Abstract: A medical device for use with a patient is described. The medical device includes a component for administering a treatment to the patient or receiving data of the patient. The component is configured to operate according to an internal setting. The medical device also includes a user interface through which a user can modify the internal setting, as well as a settings signature generator for generating a settings signature that represents a present state of the internal setting. A gateway is also provided for communicating a version of the settings signature out of the medical device.

Abstract: Systems, devices and methods employing coded magnetic fields or transfer of encryption key information via proximity telemetry are described. The systems, methods and devices help prevent or reduce unintended or unintentional distance telemetry communication between an external medical device and an implantable medical device.

Abstract: Patient data is stored in a medical device, such as an external defibrillator, and may be transferred, or downloaded, from the medical device to a computing device for storage or analysis. In response to the transfer, the medical device protects the patient data so that at least a subset of users cannot access the patient data from the medical device. The other device to which patient data is transferred from the medical device may be remote from the medical device or may be configured to be part of the medical device. The device to which the patient data is transferred from the medical device can be a remote computing device like a computer or server and/or may include or may be an intermediary data management device (DMD). The medical device may be a wearable medical device, such as a wearable defibrillator or a wearable automatic external defibrillator (AED).

Abstract: The invention consists of a system for remote programming of an implantable medical device such as a heart pacemaker, defibrillator or the like, wherein the system includes a programmable personal device (e.g., an implant) and a service center. The service center has a programming monitoring unit which determines a programming time endpoint which depends on the point in time at which a programming order was sent to the implant, and which cancels or deletes the programming order if the service center has not received a programming confirmation confirming successful receipt, execution, and/or forwarding of the programming order by the implant by the programming time endpoint.

Abstract: Devices and systems provide for proximity based selection of an implantable medical device for far field communication with an external device. By using a proximity communication that is limited to the IMD of interest during the selection process, the external device can eliminate those IMDs that are in range of far field communications but are able to receive the proximity communication. Thus, information may be shared via a proximity communication that is validated via a far field communication, or shared via a far field communication as a challenge and then validated via a proximity communication. The proximity communication may be used to initially limit the number of devices that respond to a discovery request and then subsequently used to select the intended implantable medical device as well as automatically select the appropriate therapy application corresponding to the selected IMD.

Abstract: A method of operating an implantable medical device (IMD) includes demodulating a data signal incoming to the IMD, serially storing demodulated data received in the data signal in a first serial buffer register, transferring the received demodulated data to a parallel buffer register from the first serial buffer register, wherein the parallel buffer register operates according to a clock signal having a lower frequency than a clock signal used to operate a serial buffer register, switching the serial storing of demodulated data to a second serial buffer register during the transferring of the received demodulated data to the parallel buffer register, and alternating the serial storing of the received data between the first and second serial buffer registers.

Abstract: A computer-implemented electrocardiographic data processor with time stamp correlation is provided. A monitoring circuit includes a persistent memory and power supply that powers an encoder that determines a differential voltage between a current discrete digital voltage value and a prior voltage value. The differential voltage is stored into the persistent memory in a digitized data stream representative of analog cardiac action potential signals. Digitally-encoded voltage values and time stamps are retrieved from the persistent memory. A post-processing application executes. A set of output voltages and voltage differences that each correspond to lower and upper bounds of voltage is stored. Each retrieved voltage value is compared to the voltage bounds and the voltage differences within which each retrieved voltage value falls is identified. The output voltages corresponding to the voltage differences is selected.

Abstract: Apparatuses and methods support multi-modal operation of a medical device system for a nervous system disorder. The medical device system comprises an implanted component and an external component and supports a first feature and a second feature that are associated with the treatment therapy. The medical device system supports both features when the implanted component and the external component are coupled. If the external component is decoupled, the implanted component continues to support the first feature. Moreover, the embodiment may support a plurality of features during a treatment interval. Another aspect of the invention allows for modularly expanding a medical device system in order to add a feature that enhances existing functionality or that provides additional functionality. In an embodiment, a module that is associated with an external component of the medical device system supports the added feature.

Abstract: A system and method for remotely programming a patient medical device (PMD) is presented. Programming instructions specified remotely are translated into commands formatted for a PMD to control functionality thereof. Correctness of the PMD-formatted commands is checked. Patient consent to modify the functionality of the PMD is confirmed. Application of the PMD-formatted commands to the PMD is controlled during a programming session initiated and performed remotely. The application of the PMD-formatted commands is confirmed through interrogation of the PMD to verify the functionality modified.

