Abstract: Connector assemblies for use with implantable medical devices having easy to assemble contacts is disclosed. The connector assemblies are generally formed by coupling a plurality of contact rings, sealing rings, and spring contact elements together with at least one holding ring to form a connector having a common bore fore receiving a medical lead cable. Contact grooves for positioning the spring contact elements are formed in part by assembling multiple components together.

Abstract: Low resistivity, implantable electrical connectors and biomedical leads having the connectors mechanically coupled to low resistivity wires in a non-welded attachment to extend implanted device battery life. One implantable electrical connector has an inner longitudinal aperture and two opposed flanges angled away from the longitudinal axis and coupled through a radially flexible inner circumferential wall to form a single piece, low resistance path. An elastic member can urge the flexible inner circumferential wall portion inward. In one connector, the electrically conductive, flexible inner wall portion can resiliently contact an inserted electrode. The connector body can include at least one hole adjacent a mechanically deformable sidewall for mechanically securing an electrical conductor inserted within the hole. The low resistivity, implantable, biocompatible electrical connectors and leads can be used in neurological and cardiac applications.

Abstract: A lead connector is terminated proximally by a connector pin and includes a circumferential array of connector pads, each connector pad coupled to an electrode via an elongated insulated conductor. A lumen of an adaptor is adapted to engage the lead connector and includes an electrical contact zone formed therein and positioned for coupling with a one of the array of connector pads, when the connector is engaged within the lumen, in order to facilitate electrical connection of a selected electrode corresponding to the one of the array of connector pads.

Abstract: A header assembly for connecting a conductor terminating at a body organ with an implantable medical device is described. The header assembly comprises a base plate, a feedthrough subassembly disposed in the base plate and comprising a ceramic-to-metal seal with first and second feedthrough wires passing through the ceramic-to-metal seal; a first electrically conductive terminal connected to a distal end of the first feedthrough wire and having a first lead opening sized to receive a first portion of a lead for the conductor; a second electrically conductive terminal connected to a distal end of the second feedthrough wire and having a second lead opening sized to receive a second portion of the lead for the conductor; a body of polymeric material molded in a two-part construction to encase the conductive terminals and their feedthrough wires except for a first bore communicating from outside the polymeric body to the first and second lead openings aligned in a first co-axial relationship.

Abstract: An implantable medical device is provided for isolating an elongated medical lead from internal device circuitry in the presence of a gradient magnetic or electrical field. The device includes an isolation circuit adapted to operatively connect an internal circuit to the medical lead in a first operative state and to electrically isolate the medical lead from the internal circuit in a second operative state.

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: 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 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: This application discusses, among other things, an implantable medical device including a setscrew that enables lead tip visibility as an indicator of full lead insertion without requiring a grommet. In an example, the implantable medical device header is provided with a lead bore and a setscrew bore with the setscrew bore having a longitudinal axis that extends in a transverse direction to, and in communication with, the lead bore. In one example, the setscrew bore intersects with the lead bore at a location that is offset from the central longitudinal axis of the lead bore.

Abstract: A medical device having at least one glass coating between a first and second component. The glass coating forms a portion of a strong, hydrothermally stable joint between components or provides insulation, or tailors an impedance and/or capacitance of an electrode.

Abstract: A lead connector including a connector element array is fitted into a selected adaptor from a plurality of adaptors to electrically couple one or more elements of the connector element array, corresponding to one or more selected electrodes from an array of lead electrodes, to one or more contact zones of the selected adaptor in order to facilitate electrical connection with an implantable medical device.

Abstract: An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.

Abstract: A battery comprises a tubular housing. An external surface of the tubular housing comprises a biocompatible material. The battery further comprises a battery header secured to an open end of the tubular housing, and the tubular housing and the battery header combine to form a substantially sealed enclosure. The battery also comprises one or more voltaic cells within the substantially sealed enclosure, and a feedthrough electrically connected to the voltaic cells and extending through the battery header to form a battery terminal. The battery header includes a radial groove opposite the tubular housing, and the radial groove is configured to receive a mating snap-fit electronic component subassembly of an implantable medical device.

