Abstract: An implantable system that includes a lead and an implantable signal generator wherein the plurality of electrical contacts and the plurality of insulating regions on the lead, and the plurality of electrical connectors and the plurality of electrical insulators in the connector block are configured so that each of the plurality of electrical contacts form operable connections to the electronic circuitry through each of the plurality of electrical connector, and the insulating regions and the electrical insulators electrically isolate adjacent operable connections. Leads, and methods are also disclosed.

Abstract: A method for making a medical electrical lead electrode assembly includes the steps of: forming an insulative carrier from an insulative material; coupling at least one conductive component to the carrier by inserting a pre-formed tab of the conductive component through the carrier, from a first side thereof to a second side thereof, so that the conductive component is secured to the carrier with the tab extending along a surface of the second side of the carrier and an inward facing surface of an electrode portion of the conductive component being disposed against a surface of the first side of the carrier; coupling an elongate flexible conductor to the tab of the component; and forming an insulative layer over the second side of the carrier, the tab and the conductor electrically coupled to the tab.

Abstract: An extravascular nerve cuff that is configured to hold a leadless, integral, implantable microstimulator. The nerve cuff may include a cuff body having a pocket or pouch for removably receiving the implantable device within. The nerve cuff can be secured around the nerve such that the electrodes of the device are stably positioned relative to the nerve. Furthermore, the nerve cuff drives the majority of the current from the stimulation device into the nerve, while shielding surrounding tissues from unwanted stimulation.

Abstract: The disclosure relates to an apparatus and method for inducing ventricular fibrillation in a patient to facilitate defibrillation threshold testing. The apparatus includes a plurality of output capacitors that are dynamically configurable in a selected stacking arrangement that facilitates delivery of energy for inducing the ventricular fibrillation. An output of the apparatus is coupled to patient electrodes and a threshold energy level delivered by the output capacitors is determined.

Abstract: One aspect relates to an electrical bushing for an implantable device including an electrically insulating base body and at least one electrically conductive bushing body that is embedded in at least one bushing opening that extends through the base body. The base body is produced from a sintered ceramic material, characterized in that the at least one bushing body is made of a sintered cermet material or a sintered metallic material. The base body and the at least one bushing body comprise a firmly bonded sintered connection.

Abstract: A filtering scheme for an implantable medical device mitigates potentially adverse effects that may be caused by MRI-induced signals. In some aspects filtering is provided to attenuate MRI-induced signals on an implanted cardiac lead that is coupled to an implanted device. In some aspects the filter may be configured to complement a capacitor circuit (e.g., a feedthrough capacitor) that reduces the amount of EMI that enters the implanted device via the cardiac lead. In some implementations the filter consists of a LC tank circuit and a series LC circuit, where the LC tank circuit is in series with the cardiac lead and a cardiac stimulation circuit and the series LC circuit is in a shunt configuration across the cardiac stimulation circuit.

Abstract: Implantable medical leads and systems that include lead utilize reflection points within the lead to control radio frequency current that has been induced onto one or more filars within the lead. The radio frequency current may be controlled by the reflection points to block at least some of the radio frequency current from reaching an electrode of the lead and to dissipate at least some of the radio frequency current as heat on the filar. Controlling the radio frequency current thereby reduces the amount that is dissipated into bodily tissue through one or more electrodes of the lead and reduces the likelihood of tissue damage. The reflection points may be created by physical changes such as to material or size in the filar and/or in insulation layers that may be present such as an inner jacket about the filar and an outer jacket formed by the body of the lead.

Abstract: A stimulation system includes an implantable pulse generator having a sealed chamber and an electronic subassembly disposed in the sealed chamber. Feed through pins are coupled to the electronic subassembly and extend out of the sealed chamber. Feed through interconnects are coupled to the electronic subassembly via the feed through pins. At least one tab is disposed on at least one feed through interconnect. The tab(s) are configured and arranged to flex away from the feed through interconnect and against a side of the feed through pin. A feed through interconnect assembly includes an assembly frame; feed through interconnects extending from the assembly frame; a first contact pad and a second contact pad disposed on at least one of the feed through interconnects; and a tab formed on a first contact pad of at least one of the feed through interconnects.

