Abstract: A wireless charging apparatus and a wireless charging system using the same are provided. The wireless charging apparatus includes a sensing resonator that senses for an external device; a transmission resonator that transmits energy to the external device by magnetic resonance; and a transmission circuit that controls the transmission resonator in accordance with an output of the sensing resonator.

Abstract: The invention provides a sensor for measuring both impedance and ECG waveforms that is configured to be worn around a patient's neck. The sensor features 1) an ECG system that includes an analog ECG circuit, in electrical contact with at least two ECG electrodes, that generates an analog ECG waveform; and 2) an impedance system that includes an analog impedance circuit, in electrical contact with at least two (and typically four) impedance electrodes, that generates an analog impedance waveform. Also included in the neck-worn system are a digital processing system featuring a microprocessor, and an analog-to-digital converter. During a measurement, the digital processing system receives and processes the analog ECG and impedance waveforms to measure physiological information from the patient. Finally, a cable that drapes around the patient's neck connects the ECG system, impedance system, and digital processing system.

Abstract: This disclosure describes generation of electrical stimulation pulses for electrical stimulation therapy. The stimulation pulses have a pulse current level and pulse width, and may be generated by a current regulator. The pulse voltage level may be a voltage level delivered by the current regulator while maintaining regulation of the pulse current level. During delivery of a pulse, a supply voltage level may decrease due to discharging of a supply capacitance, and the pulse voltage level may increase due to charging of a load capacitance. The pulse current level may be controlled to decrease during the pulse width such that a sum of the pulse voltage level and a headroom voltage of the current regulator does not exceed the supply voltage level. In some examples, the pulse may include sub-pulses with different sub-pulse current levels, where an earlier sub-pulse has a higher pulse current level than a later sub-pulse.

Abstract: A language controller (20) is described which can be installed on the front face of an automated external defibrillator (AED) in order to establish the language of the AED user interface. The language controller is in the form of a labeled plaque (210) which informs the user which language is currently in use. The plaque may also contain a button (222) which enables toggling from one language to another. Memory may also reside in the plaque to provide language data to the AED.

Abstract: Methods and apparatus are provided for determining a defibrillation treatment protocol in an external defibrillator whereby a user may override a CPR-first default protocol. The method includes following steps configured in a defibrillator controller of issuing an inquiry; waiting for a response to the inquiry for a set time; ordering a CPR treatment protocol if no response is received within the set time; analyzing a response; ordering a CPR treatment protocol upon receiving a non-affirmative response to the inquiry; and ordering a shock treatment protocol upon receiving an affirmative response to the inquiry. Upon selecting a shock treatment protocol, the defibrillator performs a shock analysis under the shock treatment protocol, and either orders a CPR treatment protocol if shock treatment is not indicated by the shock analysis or provides a defibrillation shock if shock treatment is indicated by the shock analysis. Queries may be presented to a user in visual, audible, or both visual and audible format.

Abstract: A method includes making a device capable of administering an electrical shock to a patient and operable with a smartphone. The steps include providing a case; providing an automated external defibrillator fitting within the case; providing a case input/output port to the automated external defibrillator that mates with a corresponding smartphone input/output port; and providing foldable pads fitting within the case. Each foldable pad has electrodes that are electrically connectable to the automated external defibrillator. Each foldable pad is unfolded to expose a surface of each electrode to be placed in contact with the skin of the patient. Additional steps may include providing on non-volatile memory a combined operating system for both a smartphone and the automated external defibrillator such that the combined operating system auto loads upon starting the device after connection of the smartphone to the case input/output port.

Abstract: Methods of cardiac rhythm analysis in an implantable cardiac stimulus device, and devices configured for such methods. In an illustrative embodiment, certain data relating to cardiac event rate or amplitude is modified following delivery of a cardiac stimulus. In another embodiment, cardiac rhythm analysis is performed using one of plural states, with the plural states using different criteria, such as a detection threshold, to detect cardiac events in a sensed signal. Following delivery of a cardiac stimulus, data is manipulated to force the analysis into one of the states, where stimulus is delivered, in the illustrative embodiment, only after a different state is invoked. Implantable devices incorporating operational circuitry for performing such methods are also included in other illustrative embodiments.

Abstract: A computer-implemented method for providing summary information for lifesaving activities is disclosed. The method involves sensing one or more activities that are repeatedly and cyclically performed on a victim by a rescuer; identifying a cyclical timing interval over which performance is to be analyzed for a integer number of cycles of the one or more activities, and gathering data from the sensing of the one or more activities during the time interval; generating, from analysis of the one or more activities, summary data that condenses data sensed for the one or more activities into a summary of the one or more activities; and providing, for display to a user, a visual summary of the performance of the one or more activities over the identified time interval.