Abstract: External instruments and implantable medical devices communicate using modulation parameter settings that may be adapted during communication sessions based on a quality of the wireless communications link. An analysis of the quality of the link is performed and a request to change modulation parameters is sent to one of the devices by the other. The analysis may be based on measuring noise and interference during idle communication frames. The devices may then change the modulation parameter settings, for the uplink, downlink, or both. The devices may also employ a recovery operation to revert back to the previous modulation parameter settings if the transmissions are not properly received using the changed modulation parameter settings. The modulation parameter settings may include modulation type, modulation symbol rate, and the like.

Abstract: An implantable medical device (IMD) includes a lead having one or more sensing electrodes and one or more therapy delivery electrodes, and a sensor configured to detect the presence of static and time-varying scan fields in a magnetic resonance imaging (MRI) environment. A controller, in electrical communication with the lead and the sensor, is configured to process signals related to tachycardia events sensed via the one or more sensing electrodes and to deliver pacing and shock therapy signals via the one or more therapy delivery electrodes. The controller compares the sensed static and time-varying scan fields to static and time-varying scan field thresholds. The controller controls delivery of anti-tachycardia pacing and shock therapy signals as a function of the detected tachycardia events, the comparison of the sensed static scan field to the static scan field threshold, and the comparison of the time-varying scan fields to the time-varying scan field thresholds.

Abstract: A wireless communication threshold for an implantable medical device is automatically adapted in an attempt to maintain optimum signal detection sensitivity. In some aspects, a threshold level may be adapted to account for current environmental conditions, implant conditions, device conditions, or other conditions that may affect the reception of wireless signals at the device. In some aspects, the determination of an optimum level for the threshold involves a tradeoff relating to effectively detecting target signals while avoiding detection of noise and/or interference. In some aspects, adaptation of a threshold may be based on maximum energy levels associated with one or more sets of RF energy sample data. In some aspects, adaptation of a threshold may be based on the number of false wakeups that occur during a period of time.

Abstract: Methods and systems for constructing a comprehensive history for an IMD are disclosed. The method includes interrogating an implantable medical device (IMD) with an interrogating external programmer device (EPD), and comparing a unique signature associated with the interrogating EPD to a stored signature, associated with a particular programmer device that most immediately previously programmed the IMD, in memory of the IMD. If the unique signature of the interrogating programmer device is not the same as the stored signature, the method includes recording the stored signature in the interrogating EPD. The method may optionally include replacing the stored signature in the IMD memory with the unique signature of the interrogating EPD if the interrogating EPD programs the IMD. A comprehensive history for the IMD may be constructed by tracing the values in the IMD and the programmer databases.

Abstract: One embodiment of the present invention relates to an implantable medical device (“IMD”) that can be programmed from one operational mode to another operational mode when in the presence of electro-magnetic interference (“EMI”). In accordance with this particular embodiment, the IMD includes a communication interface for receiving communication signals from an external device, such as a command to switch the IMD from a first operation mode to a second operation mode. The IMD further includes a processor in electrical communication with the communication interface, which is operable to switch or reprogram the IMD from the first operation mode to the second operation mode upon receiving a command to do so. In addition, the IMD includes a timer operable to measure a time period from when the processor switches the IMD to the second operation mode.

Abstract: An implantable device, such as a pacer, defibrillator, or other cardiac rhythm management device, can include a failsafe backup, such as a separate and independent safety core that can assume control over operation of the implantable device from a primary controller. In an example, the safety core can include a normal first safety core operating mode and a magnetic resonance imaging (MRI) second safety core operating mode that can provide different functionality from the normal first safety core operating mode.

Abstract: The disclosure describes techniques for protecting patient data stored in a medical device, such as an external defibrillator. The patient data may be transferred, or downloaded, from the medical device to another device, such as to a computing device for storage or analysis. In response to the download, the medical device may protect the patient data so that at least subset of users can no longer access the patient data. Patient data may be protected by modifying the data form, encrypting the data, moving the data to another memory module, password protecting the patient data, or modifying an access control list associated with the patient data. While the patient data may also be deleted as a technique for protecting the data, not deleting the data may allow the data to be recovered at a later time by an authorized user, i.e., a user not part of the subset.

