulse generator with the electrode via first and second conductive paths. The medical device includes first and second switches. The first switch includes a non-conductive state in the presence of a magnetic field, the non-conductive state preventing formation of the first conductive path between the pulse generator and the electrode. The second switch includes a non-conductive state that prevents formation of the second conductive path between the pulse generator and the electrode. The first switch in the non-conductive state and the second switch in the non-conductive state electrically shields the electrode from electromagnetic radiation and induced voltages during a magnetic resonance imaging procedure.