Abstract: An arrangement for actuating a shift element of a gearbox includes a rotatably mounted and preloaded shift pawl (2) and a shift ring (3) with an outer toothing (4) and assigned to a gearbox element. A first end (8) of the shift pawl (2) is assigned to the outer toothing (4) of the shift ring (3) so as to lock or release the shift ring (3) in order to shift a gear stage, and a second end (9) of the shift pawl (2) is assigned to a shift gate (6) of a shift drum (5) that actuates the shift pawl (2). The shift pawl (2) is operatively connected to at least one double torsion spring (10) in order to apply a preload force.

Abstract: An arrangement for actuating a shift element for a bottom bracket gearbox (1) includes a shift ring (4) rotatably mounted in a housing (3) and assigned to a gearbox component. A shift pawl (5) for locking or releasing the shift ring (4) is assigned to the shift ring (4) for shifting a gear stage. A support region mechanically reinforces the housing (3) and is provided at least along a contact region (14) between an inner wall (8) of the housing (3) and an outer circumference of the shift ring (4). The contact region (14) is defined by reaction forces (16) acting when the shift ring (4) is locked.

Abstract: A gear set arrangement (10) for a bicycle gearbox (400) includes a planetary assembly, a stationary component (24), a first and a second brake (B1, B2), and a first and a second freewheel clutch (F1, F2). One planetary gear set (12) of the planetary assembly includes a first rotary element, a second rotary element, and a third rotary element. The first rotary element is rotationally fixable on the stationary component (24) by the first brake (B1). The first rotary element is connectable to the output (36) by the first freewheel clutch (F1). The second rotary element is rotationally fixable on the stationary component (24) by the second brake (B2). The second rotary element is connectable to the output (36) by the second freewheel clutch (F2). The third rotary element is connected to the input (34) for conjoint rotation. The gear set arrangement (10) is configured to provide three ratios.

Abstract: A non-transvenous ICD system comprises a defibrillation generator, a controller, an electrode line, a shock electrode arranged at the electrode line and at least three sensing electrodes arranged at various positions within the ICD system. The defibrillation generator is configured for generating electric shocks and applying the electric shocks to cardiac tissue of a patient via the shock electrode. The controller is configured for (i) sensing plural signals indicating a cardiac activity by detecting an electric voltage along each of a plurality sensing vectors, wherein each sensing vector extends between two of the sensing electrodes, (ii) automatically selecting at least one of the sensed signals based on predetermined criteria being fulfilled, and (iii) controlling the defibrillation generator for generating the electric shocks based on the at least one selected signal.

Abstract: A system for identifying an active medical implant, comprising an active medical implant configured to store information related to the active medical implant in a memory of the active medical implant, wherein the active medical implant has a first short-range communication module; and a mobile terminal having a second short-range communication module configured to directly communicate with the first short-range communication module of the active medical implant via a communication link, wherein the active medical implant is configured to transmit the information related to the active medical implant to the mobile terminal via the communication link.

Abstract: The present invention relates to retardant compositions that include copolymer(s) of carboxylic and/or dicarboxylic monomers, to be mixed with cement ingredients, preferably CSA cement, to form a cement composition that hardens over a longer period of time than traditional CSA cement setting times.

Abstract: A system for operating an active medical implant, comprising an active medical implant configured to store information related to a patient's health status in a memory of the active medical implant, wherein the active medical implant has a first short-range communication module; and a mobile terminal having a second short-range communication module configured to directly communicate with the first short-range communication module of the active medical implant via a communication link, wherein the active medical implant is configured to transmit the information related to the patient's health status to the mobile terminal via the communication link.

Abstract: A non-transvenous implantable cardioverter defibrillator device comprises a generator device comprising a processing circuitry and a shock generation circuitry, and at least one lead comprising a shock electrode for emitting electrical shock pulses externally to a patient's heart. The processing circuitry is configured to identify a sensed ventricular contraction event in a sensed electrocardiogram signal or said processing circuitry is configured to control said shock generation circuitry to generate at least one conditioning pulse for emission by said shock electrode to cause an induced ventricular contraction event. The processing circuitry is further configured to control said shock generation circuitry to generate a fibrillation pulse for emission by said shock electrode at a delay time after said sensed or induced ventricular contraction event in order to induce a cardiac fibrillation state.

Abstract: An implantable cardioverter defibrillator device comprises a generator device having a processing circuitry and a shock generation circuitry, and at least one lead comprising a shock electrode for emitting an electrical output pulse. The shock generation circuitry comprises an energy supply arrangement containing at least one energy storage device for supplying energy to form an output pulse, an output circuit for outputting said output pulse to the shock electrode, and a current limiting circuit arranged electrically in between the energy supply arrangement and the output circuit such that a current supplied from the energy supply arrangement flows through the current limiting circuit towards the output circuit. The current limiting circuit comprises at least one current limiting component, wherein the current limiting circuit is controllable by the processing circuitry to modulate a current flowing through the current limiting circuit.

Abstract: An implantable cardioverter defibrillator device comprises a generator device comprising a shock generation circuitry for producing an electrical shock pulse for performing a defibrillation therapy and a communication circuitry for establishing a communication connection to an external device in a frequency range above 2 GHz. At least one lead comprises a shock electrode for emitting said electrical shock pulse. The at least one lead comprises at least one antenna operatively connected to the communication circuitry for transmitting communication signals to and/or receiving communication signals from the external device in said frequency range above 2 GHz.

