Abstract: A comparator is arranged to compare a series of analog voltage signal samples on a first capacitor with a voltage on a second capacitor which is linearly increased or decreased to equal the sample value. The comparator's single output freezes the count of the counter at counts which are proportional to the voltage of the respective samples. In this manner, analog to digital conversion can be accomplished using a single line between the analog and digital sides of a circuit, thereby reducing parasitic capacitance.

Abstract: An electromagnetic interference (EMI) filter is provided to attenuate potentially damaging high frequency electromagnetic interference from interfering with the operation of a hermetically sealed implantable medical device. In one embodiment, the EMI filter is joined to a bypass unit that is configured to provide an energy path for the delivery of an energy pulse. The bypass unit, in one embodiment, may include a non-linear device in parallel with an impedance component. The non-linear device can be a DIAC, a MOSFET, or any other non-linear semiconductor array. The EMI filter may be located within the header assembly, the feedthrough assembly, or located proximate to a pulse generator along the energy delivery path.

Abstract: Filtering components are provided for reducing heating within pacing/sensing leads of a pacemaker or other implantable medical device that occurs due to induced loop currents during magnetic resonance imaging (MRI) procedures. In one example, an inductive winding is provided around a non-conducting central portion of a shaft that interconnects a tip electrode of the lead to an inner coil conductor of the lead. By mounting the inductive winding to the shaft, inductive signal filtering can be readily provided so as to reduce tip heating, without requiring the incorporation of a lengthy, bulky inductor along the length of the lead. Capacitive elements may also be incorporated within the shaft to provide for LC filtering. In another example, the non-conducting central portion of the shaft is omitted. Instead, the conducting shaft end portions are interconnected by a stiff inductive winding, which functions as an air coil.

Abstract: Systems and methods for temporarily pacing a patient's heart are provided. One system includes a hemostasis valve with an adjustable electrical connection, the adjustable electrical connection having one or more adjustable contacts. The adjustable contacts have a first, radially expanded configuration and a second, radially constricted configuration. In the radially constricted configuration, the adjustable contacts are configured to pierce through a layer of an elongate medical device that is disposed in the hemostasis valve. The elongate medical device has a distal electrode and a conductor extending along a portion of the elongate medical device. The adjustable contacts pierce through a make contact with the conductor, providing an electrical pathway to the distal electrode. Also provided are vascular access systems including a hemostasis valve and a guide catheter, guide wire torquers with adjustable contacts and methods of temporarily pacing a patient's heart.

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: A system and method for detecting lead adequacy and quality is disclosed. The system includes leads attached to a package having known electrical or optical characteristics. The package is adapted to interface with a testing device that allows the operator to ascertain whether the leads are appropriate for the desired task. This allows the testing of the lead set without the need to remove it from the package. The system of the present invention generally includes packaging of known electrical or optical characteristics, a package testing interface, and a lead testing assembly including hardware and/or software to determine whether the leads in question fulfill the desired characteristics. The lead testing assembly may be freestanding or may be incorporated into an existing testing instrument.

Abstract: A system for therapeutically stimulating a His bundle includes an implantable pulse generator and a multi-polar medical electrical lead. The generator is configured for subcutaneous implantation and to generate a pacing stimulus. The lead includes a connector assembly, a flexible tubular body, a distal tip assembly and coil conductors. The body extends intravascularly from the generator to a location proximate the His bundle and includes a proximal end, a distal end, and a longitudinal lumen. The tip assembly includes an electrode, a fixation helix, and a shank portion. The helix extends to a location proximate the His bundle and is operable as an electrically isolated electrode. The shank portion extends within the lumen and includes a receptacle for receiving a stylet tip. The conductors extend longitudinally through the lumen and are coupled to the electrode and the helix. One or both of the conductors defines a stylet lumen.