Abstract: A temporary implantable medical device lead includes a connector configured to connect the lead to an external control module, a helically coiled conductor including a plurality of insulated filars and having a proximal end mechanically and electrically connected to the connector, and one or more electrodes defined by uninsulated portions of the helically coiled conductor. The temporary implantable medical device lead also includes one or more tine assemblies proximal to the one or more electrodes and configured to inhibit axial migration of the temporary implantable medical device lead, each tine assembly including a base and a plurality of tines extending from the base.

Abstract: An implantable medical device has a housing having a first housing surface side, a second housing surface side opposing the first housing surface side, and an intermediate surface side extending between the first and second housing surface sides. The implantable medical device has an antenna device arranged at the first housing surface side, continuing at the intermediate surface side and further at the second housing surface side. Improved radiation characteristics are obtained in a desired direction.

Abstract: An electrolytic capacitor is constructed as a stacked structure of alternating anode and cathode plates. A clip is fitted over a peripheral portion of each cathode plate, the clips being welded together to electrically connect the cathode plates in common. The dimensions of the clips are such that the clips take up approximately the same space away from the edges of the cathode plates as the thickness of the anode plate on each side of a cathode plate when the anode and cathode plates are stacked upon one another.

Abstract: A shielded three-terminal flat-through EMI/energy dissipating filter includes an active electrode plate through which a circuit current passes between a first terminal and a second terminal, a first shield plate on a first side of the active electrode plate, and a second shield plate on a second side of the active electrode plate opposite the first shield plate. The first and second shield plates are conductively coupled to a grounded third terminal. In preferred embodiments, the active electrode plate and the shield plates are at least partially disposed with a hybrid flat-through substrate that may include a flex cable section, a rigid cable section, or both.

Abstract: Exemplary systems include a stimulator configured to be implanted within a patient, the stimulator having a body defined by at least one side surface disposed in between distal and proximal end surfaces, and a connector assembly configured to be coupled to the stimulator and extend parallel to the at least one side surface of the stimulator. The connector assembly is further configured to facilitate removable coupling of a lead having one or more electrodes disposed thereon to the stimulator.

Abstract: A feedthrough assembly may include a ferrule defining a ferrule opening, a feedthrough at least partially disposed within the ferrule opening, a capacitive filter array at least partially disposed within the ferrule opening, and a lead frame assembly. The feedthrough may include at least one feedthrough conductive pathway and the capacitive filter array may include at least one filter array conductive pathway. The lead frame assembly may include an electrically conductive lead electrically connecting the at least one feedthrough conductive pathway and the at least one filter array conductive pathway.

Abstract: A lead extending exteriorly from an active implantable medical device (AIMD) is at least partially ensheathed within an electromagnetic interference (EMI) shield. The AIMD has a conductive equipotential surface to which the EMI shield may be conductively coupled. An impeding circuit may be provided for raising the high frequency impedance of the lead. An energy diversion circuit may also be provided for conductively coupling the lead to the EMI shield.

Abstract: An implantable connector for use with a neurological device and a lead extension includes a male connector having a plurality of electrical contacts axially arranged along the connector, insulated from each other. The connector also includes a female connector having one or more channels axially disposed therein and a plurality of conductors axially arranged on the female connector. The plurality of conductors are electrically insulated from each other, and at least one indexing element is disposed adjacent to one or more of the channels. The indexing element allows the male connector to be received into the one or more channels in a defined orientation relative to the channel, thereby forming at least two electrical connections along two or more axial positions. Often the neurological device is a brain stimulating and recording lead. The male and female connectors are often fastened together with a screw or by twist-locking the two members together.