Abstract: A medical device programmer comprises a medical device module and a computer module. The medical device module comprises a telemetry module that wirelessly communicates with an implantable medical device (IMD) and a medical device module processor communicates with the IMD via the telemetry module. The computer module housing mates with the medical device module housing to form a congruent external surface of the programmer. The computer module comprises a user interface including a touchscreen that displays data received from the IMD and receives input from a user, a memory that stores selectable patient therapy parameters for the IMD, a computer module interface in electrical communication with the medical device module interface, and a computer module processor that communicates with the medical device module. The medical device module processor forwards communications between the computer module processor and the IMD via the medical device module interface and the telemetry module.

Abstract: Enhanced security is provided in a system comprising a medical device and a monitoring device. The medical device is configured for implantation into a living organism, and comprises processing circuitry and an interface for communicating with the monitoring device. Access to the medical device by the monitoring device is controlled based on measurement of one or more physiological values of the living organism by at least one of the two devices. In an illustrative embodiment, the medical device and the monitoring device are configured to include respective physiological value sensors for measuring respective dynamic physiological values of the living organism. The medical device is further configured to determine if the dynamic physiological values are sufficiently similar to one another and to grant or deny the monitoring device access to the medical device based on the determination.

Abstract: A far-field radio frequency (RF) telemetry system for communicating with an implantable medical device includes a diversity antenna system. Multi-frame messages each including multiple outgoing data frames are transmitted to the implantable medical device. In response, the implantable medical device transmits response data frames each following one or more of the outgoing data frames, according to a predetermined communication protocol. An antenna control circuit selects an antenna of the diversity antenna system for transmitting the outgoing data frames and/or receiving the response data frames based on the quality of signal reception associated with the response data frames.

Abstract: This document discloses, among other things, a telemetry system that controls access to assets of an implantable device as a function of the manner of initiating the communication session or an access code. A tiered hierarchy of assets are associated with corresponding levels of access. A tiered array of security mechanisms are associated with the hierarchy of assets.

Abstract: A medical device having a unit in communication with ancillary components wherein the unit and the ancillary components each have a sensory output through which communication with a user of the medical device may be accomplished and to which the user's attention directed. In one aspect, the medical device is an AED unit with associated pads, which are an ancillary component electrically connected to the AED unit. In this illustrative example, the unit has a unit sensory output (e.g., a speaker or a display), and the pads, and/or their associated packaging, have an ancillary sensory output (e.g. a speaker or display). Programming in the AED unit controls output to the sensory outputs such that the user's attention is directed between the unit and the ancillary components.

Abstract: Systems and methods for adapting the performance of a wireless communication link with an implantable medical device (IMD) are disclosed. An illustrative method includes initiating a wireless link with the IMD, measuring an initial performance of the wireless link, determining whether the initial performance of the wireless link is adequate, adjusting an operating parameter related to the wireless link in the event the initial performance of the wireless link is inadequate, measuring a performance of the wireless link in response to the adjusted operating parameter, and setting the operating parameter to a prior setting if the measured performance of the wireless link does not improve in response to the adjusted operating parameter.

Abstract: In a medical telemetry system for synchronizing an implantable medical device to a base station of the telemetry system, a communication channel is selected for communication between the implantable medical device and the base station, and the implantable medical device is synchronized to the base station by selecting a synchronizing word associated with the selected channel, wherein at least two different communication channels within the medical telemetry system are associated with different synchronization words. By this procedure, crosstalk is eliminated.

Abstract: The invention relates to a service unit (30) having an interface (54) for receiving data from a personal medical device, an analysis unit (52) connected to the interface (54) for analyzing data received from the personal medical device (10), and an aftercare appointment determination unit (54) for determining a particular next aftercare appointment at least on the basis of data received from a particular personal medical device (10).

Abstract: A method and apparatus for determining a position of an external transceiver (24) relative to an implanted transceiver (23) comprising means (30) for measuring the strength of a magnetic field proximal to the external transceiver (24) and means for determining a position of the external transceiver (24) relative to the implanted transceiver (23) from said measured magnetic field strength. Furthermore there is disclosed is a method and apparatus for determining a skin flap thickness of a recipient of a prosthesis including a transcutaneous link between the external transceiver (24) and the implanted transceiver (23). A skin-flap thickness meter is also provided.