Abstract: An implantable medical device connector assembly and method of manufacture include a molded, insulative shell having an inner surface forming a connector bore, a circuit member including a one or more traces extending through the shell; one or more conductive members positioned along the connector bore and electrically coupled to the traces; and sealing members positioned between the conductive members.

Abstract: A lead of an implantable medical device system having an elongated lead body, a sensor coupled to the lead body and extending from a proximal end to a distal end, and a distal lead adaptor having a first arm extending distally from the distal end of the sensor to a first arm end, a second arm extending distally from the distal end of the sensor to a second arm end, and a third arm extending between the first arm end and the second arm end, wherein the first arm, the second arm, and the third arm form an open portion.

Abstract: An adapter for coupling a plug of an implantable neurostimulator lead extension to a connector port of a neurostimulator device includes an elongate body, a connector including at least four contacts coupled to a first end of the elongate body, and a housing including at least two ports coupled to a second end of the elongate body. The adapter connector contacts provide for electrical coupling within the device port, and the adapter housing ports are arranged to receive side-by-side connector terminals of the lead extension plug. Housing contacts within each port provide for electrical coupling with corresponding contacts of the connector terminals of the lead extension plug and are coupled to corresponding contacts of the adapter connector via conductors extending within the elongate body between the housing and the connector.

Abstract: An axial lead connector assembly for an implantable medical device (IMD) facilitates electrical connection between an implantable medical lead and circuitry contained within the housing of an IMD. A connector header defines an axial stack bore to receive an axial stack of in-line connector components. The connector components define a common lead bore to receive a proximal end of an implantable lead. The in-line stack of connector components may include seals, electrical connector elements, a strain relief, and a locking device, each of which defines a passage that forms part of the lead bore.

Abstract: A contact arrangement for connecting an electrode line to an implantable device, comprises an electrical connecting socket with a socket longitudinal axis and at least one opening for the insertion of a plug along the socket longitudinal axis. The arrangement includes at least one electrically conductive spring contact element, arranged and adapted to deflect resiliently elastically outwardly upon insertion of a plug, by compression in a spring deflection direction extending transversely with respect to the socket longitudinal axis and providing a spring force acting in opposition to the compression. The arrangement has a spring contact element with an integral metallic spring contact tongue, with spring contact tongue portions which extend transversely with respect to the spring deflection direction and which are connected together by turn portions. The turn portions occurring in immediate succession in the spring deflection direction are turned towards each other with respectively opposite turn directions.

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 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 adjacent the channels. The indexing element allows receipt of the male connector by the channels in a defined orientation relative to the channels, 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 together.

Abstract: One embodiment includes a tubular housing for electrically connecting an implantable stimulation device to an implantable electrical stimulation lead. The tubular housing includes a tubular outer segment including a first material, a tubular middle segment inside the outer segment in contact with the outer segment including a second material, and a tubular inner segment inside the middle segment in contact with the middle segment including a third material. A circumferential groove in the inner segment exposes a portion of the middle segment to an axial hole through the tubular housing. The groove is adapted to receive a coiled spring. The groove enables transmission of stimulation pulses from the exposed portion of the middle segment, through the coiled spring, to the stimulation lead inserted through the axial hole for stimulation of tissue in a patient.

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: An electrical interface includes a contact surface and a connector structure supporting the contact surface for electrical coupling with an electrical contact of a medical device, which device is contained within a package. The electrical interface facilitates coupling of the electrical contact of the packaged medical device to an electrical contact of another medical device, which is located outside the package. If the electrical contact of the packaged device is mounted within a bore of the device, then the connector structure allows for passage of a sterilizing gas into the connector bore, and past the connector contact, within the bore.

Abstract: An adapter for coupling a pair of implantable neurostimulator lead extensions to a connector port of a neurostimulator device includes an elongate body, a connector including eight contacts coupled to a first end of the elongate body, and a housing, which includes two pairs of ports, coupled to a second end of the elongate body. A first pair of ports has openings located on a first face of the housing, and a second pair of ports has openings located on a second face of the housing, wherein the first face is opposite the second face. The adapter connector contacts provide for electrical coupling within the device port, and openings of each of the pairs of adapter housing ports are arranged to receive insertion of side-by-side connector terminals of a plug of each lead extension for electrical coupling within the ports.

