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: 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: 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.

Abstract: The invention relates to a medical device and a method for operating a medical device, said medical device comprising a unit configured to perform at least one function selected from the group of: evaluation of signals, therapy delivery, an interface to a network, in particular a 5G network, the interface being configured to communicate directly or indirectly with the network, wherein the medical device is further configured to directly or indirectly influence the at least one function via the network communication, and a basic supply unit configured to ensure a basic function of the medical device if the network communication is interrupted during intended use of the medical device.

Abstract: The invention relates to a communication adapter and a computer implemented method for use with an implantable medical device, in particular a pacemaker, a defibrillator and/or a neuro-stimulator, for transferring data between the implantable medical device and a mobile device, in particular a smartphone or tablet computer. In addition, the invention relates to protective case and a communication adapter system comprising the communication adapter.

Abstract: A communication adapter and a computer implemented method for use with an implantable medical device, in particular a pacemaker, a defibrillator and/or a neuro-stimulator, for transferring data between the implantable medical device and a mobile device, in particular a smartphone or tablet computer. In addition, the invention relates to a protective case, a cable and a connector each comprising the communication adapter.

Abstract: The invention relates to an implantable medical device, in particular a diagnostic monitoring device, a pacemaker, a defibrillator and/or a neuro-stimulator, comprising a first wireless communication interface, operating in a first frequency band reserved for medical implants, a second wireless communication interface, operating in a second frequency band supported by consumer mobile communications devices, in particular smartphones and/or tablet computing devices, and a multi-band antenna connected to the first wireless communication interface and the second wireless communication interface, wherein the multi-band antenna is configured to operate in the first frequency band reserved for medical implants and in the second frequency band supported by consumer mobile communications devices. The invention further relates to an implant communication system, a method for updating an executable code of an implantable medical device and a computer program.

Abstract: Method for fabricating an implantable medical device comprising: providing a housing, an electronic module and a plurality of periphery components, the electronic module comprises module contacts for inputting/outputting electric energy to/from the electronic module, each periphery component comprises component contacts for inputting/outputting electric energy to/from the periphery component; arranging the electronic module and the periphery components in a first configuration wherein each component contact of each periphery component is positioned at a same initial distance relative to a corresponding module contact; displacing the electronic module and the periphery components by the initial distance relative to each other into a second configuration in which all component contacts of each periphery component directly mechanically contact respective corresponding module contacts; fixing the electronic module and the periphery components in the second configuration; accommodating the electronic module and

Abstract: The invention relates to an implantable medical device, in particular a diagnostic monitoring device, a pacemaker, a defibrillator and/or a neuro-stimulator, configured to exchange data with an external communication device, comprising a near-field telemetry interface), a first wireless communication interface operating in a frequency band reserved for medical implants, and a second wireless communication interface operating in a frequency band and/or using a communication protocol supported by consumer mobile communications devices, in particular smartphones and/or tablet computing devices. The invention further relates to an implant communication system and a method for transferring data between an implantable medical device and an external communication device. In addition, the invention relates to a computer program.

Abstract: The invention relates to an implantable medical device, in particular a diagnostic monitoring device, a pacemaker, a defibrillator and/or a neuro-stimulator, comprising a diagnostic and/or therapeutic control unit, a wireless communication interface, operating in a frequency band and/or using a communication protocol supported by consumer mobile communications devices, in particular smartphones and/or tablet computing devices, a first memory area, in which executable code for controlling the diagnostic and/or therapy control unit is stored, and a second memory area, in which executable code for controlling the wireless communication interface is stored, wherein the software and/or hardware of the wireless communication interface is configured to update the executable code of the wireless communication interface via the wireless communication interface.

Abstract: An implantable medical device comprises a functional device for carrying out a therapeutic or diagnostic function, and a communication device for communicating with a remote monitoring system. The communication device, at a start of initial operation of the implantable medical device, is enabled to establish a communication with said remote monitoring system. In this way an implantable medical device is provided which allows for including the implantable medical device in a remote monitoring while reducing a risk for a patient involved with attending to the patient for activating a remote monitoring function within the implantable medical device.

Abstract: The present invention relates to a method for controlling the operation of at least two implantable medical devices for stimulating a human or animal heart, the method comprising the following steps: a) receiving, with a control device, a first operational parameter of a first device of the at least two implantable medical devices; b) receiving , with the control device, a second operational parameter of a second device of the at least two implantable medical devices; c) automatically checking whether there exists a conflict between the first operational parameter and the second operational parameter precluding a safe operation of the first device and the second device; and d) if a conflict has been identified, visualizing the first operational parameter, the second operational parameter, and data on the conflict on a display of the control device.

Abstract: An artificial-intelligence based patient assessment system is provided for assessing a patient. The system comprises at least one AI based algorithm and means for providing computer code to a local data system, wherein the computer code is adapted to, when executed, process data to provide a training result for the at least one AI based algorithm, wherein the computer code is adapted to be executed in the local data system to process data stored in the local data system. The system further comprises means for receiving the training result from the local data system upon execution of the computer code in the local data system.

Abstract: A medical support system for patient treatment. The medical support system includes a central computing entity; and at least one local medical entity configured to obtain physiological data of a patient, preprocess the physiological data to generate anonymous preprocessed data, and send the anonymous preprocessed data to the central computing entity via at least one communications network, wherein the central computing entity is configured to analyze the anonymous preprocessed data, determine one or more parameters in relation to a medical support function based on the analysis of the anonymous preprocessed data, and send the determined one or more parameters to the at least one local medical entity via the at least one communications network, and wherein the at least one local medical entity is configured to implement the one or more parameters received from the central computing entity to provide the medical support function for the patient.

Abstract: The present disclosure relates to an apparatus and a method for ensuring patient compliance during a recovery process. In particular, the present disclosure relates to a dialogue-based medical decision system comprising a receiver for receiving data associated with a health state of the patient sent from a device associated with the patient and a processing unit adapted to select a message associated with the health state of the patient based on the received data and based on stored patient data. Moreover, the dialogue-based medical decision system comprises a transmitter for transmitting the message to the device and/or another device associated with the patient.

Abstract: An implantable medical device which performs the following steps during operation: a) performing a detection of whether the implantable medical device is in an implanted state; b) if it is detected that the implantable medical device is in an implanted state, activating a first diagnostic or therapeutic function of the implantable medical device, and subsequently activating a second diagnostic or therapeutic function of the implantable medical device, wherein the second diagnostic or therapeutic function is activated only after the fulfillment of at least one activation criterion selected from the group consisting of an elapse of a first time period from the activation of the first diagnostic or therapeutic function, an elapse of a second time period from the detection that the implantable medical device is in an implanted state, and a passing of a function test.

Abstract: The invention relates to a drive system for an aircraft which is constructed for operation with a liquid fuel and a gaseous fuel, including at least one engine having a combustion chamber for operation with the liquid fuel and/or the gaseous fuel and per fuel at least one separate tank chamber which is or can be brought into connection in flow terms with the combustion chamber via a fuel line for supplying it with the corresponding fuel. A drive system which is optimized in terms of emissions and efficiency can be provided in that the drive system is constructed in such a manner that, in the event of firing at a great height, exclusively gaseous fuel is or can be used in the at least one engine during a firing operation at a great height.

Abstract: The present disclosure relates to an implantable defibrillator which comprises at least one energy source and at least one electrical component. The implantable defibrillator further comprises means for activating a coupling between the energy source and the electrical component, based at least in part on an orientation and/or a motional state of the energy source, wherein the electrical component is a capacitor.