Abstract: Provided is a system, method and portable device for monitoring physiological parameters of a person in the field.

Abstract: A measurement apparatus includes sensors adapted to be coupled to tissue containing blood and configured to generate signals associated with physiological parameters. The device is configured to communicate with a software application through a base device. The software application is configured to operate on a control system. The control system is capable of receiving physiological parameter signals. The control system includes a touch-screen, a proximity sensor, circuitry for obtaining movement information from a positioning sensor, a mechanical system having actuators, and a wireless transmitter to transmit data to a host. The software application is operable to generate the physiological information based on the signals from the sensors. The control system is further configured to receive voice input signals and manually entered input signals. The host is configured to generate status information from the data and includes a memory storage device and a communication device.

Abstract: Methods and devices and systems for determining an analyte value are disclosed.

Abstract: A method for locating a mobile device is disclosed. Initially, a set of modulated ultrasound signals and a set of radio signals are separately broadcast from a group of transmitters. The ultrasound signals include at least one symbol configured for pulse compression. After the receipt of a demodulated ultrasound signal from a mobile device, wherein the demodulated ultrasound signal is derived from the modulated ultrasound signals, transmitter identifier and timing information are extracted from the demodulated ultrasound signal. Timing information include, for example, the arrival time of the demodulated ultrasound signal in relation to the start time of its transmission. After the locations of the transmitters have been ascertained from the transmitter identifier information, the location of the mobile device can be determined based on the timing information and the locations of the transmitters.

Abstract: Power and thermal management that uses trigger circuits to activate power telemetry. A power consumption level of a subsystem is monitored using a trigger circuit while power telemetry mode for the subsystem is inactive. When the monitored power consumption level exceeds a threshold, the trigger circuit activates the power telemetry mode of operation in which telemetry information of the subsystem is provided to a controller. Power consumption of the subsystem is then managed by the controller based on telemetry information obtained under the power telemetry mode. The controller can determine whether a power consumption level of the subsystem has dropped below a threshold, based on telemetry information obtained under the power telemetry mode. The controller may terminate the power telemetry mode when the power consumption level has dropped below the threshold. Other embodiments are also described and claimed.

Abstract: A portable medical device having a reliable readiness indicator. Embodiments provide a reliable readiness indicator with an active clasp that holds the garment in place. The clasp is enabled by the defibrillator when it is ready for use. If the clasp is not enabled the garment cannot be worn comfortably, and it becomes apparent to the patient that steps need to be taken to make the device ready for use.

Abstract: A communication system and a receiving device ensure reducing a risk of performing pairing processing on an incorrect pair caused by presence of a large count of communication candidates, wherein the communication system includes an extractor to extract the communication candidates among a plurality of biological information measuring devices by the receiving device. The extractor compares radio field intensities of a plurality of pairing signals. A first threshold value specifies a lower limit of the radio field intensity at which a transmission of biological information is effectively achieved. The extractor extracts the at least one biological information measuring device transmitting the pairing signal at the radio field intensity exceeding a second threshold value as the communication candidate for this receiving device.

Abstract: Embodiments presented herein are generally directed to a stimulating assembly of a cochlear implant that includes a perimodiolar flexure. The perimodiolar flexure is formed in a basal section of the stimulating assembly and has elastic properties and a shape so as to, after insertion into the cochlea, position the stimulating contacts disposed in the basal section of the stimulating assembly adjacent to a modiolar wall of the cochlea.

Abstract: A medical device for providing a stimulation therapy includes stimulation circuitry configured to provide a plurality of electrical pulses to be delivered to a patient. The stimulation circuitry contains a microcontroller configured to generate the electrical pulses. Each electrical pulse includes a primary phase, an interphase after the primary phase, and a recovery phase after the primary phase. Consecutive electrical pulses are separated by a standby period. The microcontroller is configured to operate in an active mode during at least one of: the primary phase and the interphase. The microcontroller is configured to operate in a power-conservation mode during a substantial majority of the standby period. The microcontroller consumes substantially less power when operating in the power-conservation mode than in the active mode.