Abstract: A feedthrough assembly is disposable in an aperture of, for example, a power source encasement. In various examples, the feedthrough assembly comprises a ferrule, an insulator, a terminal conductor, and a sleeve. A portion of the terminal conductor extends through the ferrule thereby creating a portion internal to and a portion external to the encasement. The insulator is disposed within the ferrule and is sealably engaged with the terminal conductor portion extending through the ferrule. The sleeve is disposed over the internal portion of the terminal conductor and coupled thereto. In one example, the sleeve includes at least one notch on a sleeve first end or a sleeve second end, which may be used to weld or solder the sleeve to the terminal conductor. In another example, the sleeve includes a longitudinally extending void, which may be used to crimp the sleeve to the terminal conductor.

Abstract: A medical electrode device has a purely mechanical contact connection between electrode and electrical line. For this purpose, a support sleeve is seated in the electrode body, on which the line section to be contacted is wound in a state without its insulation removed. The electrode is placed thereon while enclosing this line section, an internal thread having a cutting zone on the interior of the electrode breaking through the line insulation and being in electrical contact with the electrically conductive core of the electrical line.

Abstract: A feedthrough terminal assembly for an active implantable medical device includes a conductive terminal pin or leadwire, a feedthrough filter capacitor having a first set of electrode plates conductively coupled to the terminal pin or leadwire, and a second set of electrode plates conductively coupled to a housing, ferrule or ground plane of the active implantable medical device, and a non-conductive mullion disposed relative to the terminal pin or leadwire for increasing creepage distance between the terminal pin or leadwire and another conductive element, creating a tortuous path that increases resistance to arcing/flashover.

Abstract: An operating room connector is used in conjunction with a multiple electrode SCS system which can easily detach and connect to an external trial stimulator (ETS). By connecting the electrode SCS system to a stylet handle, and then locking the stylet handle within a slot of the connector platform, a user is able to minimize the required steps in connecting the ETS to the implanted SCS lead system. The ETS can then be used to readjust the position of the electrode array(s) previously implanted to deliver an optimal stimulation therapy.

Abstract: A medical device includes a pulse generator and an electrode configured to contact tissue in a body vessel. The medical device includes a lead that includes a lead connector. The lead connector connects a pulse generator with an electrode via a conductive path. An electrode switch is electrically connected between the lead conductor and the electrode. The electrode switch includes an open state preventing the conductive path between the lead and the electrode. The electrode switch includes a closed state establishing the conductive path between the lead and the electrode when a voltage is applied across the electrode switch that exceeds a threshold voltage. The electrode switch in the open state electrically shields the electrode from electromagnetic radiation and induced voltages during magnetic resonance imaging.

Abstract: A connector and adapter engage leads with each other or with an implantable medical device when a wedge is removed from the spring-loaded connector or adapter assembly, thereby permitting the connector or adapter to compress around the lead connector. The connector and adapter assembly may include a body with at least one lumen, at least one contact exposed within the at least one lumen of the body, at least one wire electrically connected to the at least one contact, at least one clamp ring capable of compressing around the body, and at least one wedge or similar tool capable of opening and closing the at least one clamp ring.

Abstract: A method for coupling a capacitor to a feedthrough assembly that includes a ferrule and a terminal pin therethrough is provided. The method comprises dispensing an epoxy onto an outer surface of the feedthrough assembly. A capacitor, which has an opening therethrough for receiving the terminal pin and cooperates therewith to form a cavity, is placed over the ferrule to contact the epoxy. A weight is placed on the capacitor to position it with respect to the terminal pin, and the epoxy is cured.

