Abstract: Real-time cast sensor measurement outputs of a set of cast sensors that each measure a characteristic related to usage of an adjustable removable cast worn by a patient during treatment of congenital talipes equino varus (CTEV) are monitored. A cast usage anomaly relative to a treatment program prescribed for the patient with respect to wearing of the adjustable removable cast is identified according to the real-time cast sensor measurement outputs. Responsive to identifying the cast usage anomaly, real-time corrective treatment feedback is provided to the patient that instructs further and proper use of the adjustable removable cast to improve compliance with the treatment program prescribed for the patient.

Abstract: An electronic medical monitoring and treatment apparatus allows a victim of a medical emergency person access to a medical professional (MP) who can monitor, diagnose and treat the person from a remote site. The apparatus includes a cardiac medical monitoring and treatment device (MMTD) coupled to an electronic adapter designed to communicate with a local, first transmitting/receiving (T/R) device which, in turn, is adapted to electronically communicate with a remote, second transmitting/receiving (T/R) device used by the MP. The MMTD may comprise a cardiac treatment circuit for effecting cardiac pacing and/or defibrillation and a cardiac signal circuit for receiving cardiac signals. The cardiac signals are (1) transmitted from the signal circuit to the second T/R device for evaluation by the MP, (2) the MP may transmit a control signal to the treatment circuit, and (3), in response thereto, the treatment circuit may generate one or more electrical pulses for treatment of the person.

Abstract: Near-field energy transmitters for charging a rechargeable power source of an implantable medical device (IMD). In some cases, the transmitter may include an output driver that may drive a transmit coil such that near-field energy is transmitted to the IMD at a determined frequency. In some cases, the IMD may include a receiving coil that may capture the near-field energy and then convert the near-field energy into electrical energy that may be used to recharge the rechargeable power source. Since the rechargeable power source does not have to maintain sufficient energy stores in a single charge for the entire expected life of the IMD, the power source itself and thus the IMD may be made smaller while still meeting device longevity requirements.

Abstract: A remote communications system for providing enhanced communication with cardiac devices includes a wearable defibrillator disposed on a torso of a patient and a remote device. The wearable defibrillator includes one or more buttons configured to be actuated by the patient to indicate that the patient is conscious, a speaker configured to communicate information to the patient, a wearable defibrillator transceiver configured to transmit the information, and a processor in communication with the speaker and the wearable defibrillator transceiver. The remote device includes a wireless transceiver for bi-directional communication configured to receive the information from the wearable defibrillator, at least one of a touch screen and a speaker, and a processor configured to cause the remote device to provide via the at least one of the touch screen and the speaker at least one of an alarm, voice message, and prompt based on the received information.

Abstract: The disclosed techniques allow for externalizing errors from an implantable medical device using the device's charging coil, for receipt at an external charger or other external device. Transmission of errors in this manner is particularly useful when telemetry of error codes through a traditional telemetry coil in the implant is not possible, for example, because the error experienced is so fundamental as to preclude use of such traditional means. By externalizing the error via the charging coil, and though the use of robust error modulation circuitry in the implant designed to be generally insensitive to fundamental errors, the external charger can be consulted to understand the failure mode involved, and to take appropriate action.

Abstract: A health conditioin determination apparatus 1, which is an example of a health condition determination employing the present invention, is provided with an operation unit 2. The operation unit 2 is a processing unit for implementing each information processing function of the health condition determination apparatus 1. In other words, a software employing the present invention allows an operation unit 2 of a tablet terminal 3 to function as an information input unit 23, an information recording unit 24, a standard calculation unit 5, and a determination processing unit 6. The present invention performs the transmission and reception of information, the recording of information, the determination of normality or abnormality, the setting of a determination standard, the notice of determination results, the creation or display of display information, and the like, by the processing function of each of the units.

Abstract: Devices, systems, and techniques for monitoring the temperature of a device used to charge a rechargeable power source are disclosed. Implantable medical devices may include a rechargeable power source that can be transcutaneously charged. The temperature of an external charging device and/or an implantable medical device may be monitored to control the temperature exposure to patient tissue. In one example, a temperature sensor may sense a temperature of a portion of a device, wherein the portion is non-thermally coupled to the temperature sensor. A processor may then control charging of the rechargeable power source based on the sensed temperature.