Abstract: A method (10) of forming an electrically conducting feedthrough. The method (10) comprises a first step (11) of forming an electrically conductive structure (21) comprising a sacrificial component and a non-sacrificial component. At least a portion of the non-sacrificial component can then be coated with a relatively electrically insulating material (35) prior to removal of at least a portion of the sacrificial component from the electrically conductive structure. The structure of the feedthrough provides electrical connection through the wall of a housing of an implantable component while preventing unwanted transfer of materials between the interior of the component and the surrounding environment.

Abstract: An implantable medical device system that includes a housing containing an electrical circuit and a connector header mounted on the housing. A first inner surface of the connector header forms a connector bore adapted for receiving a lead connector assembly for electrically coupling a medical lead to the circuitry contained in the housing, and one of the connector header and the lead connector includes a visibly modified surface for facilitating visual verification of full insertion of the medical lead connector assembly in the connector bore.

Abstract: A new hermetically-sealed contact feedthrough for cardiac pacemakers and defibrillators for the connection between internal device electronics and external components, a flat ceramic disk (1) being used as an insulating main carrier, in which openings (3) are situated, into which various electrode embodiments (4, 5, 6, 7) may be inserted as through contacts. Using a metal flange or metal-plated vapor deposition zone (2), the ceramic disk may be soldered directly onto the implant housing (11). In addition, active and passive auxiliary components (8) may be applied directly to the ceramic. The main carrier may be implemented as a multilayer ceramic (9), so that rewiring levels and shielding components (10) may be integrated in the feedthrough. The feedthrough according to the present invention allows novel construction variants, above all things having orientation to multipolar systems, through use of standardized ceramic semifinished products.

Abstract: Methods and apparatuses are provided for an electrical device that employs a feedthrough including a hermetic seal that seals an interior region of the electrical device. The electrical device includes an electrical contact disposed within the interior region of the electrical device, and a wire terminal that includes an encircled portion that is encircled by the feedthrough, and a first end that electrically connects with said electrical contact. When the electrical device is constructed, the first end of the wire terminal is coated with a conductive metal that is more resistant to oxidation than the wire terminal. The first end of the wire terminal is secured to the electrical contact using a mechanical device such as a crimping connector or a spring connector.

Abstract: An electrode assembly includes an interconnect for at least a first connector electrode and a second connector electrode, where the interconnect provides the mechanical and/or electrical connection between the electrodes. In one example, the assembly is an elongate member having material removed therefrom along an intermediate portion.

Abstract: An implantable microstimulator includes a housing, an electronic subassembly, conductive vias, and an electrode arrangement. The housing defines an interior and an exterior with the electronic subassembly disposed in the interior of the housing. The conductive vias extend from the interior to the exterior of the housing. The electrode arrangement is disposed on the housing and includes a film substrate with electrodes disposed on the film substrate and coupled to the electronic subassembly through the plurality of vias.

Abstract: The present invention is directed to a ceramic monolith for use as a feedthrough in medical devices and method of making. The monolith includes a first surface, a second surface, and a passageway extending from the first surface to the second surface. The first surface is high temperature co-fired ceramic and the second surface is low temperature co-fired ceramic, and the two ceramics are intermixed in a blended interface located between the first and second surfaces.

Abstract: Multiple seals, internal to a connector block, provide for connecting an implantable medical device and an implanted cable or lead. The forces to engage sealing or releasing the seals are derived from a mechanism so they can be relaxed to permit ease of insertion or withdrawal of a lead, or can be increased to tightly seal against fluid migration, and to provide an electrical insulation between adjacent conductors of the lead and connector block. During implant of the medical device, the lead is inserted and a shaft is rotated with a tool to engage the seals. Later, the seals can be released by rotating the control shaft in the opposite direction to allow extraction of the lead from the connector block. The seals therefore are able to provide improved sealing without increasing the insertion or the extraction forces for the lead.

