Abstract: A secondary lumen for rapid drug infusion in association with a double, triple or multiple lumen catheter, wherein, notably, said secondary lumen (100) consists of a bore (101), with one end equipped with a connector (102) and the opposite end in the form of a hollow tip (103); the bore (101) has an inner diameter (d1) that enables the passage of a liquid drug (A) and an outer diameter (d2) inferior to the diameter (d3) of at least one of the lumens (L1) of a tube (T1) of a double, triple or multiple lumen central venous catheter (VC), such that said bore (101), when inserted in the lumen (L1) of the venous catheter (VC), has the hollow end (103) coinciding with the hollow end (V1) of the said lumen (L1) of the tube (T1) and has part of the bore (101) of the secondary lumen and the respective connector (102) facing away from the venous catheter (VC).

Abstract: A device disclosed herein includes a tubular member which is flexible and configured to receive ultraviolet (UV) light from a UV illumination coupler. The tubular member contains a lumen defining a longitudinal interior space within the tubular member, a tubular body bounded by an inner wall defining an outer boundary of the lumen and an outer wall defining an outer surface of the tubular member, at least one optical fiber disposed outside of the interior space not parallel to an axis of the lumen and adapted to receive the UV light from the UV illumination coupler, and a protective component adapted to prevent substantively all of the UV light emitted from the optical fiber from exiting the outer wall. Methods for producing and using such devices are also disclosed herein.

Abstract: A ball-tipped mandrel, separate or integrated on a device delivery assembly, can be used to ease delivery and/or retrieval of an ancillary device within a body vessel having tortuous anatomy. A ball-tipped mandrel can be moved through a catheter as a part of a preparation procedure prior to insertion into a body vessel of a patient. A ball-tipped mandrel can be moved through a catheter during or after insertion into a body vessel of a patient in preparation for delivery of an ancillary device. A ball-tipped mandrel can be integrated onto the distal portion of a device to produce dilation during device delivery.

Abstract: Delivery devices, systems, and methods for delivering implantable leadless pacing devices are disclosed. An example delivery device may include a proximal section including a deflection mechanism for deflecting the proximal section, and a distal holding section extending distally of a distal end of the proximal section and defining a cavity therein for receiving an implantable leadless pacing device. The delivery device may include more than one deflection mechanism for deflecting the proximal section at multiple deflection regions. The delivery device may include more than one tubular member that are translatable relative to one another, and the one or more tubular members may include fixed curve portions. The delivery device may include an atraumatic or bumper tip at the distal end of the holding section.

Abstract: An elongate medical device having an axis comprises an inner liner, a jacket radially outward of the liner, a braid comprising metal embedded in the jacket, a sensor, and at least one wire electrically connected to said sensor. The at least one wire is one of: embedded in the jacket and optionally disposed helically around the braid; extending longitudinally within a tube which extends generally parallel to the device axis and wherein the tube is embedded in the jacket; and disposed within a lumen, wherein the lumen extends longitudinally within the jacket.

Abstract: A placement device is provided for causing a catheter to be placed inside of a body. The placement device includes an insertion unit, a transmission unit and a supply member. The supply member includes a supply unit main body, and a projection. A through-hole is formed on the inner peripheral surface of the supply unit main body at a position closer to a distal end side of the supply portion main body than the projection, and the through-hole communicates with an inside of the supply unit main body at the distal end side of the supply unit main body.

Abstract: A medical system comprises a catheter containing a mechanical system that is remotely operable to control a distal tip of the catheter. The medical system also comprises a sensor configured to at least partly measure a pose of the distal tip and a control system coupled to the mechanical system. The control system includes a memory operable to store parameters of a working configuration of the distal tip of the catheter and a plurality of operating modes including a holding mode in which the control system operates the mechanical system to actively maintain the working configuration of the distal tip based on feedback from the sensor. The control system also includes a plurality of modules. During activation of the holding mode, the plurality of modules is configured to sense a current pose of the distal tip and determine a difference between the current pose and the working configuration. The difference is due to an external disturbance.

Abstract: A steerable introducer has a proximal end and a distal end, and includes a steerable sheath having a proximal end and a distal end. The steerable sheath includes an outer layer extending from the proximal end to the distal end of the steerable sheath, and an inner liner disposed within the outer layer and extending from the proximal end to the distal end of the steerable sheath. A first pair of pull wires is disposed between the inner liner and the outer layer, and extends from the proximal end to the distal end of the steerable sheath. A second pair of pull wires is disposed between the inner liner and the outer layer and extends from the proximal end to the distal end of the steerable sheath.