Abstract: A system including a programmable implantable monitoring device and a programmer for programming the device and a method of use thereof. The programmer may be configured to transmit programming commands responsive to entry of a reason for monitoring to the implantable device including a prioritization of an arrhythmia storage criterion. The implantable may be configured to thereafter store and/or transmit records of the arrhythmia according to the prioritization. The programmer may be configured to transmit the patient's age to the implantable device and the implantable may be configured to thereafter apply arrhythmia detection criteria based upon the patient's age.

Abstract: A device comprises a circuit board, a Rogowski coil on the circuit board, persistent data storage on the circuit board, and a control circuit on the circuit board for collecting values representing current sensed by the coil, and storing the values in the persistent memory.

Abstract: Embodiments of a reduced pressure system and methods for operating the system are disclosed. In some embodiments, the system can include one or more processors responsible for various functions associated with various levels of responsiveness, such as interfacing with a user, controlling a vacuum pump, providing network connectivity, etc. The system can present GUI screens for controlling and monitoring its operation. The system can be configured to determine and monitor flow of fluid in the system by utilizing one or more of the following: monitoring the speed of a pump motor, monitoring flow of fluid in a portion of a fluid flow path by using a calibrated fluid flow restrictor, and monitoring one or more characteristics of the pressure pulses. The system can be configured to provide external connectivity for accomplishing various activities, such as location tracking of the system, compliance monitoring, tracking of operational data, remote selection and adjustment of therapy settings, etc.

Abstract: A smart phone includes photoelectric pulse wave sensing units that obtain photoelectric pulse wave signals from hands holding the smart phone, a touch screen on which a plurality of operation switches that accept operations performed by thumbs are displayed, and a switch arrangement changing unit that changes the arrangement of the displayed plurality of operation switches. The switch arrangement changing unit, when photoelectric pulse wave signals are obtained by the photoelectric pulse wave sensing units, changes the arrangement of the operation switches displayed on the touch screen in such a manner that the operation switches are arranged along a circular arc of a virtual circle whose center is located at a carpometacarpal joint of the thumb of a right hand performing operations and whose radius is the distance from the carpometacarpal joint to the tip of the thumb.

Abstract: Systems and methods are provided for a healthcare network survey solution. The systems and methods may include receiving a healthcare transaction from a remote computer, where the healthcare transaction identifies at least one of a drug, product, or service for a patient; determining that the healthcare transaction is eligible for a survey based upon an analysis of the drug, product, or service identified in the healthcare transaction request; selecting the eligible healthcare transaction for the survey based at least in part upon a random selection process; and delivering a survey request to a survey recipient associated with the healthcare transaction, where the survey request includes at least a transaction identifier for identifying the survey.

Abstract: There is disclosed a wearable terminal including a main body, a main board provided in the main body, a first touch pad provided in a rear surface of the main body, a flexible board configured to connect the main body and the first touch pad to each other, a band coupled to the main body, wound around a user's wrist to secure the main body to the user's body part, a second touch pad provided in the other surface of one surface contacting with the user's body part when the user wears the band, a flexible board having one end connected to the second touch pad and the other end connected to the main board, and a controller configured to extract an electrocardiogram by measuring a difference of electric potentials of body muscles sensed from the first touch pad and the second touch pad.

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: A system comprising a camera sensor, a circuit and an identification device. The camera sensor may be configured to generate video data of an environment. The circuit may be configured to (A) communicate with a network through a wireless connection, (B) provide an electrical connection to (i) a plurality of components and (ii) the camera sensor and (C) enable at least one of (i) the components and (ii) the camera sensor in response to an authentication signal. The identification device may be configured to generate the authentication signal. The plurality of components may be configured to implement a virtual receptionist. The video data may be transmitted to the network. The authentication signal may be transmitted using the network. The notifications may be generated by the components.