Abstract: Implantable medical devices include elongated conductor bodies and related features including an attachment to the medical device at one end and a connector that receives a medical lead at the other end. The connector may have various features such as a modular design whereby the connector is constructed from a series of stacked contact modules. Other features of the connector include electrical contacts that are relatively thin conductors or the order of 0.040 inches or less and that may include radial protrusions to establish contact with the electrical connectors of the lead. Furthermore, electrical contacts may be mounted within the connector in a floating manner so that radial movement of the electrical contact may occur during lead insertion. Additional features include a feedthrough where conductors exposed beyond a housing of the implantable medical device make direct electrical connection to conductors present within the elongated body.

Abstract: An implantable medical device includes a housing defining a hermetically sealed chamber and includes a diaphragm portion having a first resonance frequency, an acoustic communication circuit within the chamber, and an acoustic transducer within the chamber. The transducer includes a substantially rigid pin member attached to an inner surface of the diaphragm portion, and an active portion coupled to the pin member. The active portion has a second resonant frequency and includes a piezoelectric element electrically coupled to the acoustic communication circuit. The diaphragm portion and the active transducer portion may be configured such that the first and second resonance frequencies are substantially equal.

Abstract: One aspect relates to an electrical bushing for use in a housing of an implantable medical device. The electrical bushing includes at least one electrically insulating base body and at least one electrical conducting element. The conducting element is set up to establish, through the base body, at least one electrically conductive connection between an internal space of the housing and an external space. The conducting element is hermetically sealed with respect to the base body. The at least one conducting element includes at least one cermet. The electrical bushing includes an electrical filter structure. The at least one conducting element forms at least one conducting section of an inductor of the filter structure.

Abstract: A complex connector and component within an implantable medical device in which the complex connector is positioned within the spacing footprint of the component to optimize packaging within the device.

Abstract: In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.

Abstract: In general, the disclosure describes techniques for detecting lead related conditions, such as lead fractures or other lead integrity issues. As described herein, delivering an electrical signal through selected electrodes may result in, reveal, or amplify noise if a lead related condition is present. A processor may detect electrical noise indicative of the lead related condition subsequent to the delivery of the electrical signal, and identify a lead related condition in response to detecting the noise.

Abstract: An implantable component of a prosthesis comprising of at least one powered component; at least one antenna coil contained within an electrically insulating surround; and an electrical storage element for powering at least one powered component, the electrical storage element being positionable within a support area of the surround, the support area being at least partially within the area defined by the at least one antenna coil.

Abstract: A device connector assembly includes a plurality of electrical contacts and a sealing member including a corresponding plurality of apertures; each electrical contact extends within a corresponding aperture of the plurality of apertures such that each contact is accessible for coupling with a corresponding connector element of a lead connector. The lead connector elements protrude from a first side of an insulative substrate of the lead connector, and may be coupled to the contacts of the device connector assembly by aligning each connector element with the corresponding aperture of the sealing member, and applying a force to a second side of the insulative substrate, opposite the first side, in order to press each connector element into engagement with the corresponding contact.

Abstract: A connector for an implantable medical lead that is electrically and mechanically connectable to an implantable medical device, has a connector pin made of a first conducting material. A tubular insulator made of an insulating material concentrically surrounds at least a portion of the pin. A connector ring made of a second conducting material is concentrically positioned around at least a portion of the insulator. The insulator is connected to the connector ring by spark plasma sintering in the case of an active fixation lead, and is connected to the ring and the pin by spark plasma sintering in the case of a passive fixation lead.

Abstract: A header for use in implantable pulse generator devices. The header is part of electrical connector assembly having one or more openings designed to receive the terminal pin of an electrical lead wire or electrode. The header is designed to provide and sustain long-term electrical and mechanical lead wire connections between the electrodes of a terminal pin and the implantable pulse generator device.

Abstract: One aspect relates to an electrical bushing for an implantable medical device, having an annulus-like holding element for holding the electrical bushing in the implantable medical device, whereby the holding element includes a through-opening, at least one elongated conduction element extends through the through-opening, and an insulation element for forming a hermetic seal between the holding element and the conduction element is arranged in the through-opening. One aspect provides for the at least one conduction element to include a cermet.

