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 the quality of signal reception associated with the response data frames.

Abstract: Methods of detecting an error associated with an implantable device include powering up the implantable device with an external device, disabling a back-telemetry transmitter within the implanted device after the implanted device is powered up, detecting an error with the implanted device, generating a fault signal corresponding to the error with the implanted device, turning on the back-telemetry transmitter after the fault signal has been generated, and transmitting the fault signal to the external device with the back-telemetry transmitter.

Abstract: A device for optimizing transmitting energy and transmitting position for an implantable electrical stimulator is provided. The device utilizes a design of a wireless energy transmitting and positioning device with an external energy-feedback control, which can automatically detect an optimum energy-transmitting position through an external antenna performing an adjustable energy transmission method, and through a wireless-feedback control method to provide the optimum energy. As such, the implantable electrical stimulator can exactly and effectively stimulate the nervous muscle.

Abstract: A system and method for correlating health related data for display. The system includes a medical device recording data and a display producing device which correlates the data and simultaneously displays different types of data or displays two sets of the same type of data along with the circumstances at which the two sets of data were recorded. Such displays aid a physician in prescribing and ascertaining the efficacy of cardiac therapies.

Abstract: A near field detection device that detects a field near the body when appropriately connected to conductive plates. The near field is generated by an oscillatory voltage device which when in contact with the body permeates all that is in contact with the body. The detector electronics and conductive plates are packaged so that near contact with the body is accommodated. A footwear packaging scheme provides a convenient location to embed the detector invention, though other packaging arrangements and locations on the body are claimed. Auxiliary electronics may be included with the detector and conductive plates to provide additional synergistic functionality to the packaging scheme.

Abstract: Data is communicated from a transmitter of an external unit to a receiver of an implantable medical device. The receiver of the implantable medical device operates in a wide band receiver mode to detect the transmission from the external unit and operates in a narrow band receiver mode to receive the data.

Abstract: Techniques for increasing the safety of medical device programming using general purpose hardware, such as a general purpose personal computer, are described. In some embodiments, a system includes an intermediate computing device comprising an applications module. Information from the applications module, such as instructions for an implantable medical device (IMD), may be presented to a user via a user input terminal that is separate from the intermediate computing device. A user may interact with the user input terminal to select an instruction from the applications module, and the intermediate computing device may transmit the selected instruction to the IMD. In some embodiments, the intermediate computing device comprises a web server and the user input terminal comprises a web browser configured to access the web server. In other embodiments, the intermediate computing device comprises a client server and the user input terminal comprises a client.

Abstract: The selection of one communication channel from a plurality of available channels is determined by a state machine. In an automatic selection mode, a first telemetry system has priority over other telemetry systems. A communication session is in progress based on session initiation and termination triggers. An override function allows manual selection of a telemetry system.

Abstract: Heart rhythm status information can be provided to a user, including providing a normal heart rhythm indication if detected electrocardiogram data is indicative of a normal heart rhythm, providing an abnormal heart rhythm indication if detected electrocardiogram data is indicative of an abnormal heart rhythm. Further, a current heart rhythm can be recorded, including recording the current heart rhythm in response to the provided abnormal heart rhythm indication if an abnormal heart rhythm indication is provided in response to the first query command, and recording the current heart rhythm in response to a second patient-initiated query command from the user-interface device following a normal heart rhythm indication in response to the first query command.

Abstract: An implantable medical device such as an implantable pacemaker or implantable cardioverter/defibrillator includes a programmable sensing circuit providing for sensing of a signal approximating a surface electrocardiogram (ECG) through implanted electrodes. With various electrode configurations, signals approximating various standard surface ECG signals are acquired without the need for attaching electrodes with cables onto the skin. The various electrode configurations include, but are not limited to, various combinations of intracardiac pacing electrodes, portions of the implantable medical device contacting tissue, and electrodes incorporated onto the surface of the implantable medical device.