Abstract: A defibrillator (1) comprising electrodes (3), a connection (5) for electrically connecting the electrodes together, a defibrillation circuit (9) connected to the electrodes, and an electrode test system (7), comprising a test initiation device operable to generate a test initiating signal, a test signal generator (15) operable to generate a dc voltage test signal, a test signal switch (17) connected to the electrodes and, on receipt of the test initiating signal, operable to connect the electrodes to the test signal generator for passing the dc voltage test signal to the electrodes, and a test processing device (19) connected to the test signal switch to receive a dc voltage electrode return signal and process the electrode return signal to determine a pass test result or a fail test result for the electrodes.

Abstract: Systems and methods for transferring medical information from a first medical monitoring device to a second device are provided. Medical information from the first medical monitoring device is encoded as an ECG waveform and the ECG waveform having the encoded medical information is provided to the second device as an input ECG waveform.

Abstract: For terminating a high frequency arrhythmic electric state of a heart an electric signal representative of the present electric state of the heart is obtained. From the electric signal a dominant frequency of the present electric state is determined, and from the dominant frequency it is determined whether the present electric state of the heart is a high frequency arrhythmic electric state displaying at least one rotating wave. Further, a dominance level indicative of how dominant the dominant frequency is in the high frequency arrhythmic electric state is determined from the electric signal. Depending on the at least one dominant frequency, at least one series of electric pulses at intervals is generated. The electric pulses are applied to the heart starting at a point in time at which the dominance level exceeds a predefined threshold value for the heart being in a determined high frequency arrhythmic electric state.

Abstract: To provide a fibrillation detector and a defibrillator that are capable of correctly detecting within a short time a ventricular fibrillation (VF) that shows an irregular amplitude or shape, an R-wave detection unit R_DETECT_MEAN converts power of a frequency component making up an R wave of an electrocardio signal ECG into an approximately DC component, and outputs the converted power as R-wave power V_R. A T-wave detection unit T_DETECT_MEAN converts power of a frequency component making up a T wave of the electrocardio signal ECG into an approximately DC component, and outputs the converted power as T-wave power V_T. The R-wave power V_R and the T-wave power V_T are input to a comparison unit CMP, and the comparison unit CMP outputs a magnitude comparison result between the R-wave power V_R and the T-wave power V_T as a comparison signal sig_comp.

Abstract: An energy accumulator arrangement for an electromedical implant includes a battery, a capacitor, and a charging device which is designed to supply an electric charge from the battery to the capacitor according to a charging program. A maintenance system for maintaining the energy accumulator arrangement includes a monitoring device contained in the implant which captures a physical parameter value of the energy accumulator arrangement; an evaluation unit for evaluating the captured physical parameter value and generating a resulting evaluation result signal; a transceiver contained in the implant which sends the captured physical parameter value to the evaluation unit, and receive the evaluation result signal generated by the evaluation unit; and additionally a control unit contained in the implant which controls the charging device and the monitoring device, and adapts the charging program as a function of the evaluation result signal.

Abstract: An apparatus includes a monocular display with a wireless communications interface, a user input device, a transmitter, receiver and a controller. The controller is configured to control the transmitter for sending and receiving control signals to and from an external device via the wireless interface. The monocular display is positioned relative to the user's dominant eye to display images to the user while occluding less than half of the user's maximum viewing space, while enabling the user to send and receive audible information or music.

Abstract: A method for managing care of a person receiving emergency cardiac is disclosed and involves monitoring, with an external defibrillator, multiple parameters of the person receiving emergency cardiac assistance; determining from at least one of the parameters, an indication of trans-thoracic impedance of the person receiving emergency cardiac care; determining, from at least one of the parameters corresponding to an electrocardiogram of the person receiving emergency cardiac assistance, an initial indication of likely shock effectiveness; determining, as a function of at least the indication of trans-thoracic impedance and the initial indication of likely shock effectiveness, an indication of whether a shock provided to the person receiving emergency medical assistance will be effective; and affecting control of the defibrillator by a caregiver as a result of determining the indication of whether a shock will be effective.

Abstract: Recent advancements in power electronics technology have provided opportunities for enhancements to implantable medical device circuits. The enhancements have contributed to increasing circuit miniaturization and increased efficiency in the operation of the implantable medical devices. Stimulation therapy waveforms generated by the circuits include a stepped leading-edge that may be shaped having a varying slope and varying amplitudes associated with each of the segments of the slope. A charging circuit having a single primary transformer winding and a single secondary transformer winding that is coupled to a plurality of capacitors is utilized to generate the therapy stimulation waveforms. The stimulation waveform of the present disclosure may be dynamically shaped as a function of an individual patient's response.

