Abstract: Disclosed are various implantable medical devices adapted and configured to operation with a micro-generator comprising: an elongated housing; one or more longitudinally slidable elongated magnets; one or more coils positioned exteriorly, interiorly or integrally along at least a portion of the housing; a power wire in electrical communication with the one or more coils and with an implantable medical device; wherein the implantable micro-generator is adapted and configured to generate energy and communicate the generated energy to the implantable medical device. Additionally, methods of deploying and using the medical devices are contemplated, as well as systems, kits, and communication networks.

Abstract: An external device includes a communication circuit, a programming interface including a display, and a processor. The processor includes a parameter analyzer to apply a rule to a combination of operating parameter values of the IMD to determine operating parameter interaction. The display includes a first warning that is displayed when the parameter analyzer determines that a combination of operating parameter values entered via the programming interface is not allowed, and a second warning that is displayed when the parameter analyzer determines that a combination of operating parameters values entered via the programming interface is allowable but not recommended. The processor is configured to program the operating parameter values associated with the second warning into the IMD only after a user acknowledgement of the second warning is received from a user via the programming interface.

Abstract: Exemplary systems and methods for automatically managing implantable medical device (IMD) related alerts are described. One method receives implantable medical device-related alerts. The method automatically manages the implantable medical device alerts by parsing the alerts through a set of predefined parameters.

Abstract: An exemplary device includes a processor, one or more communication interfaces, memory and one or more modules stored in the memory that comprise processor executable instructions to receive data from an implantable device via at least one of the one or more communication interfaces, to interrogate the data for one or more particular types of data, to process one or more particular types of data and to transmit information via at least one of the one or more communication interfaces. Various other exemplary devices, methods, systems, etc., are also disclosed.

Abstract: A low power method and apparatus for detecting wake-up signals in sniff processing performed in an implantable medical device (IMD) using a staged detection of RF energy in signals received in order to conserve current consumption. Incoming signals are monitored in a plurality of detection stages which each incrementally increase the accuracy of detecting whether the received signal is a wake-up communication signal. A desired number of stages of signal quantity measurements are performed such that a combined signal quantity is calculated by updating the signal quantity measurements performed in prior stages with signal quantity measurements performed at each stage. The combined signal quantity of the received communication signal is compared at each detection stage against a corresponding threshold value for that stage. The staged detection process aborts sniff processing if the combined signal quantity fails to meet the corresponding threshold value for that stage.

Abstract: Embodiments of the invention relate to optimizing telemetry communication involving one or more medical devices and one or more electrical devices. The telemetry communication is optimized by implementing software and/or one or more additional circuits within at least one medical device and at least one electrical device to provide one or more modes or functions of optimizing transfer of data between the medical device and the at least one electrical device, minimizing interference of the data transfer, and reducing data transfer time and/or preserving electrical energy sources of one or more of the medical device and the at least one electrical device.

Abstract: Various embodiments concern a method which may include communicating medical information between a PIMD and an interface module via a first channel in compliance with a predetermined medical information regulatory standard, preventing access to the PIMD via the interface module other than through the first channel, detecting a communication protocol used by an available generic network access device, selecting a communication protocol rule set from a plurality of communication protocol rule sets to effect communication between the interface device and an available generic network access device of a plurality of generic network access devices, and transferring at least some of the medical information to the remote network via a second channel established between the interface module and the available generic network access device using the selected communication protocol rule set.

Abstract: A handheld wireless communication device having a defibrillator integrated therein to be employed in an emergency situation to supply electrical therapy to a victim who is experiencing cardiac distress. The defibrillator being powered by at least one thermally powered battery contained within the wireless communications device. The wireless communication device may also include a cardiac module which will determine whether the victim's heart beat has become irregular and whether defibrillation is necessary. The wireless communication device will guide the user through the use of the defibrillator/cardiac modules. The wireless device may also include a tracking unit that will provide the user's location and wireless two-way voice communication with emergency personnel upon activation of the defibrillator.