Abstract: A system, comprising a sterilizable package; an implantable medical device placed inside the sterilizable package; and an electrical interface electrically coupled to the implantable medical device and extending from inside the sterilizable package to outside the sterilizable package. In various embodiments, the interface may include package contacts electrically coupled to electrode terminals on the implantable medical device, patient terminals and conductors extending between the package contacts and the patient terminals.

Abstract: The invention relates to a patient's device having an at least unidirectional, wireless interface for receiving a data signal. The wireless interface is adapted to receive medical or operational data from a medical device, in particular an implantable medical device like a cardiac pacemaker or a cardioverter/defibrillator, a data communication interface for accessing a wide area network or a public telecommunication network or both. The device comprises an automatic routing/dialling module connected to the data communication interface, adapted to establish an automatic access to a modem connected to the data communication interface by automatically selecting one of a plurality of possible connection parameters. The connection parameters are selected from at least one of an individual modem, if more than one modem is connected to the data communication interface, and a prefix number for a remote access to a remote device over a public network automatically selecting a dial-up telephone number.

Abstract: Methods, systems, and apparatus for powering and/or recharging medical devices implanted within the body are described. An illustrative implantable medical device includes a housing having an internal cavity and a flexible anchor assembly that is coupled to the housing. The flexible anchor assembly includes a first electrical conductor, a second electrical conductor, and a piezoelectric layer that is disposed between the first and second electrical conductors and that is configured to displace in response to a physiologic force applied to the flexible anchor assembly and generate a voltage differential between the first and second electrical conductors. The implantable medical device includes power circuitry that converts the voltage differential between the first and second electrical conductors into an operating current for powering one or more components within the implantable medical device and/or for recharging a rechargeable power supply within the device.

Abstract: Some embodiments of pacing systems employ wireless electrode assemblies to provide pacing therapy. The wireless electrode assemblies may wirelessly receive energy via an inductive coupling so as to provide electrical stimulation to the surrounding heart tissue. In certain embodiments, the wireless electrode assembly may be pivotable so that the proximal end of the wireless electrode assembly may be shifted to a position against the heart wall after the distal end has been secured to the heart wall.

Abstract: A patient monitor is configured to interrogate an implantable medical device (IMD) and receive data from the IMD in response to the interrogation. The data received from the IMD includes electrogram (EGM) data, which the patient monitor frequency modulates for transmission, in real-time, onto a conventional telephone line. The frequency modulated EGM data that is transmitted from the patient monitor may in turn be displayed, in real-time, at a remote monitoring station in response to commands provided by a remote (DTMF) signal from a receiving station.

Abstract: This document discusses, among other things, a system including an implantable medical device. The implantable medical device includes a control circuit and a motion sensing device. The motion sensing device is coupled to the control circuit, and the motion sensing device is configured to transmit signals to the control circuit. The control circuit is configured to identify one or more steps of a patient using the motion sensing device signal.

Abstract: Disclosed are systems and methods which provide management of historical information associated with a medical device, such as an implantable neurostimulation pulse generator, drug pump, cardiac device, hearing enhancement device, or vision enhancement device. Such management of historical information includes storage of historical information within an associated medical device. Historical information stored within a medical device may provide a complete summary of the use, configuration, and operation of the medical device, e.g., information spanning the entire in-service life of the medical device. Historical information for which management is provided may include both static data and dynamic data. The historical information may be used in configuring the medical device, analyzing the operation of the medical device, autonomously altering operation of the medical device, etcetera.