Abstract: A telemetry protocol for an implantable medical device is disclosed. The sending device forms a block of information to be telemetered to the receiving device, including a header, a message, and an error detection data (CRC1). The entirety of the block is divided into smaller packets of a predetermined size. Each packet has a CRC computed for it (CRC2), and is sent to the receiving device, which deduces a CRC2 and compares it with the appended CRC2. If not valid, that packet is again requested to be resent. If valid, the next packet is requested to be sent, its CRC2 checked, etc., until all packets are received and verified. The receiving device then discards the CRC2s to reconstitute the original block. The receiving device then deduces CRC1 and compares it with the CRC1 appended to the block. If valid, the block is accepted, and if not, the procedure is repeated.

Abstract: The invention relates to a system and a method for the remote programming of a programmable personal medical device (10, 10?), in particular an implantable medical device such as a cardiac pacemaker, defibrillator, or the like, selecting (61) of a personal medical device, compiling (63) of a programming instruction (50) by accepting inputs of a user, and checking (63) the inputs for plausibility and compatibility with the personal medical device in a programming device (20), transmitting (65) the programming instruction to a patient intermediary device (30) tuned to the personal medical device via at least one indirect connection, receiving (67) of the programming instruction by the patient intermediary device, and transmitting of the programming instruction to the personal medical device, and accepting (69) of the programming instruction by a programmable controller of the personal medical device being provided.

Abstract: This document discusses, among other things, a communication circuit for an IMD comprising a radio frequency (RF) modulator to modulate and demodulate IMD data signals, first and second serial buffer registers to store received demodulated data and to store transmit data for modulation and configured to operate according to a first clock signal, and a parallel buffer register to receive data in parallel from the first and second serial buffer registers and configured to operate according to a second clock signal that is slower than the first clock signal. The communication circuit also includes a telemetry control circuit configured to, when in the receive mode, alternate between serially receiving data into the first serial buffer register while the parallel buffer receives data from the second serial buffer register, and serially receiving data into the second serial buffer register while the parallel buffer receives data from the first serial buffer.

Abstract: An implantable medical device for use in a patient management system is described, including a sensor capable of measuring a body characteristic and generating a data signal describing the measurement, and a processor configured to analyze the data signal and identify one or more significant events that warrant attention for the well-being of a patient. The implantable medical device further includes a first non-rechargeable battery configured to power at least the sensor and the processor. In addition, a first communications unit is configured to be powered by the first non-rechargeable battery and includes a wireless transmitter capable of establishing a first communications link with a host computer using an external local receiver, when said first wireless transmitter is within a short-range telemetry communication range of said local receiver, to deliver notification of the significant events to the host computer.

Abstract: An exemplary system for communicating with or providing power to an implantable stimulator includes a coil configured to emit a magnetic field for driving a corresponding circuit in the implantable stimulator and a coil driver circuit configured to drive the coil with a tuning frequency. The coil driver circuit actively adjusts the tuning frequency such that the coil operates at a frequency substantially equal to a resonant frequency. An exemplary method of communicating with or providing power to an implantable stimulator includes driving a coil with a tuning frequency and actively adjusting the tuning frequency such that the coil operates at a frequency substantially equal to a resonant frequency. The coil emits a magnetic field used to drive a corresponding circuit in the implantable stimulator.

Abstract: A system and method for handling data received from an implantable medical device (IMD) is provided. The method includes communicating a device parameter value of an IMD device parameter from the IMD to an external device and determining, at the external device, that the communicated device parameter value is at an improper value. Additionally, in response to the determining that the communicated device parameter value is at an improper value, automatically performing at least one of re-programming the IMD device parameter with a selected substitute device parameter value, ignoring, or purging non-programmable data.

Abstract: An external defibrillator having a battery; a capacitor electrically communicable with the battery; at least two electrodes electrically communicable with the capacitor and with the skin of a patient; a controller configured to charge the capacitor from the battery and to discharge the capacitor through the electrodes; and a support supporting the battery, capacitor, electrodes and controller in a deployment configuration, the defibrillator having a maximum weight per unit area in the deployment configuration of 0.1 lb/in2 and/or a maximum thickness of 1 inch. The support may be a waterproof housing.

Abstract: Remote controls, including a communication device, a button or other communication device actuator and a movable structure that allows actuation of the actuator in one position and prevents actuation of the actuator in another position to prevent inadvertent signal transmission.