Abstract: Flexible subcutaneous implantable medical device (IMD), including an elongated and flexible body (256), a plurality of electronic components, at least one rechargeable battery (426), at least one antenna (260, 422), at least one lead (254) and at least one transition unit (252), the antenna for receiving and transmitting electromagnetic radiation and the lead for providing an electric shock, wherein the elongated and flexible body is structured from a plurality of units, wherein a first one of the plurality of units encapsulates the rechargeable battery, wherein each one of the other plurality of units respectively encapsulates a respective one of the plurality of electronic components, wherein the antenna is positioned in the transition unit, wherein the transition unit is covered with a biocompatible polymer, wherein the antenna receives electromagnetic radiation for recharging the rechargeable battery and wherein the antenna includes a copper coil having a generally cylindrical shape.

Abstract: A physiologic transmitter manages multiple communications between physiologic data acquisition devices attached to the patient and a receiver attached to an MRI or CT scanner. The transmitter's processor is able to generate waveform data and trigger data based upon the acquired physiologic data and transmit the data to a physiologic receiver attached to the host scanner. The receiver then is able to deliver a trigger signal to the host scanner for imaging the patient during a selected time frame based upon cardiac and/or respiratory cycles of the patient.

Abstract: A biometric sensing apparatus for estimating the emotional state of a user. A self-contained biometric sensing ring is worn on the finger (or fingers) of the user during their normal activities. Biometric information is collected and sent wirelessly to the user's mobile device configured with application programming for analyzing and displaying the biometric information. The biometric ring is configured with sensors that the structure of the ring retains at a proper pressure against the finger of the user. The sensors comprise at least electrodermal response (EDR), photoplethysmograph (PPG), temperature, and acceleration. The ring has a self-contained power source, and is configured for adjustably fitting a wide range of users.

Abstract: A health-monitor patch comprising at least one physiological sensor and digital processor is configured to be adhered to the skin of a subject. A health-monitor patch may further include an accelerometer and may detect cardiac waveforms, activity performed by the subject, and a body orientation of the subject. A health-monitor patch may be disposable, in some embodiments, and used for outpatient monitoring. Aspects of noise cancellation and reel-to-reel manufacturing are also described.

Abstract: The present invention is related, in general, to an electrode patch and/or a wireless system for measuring the physiological condition of a subject, and more particularly to an electrode patch for ECG monitoring. The present invention further includes a method of sensing, analyzing and/or transmitting or relaying a physiological signal. The wireless system and/or electrode patch of the present invention is preferably lightweight and compact. The electrode patch preferably additionally provides a low, power system for extended battery life and use. The electrode patch and wireless system of the present invention still further preferably allows for good and reliable measurement of physiological signals form the subject. The electrode patch is still preferably simple to apply as a single patch, but versatile enough to be reconfigured as more than one patch.

Abstract: The present invention relates to a security system for personal protection, having a first unit and a second unit separate from the first unit, wherein the first unit has a camera device, a microphone device, a siren device, a safety device, an attachment device, and a communication device for communication wirelessly with the second unit. The second unit has a microphone device and a communication device for communication wirelessly with the first unit. The second unit further has a communication device for wirelessly sending an alarm message to a network of one or more recipients. The security system is configured to, when triggered to send an alarm message, activate the microphone device of the first unit and the microphone device of the second unit, such that the alarm message contains an audio recording from an environment of a user of the security system. A method and a security arrangement therefore are also presented.

Abstract: Hazard detection systems and methods according to embodiments described herein are operative to enable a user to interface with the hazard detection system by performing a touchless gesture. The touchless gesture can be performed in a vicinity of the hazard detection system without requiring physical access to the hazard detection system. This enables the user to interact with the hazard detection system even if it is out of reach. The hazard detection system can detect gestures and perform an appropriate action responsive to the detected gesture. In one embodiment, the hazard detection system can silence its audible alarm or preemptively turn off its audible alarm in response to a detected gesture. Gestures can be detected using one or more ultrasonic sensors, or gestures can be detected using a motion detector in combination with one or more ultrasonic sensors.