Abstract: The present disclosure relates to systems and methods for: 1) displaying all vital central station (CS) information and controls on a single screen; 2) linking peripheral central stations (pCSs) to a master central station (mCS); 3) operating the system disclosed in U.S. Ser. No. 10/460,458, without medical professionals (MPs) in the mCS or without any mCS; 4) linking a remote controlled defibrillator (RCD™) unit to an arrest sensor; 5) operating an RCD unit in a motor vehicle and linking an RCD unit to a vehicle communications system; 6) linking an RCD unit to a CS through a network of: a) non-vehicle-based stationary units (SUs), b) vehicle-based SUs/vehicle communication systems, or c) non-vehicle-based SUs and vehicle-based SUs/vehicle communication systems; 7) using an RCD unit with a chest compression device; 8) using the network of RCD units and MPs for disaster monitoring; and 9) monitoring and treating hospital patients and motor vehicle passengers.

Abstract: Some embodiments of an electrical stimulation system employ wireless electrode assemblies to provide pacing therapy, defibrillation therapy, or other stimulation therapy. In certain embodiments, the wireless electrode assemblies may include a guide wire channel so that each electrode assembly can be advanced over a guide wire instrument through the endocardium. For example, a distal tip portion of a guide wire instrument can penetrate through the endocardium and into the myocardial wall of a heart chamber, and the electrode assembly may then be advanced over the guide wire and into the heart chamber wall. In such circumstances, the guide wire instrument (and other portions of the delivery system) can be retracted from the heart chamber wall, thereby leaving the electrode assembly embedded in the heart tissue.

Abstract: A generic device programmer network interface is disclosed. Some embodiments include multiple connectors that are configured to connect to output hardware of multiple programmers and a transmitter that is configured to automatically transmit data received from the programmers to a server. Many embodiments serve to reduce or eliminate barriers to storing IMD and patient data on a server.

Abstract: The present invention relies on a controller-transmitter device to deliver ultrasound energy into cardiac tissue in order to directly improve cardiac function and/or to energize one or more implanted receiver-stimulator devices that transduce the ultrasound energy to electrical energy to perform excitatory and/or non-excitatory treatments for heart failure. The acoustic energy can be applied as a single burst or as multiple bursts.

Abstract: A programmer allows a clinician to identify desirable combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The clinician may create neurostimulation therapy programs that include identified desirable electrode combinations. In some embodiments, the clinician may use the programmer to select a program, such as a program identified during a neurostimulation programming session, and direct the programmer to replicate the selected program. The programmer may change one or more parameters of the selected program, such as pulse amplitude or duty cycle, when generating the copy of the selected program.

Abstract: A radio frequency antenna is provided for use with a medical device for implantation into an animal. The antenna comprises a coil formed by a wire that includes a core formed of a shape-memory material with an electrically conductive first layer applied to an outer surface of the core. A second layer, of an electrically insulating and biologically compatible material, extends around the first layer. If necessary to reduce friction, a lubricant is placed between the first and second layers. If second layer is formed of a porous material or a non-biological compatible material, a biological compatible outer layer surrounds the second layer thereby providing a barrier that is impermeable to body fluids of the animal.

Abstract: Systems for detecting an error associated with an implantable device include a back-telemetry transmitter within the implantable device configured to transmit one or more signals to an external device having a receiver configured to receive the one or more signals. The implantable device includes circuitry configured to detect an error associated with the implantable device, generate a fault signal corresponding to the error, and turn on the back-telemetry transmitter to transmit the fault signal to the external device.

Abstract: An apparatus and method for adjusting the performance of an implanted device based on data including contextual information. Contextual information, including operational and performance data concerning the implanted device as well as the patient with the implanted device, is stored by a portable electronic device. In one embodiment, the portable electronic device is adapted for battery operation and includes a personal digital assistant (PDA). The portable electronic device is adapted for use as an interface to conduct wireless communications with the implanted device. In one embodiment, the portable electronic device interfaces with a clinical programmer for use by a physician.

Abstract: A system and method for managing locally-initiated medical device interrogation is presented. A noncontinuously coupleable interface is provided over which to retrieve patient data recorded and transiently staged by a medical device monitoring physiological measures of a patient. The patient data is periodically retrieved by interfacing to and interrogating the medical device per a pre-defined schedule defining autonomous patient data retrieval frequency. Further retrieval of the patient data is permitted independent of the pre-defined schedule by enabling operation of the interface based on a remotely-specifiable criteria for controlling locally-initiated patient data retrieval.