Abstract: Medical systems and devices are provided. A medical system includes implantable devices and an external device configured for wirelessly interacting with the implantable devices. The external device may be attachable to a patient and be configured for wirelessly communicating with a first implantable device, e.g., using acoustic energy, and wirelessly interacting with a second implantable device, e.g., using non-acoustic energy. The first implantable device may be a diagnostic device, in which case, the external device may wirelessly receive physiological information from the diagnostic device, and the second implantable device may be a therapeutic device, in which case, the external device may wirelessly interact with the therapeutic device to provide or optimize therapy to a patient.

Abstract: The present invention provides, among other things, a sensor system, having (1) a sensor implanted in a body part of the subject, wherein the sensor has a first antenna, and (2) a sensor reader worn on the subject's body part, wherein the sensor reader has a band housing a second antenna, which is inductively coupled with the first antenna, for enabling the sensor reader to communicate with the sensor.

Abstract: The invention relates to a remotely programmable personal medical device, in particular a programmable implantable medical device, e.g., a cardiac pacemaker, a defibrillator, a cardioverter or the like. In addition, the invention relates to an arrangement for remote programming of such a personal medical device and a method for remote programming of a programmable personal medical device.

Abstract: Unscheduled wireless communication with a medical device is achieved by operating a receiver of the medical device in a series of modes. Each mode provides an increasingly selective evaluation of received RF energy. The receiver, when operating in a first mode, is capable of detecting the presence of RF energy transmitted from a communicating device. The receiver, when operating in a second mode, consumes more energy than the first mode and analyzes the RF energy to determine whether it contains the appropriate type of modulation. When operating in a third mode, the receiver consumes more energy than the second mode, and operates the full receiver to begin communication with the communicating device. The receiver opens a communication session after the RF energy has passed the evaluation by the series of modes to receive an unscheduled communication.

Abstract: A method in a telemetry system for establishing a connection between a base station and an implantable medical device includes the steps of: starting, in the base station, a first timer B-T2; determining, in the base station 4, channels that are free for communication among a number of available channels, and selecting one of the free channels; starting, in the base station, a second timer; transmitting, as long as the first or second timer has not expired, a recognition message on the selected channel to the implantable medical device; and establishing, upon receipt of a recognition reply message from the implantable medical device, communication between the base station and the implantable medical device on the selected channel. The invention is readily adaptable for fulfillment of different requirements, such as stipulated by the ETSI standard.

Abstract: A low power multiple channel receiver mixing architecture for detecting wake-up signals over multiple communication channels in sniff processing performed in an implantable medical device (IMD). The architecture includes a direct conversion real receiver configured to scan a selected center channel and a Weaver receiver configured in parallel to the direct conversion real receiver to simultaneously scan side channels, together simultaneously detecting whether a wake-up signal is being received over the center and side channels with minimal power consumption. The architecture further utilizes a falsing protection algorithm that reduces power consumption during sniff operations by inhibiting the sniffing of channels likely to provide a false indication of a wake-up signal based the presence of unwanted signals on those channels.

Abstract: Exemplary external medical devices are configurable to communicate with an implantable medical device (IMD). One medical device includes multiple IMD telemetry ports operable to connect IMD telemetry mechanisms to the medical device. The medical device also includes a control unit configured to control the IMD telemetry mechanisms.

Abstract: An implantable cardiac rhythm management system includes a user interface, such as an external programmer, for performing therapy energy threshold tests. The threshold tests allow the caregiver to determine the threshold energy at which paces capture the heart, i.e., cause a resulting contraction of the heart chamber to which the paces are delivered. The programmer provides recorded indications of the energy corresponding to each paced event, so that the caregiver can easily determine the point at which capture was lost. This recorded representation of pacing energy makes it easy for the caregiver to determine proper pacing thresholds to be used to ensure adequate pacing, while minimizing energy drain to prolong the useful life of the implanted device.