Abstract: A strain reliever for a lead of an implantable heart stimulator, the lead including at least one cable having an electric conductor, has a body of electrically conducting material in electric contact with the electric conductor. The body is lockable in a position in electric contact with electric circuitry of the heart stimulator. The body has a fastening arrangement for fastening the proximal end of the cable at the fastening point on the peripheral surface of the body located at a distance from the distal end of the body. A fixing arrangement is provided at the distal end of the body for fixing the cable to extend in the distal direction from a departure point at the body distal end. The cable is intended to extend in a helical path on the peripheral surface of the body between the fastening point and the departure point.

Abstract: An implantable connector used 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 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: 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: A feedthrough assembly, as well as a method of forming a feedthrough assembly, including a metallic ferrule, and a biocompatible, non-conductive, high-temperature, co-fired insulator engaged with the metallic ferrule at an interface between the ferrule and the insulator. The insulator includes a first surface at the interface and a second surface internal to the insulator. At least one conductive member may be disposed at the second surface, wherein at least the first surface of the insulator is devoid of surface cracks greater than 30 ?m. The first surface of the insulator may also be devoid of a surface roughness greater than 0.5 ?m.

Abstract: A vented set screw is used to secure a connection between an implantable medical device and an implantable lead. The vented set screw includes one or more venting channels that allow liquid and/or gas to flow out of the implantable medical device when the implantable lead is being inserted into the implantable medical device and secured during an implantation procedure. This prevents pressure from building up at the connection, thereby ensuring proper performance of sensing and/or therapy delivery functions of the implantable medical device.

Abstract: An implantable signal generator including electronic circuitry, a computer readable medium, and a connector block with a lumen which receives at least one lead. The at least one lead has at least one electrode connector while the lumen of the connector block has a plurality of contacts operably coupled to the electronic circuitry. The computer readable medium contains instructions for carrying out a process to determine at least one piece of information regarding the at least one lead within the lumen based on an electrode connector being electrically connected with the at least one of the plurality of contacts, and an electrode connector not being electrically connected with the at least one of the plurality of contacts.

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 medical device is electrically connected to a biological tissue for transmission of an electrical signal between the medical device and the biological tissue. The medical device includes a housing assembly and a control circuit assembly that controls the electrical signal. The control circuit assembly is enclosed within the housing assembly, and the control circuit assembly includes an electrically conductive terminal. The device further includes an electrical component at least partially enclosed within the housing assembly. The electrical component has a connecting member that electrically connects the electrical component to the control circuit assembly. The connecting member is resistance welded and bonded directly to the electrically conductive terminal of the control circuit assembly.

Abstract: An EMI filter capacitor assembly and implantable passive electronic network components utilize biocompatible and non-migratable materials to adapt the electronic components for direct body fluid exposure. The assembly includes a capacitor having first and second sets of electrode plates which are constructed of non-migratable biocompatible material. A conductive hermetic terminal of non-migratable and biocompatible material adjacent to the capacitor is conductively coupled to the second set of electrode plates. One or more conductive terminal pins having at least an outer surface of non-migratable and biocompatible material are conductively coupled to the first set of electrode plates, while extending through the hermetic terminal in non-conductive relation. The terminal pins may be in direct contact with the first set of electrode plates, or in contact with a termination surface of conductive connection material. The termination surface is also constructed of non-migratable and biocompatible materials.

Abstract: A filtering capacitor feedthrough assembly for an implantable active medical device is disclosed. The filtering capacitor feedthrough assembly includes a capacitor having an aperture defined by an inner capacitor surface. The capacitor is electrically grounded to an electrically conductive feedthrough ferrule or housing of the implantable active medical device. A terminal pin extends into the aperture. An electrically conductive split ring sleeve is disposed within the aperture and between the terminal pin and the capacitor. The split ring sleeve includes a first end, a second end, a sleeve length therebetween. A longitudinal slit through the sleeve extends from the first end to the second end. The electrically conductive split ring sleeve mechanically securing and electrically coupling the terminal pin to the capacitor.