Abstract: Methods and systems for securely communicating with an implant. A method of communication by a local communication system, with an implant and with a remote communication system may comprise the steps of: receiving a user input indicative of first data to be transmitted to the implant, transmitting a first indication associated with the user input to the remote communication system for processing, prior to sending the first data to the implant. Additionally or alternatively, the method may comprise receiving second data from the implant, and, without accessing the second data, transmitting a second indication associated with the second data to the remote communication system for processing.

Abstract: An implant arrangement comprising an active implantable medical device and a remote data-monitoring device is disclosed, wherein the active implantable medical device comprises a sensing unit for sensing at least one diagnostic parameter of a human or animal patient and a data transfer interface for transferring data on the at least one diagnostic parameter sensed by the sensing unit to the remote data-monitoring device, wherein the remote data-monitoring device is configured to apply at least one post-processing function on the data received from the active implantable medical device, wherein the remote data-monitoring device is further configured to allow an adjustment of at least one configuration parameter of the post-processing function in dependence on a user input received by the remote data-monitoring device, wherein the at least one configuration parameter alters an effect of the post-processing function on the data received from the active implantable medical device.

Abstract: Implantable medical device for stimulating a human or animal heart. The implantable medical device performs the following steps: a) detecting, with the first detection unit, an electric signal of a heart to be stimulated, the electric signal comprising at least two consecutive amplitudes correlating with a contraction of the heart to be stimulated; b) determining i) whether a first amplitude of the two consecutive amplitudes and a second amplitude of the two consecutive amplitudes have a maximum lying within a predeterminable intensity range, and/or ii) whether a maximum of the first amplitude and a maximum of the second amplitude deviate from each other in terms of intensity by not more than 20%; and c) preventing an atrial stimulation with the first stimulation unit if at least one of conditions i) and ii) of step b), if tested, is not fulfilled, otherwise allowing an atrial stimulation with the first stimulation unit.

Abstract: An implantable therapy system for an antibradycardia and antitachycardia stimulation comprises an implantable pacemaker device for emitting a cardiac stimulation signal for achieving an intra-cardiac pacing, and an implantable non-transvenous defibrillator device for emitting a shock pulse for achieving a defibrillation. The implantable pacemaker device is configured to transmit an advertising signal for advertising said cardiac stimulation signal. The implantable non-transvenous defibrillator device is configured to receive said advertising signal and to modify at least one processing function in response to receiving said advertising signal.

Abstract: An implantable medical device for providing a diagnostic and/or therapeutic cardiac function within a patient comprises a sensing arrangement for sensing electrocardiogram signals, a communication circuitry for data communication with a device external to the patient and a processing circuitry for processing sensed electrocardiogram signals. The processing circuitry is configured to identify, based on the sensed electrocardiogram signals, a stimulation event caused by an implantable pacemaker device and to cause a transmission of information concerning said identification of a stimulation event to the device external to the patient.

Abstract: A computer implemented method for classification of similar biosignal curves detected by an implantable medical device, comprising the steps of providing a plurality of biosignal curves by the implantable medical device, storing the detected biosignal curves in a storage medium, applying an algorithm to the plurality of biosignal curves to determine a similarity of each of the plurality of biosignal curves with the plurality of biosignal curves with respect to at least one signal feature according to predetermined similarity criteria, and classifying biosignal curves matching the predetermined similarity criteria. Furthermore, a system for classification of similar biosignal curves detected by an implantable medical device is also provided.

Abstract: An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable pacing device is further configured to signal an unavailability of anti-tachycardia pacing to the implantable cardioverter defibrillator, and wherein the implantable cardioverter defibrillator is configured, in response to the signal of the implantable pacing device, to adjust predetermined shock therapy parameters and/or to send a message to a remote monitoring system. A computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier are also provided.

Abstract: An implantable system for providing anti-tachycardia and/or shock therapy, comprising an implantable pacing device, in particular an implantable leadless pacemaker, and an implantable cardioverter defibrillator, in particular a non-transvenous implantable cardioverter defibrillator, wherein the implantable pacing device is configured to detect a tachycardia and to provide anti-tachycardia pacing, wherein the implantable cardioverter defibrillator is further configured to signal an availability and/or unavailability of defibrillation to the implantable pacing device, and wherein the implantable pacing device is configured, in response to the signal of the implantable cardioverter defibrillator to enable and/or disable anti-tachycardia pacing. The invention further relates to a computer implemented method for providing anti-tachycardia and/or shock therapy, a computer program and a computer readable data carrier.

Abstract: An implantable cardioverter-defibrillator having a housing comprising a processor, a memory unit, a single electrode connection port, a stimulation unit configured to provide an electrode being connected to the electrode connection port with an electric pulse to stimulate a human or animal heart, and a detection unit configured to receive an electric signal of the same heart from the same electrode. According to an aspect of the invention, the electrode connection port is configured to receive a transvenously implantable electrode or a substernally implantable electrode, wherein the memory unit comprises a computer-readable program that causes the processor to operate the stimulation unit and/or the detection unit in a first operational mode if a transvenously implantable electrode is connected to the electrode connection port and in a second operational mode if a substernally implantable electrode is connected to the electrode connection port.

Abstract: The invention relates to a medical device and method, in particular an implantable active implant for implantation in human or animal tissue, comprising a unit adapted to perform at least one of the following functions: evaluation of signals and therapy delivery, an interface to a network, in particular a 5G network, wherein the interface can communicate directly or indirectly with the network as required and the at least one function can be influenced directly or indirectly via the network communication, and a predetection unit that activates a connection to the network only whenever an immediate need for real-time assessment and/or influence has been detected.