Abstract: A pacing system includes a controller operable to provide control signals indicating desired pacing signals, a pulse generator connected to the controller and operable to receive the control signals and to generate the desired pacing signals based on the control signals, at least one lead electrically connected to the pulse generator and extending into a user's heart and operable to provide the pacing signals to the heart, at least one electrode positioned in the user's heart and electrically connected to the at least one lead, the at least one electrode in contact with the user's heart and operable to stimulate the heart based on the pacing signals; and a transceiver, in communication with the pulse generator and operable to selectively transmit the pacing signals to the electrode wirelessly. The transceiver is controlled by the controller to transmit the pacing signals when pacing signals are not received by the electrode from the at least one lead.

Abstract: Various aspects of the present invention enable robust, reliable control functionality for effectors present on intraluminal, e.g., vascular leads, as well as other types of implantable devices. Aspects of the invention include implantable integrated circuits that have self-referencing and self-clocking signal encoding, and are capable of bidirectional communication. Also provided by the invention are effector assemblies that include the integrated circuits, as well as implantable medical devices, e.g., pulse generators that include the same, as well as systems and kits thereof and methods of using the same, e.g., in pacing applications, including cardiac resynchronization therapy (CRT) applications.

Abstract: A method is presented for enabling radio-frequency (RF) communications between an implantable medical device and an external device in a manner which reduces the power requirements of the implantable device by duty cycling its RF circuitry. A wakeup scheme for the implantable device is provided in which the external device transmits a data segment containing a repeating sequence of special wakeup characters and a device ID in order to establish a communications session with the implantable device. The wakeup scheme may be designed to operate using multiple communications channels.

Abstract: In an example, configuring an implantable medical device by determining port usage can include, receiving a port data object, determining a lead configuration, configuring access to a programmable parameter, and displaying a visual indication of the lead configuration. The port data object can be received from the implantable medical device and can include data associated with a port of the implantable medical device capable of connecting to a lead. The determining a lead configuration can be based on the port data object. The configuring access to a programmable parameter can be based on the lead configuration of the implantable medical device.

Abstract: Apparatus, system, and method that include a pacing apparatus having a stent electrode through which pulses of electrical current can be delivered. Stent electrodes receive energy for generating the electrical current from a variety of sources. Sources include from one or more induction coils that can form at least a portion of the stent. Sources can also include an implantable pulse generator coupled to a lead through which pulses of the electrical current are supplied to the stent electrodes.

Abstract: A telemetry system for data transmission between an implantable medical device and an external system includes a plurality of channels each representing a frequency band within a predetermined frequency range. The data transmission is performed using at least one active channel at any instant. Channel hopping is performed upon detecting an interruption of communication, such that a scan is performed through an array of channels selected from the plurality of channels. If a data frame is not successfully transmitted, it is repeatedly re-transmitted using the current and/or the next active channels until its transmission becomes successful.

Abstract: Systems, devices and methods for triaging health-related data, such as significant health-related events associated with health-related parameters, are disclosed. One aspect is a method for use in managing a patient's health within a patient management system. In various embodiments of the method, a number of predetermined events are accessed. The events are related to the patient's health and are identified by the patient management system. Each of the predetermined events are classified according to severity using a color-code system. In various embodiments, a red event is an imminent life threatening event, a yellow event is a serious health-related condition that is not imminently life threatening, and a green event is an event that is neither an imminent life threatening event nor a serious health-related condition. Other aspects and embodiments are provided herein.

Abstract: Device data is generated at each medical device in a system including a plurality of medical devices. Priority information is dynamically assigned to the device data at each medical device based on the character of the device data. The device data and the priority information are transmitted from each medical device. Interfering communications of device data and priority information from multiple medical devices are processed successively based on the priority information.

Abstract: Single-use electrical leads for a nerve stimulator include a status flag element such as a fuse, which is deliberately blown after use of the leads has begun to indicate that the leads are not to be reused. The nerve stimulator has a “test mode” that determines a current value for treatment, and a “therapy mode” that administers treatment with the chosen current value. If the fuse in the electrical leads is blown, then the stimulator assumes that the leads have already been used and does not enter therapy mode. If the fuse in the electrical leads is intact, then the stimulator assumes that the leads are as yet unused, and allows the user to enter either test mode or therapy mode. The fuse is deliberately blown after a particular amount of time spent in therapy mode. After the fuse is blown, the user may still complete the therapy mode.