Abstract: In some embodiments, a method includes producing, from an adapter, a first wireless signal characterized by a first communication mode with a computing device when a portion of at least one of a medicament delivery device or a simulated medicament delivery is disposed within the adapter. An indication is received when the portion of the medicament delivery device or the simulated medicament delivery device is removed from the adapter. A second wireless signal characterized by a second communication mode with the computing device is produced in response to the indication. The second communication mode is different from the first communication mode. The second communication mode can be, for example, a hold mode, a sniff mode or a park mode.

Abstract: A stand-alone continuous cardiac Doppler pulse monitoring patch provides visual and auditory signals that a pulse is detected or not detected in a human subject. The invention is a small patch with a peel-away adhesive surface that is applied to the skin of the subject, preferably near a large artery. The adhesive surface of the patch includes a conductive medium to enhance transmission and reception of ultrasonic waves. The patch includes an integral power source, transmitters and receivers to send and detect reflected ultrasonic waves, a transducer to convert the reflected waves into an electrical signal, a processor to analyze the signal, a light to indicate the presence and strength of a pulse, and a speaker also to indicate the presence and strength of a pulse. The Doppler effect of waves reflecting from blood pumped from a heart is used to detect a pulse in the subject. The presence of a pulse is analyzed by the processor to determine the frequency and strength of blood flow.

Abstract: A patient care system described herein includes a first electromagnetic coupler associated with the patient, at least one patient-centric appliance in communication with the first coupler, and an occupant support for supporting the patient. The occupant support has a second electromagnetic coupler associated therewith. At least one of the couplers is connectable to an electrical energy source for energizing the coupler. The first and second couplers form a noncontact electromagnetic coupling. An occupant wearable item and an occupant support, both of which are useable with the patient care system, are also described.

Abstract: Physiological sensors may be utilized to obtain physiological data for a user. The sensor data may be utilized in predicting a user's outcome to a medical intervention using one or more models. The models may be automatically executed in response to receiving certain types and/or amount of data, such as data received from one or more physiological remote sensors, such as Internet of Things sensors. The sensors may include heart rate sensors, arterial pressure sensors, glucose sensors, temperature sensors, weight sensors, blood oxygen sensors, urine sensors, saliva sensors, skin conduction sensors, muscle sensors, brain signal sensors, and/or other sensors. A sensor may communicate over the 2360-2400 MHz and/or the 30-37.5 MHz radio frequency (RF) band. The data may be received from a networked data store. Execution of the models may identify health issues in substantially real time, and the operation of one or more medical devices may be modified and/or a communication may be generated.

Abstract: Systems and methods for providing neural stimulation and recording on a subject using flexible complementary CMOS probes are provided. Disclosed systems can include a flexible probe adapted for insertion into a portion of a brain of the subject, the flexible probe comprising a tail portion and a head portion. The tail portion can include a plurality of electrodes configured to be coupled to the brain and a plurality of front-end amplifiers. Each of the plurality of front-end amplifiers can be configured to amplify a signal received from a corresponding electrode of the plurality of electrodes. The head portion can include one or more inductors configured to enable two-way communication with a wireless reader through a near-field inductive link.

Abstract: A diagnostic system includes a microcontroller having a first A/D converter, first and second applications, and a first analog multiplexer electrically between a first voltage regulator and the first A/D converter. The first application sets a first overvoltage diagnostic flag to a first fault value if a first voltage of the first voltage regulator that is measured by the first A/D converter is greater than a first voltage, and in response further transitions a contactor to an open operational state. The second application sets a second overvoltage diagnostic flag to a second fault value if a second voltage of the first voltage regulator that is measured by the first A/D converter is greater than a second voltage, and in response further transitions the contactor to the open operational state.

Abstract: The present invention relates, generally, to scientific and medical system methods for diagnosis of implantable cardioverter defibrillator (ICD) lead conductor anomalies, in particular conductor migration and externalization within an ICD implantable cardiac lead. The method uses an “imaginary” component of the high frequency transmission line impedance having certain spectral changes that correspond to movements of the conductor or an “imaginary impedance”. This allows the detection of conductor migration and small insulation failures.

Abstract: A method for setting an operating parameter of a medical device is provided. The method includes determining a current operating mode of the medical device. A time span available for setting the operating parameter is derived from the determined current operating mode. A setting range of the operating parameter necessary for fulfilling a pre-determined criterion is determined. A setting time necessary for setting the operating parameter according to the determined setting range is determined, and the operating parameter is set according to the setting range, provided the time span available for the setting is at least as long as the necessary setting time.

Abstract: Systems and methods that can improve the safety and efficacy of chest tube thoracostomy are described. For example, this document provides systems and methods that facilitate direct visual confirmation of the proper placement of a chest tube within the thoracic space.