Abstract: An improved embodiment of an external device for an implantable medical device system is described herein, where the external device has both circuitry for charging the implantable medical device and circuitry for telemetering data to and from the medical implant contained within a single housing. The external device in one embodiment includes orthogonal radiators in which both the radiators are used for data transfer, and in which at least one of the radiators is used for power transfer. Having charging and data telemetry circuitry fully integrated within a single external device conveniences both patient and clinician.

Abstract: In one aspect a system includes an external communication device configured to interrogate a pulse generator, an external programmer device communicatively coupled to the external communication device; the external programmer device configured to receive a listing of valid electrode pairs from the pulse generator through the external communication device, the external programmer device configured to prevent a pacing, sensing, or shocking vector from being programmed by the user if a pair of electrodes needed for the vector are not included within the listing of valid electrode pairs. In another aspect a system includes an implantable medical device configured to detect the presence or absence of electrodes on an implanted stimulation lead coupled to the implantable medical device and to generate a valid electrode pair listing and compare the programmed electrode pairs with the valid electrode pair listing. Other embodiments are also included herein.

Abstract: A patient device (PD) for wireless data communication with an implant. The PD can be at least in an unpaired state or a paired state. In the paired state the PD is paired to a specific implant specified by an implant's identification code (IIC). The IIC is stored in PD memory. Automatic pairing of the PD to a specific implant is performed upon receiving an incoming data packet containing an IIC when the PD is in its unpaired state with no valid IIC stored in memory. Thus, the PD is tentatively paired to an implant identified by the IIC contained in the incoming data packet by storing the IIC in the memory. Tentative pairing is cancelled if no further communication occurs within a predetermined period of time. A soft paired state is entered if further data communication does occur.

Abstract: A magnetic core flux canceling device according to embodiments of the present invention includes a magnetic field sensor adapted for placement at a ferrite material core in an implantable medical device, the magnetic field sensor adapted to transmit a signal corresponding to a magnitude of a first magnetic field. Such a device may also include a coil disposed around the ferrite material core and a driver circuit configured to receive the signal and to vary a voltage applied across the coil based on the signal, the voltage applied across the coil creating a second magnetic field at least partially in a direction opposite the first magnetic field. According to some embodiments of the present invention, multiple coils may be used to cancel magnetic fields in multiple directions. A voltage applied across the coil varies in magnitude and/or direction to cancel or weaken an MRI-related magnetic field.

Abstract: A first implantable medical device (IMD) implanted within a patient may communicate with a second IMD implanted within the patient by encoding information in an electrical stimulation signal. The delivery of the electrical stimulation signal may provide therapeutic benefits to the patient. The second IMD may sense the electrical stimulation signal, which may be presented as an artifact in a sensed cardiac signal, and process the sensed signal to retrieve the encoded information. The second IMD may modify its operation based on the received therapy information. Crosstalk between the first and second IMDs may be reduced using various techniques described herein. For example, the first IMD may generate the electrical stimulation signal to include a spread spectrum energy distribution or a predetermined signal signature. The second IMD may effectively remove a least some of the signal artifact in a sensed cardiac signal based on the predetermined signal signature.

Abstract: An apparatus including a processor configured to selectively load a first operating system that controls general purpose computer functionality of the apparatus; and a second operating system different from the first operating system. The second operating system controls medical device programming functionality of the apparatus, enabling the apparatus to program a medical device including at least one implantable component.

Abstract: A biostimulator system comprises one or more implantable devices and an external programmer configured for communicating with the implantable device or devices via bidirectional communication pathways comprising a receiving pathway that decodes information encoded on stimulation pulses generated by ones of the implantable device or devices and conducted through body tissue to the external programmer.

Abstract: An improved telemetry protocol for an implantable medical device is disclosed. The sending device forms a block of information to be telemetered to the receiving device in a typical fashion, including a header, a message, and an error detection data, such as a Cyclic Redundancy Code (CRC) for that data. This CRC, called CRC1, is preferably computed using a first CRC polynomial. Then, the entirety of the block is divided into smaller packets of a predetermined byte size. Each packet, regardless of its contents, has a CRC computed for it (CRC2) preferably computed using a second CRC polynomial. Each packet with its appended CRC2 is sent to the receiving device, which deduces a CRC2 and compares it with the appended CRC2. If not valid, that packet is again requested to be resent. If valid, the next packet is requested to be sent, its CRC2 checked, etc., until all packets are received and verified. The receiving device then discards the CRC2s to reconstitute the original block.