Abstract: An implanted device is equipped with a flag that indicates to a remote monitoring unit that an event such as a patient medical emergency or device failure has occurred. The remote monitoring unit is configured in some embodiments to maintain a low power communication link with the implanted device when they are within range. When the flag indicates an event has occurred, the remote monitoring unit quickly downloads sensed data collected by the implanted device and transfers it over a network so that it can be utilized by a medical practitioner. The remote monitoring unit is further configured in some embodiments to query the implanted device at regular intervals. The remote monitoring unit may read a subset of the data stored by the implanted device and, based on that data, determine whether to complete a full or partial download.

Abstract: A system and method for in situ trimming of oscillators in a pair of implantable medical devices is provided. Each frequency over a range of oscillator trim frequencies for an initiating implantable medical device is selected and a plurality of commands are sent via an acoustic transducer in situ over the frequency selected. Each frequency over a range of oscillator trim frequencies for a responding implantable medical device is selected and a response to each of the commands received is sent via an acoustic transducer in situ over the frequency selected. The responses received by the initiating implantable medical device are evaluated and a combination of the oscillator trim frequencies for both implantable medical devices that together exhibit a strongest acoustic wave is identified. Oscillators in both implantable medical devices are trimmed to the oscillator trim frequencies in the combination identified.

Abstract: An implantable medical device (IMD) senses physiological episodes and stores data associated with the physiological episodes in the IMD. The data is then processed based on a pattern of recurrence of the physiological episodes.

Abstract: Methods and apparatus are provided for electrically isolating an ambulatory medical device for infusing treatment materials into a patient when the medical device is connected to a peripheral device via an active communication cable. In one embodiment, the ambulatory medical device include first circuitry controlling infusion of a medicament to the patient by a fluid conduit connectable to the patient and second circuitry controlling communications when an active communication cable is connected to the medical device. The first and second circuitry are electrically isolated using a pair of first and second isolation transceivers, where the first pair of isolation transceivers communicate a control signal and the second pair of isolation transceivers are giant magneto-resistive (GMR) transceivers that communicate at least one data signal.

Abstract: Endocardial or intravascular cardiac pacemaker having a sealed housing, in which a battery and a pacemaker controller connected to the battery, as well as at least one stimulation pulse generator, are situated, the housing being oblong and having a length of less than 70 mm and a cross-sectional area of less than 100 mm2 and carrying at least two electrodes, each of which has an outwardly directed, electrically conductive surface and is implemented as a stimulation electrode and is at least sometimes electrically connected to the stimulation pulse generator via an electrical connection situated in the interior of the housing.

Abstract: A system and method for repeating radio frequency (RF) transmissions between a programmer and an implantable medical device (IMD) is provided. One aspect of this disclosure relates to an RF repeater. According to various embodiments, the repeater includes a first antenna and a first communication circuit electrically connected to the first antenna. The first communication circuit is adapted to communicate with an IMD, the IMD including a built-in active telemetry transceiver, over a first channel. The device also includes a second antenna and a second communication circuit electrically connected to the second antenna. The second communication circuit is adapted to communicate with a programmer over a second channel different from the first channel. The device also includes a control circuit coupled to the first and second communication circuits. The control circuit is adapted to enable or disable the first and second communication circuits. Other aspects and embodiments are provided herein.

Abstract: A telemetry system is presented for enabling radio-frequency (RF) communications between an implantable medical device and an external device in a manner which reduces the power requirements of the implantable device by duty cycling its RF circuitry. A wakeup scheme for the implantable device is provided in which the external device transmits a data segment containing a repeating sequence of special wakeup characters in order to establish a communications session with the implantable device. The wakeup scheme may be designed to operate in the context of a handshaking protocol for collision avoidance.