Abstract: A system and method for assessing link quality for radio frequency (RF) transmissions between a programmer and an implantable medical device (IMD) is provided. An embodiment of the method includes measuring a plurality of available wireless communication channel potentially used to communicate between an implantable medical device (IMD) and a programmer to determine signal and noise levels for the channels. The method also includes storing the signal and noise levels. The method further includes processing the stored levels to determine the interference potential on the channels adjacent to the available channels. In this embodiment, the method also includes selecting a preferred communication channel based on a function of noise level for a target center channel and interference potential for corresponding adjacent channels to the target channel. Other aspects and embodiments are provided herein.

Abstract: An artificial heart pump system has a heart pump implanted in a patient. A pump control unit worn by a patient includes a programmable device for adapting a secure aspect of heart pump operation in response to pump operating commands. The pump control unit has a wired interface and a wireless interface. A clinical external unit is adapted to be connected to the wired interface for delivering a pump operating command to the pump control unit. An auxiliary external unit is adapted to be connected to the wireless interface for collecting patient and/or pump system performance-related data from the pump control unit. The wireless interface is unable to consummate a pump operating command.

Abstract: A telemetry system for radio-frequency communications between an implantable medical device and an external device providing improved noise immunity is disclosed. Multiple communications channels are used to enable establishment and re-establishment of communications between a particular pair of devices in a multiple device environment.

Abstract: This document discusses, among other things, methods and systems for facilitating automated device programming at changeout. A method comprises receiving, from a first device, physiological data at a temporary storage device; and processing the received physiological data, wherein the processing includes determining if a first signal processing function was used by the first device and substantially offsetting the first signal processing function if the first signal processing function was used by the first device; and processing the resultant physiological data to be compatible with a second device. The method further comprising providing the processed resultant physiological data to the second device.

Abstract: The present disclosure relates to an RF telemetry system and method for enabling communication between an implantable medical device and an external device with an improved tolerance to noise from external sources. Multiple communications channels at different frequencies are provided which are synchronously switched between during a communications session by both devices.

Abstract: The present invention relates to an implantable battery-operated electrostimulation device (10), particularly for stimulating a heart, having a telemetry unit (11) for wireless data transmission between the electrostimulation device (10) and an external device (21), a control unit (15), which is connected to the telemetry unit (11) and is implemented to trigger a telemetric data transmission, a battery (13) for the power supply of the electrical components of the implant, such as the telemetry unit and the control unit, and a self-test unit, which is implemented to register the functional state of the electrostimulation device and independently detect acute or imminent malfunctions, the self-test unit (17) being connected to the control unit and the control unit being implemented to trigger a data transmission using data on the functional state of the electrostimulation device if an acute or imminent malfunction is detected.

Abstract: A medical apparatus includes an extracorporeal power source that transmits electrical power via a radio frequency signal to a medical device implanted inside an animal. The extracorporeal power source has a Class-E amplifier with a choke and a semiconductor switch connected in series between a source of a supply voltage and circuit ground. An output node of the amplifier is formed between choke and the switch and connected to a transmitter antenna. A shunt capacitor couples the amplifier's output node to the circuit ground. Controlled operation of the switch produces bursts of the radio frequency signal that are pulse width modulated to control the amount of energy being sent to the implanted medical device.

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: A method and apparatus are provided for controlling interrogation of an implantable device such as a pacemaker, an implantable cardioverter, or a defibrillator utilizing an external device in a home environment. The method controls how frequently a patient can retrieve status information from the implantable device based on a time period elapsed since a last interrogation and a power level of a battery.

