Abstract: In an example, a method includes receiving a cardiac signal that is sensed by an electrode at a tissue location inside the heart. Fractionations are identified in the cardiac signal. The fractionations identified at the tissue location are compared between first and second cardiac cycles of the cardiac signal. Based on the comparing, a likelihood is estimated, that the tissue location is causing a stable arrhythmia. Based on the estimated likelihood, the tissue location is indicated to a user as likely to be causing the stable arrhythmia.

Abstract: A medical device package includes: a medical device container including a nest which holds a plurality of medical devices (syringes) to be filled with medicine to be aligned in a predetermined direction, a medical device container main body which accommodates the nest, and a sheet-shaped first sealing member which seals the medical device container main body; and a storage container for packing with an outer peripheral surface of the medical device container maintained in a sterile state. The storage container is formed of a storage container main body accommodating the medical device container and having a shape-retaining property, and seals a transfer opening at an upper end of the storage container main body with a sheet-shaped second sealing member having an antibacterial property and air permeability.

Abstract: Ambulatory medical devices may occasionally improperly administer a therapeutic stimulation pulse to a patient upon an incorrect detection of arrhythmia in the patient. To address these improperly administered therapeutic stimulation pulses, an ambulatory medical device includes processes and systems for verifying an initial declaration of an arrhythmia. The ambulatory medical device described include at least one first sensing electrode and at least one second sensing electrode distinct from the at least one first sensing electrode. First electrocardiogram (ECG) signals detected by the first sensing electrode are analyzed to provide an initial declaration of the arrhythmia condition of the patient. As a treatment protocol is being initiated in response to the analysis of the first ECG signals, second ECG signals detected by the second sensing electrode are analyzed to verify the initial declaration of the arrhythmia.

Abstract: A medical system comprising internal parts for implantation in a patient and external parts for use externally to the patient is provided. The external parts comprise an external energy source equipped with a primary coil for wirelessly transmitting energy to the internal parts. The internal parts comprise an electrically powered medical device, an energy receiver equipped with a secondary coil for inductively receiving energy for the medical device from the external energy source, and an internal control unit for controlling the internal parts. The internal control unit is adapted to determine at least one parameter relating to the wireless energy transfer, wherein the internal control unit is arranged to control the energy transfer based on the at least one parameter.

Abstract: Systems and methods for detecting physiologic events in a patient are described herein. An embodiment of a medical system includes a memory circuit to store physiologic event episodes detected and recorded by a medical device. The system includes a control circuit to analyze the stored physiologic event episodes, and determine a presence of a target cardiac event under a plurality of detection settings. Using the determined presence of the target cardiac event from the stored physiologic event episodes, and user adjudication of the stored event episodes, the control circuit may select, from the plurality of detection settings, a detection setting to detect a subsequent target cardiac event. The control circuit may also prioritize the physiologic event episodes for storage in the memory circuit.

Abstract: An implantable medical device system and method for delivering cardiac resynchronization therapy (CRT) pacing that includes determining capture associated with the delivered CRT pacing is ineffective in response to the delivered CRT pacing. A reason for capture being ineffective is determined and a safety margin is adjusted if the determined reason for capture being ineffective is loss of capture and a left ventricle (LV) pre-excitation is adjusted if the determined reason for capture being ineffective is delayed LV depolarization. Monitoring for a change in effective cardiac resynchronization therapy is used to confirm that the adjustment of the CRT pacing was effective in resolving the ineffective capture.

Abstract: Systems, devices, methods, and program products are provided for operating a medical system that is operable within at least two different medical device regulatory classes. A device control module receives an indicator for performing at least one procedure with a medical device. Based on the indicator, it selects a binary image for booting the control module from among multiple images including a controlled-type and a non-controlled type, which operate in different regulatory classes. A controlled-type image, which may be FDA PMA or other regulatory classes, is verified to be unaltered, and is then used to operate as a regulated medical device. The indicator can be automatic or manual. The indicator may result from connection of a specific medical device or peripheral device or may be user input.

Abstract: A stimulation device includes an adaptor component. The adaptor component couples a percutaneous lead to the stimulation device. The stimulation device may apply a stimulation signal to target tissue via the adaptor. A surgeon may place the stimulation device in a container and the adaptor component may be disposed outside of the container. Methods describe prolonged stimulation of target tissue via a stimulation device. The prolonged stimulation may be applied during and after a surgical procedure.