Abstract: An actuator is provided with a tubular actuator element and a supporting body which supports an inner peripheral surface of the actuator element. An internal pressure of the actuator element is higher than an external pressure of the actuator element.

Abstract: The disclosure provides a flexible, narrow medical device (such as a micro-catheter or a guidewire) that is controllably moved and steered through lumens of a body. The medical device may include an electrically-actuatable bendable portion at a distal end, which may be provided by a polymer electrolyte layer, electrodes distributed about the polymer electrolyte layer, and electrical conduits coupled to the electrodes, such that the polymer electrolyte layer deforms asymmetrically in response to an electrical signal through one or more conduits. The disclosure further includes a controller for moving the device into and out of bodily lumens and for applying the electrical signal for steering the device. The device further includes methods of preparing the polymer electrolyte layer in tubular shape.

Abstract: Some embodiments of a vascular access device are configured to reduce the likelihood of blood leakage during installation, even when the device is optionally installed using a single hand. In particular implementations, the vascular access device is configured as a peripheral intravenous (IV) device.

Abstract: A catheter insertion device includes a hollow needle attached to a needle base. A compression spring mechanically biases the needle base away from a plunger. A catheter is configured to be contactable by the plunger when the plunger moves in a forward direction. An expandable chamber is in fluidic and/or pneumatic communication with the hollow needle. The plunger inserts the catheter when a vacuum formed in the expandable chamber by the compression spring pushing the plunger away from the needle base is released by a fluid and/or a gas entering the hollow needle at a distal skin-piercing end as it punctures a vein or artery. The plunger is moved from a stored position to the armed position by rotating a button which overcomes any tendency for the plunger to stick in place during storage. The needle can be retracted by the same compression spring after the catheter is inserted.

Abstract: Safety shields and safety shield housings are described for intravenous (IV) catheter assemblies for preventing needlestick. A safety shield can cover a tip of a needle upon separation from a catheter hub. A safety shield housing can be provided between a catheter hub and a needle hub of the catheter assembly, and the safety shield housing can house the safety shield. The catheter hub can be a straight catheter hub or can include a side fluid port for use in as an integrated IVC.

Abstract: An introducer sheath is disclosed configured to be percutaneously inserted into a biological lumen and can shorten the time required for hemostasis at a wound site and lessen the physical burden on the patient after withdrawal of the introducer sheath. The introducer sheath includes a catheter body to be percutaneously introduced into a biological lumen, a hub configured to be connected to the proximal side of the catheter body, and a drug part that has a hemostatic agent capable of treating a wound site in biological tissue. The drug part is disposed at the proximal side of an outer surface of the catheter body.

Abstract: A splittable introducer sheath includes a tubular body portion formed from a first material and at least one stripe extending an entire length of the main body portion, the at least one stripe being formed form a second material. The first material is one of a medium-density polyethylene modified with a friction-reducing additive or high-density polyethylene (HDPE) modified with a friction-reducing additive. The second material is a thermoplastic elastomer modified with a siloxane additive. The sheath is dividable longitudinally along the at least one stripe.

Abstract: High torque guidewires and methods for making and using them are provided. A guidewire may include an inner core wire movable relative to an outer jacket. The outer jacket includes proximal and distal ends, a lumen extending there between, thereby defining a longitudinal axis, and one or more helical slots adjacent the distal end. The core wire includes a proximal portion, a distal portion slidably received in the outer jacket lumen and terminating in a curved distal tip that extends from the outer jacket distal end, and one or more pins on the distal portion, each pin slidably received in a respective helical slot in the outer jacket such that axial movement of the core wire relative to the outer jacket causes the pin to slide within the helical slot and rotate the distal tip relative to the outer jacket distal end.

Abstract: A method for treating a patient using a catheter insertion device. The catheter insertion device includes a housing, a needle, a catheter, a guidewire, and an actuator mechanism. The needle is attached to a needle carrier, the catheter is positioned coaxially around the needle such that a distal end of the needle extends distal of a distal end of the catheter, and the guidewire has a distal end positioned in a lumen of the needle. The method includes holding the catheter insertion device, inserting the distal end of the needle and catheter into a blood vessel, advancing the distal end of the guidewire out of the lumen of the needle into the blood vessel, moving the catheter over the guidewire in the blood vessel, and activating the actuator mechanism to simultaneously retract the distal end of the needle and the distal end of the guidewire into the housing.