Abstract: A medical device lead connector includes two or more electrically conducting contact rings spaced apart by electrically insulating ceramic ring. An electrically insulating glass material fixes the two or more electrically conducting contact rings to the insulating ceramic ring in axial alignment.

Abstract: A feedthrough assembly for use with implantable medical devices having a shield structure, the feedthrough assembly engaging with the remainder of the associated implantable medical device to form a seal with the medical device to inhibit unwanted gas, liquid, or solid exchange into or from the device. One or more feedthrough wires extend through the feedthrough assembly to facilitate transceiving of the electrical signals with one or more implantable patient leads. The feedthrough assembly is connected to a mechanical support which houses one or more filtering capacitors that are configured to filter and remove undesired frequencies from the electrical signals received via the feedthrough wires before the signals reach the electrical circuitry inside the implantable medical device.

Abstract: A method and a system to increase the reliability of the electrical connections between the electrodes and the battery/controlling electronics of an electrical stimulating device as DBS (Deep Brain Stimulator), heart pacemakers and the like. We disclose a redundant connector which in prior art is used to complete the connection between the wires leading to the electrodes and the wires leading to the battery/controlling electronics, which is subject to loss of continuity due to the adverse effect of body fluids, and a set of redundant wires from this redundant connector to the battery/controlling electronics, which often breaks, due to repeated motion by the human subject, particularly in the DBS case, where the wires run down the neck of the human subject.

Abstract: In one embodiment, a method of fabricating an implantable pulse generator, comprises: providing a lead body including a plurality of conductors; providing a feedthrough component comprising a plurality of feedthrough pins; hermetically enclosing pulse generating circuitry and switching circuitry within a housing, the feedthrough component being welded to the housing; laser machining each of the plurality of feedthrough pins to comprise a slot along a surface of the respective feedthrough pin; placing a respective conductor from the lead body in the respective slot of each of the plurality of feedthrough pins; and performing welding operations to connect the plurality of conductors of the lead body with the plurality of feedthrough pins of the feedthrough component.

Abstract: An electrical connector is disclosed that includes an annular housing having a central aperture for receiving a connector pin and an annular contact spring disposed concentrically within the annular housing and including a plurality of circumferentially spaced apart spring arms, each spring arm having a radially inwardly extending contact pad for resiliently contacting a connector pin inserted into the central aperture of the housing.

Abstract: Devices, systems, and related methods for electric fields delivery for preferential destruction of cancerous cells and tissue ablation.

Abstract: An implantable medical device system includes a medical electrical lead having a connector assembly and a connector bore for receiving the lead connector assembly. The lead includes a distal portion having a first outer diameter and a distal sealing member, an intermediate portion having a second outer diameter smaller than the first outer diameter, and a connector pin extending from the intermediate portion, the connector pin having an outer diameter corresponding to a DF-1 standard.

Abstract: An implantable medical device includes a housing, a header mounted to the housing, the header including a header body having a bore with an electrical contact located within the bore, wherein the electrical contact includes a plurality of contact points, wherein at least two of the contact points are longitudinally offset from each other along the bore.

Abstract: A co-fired electrical feedthrough for an implantable medical device (IMD) is provided having a shielded radio frequency (RF) conductive path. The feedthrough includes a monolithic structure derived from one or more layers of dielectric material and a conductive pathway extending through the monolithic structure for communicating RF signals into and from the IMD. An internal shield is formed to extend through at least one of the layers of dielectric material so as to surround the conductive pathway (e.g., in a coaxial relationship) and shield the RF conductive pathway from undesirable signals. This shielding of the RF conductive pathway prevents destructive EMI signals from entering into the IMD through the RF conductive pathway. In some embodiments, a monolithic structure containing embedded impedance matching elements is electrically connected to at least one conductive pathway in the feedthrough to perform impedance matching and/or filtering of the conductive pathway to other circuitry.