Abstract: A communications device facilitates communication between a medical device and a wireless communications network and comprises a telemetry circuit configured to wirelessly communicate with one or more medical devices, and a computer network communication interface configured to wirelessly communicate directly with a wireless computer network. The communications device also comprises a peripheral device communication interface configured to communicate with a wireless peripheral device and a processor being in operable communication with, and configured to control operations of, the telemetry circuit, the network communication interface, and the peripheral device communication interface.

Abstract: Systems and methods for communicating with an implant within a patient's body using acoustic telemetry includes an external communications device attachable to the patient's skin. The device includes an acoustic transducer for transmitting acoustic signals into the patient's body and/or for receiving acoustic signals from the implant. The device includes a battery for providing electrical energy to operate the device, a processor for extracting data from acoustic signals received from the implant, and memory for storing the data. The device may include an interface for communicating with a recorder or computer, e.g., to transfer data from the implant and/or to receive instructions for controlling the implant. The device is secured to the patient's skin for controlling, monitoring, or otherwise communicating with the implant, while allowing the patient to remain mobile.

Abstract: Systems and related methods for analyzing data sensed from a device implanted in a patient, such as a cardiac pacing system. The system detects and evaluates electric signals within the patient that share a common event marker. By using algorithms and graphical presentation of the collected signals having common event markers, deviations in signals over time can be identified and evaluated in consideration of taking further action related to the patient and the implanted device. The system can also be used in conjunction with an advanced patient management system that includes a programmer or repeater capable of gathering information from the implanted device and transmitting the data to a host via a communications network for evaluation at a remote location.

Abstract: Embodiments of the invention include channel selection and mapping for medical device communication. The communication system can implement a two-stage listen before talk protocol to choose a channel for communication. The first stage samples the interference of each channel for a relatively short time and chooses the best signal. The second stage samples the channel selected by the first stage and samples it for a relatively longer time to confirm the channel selected by the first stage is the best channel for communication.

Abstract: A system and method for providing digital data communications over a wireless intra-body network is presented. A physical protocol layer is logically defined with an identifier uniquely assigned to a plurality of implantable devices in an intra-body network. Functions are specified within the physical protocol layer to transact data exchange over a wireless interface. A slave implantable device is activated in response to an activation signal transmitted through the wireless interface by a master implantable device. A wireless communications link is established between the slave implantable device and the master implantable device upon matching of the identifier assigned to the slave implantable device. Data is communicated intra-bodily over the communications link.

Abstract: An implantable medical device (“IMD”) as described herein is configured to support concurrent multichannel data communication with one or more other devices within a body area network corresponding to a patient. The IMD, and possibly other devices within the body area network, can support the multichannel communication with any number of additional IMDs implanted within the body of the same patient. Moreover, one or more of the concurrent data communication channels may be a full-duplex channel. Example embodiments can be flexibly configured to support different data communication protocols and/or different modulation schemes as needed to suit the particular application or operating environment.

Abstract: Implantable stimulation devices can provide intracardiac electrograms (EGMs) and impedance measurements to detect changes in electrical, mechanical, and electromechanical activation of the heart. Many patients with congestive heart failure have conventional intracardiac devices implanted that are not capable of resynchronization therapy and these patients could benefit from resynchronization, but are not candidates based on current criteria. These patient populations can be identified through analyses of intracardiac electrogram data that is available through implantable stimulation devices comprising at least one lead for providing electrical stimulation to the heart of a patient, at least one sensor that detects electrical signals indicative of the depolarization of the heart of the patient, and a controller that is adapted to be implanted within the patient.

Abstract: In one embodiment, a method of programming an IPG comprises providing one or several GUI screens on the programmer device, the GUI screens comprising a master amplitude GUI control for controlling amplitudes for stimsets of a stimulation program and one or several balancing GUI controls for controlling amplitudes of each stimset of the stimulation program; communicating one or several commands from the programmer device to the IPG to change the amplitude of all stimsets of the stimulation program in response to manipulation of the master amplitude GUI control, wherein the amplitude of each stimulation set is automatically calculated by a level selected through the master amplitude GUI control and one or several calibration parameters for the respective stimulation set; and automatically recalculating the one or several calibration parameters for a respective stimulation set in response to manipulation of one of the balancing GUI controls and storing the recalculated calibration parameters.