Abstract: A medical device comprising a tube having first segment comprising a primary opening at the proximal end nearest an external termination device; and a second segment comprising a secondary opening at the distal end; and a side-hole dividing the first segment and the second segment, wherein the internal diameter of the first segment is greater than the internal diameter of the second segment, and the tube has no pre-formed curved configuration. The first segment extends from the primary opening to the side-hole and the second segment extends from the side-hole to the secondary opening. The side-hole and first segment form a non-support lumen, and the second segment forms a support lumen.

Abstract: The embodiments disclosed herein relate to balloon catheter assemblies. The balloon catheter assemblies can include a hub, an elongated member, and an inflation balloon. The balloon catheter assemblies can also include a support wire having a proximal end that is longitudinally displaceable within a sleeve that is disposed in the catheter hub. A distal end of the support wire may be coupled to the inflation balloon at one or more positions.

Abstract: An inflatable balloon includes a base balloon having a cylindrical section and a conical section and at least one circumferential fiber extending circumferentially around the conical section. The inflatable balloon includes a plurality of reinforcing strips in the conical section over the at least one circumferential fiber. Each reinforcing strip includes a plurality of fibers extending at an angle relative to the at least one fiber. Each reinforcing strip is positioned a set circumferential distance away from a neighboring reinforcing strip.

Abstract: A balloon wrapping apparatus for folding a balloon at a distal portion of an elongated shaft includes: a pleating section that forms the balloon with pleats; a folding section that folds the pleats formed in the balloon, along a circumferential direction; and a support base that supports the shaft and can be moved toward and away from the pleating section. The pleating section includes an insertion hole through which the balloon can be inserted, and a back surface hole provided in a back surface on the side opposite to the side on which the insertion hole is provided. The pleating section includes an assisting shaft which can be inserted into the back surface hole from the rear surface side, and an interlock portion interlocking the assisting shaft with the support base. The assisting shaft is formed with a cavity portion.

Abstract: A shunt device for shunting cerebrospinal fluid (CSF) from a CSF containing space to a sinus system cavity comprises a tubular inlet element, a flow restricting part, and a tubular outlet element having an outlet end with an outlet opening for insertion in the sinus system cavity, and a one-way valve preventing flow in a direction from the outlet opening to the inlet opening. The shunt device further comprises a distancer, said distancer being provided at the outlet end of the tubular outlet element.

Abstract: A device for reducing pressure within a lumen includes a reservoir structured for holding a fluid therein, an injection port in fluid communication with the reservoir, a compliant body structured to expand and contract upon changes in pressure, and a conduit extending between and fluidly coupling the reservoir and the compliant body. The fluid may be a compressible or a noncompressible fluid.

Abstract: The invention describes a device and a method for a lavage-type introduction of a stool transplant or of another, local or topically effective substance through the anus into the colon of a patient, wherein the substance to be introduced is flushed also into the upper parts of the colon of the patient in a torrent-like manner through correspondingly large-lumen catheters; said device comprises an ano-rectal placed head part remaining inside the patient from the beginning until the end of the application and a system of exchangeable bags, which are connectable to the head part, whereby two different types of bags can be applied, one of which is designed for the cleaning lavage, while the another is designed for the introduction of a substance or a transplant.

Abstract: Embodiments of the invention provide swallowable devices, preparations and methods for delivering drugs and other therapeutic agents within the GI tract. Many embodiments provide a swallowable device for delivering the agents. Particular embodiments provide a swallowable device such as a capsule for delivering drugs into the intestinal wall or other GI lumen. Embodiments also provide various drug preparations that are configured to be contained within the capsule, advanced from the capsule into the intestinal wall and degrade within the wall to release the drug to produce a therapeutic effect. The preparation can be coupled to an actuator having a first configuration where the preparation is contained in the capsule and a second configuration where the preparation is advanced out of the capsule into the intestinal wall. Embodiments of the invention are particularly useful for the delivery of drugs which are poorly absorbed, tolerated and/or degraded within the GI tract.

Abstract: A form fitting foot covering is disclosed and claimed. The foot covering includes an elongated tubular body constructed of a flex material, and includes an opening at one end that is adapted to allow a user to pull the foot covering over her foot. Five toes are disposed on an end of the elongated tubular body, and are adapted to allow a user to insert her toes therein. In certain embodiments, the foot covering includes a topical treatment predisposed within as well as a non-slip pattern on the bottom of the foot covering.