Abstract: A wearable platform embodied in a belt or patch provides physiological monitoring of soldiers during field operations or trauma victims at accident sites and makes health state assessments. The platform includes sensors for heart rate, body motion, respiration rate and intensity, and temperature and further contains a microprocessor and short range transmitter. An analog circuit running an algorithm obtains the R-wave period from the EKG signal and produces electrical pulses with the period between pulses corresponding to the R-wave period. A rule based processing engine having an evaluation algorithm is capable of making a medical evaluation of subject condition and determines a confidence level for the evaluation. The rules are subject to variation depending upon the subject population. The information is communicated wirelessly to a local hub for relay to a remote monitor.

Abstract: Unexpected changes in the volume of therapeutic fluid in the reservoir of a fluid delivery device are detected based on changes in the pressure of the reservoir measured over a period of time by a pressure sensor. Additionally, an ambulatory reservoir fluid volume gauge is provided to indicate an actual volume of therapeutic fluid in a fluid delivery device reservoir. The actual volume of therapeutic fluid in the reservoir indicated by the ambulatory reservoir fluid volume gauge is determined based on changes in the pressure in the reservoir measured over a period of time by a pressure sensor.

Abstract: An apparatus, system and method of consolidation of HD video and a surgical data overlay, such as for recordation in a single consolidated video capture recording of the HD video and surgical data overlay for subsequent playback and/or storage; and an apparatus, system and method for recording HD surgical video consolidated with a surgical data overlay in which an automated switch occurs between at least two surgical HD video sources based, at least in part, on then-active surgical aspects.

Abstract: Certain embodiments described herein enable a base station (BS) and a medical device (MD) to establish a radio frequency (RF) link using any one of a plurality of different RF channels. The MD sniffs the RF channels over which a BS may send a link request, and tunes to the RF channel identified, as a result of the sniffing, as the channel over which a BS may be transmitting a link request. The MD may also demodulate a signal received over the RF channel to which the MD is tuned, and determine, based on a portion of the demodulated signal including a channel identifier, a specific one of the RF channels over which a BS is actually transmitting. This enables the MD to change the channel to which it is tuned if it determines that it is not tuned to the RF channel over which a BS is actually transmitting.

Abstract: A method is provided for a bridge device to interface between an external device and an implantable medical device (“IMD”), the bridge device includes a system on a chip (“SoC”) having a memory, an input/output interface, a standard wireless computer network (“SWCN”) controller and a bridge controller integrated into a single integrated circuit (“IC”). The method includes configuring the bridge controller to convert data between a Medical Implant Communication Service (MICS) protocol and a SWCN protocol, coupling a MICS controller to the SoC, and configuring the MICS controller to manage operation of a first transceiver based on the MICS protocol. The method includes configuring the SWCN controller to manage operation of a second transceiver based on the SWCN protocol, communicating between the bridge device and an IMD utilizing the first transceiver, and communicating between the bridge device and an external device utilizing the second transceiver.

Abstract: A bio-pressure sensor system is disclosed, comprising a first sensor configured to provide a reference pressure measurement and second sensor configured to measure a fluid pressure within a human body. The bio-pressure sensor system also comprises a first reference element and second reference element. The first and second sensors share the first reference element. The second reference element is coupled to the first sensor and configured to provide a reference pressure. The first and second sensors each comprise independent output signals.

Abstract: A wearable device with removal-detection function includes a component, a copper foil, a wireless communication circuit, and a monitoring unit. The copper foil is arranged in the component. An induction capacitor is formed between the copper foil and user's body when the component is in contact with user's body. The monitoring unit measures electrical characteristics of the induction capacitor, and can determine a removal from user's body based on the measured electrical characteristics. The monitoring unit further controls the wireless communication circuit to send a warning message plus location information to a monitoring terminal if the wearable device is removed.

Abstract: A hospital monitoring system for monitoring hospital personnel, a plurality of patient locations for patients, and associated devices is configured to control the associated devices based on the presence of hospital personnel or alarms.