Abstract: A circuit for controlled commutation of multiplexed electrodes, for an active implantable medical device. This circuit is located in a lead equipped with multiplexed sensing/pacing electrodes. This circuit decodes a signal generated by a generator, commanding a series of switches, which ensures selective coupling of the various electrodes to the proximal and distal terminals of the generator. This signal is a modulated signal comprising a coded series of logic pulses defining a particular configuration for coupling the lead electrodes to the proximal or distal terminal of the generator. The signal comprises a micropulse, that precedes the coded series of logic pulses and has an amplitude and duration lower than the amplitude and duration of each of the logic pulses. The detection of this micropulse activates, in response, all the circuit switches to an open position over a duration (PHASE 1) at least equal to the duration of reception of the coded series of logic pulses.

Abstract: A cardiac rhythm management (CRM) system includes a programming device that identifies the device type of an implantable medical device, selects a predetermined questioning sequence based on the device type, and interacts with a user through a user interface screen by conducting a question-and-answer session according to the predetermined questioning sequence. After displaying a question and receiving an answer to the question, the programming device sets one or more programmable parameter values and/or displays a follow-up question in response to the answer. The programming device also allows the user to enter one or more programmable parameter values directly during or after the question-and-answer session. The implantable medical device is programmed to operate in one or more operational modes based on at least the answers received from the user during the question-and-answer session and the parameter values entered by the user, if any.

Abstract: A universal external control device for use by multiple conditional access users with varying access to functionality of an implantable medical device in wireless communication therewith. Circuitry associated with the external control device is used to uniquely identify each of the conditional access users via an access device such as a key or card. Access to functionality of the implantable medical device is restricted by the universal external control device based on the conditional access user identified by the access device.

Abstract: Techniques for determining whether a medical device will be able to deliver stimulation according to a particular program throughout a useable voltage range of a power source of the medical device are described. According to some examples, the medical device configures a DC to DC converter of the medical device in a specified output configuration and delivers electrical stimulation from the medical device according to a program while at the specified output configuration. Whether the medical device will be able to deliver stimulation according to the program when the power source is at a power source voltage level lower than a present voltage level used during therapy delivery is determined based on a value of a voltage drop across a regulator module determined while delivering the electrical stimulation according to the program. The determination for a program may be performed, as an example, when the program is created or modified.

Abstract: System and method for monitoring and controlling, defibrillation and pacing which allows a victim of a cardiac rhythm abnormality immediate access to a medical professional at a central station, who will remotely monitor, diagnose and treat the victim at one of a plurality of remote sites in accordance with the following steps: (1) providing a plurality of contact electrodes for a victim at a remote site for the receipt of ECG signals and for the application of electrical pulses to the victim; (2) transmitting the signals from the remote site to a central station and displaying them for review by the medical professional; (3) the medical professional selecting from a menu of defibrillation and pacing pulses, if the application thereof is appropriate; (4) transmitting the selection results to the remote site; and (5) receiving the selection results at the remote site and applying the selected pulses to the victim.

Abstract: Embodiments of the invention are related to systems for interfacing with implantable medical devices, amongst other things. In an embodiment, the invention includes an external medical system including a processor and a telemetry circuit in communication with the processor, the processor configured to communicate with an implanted medical device. The system can be configured to query a system user after a first period of time in which indicators of system use are not detected. The system can be further configured to deactivate one or more data transmission features of the implanted medical device after a second period of time in which one or more indicators of system use are not detected. Other embodiments are also included herein.

Abstract: A medical information communication system and corresponding methods are described. The system can permit monitoring the performance of an implantable medical device (IMD) implanted within a body of a patient, monitoring the health of the patient, and/or remotely delivering a therapy to the patient through the IMD. The IMD can be capable of bi-directional communication with a clinician. Further, the system can comprise a communication availability indicator to indicate whether the IMD is available for communication.

Abstract: An implantable medical device includes a first, short-range telemetry circuit; a second, long-range telemetry circuit; a first power system that powers the first telemetry circuit; and a second power system that powers the second telemetry circuit. The second power system includes an internal charging system and a rechargeable battery coupled to the internal charging system. The internal charging system may be configured for electromagnetic-inductive or RF-transmission coupling with an external charging system. A controller monitors the energy level of the rechargeable battery and provides an signal indicative of the level.

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.