Abstract: A sprayable polymeric foam hemostat for both compressible and non-compressible (intracavitary) acute wounds is disclosed. The foam comprises hydrophobically-modified polymers, such as hm-chitosan, or other amphiphilic polymers that anchor themselves within the membrane of cells in the vicinity of the wound. By rapidly expanding upon being released from a canister pressurized with liquefied gas propellant, the foam is able to enter injured body cavities and staunch bleeding. The seal created is strong enough to substantially prevent the loss of blood from these cavities. Hydrophobically-modified polymers inherently prevent microbial infections and are suitable for oxygen transfer required during normal wound metabolism. The amphiphilic polymers form solid gel networks with blood cells to create a physical clotting mechanism that prevent loss of blood.

Abstract: Example eye treatments determine an area at a surface of a cornea for delivery of a cross-linking agent. The example treatments disrupt tissue at the area at the surface of the cornea up to a depth corresponding to apical layers of superficial squamous cells of the cornea, e.g., no greater than approximately 10 ?m to approximately 15 ?m. The example treatments apply a cross-linking agent to the area at the surface of the cornea. The cross-linking agent is transmitted through the disrupted area at a greater rate relative to non disrupted areas of the cornea. The example treatments deliver photoactivating light to the cornea. The photoactivating light activates the cross-linking agent to generate cross-linking activity in the cornea.

Abstract: Disclosed is septum arrangement having a pierceable septum. The pierceable septum has first and second surfaces positioned opposite to one another and a peripheral surface. A compression element has at least two compression members that partially or fully surround the peripheral surface and has at least two gripping members. Each compression member is connected to at least one gripping member, and the gripping members extend from the compression members towards a common axis (A) which intersects the first surface. A resilient element exerts a biasing force on the pierceable septum that is directed towards the common axis (A). The gripping members define an aperture between them such that introduction of a needle into the aperture exerts a force on the gripping members that counteracts the biasing force and moves the gripping members apart from each other.

Abstract: A simply lockable quick coupling for releasably connecting a hose to an implantable apparatus, comprises a first attachment piece that can be connected to the hose and a second attachment piece that can be connected to the apparatus, wherein the attachment pieces can be rotated relative to each other in the locked state.

Abstract: A plug for plugging a feeding tube hub that has a male coupling defining a lumen extending therethrough, and an outer collar and an annular space defined therebetween. The plug includes a base configured for releasably covering at least a portion of an annular space defined in an outer collar of a feeding tube hub, and a plug insert extending from the base. The plug insert is configured for plugging a lumen of a feeding tube hub along a connection axis. At least one passageway extends through the base to provide access to the annular space defined in the outer collar of the feeding tube hub when the plug insert is plugging the lumen of the feeding tube hub.

Abstract: A sterile tube connector for a fluid circuit system comprising a housing. A first opening is configured to receive a first length of tubing in communication with a first chamber. A second opening is configured for communicating with the first chamber when the tube connector is in an open configuration but not in a closed configuration. The second opening is configured to reversibly engage a third opening to form a second chamber. The third opening is configured for communicating with a second length of tubing. A first portion of the housing forming the first opening comprises a material at least partially permeable to a sterilization energy source for sterilizing contents of the second chamber.

Abstract: A training device for training a trainee to operate a defibrillator including a housing having a shape which imitates a shape of a defibrillator, a defibrillator function emulation device attached to the housing and configured to emulate a predefined subset of functions of a defibrillator, and electrodes attached to the housing. The trainer defibrillator of the disclosure simulates a real defibrillator, but, due to limited functionality and construction, will be much less expensive than existing trainer defibrillators and will therefore be able to be distributed more widely.

Abstract: A motion sickness mitigation device includes a textile material having a first surface, a second surface disposed opposite the first surface, and a first raised portion extending from the first surface and configured for contacting a skin of a user. The textile material defines a first pocket and a second pocket therein between the first surface and the second surface, and the second pocket is spaced apart from the first pocket. The device further includes a controller disposed within the first pocket and configured for transmitting an electrical signal. The device also includes a first electrical excitation pad disposed within the second pocket, covered by the first raised portion, and disposed in electrical communication with the controller. The first electrical excitation pad is configured for receiving the electrical signal and electrically stimulating the skin of the user through the textile material to thereby mitigate motion sickness.