Abstract: Housing for medical implant, such as cardiac pacemaker, defibrillator, cardioverter, etc. Housing including hollow housing and terminal body attached to hollow housing, which has electrical terminal(s), situated in an externally accessible cavity of the terminal body, for connecting an electrode line, and terminal body including a base body made of electrically insulating plastic, connected to hollow housing and carries electrical supply lines and electrical contacts, which are electrically connected thereto, for the electrical terminal so that the contacts are connected via the electrical supply lines to electrical components in the interior of the hollow housing, electrical supply lines being welded to the electrical contacts and the electrical supply lines and electrical contacts, which are welded to one another, being embedded in the base body and thus fixed in their final position, and the base body being glued to the hollow housing using an adhesive between hollow housing and terminal body.

Abstract: An implantable lead adaptor is disclosed that includes an encapsulated thermoplastic housing defining a proximal end portion and a distal end portion. The proximal end portion has a first receptacle configured to receive a first type of connector assembly associated with a first implantable cardiac lead, and a second receptacle configured to receive a second type of connector assembly associated with a second implantable cardiac lead. An elongated flexible lead portion extends from the distal end portion of the adaptor housing. A connector assembly is operatively associated with a distal end section of the flexible lead portion of the adaptor for connection to an implantable pulse-generating device, such as, for example, an implantable pacemaker or defibrillator. Low resistance conductor wires electrically connect the connector assembly associated with the distal end section of the lead portion with the first and second receptacles of the adaptor housing.

Abstract: Assessing symptomatic and asymptomatic physiologic changes due to chronic heart failure involves apparatus and methods for gauging degradation and possible improvement using automated measurement of inter-ventricular conduction time, both alone and in combination with other automated physiologic tests. Conduction times increase due to the greater distance a wavefront must traverse as a heart enlarges. Analysis of conduction time can be used to verify the occurrence of cardiac remodeling due to heart failure as well as beneficial reverse remodeling due to successful heart failure therapy delivery. Patient activity level(s) and presence/increase in pulmonary fluids can also be used to automatically determine changes in heart failure status and/or predict hospitalization. Conduction time is monitored between electrodes positioned in the left and right ventricles of the heart via endocardial or epicardial electrodes.

Abstract: A medical electrical lead adapted to be at least partially implanted in a cardiac vessel includes a fixation feature operable to change from an undeployed configuration to a deployed configuration in which the fixation feature is adapted to engage an inner surface of the cardiac vessel. A tendon is disposed within a lumen of the lead and is operatively connected to the fixation feature and adapted to cause the fixation feature to change from the undeployed configuration to the deployed configuration for acute and/or chronic fixation of the lead. In one embodiment, the fixation feature includes a deflectable region of the lead which in the deployed configuration causes a surface of the lead body to engage the inner surface of the cardiac vessel. In another embodiment, the fixation feature includes a radially expandable structure for engaging the inner surface of the vessel in the deployed configuration.

Abstract: An implantable medical device includes a housing and a circuit board provided within the housing. The circuit board includes a plurality of electronic components electrically coupled thereto. At least one non-functional component is provided on the circuit board and formed from a material that has an electromagnetic permeability configured to reduce the amount of image distortion caused by at least one of the plurality of electronic components when the device is subject to a magnetic field during an MRI scan.

Abstract: Connector assemblies for use with implantable medical devices having easy to assemble contacts are disclosed. The connector assemblies are generally formed by coupling a plurality of contact housings, sealing rings and leaf spring contact elements to form a connector having a common bore for receiving a medical lead cable. Contact grooves for positioning the leaf spring contact elements are formed in part by assembling multiple components together.

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: 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 conducting wire extends through the through-opening, and an insulation element for forming a hermetic seal between the holding element and the conducting wire is arranged in the through-opening. One aspect provides for a cermet-containing bearing element to be arranged between the insulation element and the conducting wire.

Abstract: A medical electrical lead includes a lead body and a connector terminal. A conductor extends from the lead body to the connector terminal along a helical path through a transition zone.