Abstract: Subcutaneous implantation tools and methods of implanting a subcutaneous device using the same. The tool may include a tool body having a longitudinally extending recess having a distal opening and having a tunneler at a distal end of the tool body extending from the distal opening of the recess. The tool may include a plunger slidably fitting within at least a portion of the tool body recess. The recess may be configured to receive an implantable device and the tunneler preferably extends distally from the recess at a position laterally displaced from the device when the device is so located in the recess. Movement of the plunger distally within the recess advances the device distally out of the recess and alongside of and exterior to the tunneler.

Abstract: A radiography system includes a radiography apparatus including two radiation detectors and a console that corrects scattered ray components of a first radiographic image generated by the radiography apparatus, using first correction data, corrects scattered ray components of a second radiographic image, using second correction data different from first correction data, and performs an energy subtraction process, using the corrected first and second radiographic images.

Abstract: The fall event detection and communication system includes at least one fall detect node and a personal communication application. The at least one fall detect node is to be implemented as part of a fall protection system. The at least one fall detect node includes at least one detection element and a node transmitter. The at least one detection element is to generate an activation signal upon a condition that indicates a fall event has occurred. The node transmitter is to transmit at least one fall detect signal upon receiving the activation signal from the at least one detection element. The personal communication application is stored in a personal communication device. The personal communication application is to cause the personal communication device to monitor for the fall detect signal and cause the personal communication device to communicate with a remote communication device upon determination that a fall event has occurred.

Abstract: A system and method for monitoring a patient's compliance with a medication regimen includes an electronic tag integral with or attached to a medicine delivery device such as a capsule, the tag having an antenna and a receiver/transmitter, the system also including a reader positioned externally for detecting the presence and location of the delivery device in the patient.

Abstract: The present invention relates to a sensor for measuring temperature of a fluid within a vessel, the vessel having a first region and a second region and the fluid having a temperature profile extending between the first region and the second region, the sensor comprising an array of elements, each element having a temperature-dependent parameter, the array being capable of deployment within or adjacent the vessel such that the array extends along the vessel for measuring the temperature profile, the elements of the array being coupled together between an input and an output, the input being coupled or capable of being coupled to a driving source for driving the sensors, and the output being coupled or capable of being coupled to a detector for measuring an aggregate of the temperature-dependent parameter from the array of elements.

Abstract: Embodiments of devices that improve radio frequency (RF) communication between an on body device and a second device are disclosed. Some of these embodiments pertain to a secondary communication system that captures an RF signal transmitted in a first directional pattern and retransmits it in the second directional pattern. Other embodiments pertain to a secondary communication system that provides an additional antenna positioned in a different location with which a user can communicate.

Abstract: Disclosed herein are systems and methods for sensor systems. In one embodiment, a system may include an implantable component and an external component. The implantable component may comprise a housing and an electrode array configured to receive a plurality of biopotential signals. The housing may comprise a wireless power receiver and a wireless data transmitter to transmit representations of the biopotential signals. The external component may comprise a wireless data receiver configured to receive the plurality of digital representations of the biopotential signals and a wireless power transmitter configured to provide power to the internal component. A shielding component may separate the wireless power transmitter from the wireless data receiver. An interface may be configured to communicate with a prosthesis and configured to cause the prosthesis to implement a voluntary motion based on the plurality of digital presentations of the biopotential signals.

Abstract: The invention relates essentially to equipment (100) to be positioned against the body of a subject, said equipment including an acoustic measurement device (105) having at least one acoustic sensor (110) for measuring acoustic signals given off by the subject's body, wherein said measurement device (105) further comprises: a rigid structure (120) that is stationary relative to the equipment; and connection means (450, 550, 650, 750, 850, 950) for connecting the acoustic sensor (110) to the rigid structure (120); the connection means (450, 550, 650, 750, 850, 950) and the acoustic sensor (110) being movable relative to the rigid structure (120), and the connection means (450, 550, 650, 750, 850, 950) defining predetermined degrees of freedom of movement for the acoustic sensor (110).

Abstract: Embodiments disclosed herein improve digital stethoscopes and their application and operation. A first method detects of a respiratory abnormality using a convolution. A second method counts coughs for a patient. A third method predicts a respiratory event based on a detected trend. A fourth method forecasts characteristics of a future respiratory event. In a fifth embodiment, a base station is provided for a digital stethoscope.