Abstract: A sensor system for sensing a stimulus in vivo includes an implantable sensor. The sensor comprises a passive resonator circuit having a resonant frequency and including at least a pair of generally parallel spirally wound unconnected conductive coils sandwiching a layer of solid dielectric material that manifest a change in property affecting the resonant frequency in response to application of the stimulus to the layer. A resonant frequency of the sensor is modulated by altering the spacing or gap between the coils or altering the overlapping area of the coils. The sensor is energized through application of radiofrequency energy and the responding resonant frequency is detected. The sensor can be advantageously attached to a medical implant to form a practical smart implant for clinical purposes.

Abstract: Power saving communication techniques for communicating in a medical device system. One example medical device system may be for delivering electrical stimulation therapy to a heart of a patient, and may include a first implantable medical device implanted in a first chamber of the heart and configured to determine one or more parameters, a medical device physically spaced from and communicatively coupled to the first implantable medical device, the medical device configured to deliver electrical stimulation therapy to the heart of the patient, wherein the first implantable medical device is further configured to: compare a value of a first determined parameter to a first threshold; if the value of the first determined parameter passed the first threshold, communicate a first indication to the medical device; and if the value of the first determined parameter has not passed the first threshold, not communicating the first indication to the medical device.

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: A medical device identifier can identify an implanted medical device. In one example arrangement, the medical device identifier sends electromagnetic signals to the implanted device according to one or more stored digitized waveforms. The device then senses any returned electromagnetic signals, and identifies the implanted device based on the returned electromagnetic signals. The medical device identifier may generate the electromagnetic signals from the stored digitized waveforms using an analog-to-digital converter, and may compare the returned electromagnetic signals with one or more stored digital templates corresponding to different device manufacturers. The comparison may be performed using cross correlation. In another aspect, a portal device includes an identification subsystem for identifying the provider of a medical device, and a communication subsystem for establishing two-way communication a call center servicing medical devices from an identified provider.

Abstract: An interactive implantable medical device system includes an implantable medical device and a network-enabled external device capable of bi-directional communication and interaction with the implantable medical device. The external device is programmed to interact with other similarly-enabled devices. The system facilitates improved patient care by eliminating unnecessary geographic limitations on implantable medical device interrogation and programming, and by allowing patients, physicians, and other users to access medical records, history, and information and to receive status and care-related alerts and messages anywhere there is access to a communications network.

Abstract: The system of the present invention includes a conductive element, an electronic component, and a partial power source in the form of dissimilar materials. Upon contact with a conducting fluid, a voltage potential is created and the power source is completed, which activates the system. The electronic component controls the conductance between the dissimilar materials to produce a unique current signature. The system can be used in a variety of different applications, including as components of ingestible identifiers, such as may be found in ingestible event markers, e.g., pharma-informatics enabled pharmaceutical compositions.

Abstract: Physiological monitoring can be provided through a syncope sensor imbedded into an electrocardiography monitor, which correlates syncope events and electrocardiographic data. Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended-wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest at the sternal midline and includes a unique narrow “hourglass”-like shape, significantly improving the ability of the monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and QRS interval signals, which indicate ventricular activity in electrocardiographic waveforms.

Abstract: Systems and apparatus for sensing and video capture include at least one camera with an optical sensor that captures video image data of a first sampling rate. An auxiliary sensor captures auxiliary data at a second sample rate. A processor is communicatively connected to the optical sensor and auxiliary sensor. The processor transmits video image data captured at the first sample rate auxiliary sensor data captured at the second sampling rate across a data connection to a centralized computer that receives the video image data and the auxiliary sensor data and operate to present the video image data and the auxiliary sensor data on a graphical display.

Abstract: A method and system for filtering a detected ECG signal are disclosed. In a first aspect, the method comprises filtering the detected ECG signal using a plurality of digital filters. The method includes adaptively selecting one of the plurality of digital filters to maintain a minimum signal-to-noise ratio (SNR). In a second aspect, the system comprises a wireless sensor device coupled to a user via at least one electrode, wherein the wireless sensor device includes a processor and a memory device coupled to the processor, wherein the memory device stores an application which, when executed by the processor, causes the processor to carry out the steps of the method.