Abstract: An implantable pulse generator that includes a current source/sink generator is disclosed herein. The current source/sink generator includes a current drive differential amplifier. The current driver differential amplifier is configured to selectively source current to, or sink current from a target tissue. The current drive differential amplifier includes an inverting input and a non-inverting input. One of the inputs of the current drive differential amplifier is connected to a virtual ground, and the other is connected to a current command. A stimulation controller can supply a voltage to the other of the inputs of the current drive differential amplifier to select either current sourcing or current sinking.

Abstract: In some examples, a computing device may receive diagnostic data of a medical device implanted in a patient. The computing device may determine a use case associated with analyzing the diagnostic data out of a plurality of use cases for analyzing the diagnostic data. The computing device may determine, based at least in part on the use case, one or more device characteristics data to be compared against the diagnostic data. The computing device may analyze, based at least in part on comparing the diagnostic data with the one or more device characteristics data, the diagnostic data to determine an operating status of the medical device.

Abstract: A pacing system includes a signal generator and an electromechanical switch. The signal generator is configured to generate a pacing signal. The electromechanical switch has a plurality of outputs that are configured to be coupled to a plurality of electrodes inserted into a heart of a patient, each output configured to deliver the pacing signal to a respective electrode. The electromechanical switch is configured to route the pacing signal to no more than a single selected one of the outputs at any given time, so as to pace the heart using no more than a single selected one of the electrodes.

Abstract: An example method includes establishing a communications link between an electrophysiology (EP) monitoring system and an implantable medical device (IMD). IMD electrical data is received at the monitoring system via the communications link. The IMD electrical data may be synchronized with EP measurement data to provide synchronized electrical data based on timing of a synchronization signal sensed by an IMD electrode and/or EP electrodes. The method also includes computing reconstructed electrical signals for locations on a surface of interest within the patient's body based on the synchronized electrical data and geometry data. The geometry data represents locations of the EP electrodes, a location of the IMD electrode within the patient's body and the surface of interest.

Abstract: A method of performing impedance measurements on a subject. The method includes using a processing system to determine at least one impedance measurement to be performed, and at one electrode arrangement associated with the determined measurement. A representation of the arrangement is displayed so the impedance measurement can be performed once the electrodes have been arranged in accordance with the displayed representation.

Abstract: A method includes obtaining a first operation execution time corresponding to an operation performed on a page of a first data unit of a memory device, determining whether the first operation execution time satisfies a condition that is based on a second operation execution time, wherein the second operation execution time is indicative of lack of defect in at least a second data unit of the memory device, and responsive to determining that the first operation execution time satisfies the condition that is based on the second operation execution time, initiating a defect scan operation of at least a subset of pages of the first data unit.

Abstract: An implantable medical device (IMD) and method are provided. The IMD includes a sensing channel configured to obtain biological signals indicative of biological behavior of an anatomy of interest over a period of time. The biological behavior has a feature of interest that repeats over time. The biological signals have clinically relevant (CR) segments that include information related to the feature of interest. The biological signals have non-clinically relevant (NCR) segments that do not include information related to the feature of interest. At least one of circuitry or a processor are configured to compare the biological signals to an amplitude window to distinguish the CR segments from the NCR segments, save to memory the CR segments and delete the NCR segments, save to memory time information indicative of a duration of the NCR segments that were deleted and to form a lossy compressed data set for the biological signals.

Abstract: An implantable system for treating a heart contains a processor, a memory unit, a treatment unit including a treatment electrode, and a detection unit for detecting a cardiac event requiring treatment. The memory unit includes a computer-readable program, which prompts the processor to perform the following steps: a) detecting by way of the detection unit whether a cardiac event to be treated has occurred in the heart; b) if a cardiac event to be treated has occurred, determining a position of the treatment electrode or determining a variable correlating with this position; and c) comparing the position of the treatment electrode or the variable correlating with the position to a reference variable, and carrying out, or not carrying out a cardiac treatment by way of the treatment unit and the treatment electrode as a function of the position of the treatment electrode or the variable correlating with the position.

Abstract: Systems, methods and implantable devices configured to provide cardiac resynchronization therapy and/or bradycardia pacing therapy. A first device located in the heart of the patient is configured to receive a communication from a second device and deliver a pacing therapy in response to or in accordance with the received communication. A second device located elsewhere is configured to determine an atrial event has occurred and communicate to the first device to trigger the pacing therapy. The second device may be configured for sensing the atrial event by the use of vector selection and atrial event windowing, among other enhancements. Exception cases are discussed and handled as well.