Abstract: An extravascular nerve cuff that is configured to hold a leadless, integral, implantable microstimulator. The nerve cuff may include a cuff body having a pocket or pouch for removably receiving the implantable device within. The nerve cuff can be secured around the nerve such that the electrodes of the device are stably positioned relative to the nerve. Furthermore, the nerve cuff drives the majority of the current from the stimulation device into the nerve, while shielding surrounding tissues from unwanted stimulation.

Abstract: A method and system of providing therapy to a patient implanted with an array of electrodes is provided. A train of electrical stimulation pulses is conveyed within a stimulation timing channel between a group of the electrodes to stimulate neural tissue, thereby providing continuous therapy to the patient. Electrical parameter is sensed within a sensing timing channel using at least one of the electrodes, wherein the first stimulation timing channel and sensing timing channel are coordinated, such that the electrical parameter is sensed during the conveyance of the pulse train within time slots that do not temporally overlap any active phase of the stimulation pulses.

Abstract: Catheter apparatuses, systems, and methods for achieving neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a therapeutic assembly that includes an elongated tubular shaft having a pre-formed spiral shape when in a deployed state (e.g., a radially expanded, generally spiral/helical shape) and a thermocouple assembly helically wrapped about the shaft. In one embodiment, the thermocouple assembly comprises first and second wires composed of dissimilar metals with the first wire including a plurality of exposed and insulated regions along the distal portion of the treatment device. The exposed regions of the first wire define a plurality of energy delivery portions positioned to deliver electrical energy (e.g., RF energy, pulsed energy, etc.) to target tissue adjacent a wall of an artery (e.g., a renal artery) to heat or otherwise electrically modulate neural fibers that contribute to physiological function (e.

Abstract: A skin treatment device is provided, which includes a needle frame in which a front end outlet of a needle that penetrates an inside thereof projects toward a front thereof, a rear end inlet of the needle is open to an outside of a rear surface thereof, and a stepped partition wall is provided in a closed shape on the outside of the rear surface thereof; a needle cover having a space portion formed on a rear thereof toward an inside thereof, a needle guide portion formed on a front surface thereof; a contact PCB configured to receive a power that is supplied from a power supply device; and a needle hub having an insertion portion formed in a front thereof toward an inside thereof.

Abstract: A method is provided for preventing muscle atrophy, including the steps of identifying a nerve or nerve plexus which controls a targeted muscle or muscle group; implanting a neurostimulator at the nerve or nerve plexus; and transmitting a signal to the neurostimulator to induce activity in the targeted muscle or muscle group. The nerve or nerve plexus can be a pelvic nerve or nerve plexus. The method can be used to prevent atrophy in numerous settings and patients. Further, a tool and method for using the tool are provided which allow for implantation of a neurostimulator in a much easier, faster and safer procedure.

Abstract: The present application relates to a new stimulation design which can be utilized to treat neurological conditions. The stimulation system produces a burst mode stimulation which alters the neuronal activity of the predetermined site, thereby treating the neurological condition or disorder. The burst stimulus comprises a plurality of groups of spike pulses having a maximum inter-spike interval of 100 milliseconds. The burst stimulus is separated by a substantially quiescent period of time between the plurality of groups of spike pulses. This inter-group interval may comprise a minimum of 5 seconds.

Abstract: Disclosed herein is a drive device of an electrode channel for strengthening core muscles of an abdominal region, which can improve circulation of body fluid in a body cavity of the abdominal region and activate muscle membrane tissues inside/outside the abdominal cavity. The drive device includes a wearable instrument worn by a user over an abdominal region, a plurality of electrode channels formed by an electrode pair of a positive-terminal strip and a negative-terminal strip provided on the wearable instrument and contacting a body of the user, and a frequency supply unit for generating and selectively applying Russian current having a middle frequency and interference-wave current between the positive-terminal strip and the negative-terminal strip. Control is performed such that Russian current and interference-wave current are selectively applied to a positive-terminal strip of one of the plurality of electrode channels and a negative-terminal strip of another electrode channel.

Abstract: The present invention relates to a system for artificial retinal prosthesis comprising a pixel array, a correlated double sampling unit, an analog-to-digital converter, a digital core, and a digital-to-analog converter. The system stimulates retinal cells row-to-row, and therefore can effectively reduce large transient currents and avoid unfavorable condition of power drop due to large transient currents.