Abstract: IPG connector headers for implantable medical devices are provided. In one embodiment of the invention, an IPG connector header having a header bore for receiving and making electrical connection to a lead connector assembly of an implantable medical device comprises a non-conductive header base and a plurality of electrically conductive header connector elements disposed within the header base. A plurality of electrically insulative fluid seals are interposed between the header connector elements. Each fluid seal has a fluid seal bore and is formed from an elastomeric material and an additive. The additive is formulated to reduce the frictional forces required to insert the lead connector assembly through the fluid seal bores of the fluid seals.

Abstract: A contact configuration for producing an electrical connection between a plug and a socket, preferably for connecting an electrode to an electronic implantable device (such as a pacemaker), has a contact section on the plug and/or the socket. The contact section includes metallic conductive fibers which project between the plug and socket when the socket receives the plug. The contact configuration has a high degree of redundancy in providing electrical communication between the socket and plug, and high contact stability under mechanical load. In addition, friction corrosion is avoided.

Abstract: An implantable medical device includes a sealed casing enclosing electronic circuitry and a plurality of electrical terminals connected to the electronic circuitry and projecting out of a mounting surface. A header has an undersurface for mounting engagement on the mounting surface of the casing and first and second oppositely directed elongated receptacles, the first receptacle being positioned proximate the electrical terminals. The header also includes at least one conductive connector block having a bore aligned with each of the first and second receptacles for receiving a proximal end portion of a lead extending through the elongated receptacle and carrying at least one electrical terminal and a wire electrically connects each of the connector blocks with an associated electrical terminal, at least the wire from the connector block associated with the first receptacle being of minimal length because of its close proximity to the plurality of electrical terminals.

Abstract: A contact assembly of a medical device includes a sidewall, surrounding a bore that receives axial insertion of a medical electrical lead connector; the bore extends along a longitudinal axis of the contact assembly, and first and second contact clips are mounted on, or attached to the sidewall, such that opposing first and second legs of each clip extend into the bore of the contact assembly. The mounted contact clips may be approximately 90 degrees offset from one another about a perimeter of the bore. The mounted contact clips may form a single electrical coupling, for example, if the sidewall is conductive, or individual and separate electrical couplings, for example, if the sidewall is non-conductive. The first and second legs of each contact clip may bend into and out from the bore, such that first and second terminal ends of each clip are located outside the bore.

Abstract: Filtering assembly for a feedthrough, for implantable medical devices, having operating conductive pin(s) and a ground conductive pin. The filtering assembly has: first insulating substrate, first conductive layer accommodated at first side of first insulating substrate and second conductive layer accommodated at second side of first insulating substrate opposing first side, first conductive layer comprises a conductive ground ring accommodated that surrounds the circumference of one end of the operating conductive pins and capacitive element(s), wherein each of the capacitive element(s) provides on the first side a connection to the operating conductive pin(s) and on the second side a connection to the ground ring, wherein the ground ring is connected to the ground pin, the second conductive layer comprises a ground plane providing connection to the ground ring of the first conductive layer and a connection to the ground pin.

Abstract: Various embodiments of the present invention are directed to systems, methods and devices for cardiac applications including those relating to pacing devices. One such device is directed to a cardiac rhythm therapy (CRT) device designed for dual chamber pacing using two pacing signals each having a positive and negative component that has been modified for single chamber pacing. The device comprises a first output that connects to a pacing lead; a second output that connects to the pacing lead; a third output that connects to a reference point; and electrical circuitry connecting the second electrical connection to the first output, the third electrical connection to the second output, and the first and fourth electrical connections to the third output.

Abstract: A lead body of an implantable medical electrical lead includes a first filler and a second filler, each extending within a proximal portion thereof. The first filler may have a stiffness that is less than that of the second filler, and may surround and isolate a plurality of conductors which are coupled to a connector terminal of the lead, which connector terminal extends proximally from a proximal end of the lead body. The second filler extends along a limited length, alongside the first filler, wherein the limited length extends distally from the connector terminal; the second filler may further extend into the connector terminal.