Abstract: This application is generally related to systems and methods for providing a medical therapy to a patient by tracking patient activity and adjusting medical therapy based on occurrence of different types of activities performed by the patient while automatically balancing stimulation program duration.

Abstract: A therapy delivery device stores a plurality of time-dependent therapy settings. The therapy delivery device is configured to administer time-dependent therapies according to the time-dependent therapy settings based on a universal conception of time that is independent of a local time zone. A mobile device includes a display adapted to depict information about therapy or therapy-related data as compared to a local time that is stored on the mobile device based on a local time zone setting found in the mobile device. The therapy delivery device and a mobile application executing on the mobile device are configured to keep separate clocks, with each clock being based on a universal concept of time that is independent of a local time zone.

Abstract: A charging circuit, an electronic device and a charging circuit system are provided. The charging circuit includes a receiving circuit and a signal processing circuit coupled to the receiving circuit; the receiving circuit is configured to receive electric energy wirelessly transmitted by a transmitting circuit and wirelessly transmit a feedback signal to the transmitting circuit according to the electric energy; and the signal processing circuit is configured to receive a control signal wirelessly transmitted by the transmitting circuit and process the control signal.

Abstract: A medical device system, such as an extra-cardiovascular implantable cardioverter defibrillator ICD, senses R-waves from a first cardiac electrical signal by a first sensing channel and stores a time segment of a second cardiac electrical signal in response to each sensed R-wave. The medical device system determines a morphology parameter correlated to signal noise from time segments of the second cardiac electrical signal, detects a noisy signal segment based on the signal morphology parameter; and withholds detection of a tachyarrhythmia episode in response to detecting a threshold number of noisy signal segments.

Abstract: The invention relates to a determination system for determining a heart failure risk for a subject (4). The determination system (1) comprises a photoplethysmogram providing unit for providing a photoplethysmogram of the subject and a heart failure risk determination unit for determining the heart failure risk based on the provided photoplethysmogram. A photoplethysmogram can be provided in an unobtrusive way by using a photoplethysmogram sensor without requiring a physician's attendance. In particular, it is not necessarily required to measure electrocardiograms, to carry out blood tests and to perform a coronary angiography for determining the heart failure risk. The heart failure risk can therefore be determined in a technically relatively simple way without requiring a physician's attendance.

Abstract: A system and method for medical premonitory event estimation includes one or more processors to perform operations comprising: acquiring a first set of physiological information of a subject, and a second set of physiological information of the subject received during a second period of time; calculating first and second risk scores associated with estimating a risk of a potential cardiac arrhythmia event for the subject based on applying the first and second sets of physiological information to one or more machine learning classifier models, providing at least the first and second risk scores associated with the potential cardiac arrhythmia event as a time changing series of risk scores, and classifying the first and second risk scores associated with estimating the risk of the potential cardiac arrhythmia event for the subject based on the one or more thresholds.

Abstract: In some examples, controlling delivery of CRT includes controlling an implantable medical device to deliver ventricular pacing according to a sequence of different values of a CRT parameter, and acquiring first and second electrograms from respective first and second electrode vectors. For each value of the CRT parameter, a value of a metric of comparison of a first activation interval between occurrences of a first fiducial of a cardiac cycle and a second fiducial of the cardiac cycle detected in the first electrogram to a second activation interval between occurrences of the first fiducial and the second fiducial detected in the second electrogram may be determined. A target value of the metric of comparison may be identified and an updated value of the CRT parameter determined based on the target value. The system then may control the IMD to deliver ventricular pacing at the updated value of the CRT parameter.

Abstract: Implantable medical systems enter an exposure mode of operation, either manually via a down linked programming instruction or by automatic detection by the implantable system of exposure to a magnetic disturbance. A controller then determines the appropriate exposure mode by considering various pieces of information including the device type including whether the device has defibrillation capability, pre-exposure mode of therapy including which chambers have been paced, and pre-exposure cardiac activity that is either intrinsic or paced rates. Additional considerations may include determining whether a sensed rate during the exposure mode is physiologic or artificially produced by the magnetic disturbance. When the sensed rate is physiologic, then the controller uses the sensed rate to trigger pacing and otherwise uses asynchronous pacing at a fixed rate.