Abstract: An acoustic monitoring system that is able to verify the success or failure of the positional adjustment of a valve without the need for additional energy during non-invasive reprogramming is provided. The acoustic monitoring system includes a programmer for generating a sequence of commands to adjust the valve mechanism, and for receiving acoustic signals for analysis, a transmitter to implement the command and adjust the valve, and a sensor for detecting an acoustic signal generated from the valve during execution of the commands. A method for using the acoustic monitoring system is also provided.

Abstract: A cardiac rhythm management system that includes a pacemaker configured for biventricular pacing and an external programmer with an associated display for displaying electrogram data and markers representing ventricular events. Associated with each marker are intraventricular intervals designed to relate information to a user in a manner suited for ventricular resynchronization pacing.

Abstract: A pacemaker system 100 includes a pacemaker device 160, cardiac leads 120 and 150, guide catheter 110, an ultrasound transmitter 133 and an ultrasound receiver 130. Cardiac lead 150 is implanted in the right atrium (RA) 82 and includes an electrode 152 at its distal end that is actively fixed into location 102 of the right atrium 82. Electrode 152 is used for pacing of the RA. Cardiac lead 120 is implanted in the right ventricle (RV) 84 and includes two separate electrodes. A first electrode 140 is actively fixed into location 101 close to the apex 98 of the right ventricle 84 and is used for pacing, sensing and/or defibrillating of the RV. A second electrode 130 perforates the apex 98 of the right ventricle 84 and is actively fixed into the apex 99 of the left ventricle (LV) 86. Electrode 130 is used for pacing, sensing and/or defibrillating of the LV.

Abstract: In general, the disclosure is directed to a patient programmer for an implantable medical device. The patient programmer may include one or more of a variety of features that may enhance performance, support mobility and compactness, or promote patient convenience. The patient programmer includes an internal antenna mounted on a first circuit board and a display mounted on a second circuit board. The first circuit board includes a substantially contiguous around plane layer that is interrupted by two or more gaps. The patient programmer may also include one or more of a variety of features that may enhance performance, support mobility and compactness, or promote patient convenience.

Abstract: Exemplary medical devices and systems for providing remote support relating to implantable medical devices (IMDS) are described. One method generates a graphical user-interface (GUI) relating to an IMD on a local medical device configured to interrogate the IMD. The method also recreates the GUI on a remote medical device effective that a cursor of the GUI can be manipulated from both the local medical device and the remote medical device while selection of IMD parameter values is available only at the local medical device.

Abstract: An implantable medical device (IMD) includes a telemetry module to communicate with an external device according to a given protocol. To establish a communication session, the IMD will extend active periods of reception on a given channel when some confirmed data is received from the external device. In addition, once a session has been opened, the programmer transmits a short data set (or preamble) for each cycle which the IMD is set to receive. This data set indicates whether additional data will or will not be sent. If no additional data is to be sent during that cycle, then the IMD powers down the receiver for that cycle.

Abstract: A system for enabling telemetry in implantable medical devices is provided. One aspect of this disclosure relates to an implantable medical device having radio-frequency telemetry capabilities. The device includes a housing and electronic circuitry contained within the housing. The device also includes an antenna connected to the electronic circuitry, the antenna having a helical portion and a whip portion, the whip portion separate from a feed conductor and adapted to enhance a radiation pattern of the antenna. According to various embodiments, the antenna and circuitry are adapted to facilitate transmission and reception of modulated radio-frequency energy at a specified carrier frequency. At least a portion of the antenna is embedded in a dielectric compartment, according to various embodiments. Other aspects and embodiments are provided herein.