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: A medical device known as a trial neuro stimulator with a diagnostics module to determine whether the therapy lead is operational for delivering stimulation therapy to improve operation in areas such as reliability and patient comfort is disclosed. The trial neuro stimulator is typically used to test the efficacy of neuro stimulation before implanting an implantable neuro stimulator in a patient. The trial neuro stimulator has a processor, memory, system reset, telemetry module, recharge module, power management module, power source, therapy module, therapy measurement module, and diagnostics module. The diagnostics module can be a lead sensor, a software detector using therapy lead measurements from the therapy measurement module, or, a combination of both the lead sensor and software detector to detect whether the therapy lead is operational. A method for diagnosing whether a therapy lead is operational is also disclosed.

Abstract: In fabricating a header assembly of an implantable medical device, one end of a bore contact wire attached to a connector block is keyed with one guiding channel at an upper region of a feedthru adapter and through the adapter to its undersurface. An opposite end is bent into conformance with an orientation channel on the adaptor undersurface. A tip end of a feedthru wire connected to electronic circuitry of the medical device and projecting out of a casing mounting surface is bent for alignment with the orientation channel so end portions of the feedthru wire and bore contact wire are in end to end engagement, then welded together. A plastic header is molded to encapsulate the adapter, connector block, and bore contact wire and, when solidified, has an undersurface for engagement on the casing and an elongated receptacle aligned with a connector block bore to receive the lead.

Abstract: A connector header includes a housing formed from a plastic material having a modulus of rigidity of 100 ksi or greater. The housing defines an opening for insertion of a lead. The connector header further includes a lead receptacle having an electrically conductive element. The electrically conductive element is operably couplable to a feedthrough of the implantable medical device. The lead receptacle is in communication with the opening and is disposed within the housing such that an electrical contact of the lead is electrically couplable to the conductive element of the receptacle when the lead is inserted into the receptacle.

Abstract: An apparatus for conducting electrical energy to a part of the body (e.g. the heart) and/or for providing sensor data from the body to a device suitably includes an input lead configured to electrically interface with a medical device. A switch electrically coupled to the input lead includes first and second output terminals and a switching input that is responsive to a control signal. The switch toggles electrical energy between first and second output leads in response to the control signal to provide energy to a particular location on the part of the body. The various electromechanical switches described herein may be useful in a wide variety of applications, including many applications in the medical device field. Such switches may be useful in producing Y-adapter-type lead multiplexers for implantable devices, for example, as well as in producing switchable electrode arrays, sensor leads and the like.

Abstract: A system and method for obtaining ECG signals from an ambulatory patient are disclosed herein. The system is configured to be inexpensive, small, and robust for outpatient monitoring. The system is configured to be a low power consuming device. The system provides options for a variety of settings and real-time access to the ECG signals being recorded during the recording period.

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 electrical contact for use in the header assembly of an implantable tissue stimulator includes a metal housing having a base and a sidewall where the opening in the base is adapted to receive the terminal of a medical lead therethrough. An electrical contact support member is welded to the edge of the sidewall and affixed to the support member are a plurality of spring members that are tangent to an imaginary circle whose diameter is slightly less than the outside diameter of the lead terminal contact rings. When the contacts are axially aligned in the device header, the terminal of an electrical lead may be longitudinally inserted into the header to establish electrical contact with device feedthrough wires that are joined to the electrical contacts in the header.

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 electrical contact for use in the header assembly of an implantable tissue stimulator includes a metal housing having a base and a sidewall where the opening in the base is adapted to receive the terminal of a medical lead therethrough. An electrical contact support member is welded to the edge of the sidewall and affixed to the support member are a plurality of spring members that are tangent to an imaginary circle whose diameter is slightly less than the outside diameter of the lead terminal contact rings. When the contacts are axially aligned in the device header, the terminal of an electrical lead may be longitudinally inserted into the header to establish electrical contact with device feedthrough wires that are joined to the electrical contacts in the header.