Abstract: Systems, devices, methods, and program products are provided for operating a medical system that is operable within at least two different medical device regulatory classes. A device control module receives an indicator for performing at least one procedure with a medical device. Based on the indicator, it selects a binary image for booting the control module from among multiple images including a controlled-type and a non-controlled type, which operate in different regulatory classes. A controlled-type image, which may be FDA PMA or other regulatory classes, is verified to be unaltered, and is then used to operate as a regulated medical device. The indicator can be automatic or manual. The indicator may result from connection of a specific medical device or peripheral device, or may be user input.

Abstract: A system for validating safety of a medical device in a presence of a magnetic resonance imaging (MRI) field is provided. The system includes a first electric field generating device configured to form first electric field and configured to receive a medical device at least partially within the first electric field, and a second electric field generating device configured to form a second electric field in proximity to the first electric field and configured to receive the medical device at least partially within the second electric field.

Abstract: A processing device, operatively coupled with the memory device, is configured to perform an operation on a page of a plurality of pages of a data unit of the memory device to modify data on the page. The processing device also determines a first operation execution time of the page upon performing the operation on the page of the data unit. The processing device further determines whether the first operation execution time satisfies a condition that is based on a predetermined second operation execution time, the predetermined second operation execution time is indicative of lack of defect in at least one other data unit. Lastly, responsive to determining that the first operation execution time satisfies the condition, the processing device performs a scan operation of at least a subset of the plurality of pages of the data unit to decide whether the data unit has a defect.

Abstract: In some examples, a host device includes a battery capacity and/or battery resistance predictive model. The host device may predict a battery capacity value and/or batter resistance value of a rechargeable battery and compare the predicted battery capacity and/or predicted battery resistance to a battery capacity value and/or battery resistance value stored in a fuel gauge. The host device may overwrite the battery capacity value and/or battery resistance value stored in the fuel gauge with the predicted battery capacity value and/or the predicted battery resistance value if the difference is greater than a maximum error threshold.

Abstract: Systems and methods for sensing respiration from a subject are discussed. An embodiment of a respiration monitoring system may include a respiration analyzer circuit to select a physiologic signal from a plurality of signals of different types indicative of respiration, such as between first and second physiologic signals that are respectively detected using first and second detection algorithms, and to compute one or more respiration parameters using the selected signal. The system may select or adjust a respiration detection algorithm for detecting the respiration parameters. The physiologic signal, or the respiration detection algorithm, may each be selected based on a signal characteristic or a patient condition. A cardiopulmonary event may be detected using the computed respiration parameter.

Abstract: A cardiac medical system, such as an implantable cardioverter defibrillator (ICD) system, receives a cardiac electrical signal by and senses cardiac events when the signal crosses an R-wave sensing threshold. The system determines at least one sensed event parameter from the cardiac electrical signal for consecutive cardiac events sensed by the sensing circuit and compares the sensed event parameters to P-wave oversensing criteria. The system detects P-wave oversensing in response to the sensed event parameters meeting the P-wave oversensing criteria; and adjusts at least one of an R-wave sensing control parameter or a therapy delivery control parameter in response to detecting the P-wave oversensing.

Abstract: Adaptive methods for initiating charging of the high power capacitors of an implantable medical device for therapy delivery after the patient experiences a non-sustained arrhythmia, and devices that perform such methods. The adaptive methods and devices adjust persistence criteria used to analyze an arrhythmia prior to initiating a charging sequence to deliver therapy. Some embodiments apply a specific sequence of X-out-of-Y criteria, persistence criteria and last even criteria before starting charging for therapy delivery.

Abstract: Many embodiments provide an implant power management unit (IPMU) that includes a reconfigurable active rectifier (AR) for wireless power transfer (WPT), where the AR is configurable to operate in a plurality of different modes of operation, an adaptive load control (ALC) unit that accommodates power delivery with load requirements, where the ALC unit is configured to control AR voltage based upon a desired value, control circuitry that is configured to enable a full bridge rectifier in a regular mode of operation of the AR, a feedback circuit that adaptively generates offset current to compensate for switch delays in at least one active NMOS diode, and a feedback circuit that adaptively generates offset current to compensate switch delays in at least one active PMOS diode.

Abstract: A cardiac rhythm management system includes at least one sensing component configured to obtain a first physiological parameter signal, an indication of a cardiac response to a stimulation therapy, and temporal information corresponding to the first physiological parameter signal and the cardiac response; and at least one processor configured to: receive the first physiological parameter signal, the indication of the cardiac response, and the temporal information; and to classify the cardiac response into a first cardiac response class to generate a classified cardiac response. The at least one processor also is configured to determine a correlation, based on the temporal information, between the first physiological parameter signal and the classified cardiac response.