Abstract: A stimulator and a method for the treatment of intractable pain syndromes by electrical stimulation of the spinal cord is disclosed. An example method includes positioning a first pair of implantable electrodes to a dura matter in an epidural space proximate to a subject's spinal cord at predetermined locations, positioning a second pair of implantable electrodes to the dura matter in the epidural space proximate to the subject's spinal cord at predetermined locations, and transmitting signals of first and second frequencies through the first and second pairs of implantable electrodes respectively, so that the signals of the first and second frequencies interfere with each other to produce at least one beat signal proximate to the subject's spinal cord. The at least one beat signal has a frequency within a range of more than 250 Hz to about 15,000 Hz.

Abstract: A wearable patch capable of wireless communications includes an adhesive layer, and a shearable circuit layer comprising a support substrate comprising one or more openings on the adhesive layer, wherein the one or more openings in the support substrate are so positioned to allow the shearable circuit layer to be sheared and elongated, and breathable. A conductive circuit is embedded in the support substrate. One or more semiconductor chips are in connection with the conductive circuit. An elastic layer is positioned on the shearable circuit layer. The one or more semiconductor chips and the conductive circuit can wirelessly communicate with an external device.

Abstract: A radiation detector disposed on a microwave antenna assembly is disclosed. The radiation detector includes a receiving antenna adapted to receive errant microwave energy and a rectifier coupled to the receiving antenna that is adapted to rectify at least a portion of the errant microwave energy. A filter is coupled to the rectifier and is adapted to convert the rectified microwave energy into a detection signal.

Abstract: Hazard detection systems according to embodiments described herein are operative to provide failsafe safety detection features and user interface features using circuit topology and power budgeting methods that minimize power consumption. The safety detection features can monitor environmental conditions (e.g., smoke, heat, humidity, carbon monoxide, carbon dioxide, radon, and other noxious gasses) in the vicinity of the hazard detection system associated and alarm occupants when an environmental condition exceeds a predetermined threshold.

Abstract: The ingestible event marker data framework provides a uniform, comprehensive framework to enable various functions and utilities related to ingestible event marker data (IEM data). Included are a receiver adapted to be associated with a body of an individual, the receiver configured to receive IEM data; a hub to receive the IEM data; and at least one IEM data system to receive the data from the hub. Among other information, behavioral data and predictive inferences may be provided.

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: Provided herein is an integrated wireless patch comprising a contact layer, an electronics layer, and a battery layer. The contact layer is a substrate having gel cutouts. The electronics layer can be folded into contact with the contact layer. The battery layer can be folded into contact with the electronic layer. Further provided herein is a method of manufacturing a wireless integrated patch comprising folding a substrate comprising at least one cutout, at least one contact disk in communication with a surface of a patient through the cutout, and battery terminals, wherein the at least one cutout, the at least on contact, and the battery terminals are adaptable to be located in different layers after the substrate is folded.

Abstract: An electronic patch includes a foldable circuit layer that includes a foldable network that includes comprising: a plurality of electronic modules comprising a plurality of electronic components, and flexible straps that connect the plurality of electronic modules, wherein the flexible straps comprise conductive circuit that are conductively connected with the plurality of electronic components in the plurality of electronic modules. Neighboring electronic modules can undulate in opposite directions normal to the foldable circuit layer. The electronic patch also includes an elastic layer that encloses the foldable circuit layer.

Abstract: A sensor may include a substrate having a sensing portion defining a sensor thereon and a circuit mounting portion defining at least one electrically conductive pad that is electrically connected to the sensor. The sensor may be configured to produce a signal indicative of a condition of the patient. An anisotropic medium may be disposed on the circuit mounting portion and may be electrically conductive in a direction through the medium and electrically insulating in directions along the medium. An electrical circuit may be mechanically mounted to the circuit mounting portion of the first substrate via the anisotropic medium with at least one electrically conductive terminal juxtaposed over the at least one electrically conductive pad. The anisotropic medium may establish local electrical contact between the at least one electrically conductive terminal and the at least one electrically conductive pad.