Abstract: Power supplied to a particular telemetry system of an implantable device having multiple telemetry systems is managed by a state machine. Power to a transceiver of a device is terminated if the particular telemetry system remains dormant or inactive for a programmable period of time and power to the transceiver is turned on if a particular signal is received by the implantable device.

Abstract: A leadless cardiac pacemaker comprises a housing, a plurality of electrodes coupled to an outer surface of the housing, and a pulse delivery system hermetically contained within the housing and electrically coupled to the electrode plurality, the pulse delivery system configured for sourcing energy internal to the housing, generating and delivering electrical pulses to the electrode plurality. The pacemaker further comprises an activity sensor hermetically contained within the housing and adapted to sense activity and a processor hermetically contained within the housing and communicatively coupled to the pulse delivery system, the activity sensor, and the electrode plurality, the processor configured to control electrical pulse delivery at least partly based on the sensed activity.

Abstract: A closed loop system for monitoring drug dose, intake and effectiveness includes a drug delivery device in data communications with at least one implantable medical device. The system is preferably implemented in a web-enabled environment in which a remote data center communicates with the implantable devices (IMDs) in a patient via a programmer or the pill dispenser. A physician, clinician, or other user may access the remote data center to review and monitor the IMDs or the drug delivery regime remotely. The system further provides a dynamic drug management system, compatible with a web-enabled interactive data communication environment that accurately monitors dose and specific drug effectiveness in a patient to enhance patient care.

Abstract: An implanted device is equipped with a flag that indicates to a remote monitoring unit that an event such as a patient medical emergency or device failure has occurred. The remote monitoring unit is configured in some embodiments to maintain a low power communication link with the implanted device when they are within range. When the flag indicates an event has occurred, the remote monitoring unit quickly downloads sensed data collected by the implanted device and transfers it over a network so that it can be utilized by a medical practitioner. The remote monitoring unit is further configured in some embodiments to query the implanted device at regular intervals. The remote monitoring unit may read a subset of the data stored by the implanted device and, based on that data, determine whether to complete a full or partial download.

Abstract: A distributed cardiac pacing system comprises a first ultra miniature integrated cardiac pacemaker adapted to be placed in an atrial myocardium and a second ultra miniature integrated cardiac pacemaker adapted to be placed in a ventricular myocardium.

Abstract: A system and method for providing closely-followed cardiac therapy management through automated patient care is presented. A patient under remote care is enrolled in a monitoring program following commencement of a cardiac therapy regimen to be undertaken by the patient. A wearable monitor, including one or more patient physiology sensors and a wireless interface providing enabling bi-directional data exchange, is provided to the patient. Patient physiometry, including quantitative physiological measures, is periodically collected from the wearable monitor over the wireless interface concomitant to performance of the cardiac therapy regimen. The patient physiometry is evaluated to determine a trend indicating an onset, progression, regression, absence of, and status quo of patient health status.

Abstract: A transmission circuit for an RF inductive link, particularly for an implanted device such as a cochlear implant. In a preferred form, the transmission circuit 1 includes a transmitter coil 24 and a damping device, including an auxiliary coil 4 and switch 6. The switch is operated to close the coil circuit when data zeros are transmitted. This has the advantage of improving modulation depth without placing stress on the RF driver output switches.

Abstract: A communication device for an implantable medical device may include: an input/output interface configured to communicate with a wireless communication device; a communication interface configured to communicate with a remote system; and a processor configured to perform an analysis of data received from the wireless communication device via the input/output interface and associated with the implantable medical device. The communication device may include a user interface configured to receive data input by a user. A communication system may include a wireless communication device and the aforementioned communication device.

Abstract: An external programming system and method for implantable medical devices (IMDs) is disclosed. The external programming system includes a communication circuit, a display device, an input device, and a processor. The communication circuit is configured to link to an IMD to transmit or monitor IMD timing parameter settings. The display device is configured to display a textual representation of an IMD timing parameter setting and a specified IMD timing parameter limit, a graphical slide control comprising a movable feature indicating the IMD timing parameter setting, a graphical slide-control limit corresponding to the specified IMD timing parameter limit, and a graphical representation of physiologic information including a portion of said graphical representation aligned with the slide control movable feature. The input device is configured to adjust the movable feature in response to user input. The processor is configured to monitor or store an IMD timing parameter setting.