Abstract: A portable expansion unit controls safety-relevant functions of a medical device. The expansion unit has a retaining device to be adjusted to the size of a flat, portable operating unit of the medical device. The retaining device mechanically connects the expansion unit detachably with the portable operating unit. A communication module establishes a safety-related data connection with the medical device. This combines a mobile, portable consumer operating device, such as a tablet computer or smartphone, which does not fulfill any particular safety-related requirements, with an expansion unit, which permits the control of safety-relevant functions with the aid of a safety-related radio protocol.

Abstract: An example system has a pulse generator configured to deliver a first series of electrical signals to a right atrium of a heart. The first series of electrical signals can increase a first heart rate toward a target heart rate. The system can have a monitoring device configured to retrieve physiological data from a user of the system while the heart is receiving the first series of electrical signals. The system can have a controller configured to determine whether a physiological parameter has met a physiological threshold based on the physiological data. If the physiological threshold has been met, the controller can modify the first series of electrical signals to a second series of electrical signals that restores the physiological parameter to an acceptable level.

Abstract: An apparatus comprises a respiration sensing circuit configured for coupling electrically to a plurality of electrodes and for sensing a respiration signal representative of respiration of a subject; a signal processing circuit electrically coupled to the respiration sensing circuit and configured to extract a respiration parameter from a sensed respiration signal and determine a signal performance metric for the sensed respiration signal using the respiration parameter; and a control circuit. The control circuit is configured to: initiate sensing of a plurality of respiration signals using different electrode combinations of the plurality of electrodes and determining of the signal performance metric for the sensed respiration signals; and enable an electrode combination from the plurality of electrodes and for use in monitoring respiration of the subject according to the signal performance metric.

Abstract: A method for managing power during communication with an implantable medical device, including establishing a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device. A telemetry break condition of the communications link is monitored during the current session. The power utilized by the IMD is adjusted between low and high power levels, during the current session based on the telemetry break condition. The number of sessions is counted, including the current session and one or more prior sessions, in which the IMD utilized the higher power level, and a level for the session start power to be utilized to initiate a next session following the current session is adaptively learned based on the counting of the number of sessions.

Abstract: Methods and systems for obtaining and analyzing electromyography responses of electrodes of an implanted neurostimulation lead for use neurostimulation programming are provided herein. System setups for neural localization and/or programming include a clinician programmer coupleable with a temporary or permanent lead implantable in a patient and at least one pair of EMG sensing electrodes minimally invasively positioned on a skin surface or within the patient. The clinician programmer is configured to determine a plurality of recommended electrode configurations based on thresholds and EMG responses of the plurality of electrodes and rank the electrode configuration according to pre-determined criteria.

Abstract: A medical device and medical device system for delivering left ventricular pacing that includes a subcutaneous sensing device having a subcutaneous electrode to sense a subcutaneous cardiac signal and an emitting device to emit a trigger signal in response to the sensed cardiac signal, an intracardiac therapy delivery device to deliver the left ventricular pacing in response to the emitted trigger signal, and a processor configured to determine whether the medical device system is in one of a VVD pacing mode and a VVI pacing mode, determine whether the delivered left ventricular pacing captures the left ventricle, determine whether to adjust a pacing parameter in response to the determination of whether the device system is in one of a VVD pacing mode and a VVI pacing mode and the determination of whether the delivered left ventricular pacing captures the left ventricle, and deliver the left ventricular pacing in response to determining whether to adjust the pacing parameter.

Abstract: Methods and systems for identifying dislodgement of an electrode, operably coupled to an implanted medical device, from fixation with the endocardium of a chamber of the heart of a patient can include obtaining a test electrogram, and measuring at least two parameters indicating a cavitary electrogram and taking an action, such as generating an electrode dislodgement alert and/or configuring the implanted medical device to disable therapy, when the cavitary electrogram is indicated. In embodiments, the two parameters include a test positive component magnitude and a test negative component magnitude. In embodiments, the test component magnitudes are compared to baseline component magnitudes determined from a baseline electrogram.

Abstract: The exemplary systems, methods, and interfaces may obtain and analyze electrode signals from a plurality of external electrodes. The electrode signals may include at least an anterior set of electrode signals and a posterior set of electrode signals. The anterior and posterior sets of electrode signals may be used to generate, or provide, various metrics of cardiac electrical heterogeneity and various graphical depictions that may be useful in assessing a patient's cardiac functionality.