Abstract: A memory controller receives data and phase-providing signals from a memory device. The phase-providing signal is not a clock signal, but is used by the memory controller to phase align a local data-sampling signal with the incoming data. The memory controller samples the data signal with the data-sampling signal. The memory controller can perform maintenance operations to update the phase relationship between the phase-providing and data-sampling signals.

Abstract: A system for recharging an implantable medical device having a rechargeable battery while the implantable medical device is implanted within a patient includes a recharge energy source configured to be disposed exterior to the patient and a recharging bridge configured to be implanted within the patient. The recharging bridge is configured to facilitate energy transfer from the recharge energy source to the implantable medical device.

Abstract: Embodiments relate to guiding medical care based on detected gastric function. For example, gastric acid stimulant or suppressant is administered, and then a change in the gastric juice H+ concentration is measured. This change is compared to a guidance H+ concentration differential indicative of relatively healthy gastric function. Medical care is guided based on a relatively healthy gastric function if the measured H+ concentration differential is equal to or exceeds the guidance H+ concentration differential, while medical care is guided based on a relatively unhealthy gastric function if the measured H+ concentration differential is less than the guidance H+ concentration differential. Disclosed embodiments implementing this procedure include, but are not limited to, methods, apparatus, processors, computer programs, and computer-readable mediums.

Abstract: Technologies for managing the efficiency of workload execution in a managed node include a managed node that includes one or more processors that each include multiple cores. The managed nodes is to execute threads of workloads assigned to the managed node, generate telemetry data indicative of an efficiency of execution of the threads, determine, as a function of the telemetry data, an adjustment to a configuration of the threads among the cores to increase the efficiency of the execution of the threads, and apply the determined adjustment. Other embodiments are also described and claimed.

Abstract: A stimulation device that stimulates living tissue includes an energy harvesting circuit that receives an output signal from another device and that powers the stimulation device, immediately or otherwise, using the output signal. The stimulation devices also includes a stimulation circuit that generates a stimulation signal to elicit a predetermined response from the living tissue, and at least one lead that delivers the stimulation signal to the living tissue.

Abstract: The present disclosure involves a method of setting stimulation parameters for neurostimulation. A plurality of stimulation parameters available for bracketing is displayed. The stimulation parameters are selected from the group consisting of: stimulation current amplitude, pulse width, frequency, and contact location. Thereafter, in response to an input from a user, at least a subset of the stimulation parameters is selected for bracketing. A respective initial value is then obtained for each of the stimulation parameters in the selected subset. Thereafter, a bracketing process is used to generate a plurality of bracketed values for each of the stimulation parameters in the selected subset. The bracketed values are generated as a function of the initial value. A plurality of stimulation pulses is then delivered to a patient through a neurostimulator that is automatically programmed with a different combination of the bracketed values for the stimulation parameters for each stimulation pulse.

Abstract: Methods and apparatus, including computer program products, are provided for remote monitoring. In some example implementations, there is provided a method. The method may include receiving, at a remote monitor, a notification message representative of an event detected, by a server, from analyte sensor data obtained from a receiver monitoring an analyte state of a host; presenting, at the remote monitor, the notification message to activate the remote monitor, wherein the remote monitor is configured by the server to receive the notification message to augment the receiver monitoring of the analyte state of the host; accessing, by the remote monitor, the server, in response to the presenting of the notification message; and receiving, in response to the accessing, information including at least the analyte sensor data. Related systems, methods, and articles of manufacture are also disclosed.

Abstract: Disclosed is a system and method of directing a biosignal detector arrangement. The system for directing a biosignal detector arrangement may include a biosignal detector configured to detect a biosignal of an object, a measurer configured to obtain, in real-time, information including surface data of the object and position data associated with an arrangement of the biosignal detector relative to the object based on the surface data, a processor configured to set initially obtained information of the obtained information as reference information for a surface registration and compare the reference information to finally obtained information of the obtained information, and a display configured to display the reference information and the finally obtained information.

Abstract: A biosensor having a hollow coil having wires coiled in parallel and an electronic circuit component operably connected to the coil, wherein the wires include at least a first coiled wire which may be used as a counter electrode, a second coiled wire which may be used as a working electrode and a third coiled wire which may be used as a reference electrode, wherein the second coiled wire is provided with a biocompatible layer having a bioreceptor, wherein the electronic circuit component is capable of generating an input signal for a transceiver based upon the activity of the bioreceptor and wirelessly sending the input signal to the transceiver, wherein the electronic circuit component is encapsulated in a biocompatible resin.