Abstract: An implantable pulse generator includes a header, a can and a feedthru. The feedthru is mounted in a wall of the can and includes an electrically insulating core, a PCB, a shield, a chip capacitor, a power circuit and a ground circuit. A first side of the PCB abuts against the core and a second side of the PCB abuts against an edge of the shield. The chip capacitor is mounted on the second side of the PCB. The chip capacitor is enclosed in a volume defined by an interior of the shield and the second side of the PCB. A first electrical contact of the chip capacitor is electrically coupled to the power circuit, and a second electrical contact of the chip capacitor is electrically coupled to the ground circuit.

Abstract: A lead includes a plurality of electrodes disposed on the distal end of the lead, a plurality of contact terminals disposed on the proximal end of the lead, a plurality of conductor wires extending along the lead to couple the electrodes electrically to the contact terminals, a central lumen defined by the lead and extending from the proximal end of the lead towards the distal end of the lead, and a tubular stiffener disposed in the proximal end of the central lumen. The tubular stiffener is configured and arranged to facilitate insertion of the proximal end of the lead into a connector.

Abstract: Implantable medical devices include elongated conductor bodies and related features including an attachment to the medical device at one end and a connector that receives a medical lead at the other end. The connector may have various features such as a modular design whereby the connector is constructed from a series of stacked contact modules. Other features of the connector include electrical contacts that are relatively thin conductors or the order of 0.040 inches or less and that may include radial protrusions to establish contact with the electrical connectors of the lead. Furthermore, electrical contacts may be mounted within the connector in a floating manner so that radial movement of the electrical contact may occur during lead insertion. Additional features include a feedthrough where conductors exposed beyond a housing of the implantable medical device make direct electrical connection to conductors present within the elongated body.

Abstract: An implantable lead connector configured for long term implantation and to electrically interconnect multiple medical devices and to channel electrical signals between said interconnected devices and a target organ, comprising: a first port adapted to receive a first signal suitable to stimulate a target tissue, a second port adapted to receive a second signal suitable to stimulate a target tissue, and a third port configured to connect to a target organ, wherein at least one of said first and second ports is configured to connect to a signal generator not integrated with said connector.

Abstract: A connector assembly for detachably connecting a lead to an implantable medical device and an implantable medical device capable of being detachably connected to a lead that include one or more deflectable connector clip and a housing. The connector clip includes a first arm, a second arm, and a top portion extending between the first arm and the second arm, and is capable of being deflected from a first position, corresponding to a first relative position of the first arm and the second arm, to a second position corresponding to a second relative position of the first arm and the second arm. The housing includes a first member and a second member, the first member formed to be fixedly engaged with the second member to enclose the connector clip within the housing with the one or more connector clip being positioned within one of the first member and the second member.

Abstract: An electrical connector assembly for coupling a first implantable device to a second implantable device, said assembly comprising a male element having one or more male contacts electrically coupled with the first implantable device and a female element comprised of a socket having one or more correspondent female contact electrically coupled with said second implantable device and adapted for receiving said one or more male contact. One or more male contacts are sealed to the male element through a glass or ceramic sealing material. A female contact of said socket comprises a contact structure comprised of a plurality of conductive elongated wires which extend along the internal surface of said the female contact in a hyperboloid arrangement, thereby providing an electrical coupling between the female contact and the corresponding male contact in a plurality of points.

Abstract: An implantable connector comprises an electrically insulative housing including an outer wall, an interior cavity surrounded by the outer wall, a port through which the lead body portion can be introduced into the interior cavity, and a pair of first apertures disposed through the outer wall on a first side of the housing. The connector further comprises an electrical spring clip contact mounted to the housing. The contact includes a common portion and a pair of legs extending from opposite ends of the common portion. The legs respectively extend through the first apertures into the interior cavity, such that the legs firmly engage the electrical terminal therebetween when the lead body portion is introduced into the interior cavity.

