Abstract: Systems and methods for correlating biometric trends with a related temporal event are disclosed. A preferred embodiment utilizes an implantable medical device comprising at least one sensor in electronic communication with a patient management system adapted to temporally analyze and correlate biometric data. Some embodiments of a system disclosed herein also can be configured as an Advanced Patient Management system that helps better monitor, predict and manage chronic diseases.

Abstract: An implantable medical device comprising a far field RF transmitter and receiver, a controller circuit communicatively coupled to the RF transmitter and receiver, and a wakeup timer circuit integral to, or communicatively coupled to, the controller. The controller is configured to initiate power up of the RF transmitter and receiver during a wakeup interval defined by the wakeup timer circuit, detect a digital key received from a second device during the wakeup interval, transmit a response using the RF transmitter when the digital key is received, and receive a communication from the second device and resynchronize the wake-up timer according to a time of the communication.

Abstract: An implantable medical device comprises a near field telemetry module to wirelessly receive first information into the IMD, a far field telemetry module to wirelessly receive second information into the IMD, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, and operate the IMD according to the received second information upon receiving third information via the near field telemetry link.

Abstract: Systems and methods provide for the selective prevention of data transfer from a medical device to allow the patient to have privacy when desired. These systems and methods provide medical devices that can be instructed in various ways to stop recording data and/or transmitting data to external devices and systems. These systems and methods also provide external repeater devices that can also be instructed in various ways to stop recording data being received, stop forwarding data that is being or has already been received, and/or to stop soliciting data from the medical device. These systems and methods also provide for a blocking device that may be separate from the medical device and repeater to provide instruction to the medical device and/or repeater to prevent data transfer such as by stopping the recording or transmission of data.

Abstract: A system including an implantable trigger event detector and an implantable ischemia detector. The implantable trigger event detector is adapted to detect at least one first condition and to output a responsive trigger signal including information about whether the first condition has been detected. The implantable ischemia detector is adapted to detect a second condition indicative of one or more physiologic cardiovascular events in a subject that are indicative of ischemia. The ischemia detector is coupled to the trigger event detector to receive the trigger signal, and the ischemia detector is enabled upon the trigger signal indicating that the first condition has been detected.

Abstract: Devices, systems and methods for nerve stimulation for OSA therapy.

Abstract: Devices, systems and methods for nerve stimulation for OSA therapy.

Abstract: In one configuration, an adherent device to adhere to a skin of a subject includes a stretchable base layer having an upper side and a lower side and an adhesive coating on the lower side to adhere the base layer to the skin of the subject. The base layer has at least two openings extending therethrough, each of the at least two openings having a size. The adherent device also includes a stretchable covering layer positioned above and adhered to the base layer with an adhesive to define at least two pockets. The adherent device also includes at least two gels, each gel having a size larger than the size of openings to retain the gel substantially within the pocket, and a circuit carrier supported with the stretchable base layer to measure at least one physiologic signal of the subject. Other configurations and methods are also claimed.

Abstract: Devices, systems and methods for nerve stimulation for OSA therapy.

Abstract: An implantable medical device comprises a near field telemetry module to wirelessly receive first information into the IMD, a far field telemetry module to wirelessly receive second information into the IMD, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, and operate the IMD according to the received second information upon receiving third information via the near field telemetry link.

Abstract: An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

Abstract: A repeater providing data exchange with a medical device for remote patient care and method thereof are provided. The repeater includes a transmission device configured to send the data over a wireless medium to a data repository and a processing device configured to detect conditions in respect of an associated communication medium that could affect data exchange, where the processing device is configured to send the data based at least in part on the conditions. The processing device is further configured to analyze the data from the medical device to detect a problem with the medical device.

Abstract: An implantable medical device comprises a near field telemetry module, a far field telemetry module, and a processor in electrical communication with the near field telemetry module and the far field telemetry module. The processor is configured to establish, in relation to a communication signal received by the near field telemetry module, a time period during which communication via the far field telemetry module is available, authenticate a far field communication session using the far field telemetry module, and communicate using the far field telemetry module upon authentication of the communication session.

Abstract: Devices and methods of use are provided for treating a person having a hypoglossal nerve and an upper airway. In one embodiment, a method may include providing a nerve cuff electrode including a cylindrical cuff body. The method may further include chronically implanting the nerve cuff electrode on a portion of the hypoglossal nerve. The method may also include delivering a stimulus to the hypoglossal nerve via the nerve cuff electrode to mitigate obstruction of the upper airway.

Abstract: An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

Abstract: A repeater providing data exchange with a medical device for remote patient care and method thereof are provided. A plurality of interfaces include a medical device interface interconnected with a medical device, a wireless interface coupled to a wireless medium, and a wired interface coupled to a wired medium. An interface selector includes a test module operable over the wireless interface and the wired interface to evaluate conditions on each respective medium that could affect data exchange over each of the interfaces. The interface selector further includes a selection module specifying data exchange to occur using one of the wireless interface and the wired interface based on the evaluated conditions. An interrogator module exchanges data with the medical device over the medical device interface. A data transfer module exchanges the data with an external device over the specified interface.

Abstract: An implantable medical device comprising a far field RF transmitter and receiver, a controller circuit communicatively coupled to the RF transmitter and receiver, and a wakeup timer circuit integral to, or communicatively coupled to, the controller. The controller is configured to initiate power up of the RF transmitter and receiver during a wakeup interval defined by the wakeup timer circuit, detect a digital key received from a second device during the wakeup interval, transmit a response using the RF transmitter when the digital key is received, and receive a communication from the second device and resynchronize the wake-up timer according to a time of the communication.

Abstract: A telemetry system enabling radio frequency (RF) communications between an implantable medical device and an external device, or programmer, in which the RF circuitry is normally maintained in a powered down state in order to conserve power. At synchronized wakeup intervals, one of the devices designated as a master device powers up its RF transmitter to request a communications session, and the other device designated as a slave device powers up its RF transmitter to listen for the request. Telemetry is conducted using a far field or near field communication link.

Abstract: A telemetry system enabling radio frequency (RF) communications between an implantable medical device and an external device, or programmer, in which the RF circuitry is normally maintained in a powered down state in order to conserve power. At synchronized wakeup intervals, one of the devices designated as a master device powers up its RF transmitter to request a communications session, and the other device designated as a slave device powers up its RF transmitter to listen for the request. Telemetry is conducted using a far field or near field communication link.

Abstract: A method comprises connecting at least one portion of a far-field radio-frequency (RF) first telemetry circuit in an implantable medical device to an energy source through a power connection module, detecting information included in a first predetermined wireless signal, changing a conductivity state of the power connection module when the information in the first predetermined wireless signal is detected to couple power to the at least one portion of the first telemetry circuit, detecting a second predetermined wireless signal, and changing a conductivity state of the power connection module to decouple power to the at least one portion of the first telemetry circuit when the second predetermined wireless signal is detected and the first telemetry circuit enters an idle state.