Abstract: A method, a computer readable media and a hand-held device, the hand-held device may include a first sensor that is positioned such as to be contacted by a first hand of a user when the user holds the hand-held device; a second sensor that is positioned such as to be contacted by a second hand of the user when the user holds the hand-held device; wherein at least one sensor of the first sensor and the second sensor is a hybrid sensor that comprises an electrode, an illumination element and a light detector; and a health monitoring module arranged to process detections signals from the electrode and from the light detector such as to provide processed signals that are indicative of a state of the user.

Abstract: There is provided a method involving a portable medical device (1), being carried by a user and a mobile phone (2) carried by the same user, the method comprising the steps of a) the mobile phone (2) at a time point (first time point) determining a geographical position of the mobile phone (2), and providing the geographical position and the first time point to a server (4) via a data connection, or the mobile phone (2) having its position determined by the cell network (3), and the cell network (3) providing the position and the first time point to the server (4), then b) the server (4) using the position and the time point to retrieve position-specific data for the time point, then c) the server (4) using a the data from step b. to determine whether the medical device should be serviced or replaced. There is also provided a system, a server and a mobile phone.

Abstract: A method of monitoring a patient includes measuring neural respiratory drive using a monitoring device (10), repeating the measurement either continuously or at regular time intervals, and comparing the measurements obtained in order to predict treatment failure and/clinical deterioration and/or re-admission. In embodiments of the invention, the neural respiratory drive is measured by obtaining a measure of the second intercostal space parasternal electromyogram. A monitoring device (10) includes a signal input (20), a processing unit (30), and a output unit (50), and is arranged to measure the neural respiratory drive, store the measured value and compare it to a previously measured value for the neural respiratory drive.

Abstract: Pacemaker heart diagnostics implantable cardiac stimulation method and device for pacemaker generated signal transmission and pacemaker signal reception. Processing and filtering a heart generated signal, in a pacemaker device, into a processed and filtered baseband signal. Heart generated signal is provided to pacemaker device by one or more electrodes; electrodes are connected or inserted into a heart. Providing processed and filtered baseband signal to a modulator for modulation and transmitter for transmission. Receiving in pacemaker device a modulated signal, demodulating received modulated signal into a filtered baseband signal and using this demodulated signal to control said pacemaker. The pacemaker communicates by one or more of Bluetooth or OFDM or CDMA signals.

Abstract: Systems and methods for processing sensor analyte data are disclosed, including initiating calibration, updating calibration, evaluating clinical acceptability of reference and sensor analyte data, and evaluating the quality of sensor calibration. The sensor can be calibrated using a calibration set of one or more matched sensor and reference analyte data pairs. Reference data resulting from benchtop testing an analyte sensor prior to its insertion can be used to provide initial calibration of the sensor data. Reference data from a short term continuous analyte sensor implanted in a user can be used to initially calibrate or update sensor data from a long term continuous analyte sensor.

Abstract: A device, system and method for increasing air intake by a subject is described. The device includes a vibration motor and a control unit for controlling vibrational motion output by the vibration motor. The methods include positioning the vibration motor on one or more limbs of a subject, and stimulating nerves in the limbs via the generated vibrational motion, whereby the stimulated nerve signals the brain to increase breathing rate or air intake by the subject. Accordingly, embodiments of the device activate nerve fibers that carry kinesthetic cues from the limbs in a pattern that simulates normal limb motion, and thus triggers inherent reflexes that increase ventilation in response to such motion.

Abstract: The present development is a device for monitoring uterine activity and sending an alert signal through a wireless communication means when uterine activity significantly changes relative to a preset standard. The device, which comprises at least one sensor, is intended to continuously monitor a prescribed activity, such as uterine contractions. The information gathered by the sensors is fed to a computer application for comparison to preset values and, if the gathered information falls outside of the range of the preset values, feeds a signal to a second application designed to send out notifications to preprogrammed devices indicating the physical location of the source data, or where the pregnant patient is located.

Abstract: Provided is an authenticating apparatus that, in the case where authentication is performed repeatedly for the same operator, is capable of performing authentication without the operator having to consciously input unique information from the second time on. The weight scale measures the weight of an operator. The weight-registering unit, when an operator is authenticated as a user registered in an authentication list, registers the measured weight measured by the weight scale in the authentication list as a registered weight of the user. The user-selection-receiving unit receives a selection of a user. The weight-comparing unit authenticates an operator as a user registered in the authentication list by determining whether or not the registered weight of a user, of which a selection is received by the user-selection-receiving unit, is registered in the authentication list, and comparing the measured weight and the registered weight.