Abstract: An image capturing device having a power reset function includes a fixed base and a camera. The fixed base has a first assembly portion, and the first assembly portion is provided with a first magnetic member. The camera includes a housing, a circuit board, and a magnetic reset switch electrically connected to the circuit board. The housing has a second assembly portion, and the second assembly portion is provided with a second magnetic member. The second magnetic member and the first magnetic member are configured to be magnetically attracted to each other such that the second assembly portion is correspondingly assembled and disposed on the first assembly portion. The circuit board is disposed inside the housing. The magnetic reset switch is disposed inside the housing and is distant from the second assembly portion.

Abstract: Provided is an electrical stimulation device. The electrical stimulation device includes a first electrode that contacts a first portion of the head of a user to apply a current to the head of the user, a second electrode that contacts a second portion that is different from the first portion of the head of the user to apply a current to the head of the user, a controller that performs a control such that polarities of the first electrode and the second electrode can be changed based on a reference comprising at least one of a reference time, a reference pH index, and a reference number of uses.

Abstract: A lifting device for a motor vehicle subassembly has a load-bearing unit with at least one support arm that can be pivoted around a longitudinal axis of the load-bearing unit and a coupling unit that is arranged on the support arm for releasably connecting the support arm to the motor vehicle subassembly. The coupling unit is mounted on the support arm such that it is longitudinally displaceable, and the load-bearing unit is configured to connect with a crane unit, such as a crane hook adapter. The lifting device is especially compact in construction in that it offers the possibility of being combined with lifting units for the disassembly of motor vehicle subassemblies from the ground. The load-bearing unit is releasably connected with a connecting body of a support unit. The connecting body is tiltable on the support unit.

Abstract: A face to face contact assembly having at least one electrically conductive spring element and at least one shielding spring element separated from one another by a spacing element. From the perspective of a centerline and extending radially outwardly, electrically conductive spring element is located closest to the centerline, then the spacing element, and then the shielding spring element. The electrically conductive spring element electrically connects two adjacent faces, which in one example can be adjacent printed circuit boards, and the shielding spring element at least partially shields such electrical connection. Other face to face contact assembly arrangements are also disclosed.

Abstract: An implantable medical device having a sensing module and a control module is configured to receive a cardiac electrical signal and sense events from the cardiac electrical signal received via electrodes carried by a medical electrical lead when the medical electrical lead is coupled to the implantable medical device. The control module coupled is configured to detect non-sustained tachyarrhythmia (NST) episodes based on sensed event intervals and determine if the sensed event intervals during the detected NST episode satisfy oversensing criteria. If the oversensing criteria are satisfied, the control module determines whether the detected NST episode satisfies non-lead related oversensing criteria and withholds a lead integrity alert when the NST episode meeting the oversensing criteria is determined to satisfy non-lead related oversensing criteria.

Abstract: A method and medical device for determining sensing vectors that includes sensing cardiac signals from a plurality of electrodes, the plurality of electrodes forming a plurality of sensing vectors, determining a sensing vector metric in response to the sensed cardiac signals, determining a morphology metric associated with a morphology of the sensed cardiac signals, determining vector selection metrics in response to the determined sensing vector metric and the determined morphology setting, and selecting a sensing vector of the plurality of sensing vectors in response to the determined vector selection metrics.

Abstract: A method for configuring a presentation of physiological data for a patient includes identifying one or more physiological sensor modules that are connected in a physiological parameter monitoring device. After the physiological sensor modules are identified, the physiological parameter monitoring device is configured so that display areas are allocated on a display screen of the physiological parameter monitoring device for displaying physiological data for the patient. A separate display area is allocated for each identified physiological module. After one or more physiological sensor modules are detected as being connected, the physiological parameter monitoring device is automatically configured to include one or more additional display areas on the display screen for displaying physiological data for the patient. A separate additional display area is allocated for each of the additional physiological sensor modules that is connected.

Abstract: Leakage of signal between conduction paths of an implantable medical lead or lead and lead extension combination is detected. A stimulation signal is provided via one electrode. Two other electrodes sense the stimulation signal. A difference in amplitude of the two sensed signals is determined and based on this difference, leakage is detected. A sensing circuit may use differential amplification of the two signals and compare a resulting output signal to a leakage threshold. When the amplitude of the output signal exceeds the leakage threshold, then leakage is occurring between the conduction path providing the stimulation and one of the conduction paths used for sensing. Other techniques for determining leakage from the difference may also be used such as comparing the amplitudes of the two sensed signals and providing a value that is based on the comparison to indicate whether leakage is present.