Abstract: An interface device provides one or more electrical connection points disposed on a connector sleeve. The connection points provide electrical communication between a lead connector end of an implantable medical lead and one or more leads of a testing device in such a manner as to minimize potential damage to the lead connector end.

Abstract: A lead-connection system includes a lead and a connector. The lead includes a distal end, a proximal end, a plurality of electrodes disposed at the distal end, a plurality of terminals disposed at the proximal end, and a plurality of conductor wires electrically coupling each of the plurality of electrodes to a different one of the plurality of terminals. The connector defines a port for receiving the proximal end of the lead and a plurality of connector contacts. The number of connector contacts is greater than the number of terminals disposed on the proximal end of the lead. When the connector receives the proximal end of the lead, each of the terminals disposed on the proximal end of the lead makes electrical contact with at least one of the connector contacts of the connector and no two terminals make electrical contact with a same one of the connector contacts.

Abstract: An implantable pulse generator or external trial stimulator for coupling to a lead with a distal end and a proximal end, the lead comprising at least one terminal disposed at the proximal end. The implantable pulse generator comprises a connector for receiving the proximal end of the lead, the connector having at least one contact, and a sensor configured and arranged for detecting electrical connectivity between the implantable pulse generator or external trial stimulator and the lead, the sensor comprising at least one sensor contact, the sensor contact being configured and arranged for electrically coupling to a terminal of the lead and at least one of the contacts of the connector when the lead is fully inserted in the connector and thereby detecting electrical connectivity between the implantable pulse generator or external trial stimulator and the lead.

Abstract: A connector for an implantable medical device includes a lumen extending from a port defined along a length of a connector housing. Axially-spaced-apart connector couplers are disposed along the lumen and are configured to couple to a proximal end of an inserted lead or lead extension. Each of the connector couplers includes a plurality of circumferentially-spaced-apart coupling members and at least one elastic member. The plurality of circumferentially-spaced-apart coupling members each have inner surfaces and outer surfaces. The inner surfaces of the coupling members are configured and arranged to couple to the proximal end of the lead or lead extension when the proximal end of the lead or lead extension is inserted into the lumen. The at least one elastic member couples the coupling members to one another such that a distance between the coupling members is expandable.

Abstract: Exemplary systems include a stimulator configured to be implanted within a patient, the stimulator having a body defined by at least one side surface disposed in between distal and proximal end surfaces, and a connector assembly configured to be coupled to the stimulator and extend parallel to the at least one side surface of the stimulator. The connector assembly is further configured to facilitate removable coupling of a lead having one or more electrodes disposed thereon to the stimulator.

Abstract: Techniques are disclosed for recharging an Implantable Medical Device (IMD). In one embodiment, a first external coil is positioned on one side of a patient's body, such as on a front side of the torso in proximity to the IMD. A second external coil is positioned on an opposite side of the patient's body, such as on the back of the torso. A recharging device generates a current in each of the coils, inductively coupling the first and the second coils to the secondary recharge coil of the IMD. According to another aspect, each of the two external coils may wrap around a portion of the patient's body, such as the torso or head, and are positioned such that the IMD lies between the coils. According to this aspect, current generated in the coils inductively couples to a second recharge coil that is angled within the patient's body.

Abstract: A medical implant includes a hermetically sealed hollow housing having a hermetically sealed feedthrough suitable for conducting electrical signals to and from the hollow housing without impairing the hermetic seal thereof. The hollow housing includes a circuit suitable for measuring signals from the human body, sending signals to the human body, and transmitting signals to a receiver located outside the body. The implant also includes a connection housing having an insulating connection body, an externally accessible cavity for connecting an implantable electrode line, an insulating substrate having at least one electrically conductive strip conductor structure, and contacts that are securely electrically connected to a strip conductor structure present in or on the substrate material. The substrate may be embedded in the connection body in such a way that the contacts are present in the externally accessible cavity.