Abstract: An implantable medical device such as a cardiac pacemaker or implantable cardioverter/defibrillator with the capability of receiving communications in the form of speech spoken by the patient. An acoustic transducer is incorporated within the device which along with associated filtering circuitry enables the voice communication to be used to affect the operation of the device or recorded for later playback.

Abstract: A communication wake-up scheme for an implantable medical device may involve repeatedly activating a receiver to determine whether an external device is attempting to establish communication with the implantable device. To reduce the amount of power consumed by the implantable device in conjunction with the wake-up scheme, the scheme may involve conducting preliminary radio frequency signal detections as a precursor to conducting a full scan. In this way, power may be conserved since the more power intensive full scans may be performed less frequently. This preliminary detection of radio frequency signals also may be adapted to reduce the number of full scans performed by the implantable device that do not result in communication with the external device. In some embodiments the adaptation involves adjusting one or more thresholds that are used in conjunction with the preliminary detection of radio frequency signals.

Abstract: An implantable medical device system is provided with multiple medical devices implanted in a patient's body and a wireless mesh communication network providing multiple communication pathways between the multiple medical devices. A communication pathway between a first and a second implanted device of the multiple medical devices can comprise one or more of the other implanted multiple medical devices.

Abstract: In one embodiment, an external programming device is operable to determine and graphically display power consumption of an implantable medical device (“IMD”). In accordance with this particular embodiment, the external programming device includes a graphical user interface display and a communication interface operable to receive information from an IMD. In this embodiment, the external programming device is operable to receive IMD parameter settings and/or battery parameter values from the IMD, calculate a power consumption rate for the IMD, and then display the power consumption on the graphical user interface display using a graphical visual indicator.

Abstract: A medical signal interface device bidirectionally conveys signals between a patient and patient monitoring devices. The device comprises a bidirectional electrical signal interface that receives and buffers patient parameter monitoring signals received from a patient via patient attached leads and outputs treatment related signals used in applying invasive or non-invasive treatment to a patient. A bidirectional electrical signal processor operates in response to commands received from a control processor and is coupled to the electrical signal interface, for processing received patient parameter monitoring signals using filtering and amplification to provide processed patient monitoring signals for output to at least one patient monitoring device. The bidirectional electrical signal processor processes the treatment related signals for output by buffering the treatment related signals for output to a patient.

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: A leadless cardiac pacemaker comprises a housing, a plurality of electrodes coupled to an outer surface of the housing, and a pulse delivery system hermetically contained with the housing and electrically coupled to the electrode plurality, the pulse delivery system configured for sourcing energy internal to the housing, generating and delivering electrical pulses to the electrode plurality. The pacemaker further comprises an activity sensor hermetically contained within the housing and adapted to sense activity and a processor hermetically contained within the housing and communicatively coupled to the pulse delivery system, the activity sensor, and the electrode plurality, the processor configured to control electrical pulse delivery at least partly based on the sensed activity.

Abstract: The present invention relates to an electrical feedthrough for insertion into an opening of an implantable electrical treatment device having an electrically insulating insulation body through which at least one electrically conductive terminal pin passes, which is connected hermetically sealed to the insulation body using a solder, the solder material being glass or glass ceramic.

Abstract: A system for communicating with a medical device implanted in an ambulatory patient and for locating the patient in order to selectively monitor device function, alter device operating parameters and modes and provide emergency assistance to and communications with a patient. The implanted device includes a telemetry transceiver for communicating data and operating instructions between the implanted device and an external patient communications control device that is either worn by or located in proximity to the patient within the implanted device tranceiving range. The control device preferably includes a communication link with a remote medical support network, a global positioning satellite receiver for receiving positioning data identifying the global position of the control device, and a patient activated link for permitting patient initiated personal communication with the medical support network.