Abstract: An implantable medical device (IMD) including a nonhermetic battery is described. The IMD includes components and a power source module that includes the nonhermetic battery. The IMD also includes a barrier to substantially impede movement of substances from the nonhermetic battery to the components. The barrier may include a hermetic feedthrough, a gel, a polymer, or a solid electrolyte within the nonhermetic battery, and a seal member. The barrier may also be a material that encapsulates the nonhermetic battery and a getter within the IMD. In some embodiments, the IMD comprises a modular IMD including an interconnect member. In that case, the barrier may include a material that fills at least a portion of a void defined by the interconnect member. A length and a cross-sectional area of the interconnect member may also act as a barrier.

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 lead retention assembly for an implantable medical device includes (i) a conductive set screw and (ii) a housing defining an opening for receiving at least a portion of the set screw. The assembly further includes a block disposed within the housing. The block defines a lead receiving bore and a second bore extending generally perpendicular to and intersecting with the lead receiving bore. The assembly further includes a conductive lead engagement member having a lead engagement feature. The lead engagement feature is disposed within and movable within the second bore such that advancement of the set screw causes the lead engagement feature to move within the second bore towards the lead receiving bore. The set screw is electrically isolated from the conductive lead engagement member.

Abstract: An implantable interface system for a medical device system providing selective interconnectivity between conduits and therapy elements. The interface system contains connecting elements that each provide a robust connection between a selected conduit and a selected therapy element. The interface system enables the use of a surplus of therapy elements so that treatment to the same site (in the case of electrode migration or failure), or to different sites but within the spatial domain of the interface's elements may be delivered through the spare/excess therapy elements without the need for additional major surgical procedures.

Abstract: Embodiments of the invention are related to header assemblies for implantable medical devices, amongst other things. In an embodiment the invention includes a medical device including a header assembly housing. The header assembly housing can include a dielectric material, the header assembly housing can define a port aperture for receiving a connector pin of a stimulation lead. The port aperture can have a first end and a second end and a reflective insert disposed within the header assembly housing proximate to the second end. The reflective insert can be configured to enhance the view of the second end from outside of the header assembly housing. Other embodiments are also included herein.

Abstract: A lead is connected to an integrated circuit in an implantable medical device in a lead bonding area that includes a lead-receiving recessed region. At least a portion of a lead conductor is bonded in the lead-receiving recessed region, making an electrical and mechanical connection to the integrated circuit that is strong and potentially biostable. In some embodiments, a filler material is provided around the recessed portion of the integrated circuit that receives the lead conductor, and a metal coating is provided around an outer surface of the filler material for additional mechanical stability.

Abstract: A lead retention assembly includes first, second and third retention members. The first retention member defines a first opening configured to receive a lead body. The second retention member is longitudinally spaced apart from the first retention member and defines a second opening configured to receive the lead body. The first and second retention members are substantially aligned along a first axis. The third retention member defines a third opening configured to receive the lead body. The third retention member is disposed between the first and second retention members and is biased in a position such that the third opening is substantially centered on a second axis. Upon application of a compressive force, the third retention member is moveable to a position such that the first, second, and third openings are substantially aligned along a common axis, allowing the lead body to be inserted within the first, second and third openings.

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: Connector assemblies for use with implantable medical devices having easy to assemble contacts are disclosed. The connector assemblies are generally formed by coupling a plurality of contact housings, sealing rings and leaf spring contact elements to form a connector having a common bore for receiving a medical lead cable. Contact grooves for positioning the leaf spring contact elements are formed in part by assembling multiple components together.

Abstract: An image is captured or otherwise converted into a signal in an artificial vision system. The signal is transmitted to the retina utilizing an implant. The implant consists of a polymer substrate made of a compliant material such as poly(dimethylsiloxane) or PDMS. The polymer substrate is conformable to the shape of the retina. Electrodes and conductive leads are embedded in the polymer substrate. The conductive leads and the electrodes transmit the signal representing the image to the cells in the retina. The signal representing the image stimulates cells in the retina.