Abstract: Described herein are methods, devices, and systems for treating human anemia. The methods, devices, and systems generally include monitoring a patient's hemoglobin level and at least one of autonomic balance and inflammatory state to determine the etiology of the anemic state, modulating at least one of a sympathetic or parasympathetic nerve based on the cause of the anemia, monitoring for changes in the patient's cardiac activity and state of inflammation, and hemoglobin level. An external neurostimulation system is describes, and well as a chronic implantable system. A method for treating a patient for anemia in conjunction with a renal denervation ablation catheter is also disclosed.

Abstract: A method includes receiving sensor data at a processor from sensors of an external medical device. The sensor data corresponds to at least a first body parameter value for a patient and a second body parameter value for the patient. The method includes determining a first depression-indicative value based on the first body parameter value, a second depression-indicative value based on the second body parameter value, a depression detection value as a function of a first weight applied to the first depression-indicative value and a second weight applied to the second depression-indicative value, and a depression state based at least in part on a comparison of the depression detection value to one or more threshold values.

Abstract: A neurostimulation system comprises at least one neurostimulation lead configured for being implanted within tissue. The neurostimulation lead(s) carries a plurality of electrodes capable of being arranged in a two-dimensional pattern. The neurostimulation system further comprises a neurostimulator configured for delivering electrical stimulation energy to the electrodes to create a volume of activation, and an external control device including a current steering direction control element capable of being rotated about an axis. The external control device is configured for prompting the neurostimulator to deliver the electrical stimulation energy to the electrodes in a manner that gradually translates the volume of activation in a specific direction, and for defining the specific direction in which the volume of activation is translated in response to rotation of the direction control element about the axis.

Abstract: Systems and methods for producing asynchronous neural responses to treat pain and/or other patient conditions are disclosed. A method in accordance with a particular embodiment includes selecting a target stimulation frequency that is above a threshold frequency, with the threshold frequency corresponding to a refractory period for neurons of a target sensory neural population. The method can further include producing a patient sensation of paresthesia by directing an electrical signal to multiple sensory neurons of the target sensory neural population at the stimulation frequency, with individual neurons of the sensory neural population completing corresponding individual refractory periods at different times, resulting in an asynchronous sensory neuron response to the electrical signal.

Abstract: Methods and devices are provided for, under control of one or more processors within an implantable medical device (IMD), delivering cardiac resynchronization therapy (CRT) at one or more pacing sites. The processors obtain cardiac signals, associated with a candidate beat, from multi-site left ventricular (MSLV) electrodes distributed along a left ventricle and analyze the cardiac signals to collect at least one of a MSLV conduction pattern or a MSLV morphology. The processors compare at least one of the MSLV conduction pattern or MSLV morphology to one or more associated templates. The processors then label the candidate beat as a pseudo-fusion beat based on the comparing and adjust the CRT based on the labeling.

Abstract: Cardiac electrical heterogeneity information may be used to determine whether one or more His bundle paced settings for His bundle pacing therapy are acceptable for His bundle pacing. Cardiac electrical heterogeneity information may be generated during His bundle pacing, and the evaluation against baseline information and/or other information to determine whether the His bundle paced settings are acceptable.

Abstract: A connector assembly includes an elongated connector housing and defines a port at one end of the connector housing for receiving a proximal end of a lead or lead extension; a lumen that extends from the port along at least a portion of the length of the connector housing; connector contacts axially spaced-apart and disposed along the lumen for coupling to a proximal end of a lead or lead extension; and non-conductive spacers disposed between adjacent connector contacts. Each of the spacers includes an outer tubular extension, an inner tubular extension, and a connection region coupling the outer tubular extension to the inner tubular extension. The inner tubular extension has a free end and the inner tubular extension is configured and arranged to form a seal against the proximal end of the lead or lead extension when inserted into the lumen.

Abstract: A feedthrough separates a body fluid side from a device side. A passageway is disposed through the feedthrough. A body fluid side leadwire extends from a first end disposed inside the passageway to a second end on the body fluid side. A device side leadwire extends from a first end disposed inside the passageway to a second end on the device side. The body fluid side leadwire is hermetically sealed to the feedthrough body and is not of the same material as the device side leadwire. A circuit board has an active via hole with a second end of the second leadwire residing therein. The circuit board has an active circuit trace that is electrically connectable to electronic circuits housed in an AIMD, and a circuit board ground metallization.