Abstract: An occurrence of one or more “care events” is detected by an electronic device monitoring environmental data and/or user data from one or more sensors. The electronic device transmits one or more alerts regarding the detected occurrence to at least one other electronic device. In some cases, the electronic device may cooperate with at least one other electronic device in monitoring, detecting, and/or transmitting. For example, the electronic device may detect the occurrence based on sensor data received from a cooperative electronic device or such data in combination with the electronic device's sensor data. By way of another example, the electronic device may detect the occurrence and signal a cooperative electronic device to transmit one or more alerts.

Abstract: Methods, sensors, and systems that prevent or reduce data loss when more than one external sensor transceiver is used with a sensor. A sensor may receive a transceiver identification (ID) of an external transceiver conveyed from the external transceiver and determine whether the received transceiver ID is a new transceiver ID. If sensor determines the received transceiver ID to be a new transceiver ID, the sensor may store the received transceiver ID in a nonvolatile storage medium of the sensor and convey, using the sensor, measurement information stored in the nonvolatile storage medium to the external transceiver.

Abstract: Systems and methods for detecting and reporting patterns in analyte concentration data are provided. According to some implementations, an implantable device for continuous measurement of an analyte concentration is disclosed. The implantable device includes a sensor configured to generate a signal indicative of a concentration of an analyte in a host, a memory configured to store data corresponding at least one of the generated signal and user information, a processor configured to receive data from at least one of the memory and the sensor, wherein the processor is configured to generate pattern data based on the received information, and an output module configured to output the generated pattern data. The pattern data can be based on detecting frequency and severity of analyte data in clinically risky ranges.

Abstract: Various embodiments of a power source and a method of forming such power source are disclosed. The power source can include an enclosure, a substrate disposed within the enclosure, and radioactive material disposed within the substrate and adapted to emit radioactive particles. The power source can further include a diffusion barrier disposed over an outer surface of the substrate, and a carrier material disposed within the enclosure, where the carrier material includes an oxide material.

Abstract: Systems and methods are provided for managing patient activated capture of transient data by an implantable medical device (IMD). The systems and methods collect transient data using the IMD. The collected transient data is stored in a temporary memory section of the IMD. The IMD receives a patient activated storage request including activation information related to a patient designated trigger point from an external device. The IMD transfers a segment of the transient data from the temporary memory section to a long-term memory, wherein the segment of transferred transient data is based on the trigger point. The activation information includes an elapsed time corresponding to a duration of time between entry of the trigger point and issuance of the patient activated storage request by an external activation device.

Abstract: A medical system and method of communicating between a telemetry controller and a plurality of medical devices implanted within a patient is provided. Communication links are respectively established between the telemetry controller and the implanted medical devices. The communication links are respectively amplitude modulated by the implanted medical devices at modulation levels using load modulation. Received signal strength indicators (RSSIs) of the amplitude modulated communication links for the implanted medical devices are measured. A variation of the RSSIs is decreased by modifying, based on the measured RSSIs, at least one modulation level at which the respective at least one communication link is amplitude modulated by the respective implanted medical device(s).

Abstract: An implantable medical device comprises a communication module that comprises at least one of a receiver module and a transmitter module. The receiver module is configured to both receive from an antenna and demodulate an RF telemetry signal, and receive from a plurality of electrodes and demodulate a tissue conduction communication (TCC) signal. The transmitter module is configured to modulate and transmit both an RF telemetry signal via the antenna and a TCC signal via the plurality of electrodes. The RF telemetry signal and the TCC signal are both within a predetermined band for RF telemetry communication. In some examples, the IMD comprises a switching module configured to selectively couple one of the plurality of electrodes and the antenna to the receiver module or transmitter module.

Abstract: A horn and an anvil are moved toward and away from each other by axially reciprocating a driving rod and thereby reciprocatingly rotating a forked lever in a predetermined angle range. The horn and the anvil are moved toward and pressed against each other with a predetermined force with a bag mouth b held therebetween. A sensor detects the position of a second mounting block secured to the rear end of a sliding shaft of the anvil, thereby detecting the distance between respective pressing surfaces of the horn and the anvil, i.e. the thickness m of a portion of the bag mouth held between the pressing surfaces. When the thickness m is not less than a predetermined threshold value M, a vibrator is activated to perform sealing. When the thickness m is less than the threshold value M, no sealing is performed.