Abstract: In one embodiment, a pulse generator for generating electrical stimulation for delivery to a patient, comprises: a hermetically sealed housing containing pulse generating circuitry; a header coupled to the housing for receiving one or more stimulation leads, wherein feedthrough wires are provided to conduct electrical pulses from the pulse generating circuitry to the header; the header comprising a plurality of connectors for electrically connecting to each terminal of the one or more stimulation leads, wherein an inductive winding is disposed around or adjacent to each of the connector structures and is electrically connected between the respective connector structure and a corresponding feedthrough wire to limit MRI induced heating of a respective electrode of the one or more stimulation leads.

Abstract: A medical device lead is presented. The medical device lead includes a lead body, an electrode shaft, and a tip electrode. A magnetostrictive element is coupled to the electrode shaft. The magnetostrictive element comprises either terfenol-D and/or galfenol or any material with sufficient magnetostrictive properties. The magnetostrictive element expands when exposed to magnetic resonance imaging.

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 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: Included herein, amongst other things, is a stimulation lead adapter. The stimulation lead adapter can include a stimulation lead socket configured to electrically engage and retain the proximal end of a stimulation lead. The stimulation lead adapter can also include an adapter plug configured to electrically engage a stimulation lead port of an implantable medical device. The stimulation lead adapter can also include a connector configured to provide electrical communication between the stimulation lead socket and the adapter plug. In an embodiment, the invention includes an implantable cardiac rhythm management device configured to perform at least one pacing system analyzer function. In an embodiment, the invention includes a programmer system for an implantable medical device, the programmer system configured to display pacing system analyzer function data within a single tabbed window of a graphical user interface. Other aspects and embodiments are also provided herein.

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: An implantable stimulator that includes a housing, a first plastic component, and a second plastic component, where the first and second plastic components form a polymer-polymer interface. A light absorbing metal layer is disposed over at least a portion of the interface and an electronic subassembly is disposed within the housing. The first and second plastic components can be welded together by irradiating the light absorbing metal layer which converts the light to heat.

Abstract: For attaching a cardiac stimulator lead at a desired position inside a heart, the stimulator lead having a flexible tube from which a helix is extendible at a distal end thereof by a screw rotating motion and having a proximal end interconnected with an operating member, a tool has a flexible portion wire with an engagement formation at a distal end thereof that mates with a complimentary engagement formation at a proximal end of the operating member. The tool has a handle containing an internal cavity, with a proximal portion of the torsion wire being rotationally rotated by the handle in the internal cavity, and a resilient yoke is formed in the internal cavity, with at least a part of the yoke engaging grooves and ridges in a circumferential boundary surface of the internal cavity.

Abstract: An implantable cardiac lead includes an elongated lead body having opposed proximal and distal end portions, and a fluid delivery lumen extending therethrough. A connector assembly is operatively associated with the proximal end portion of the lead body. The connector assembly has a threaded engagement stem depending therefrom, and the lead includes a ported connector fitting having a body with a threaded engagement bore for threadably engaging the engagement stem. The body of the fitting has at least one passageway extending therethrough for communicating with the fluid delivery lumen of the lead body.

Abstract: An implantable active medical device is disclosed and includes a hermetically sealed housing defining a sealed housing interior, a power source and electronics in electrical communication and disposed within the sealed housing interior, and a lead connector projecting into the sealed housing interior. The lead connector includes a closed end, an open end, an outer surface, and an inner surface defining a lead aperture. The lead connector includes one or more electrically conducting contact rings spaced apart by electrically insulating rings. The one or more electrically conducting contact rings are in electrical communication with the electronics and the lead connector provides a hermetic seal between the lead connector outer surface and the lead connector inner surface.