Abstract: A notebook, laptop computer, tablet PC (personal computer) or desktop computer having an automated external defibrillator (AED) capability, and methods of utilizing the notebook, laptop computer or tablet PC (personal computer) defibrillator to treat victims of sudden cardiac arrest. A notebook, laptop computer or tablet PC (personal computer) having the technology to enable each to be used as an automated external defibrillator (AED). Methods and apparatuses for implementing the common notebook, laptop computer, tablet PC, common cell phone and the common personal digital assistant (PDA) as an automated external defibrillator (AED).

Abstract: A notebook, laptop computer or tablet computer having an automated external defibrillator (AED) capability, and methods of utilizing the notebook, laptop computer or tablet computer defibrillator to treat victims of sudden cardiac arrest. Kits and methods for converting, adapting or retrofitting a common notebook, laptop computer and tablet computer to enable each to be used as an AED to treat victims of sudden cardiac arrest. A kit including an adjustable case for receiving, encompassing, adapting and converting a common notebook, laptop computer or tablet computer to enable each to be used as an AED. A kit including a slave automated external defibrillator (AED) that is joined to a common notebook, laptop computer or tablet computer to adapt, convert and enable each to be used as an AED.

Abstract: This disclosure describes techniques for generating stimulation current pulses that have differing pulse shapes in a medical device. A circuit architecture is described that is configured to charge a capacitor to an initial amount of charge, modulate the amount of charge stored in the capacitor based on a control signal, and generate a stimulation current pulse that has an amplitude based on the amount charge stored in the capacitor. The circuit architecture may be configured to generate complex pulse shapes, such as, e.g., steps, ramps, bursts, and combinations thereof.

Abstract: The present specification discloses systems and methods for patient monitoring using a multitude of display regions, at least two of which have the capability to simultaneously display real time patient waveforms and vital statistics as well as provide display for local and remote software applications. In one example, a primary display shows real time patient waveforms and vital statistics while a customizable secondary display shows trends, cumulative data, laboratory and radiology reports, protocols, and similar clinical information. Additionally, the secondary display can launch local and remote applications such as entertainment software, Internet and email programs, patient education software, and video conferencing applications. The dual display allows caregivers to simultaneously view real time patient vitals and aggregated data or therapy protocols, thereby increasing hospital personnel efficiency and improving treatment, while not compromising the display of critical alarms or other data.

Abstract: Aspects of the invention are directed to advanced monitoring and control of medium voltage therapy (MVT) in implantable and external devices. Apparatus and methods are disclosed that facilitate dynamic adjustment of MVT parameter values in response to new and changing circumstances such as the patient's condition before, during, and after administration of MVT. Administration of MVT is automatically and dynamically adjusted to achieve specific treatment or life-support objectives, such as prolongation of the body's ability to endure and respond to MVT, specifically addressing the type of arrhythmia or other pathologic state of the patient with targeted treatment, a tiered-intensity MVT treatment strategy, and supporting patients in non life-critical conditions where the heart may nevertheless benefit from a certain level of assistance.

Abstract: Methods and systems for securing remotely-operable devices are provided. A security device can receive a plurality of commands to control a remotely-operable device in a remote environment. At least one command in the plurality of commands can include command data that is related to the remotely-operable device. The security device can receive a plurality of responses to the plurality of commands. The security device can process the plurality of commands and the plurality of responses to determine a signature related to an operator that issued the plurality of commands for the remotely-operable device. The security device can determine an identity of the operator based on the signature. The security device can generate an identity report that includes the identity of the operator.

Abstract: A defibrillation system includes an electrode set to contact a biological subject, and a portable electronic device supporting mobile wireless communications and coupled to the electrode set. The portable electronic device includes a processor and a memory unit. The memory unit stores program instructions which, when executed by the processor, enables the processor to obtain an electro-cardiac signal of the biological subject through the electrode set, and output a discharge command according to the electro-cardiac signal for delivering an electrical shock to the biological subject through the electrode set.

Abstract: An external medical device can include a housing, an energy storage module within the housing for storing an electrical charge, and a defibrillation port for guiding via electrodes the stored electrical charge to a person. The device can also include a user interface to deliver prompts to a user during a defibrillation session and a language detector in the housing to determine a vicinity language. The prompts can be in a language that is selected based on the determined vicinity language.

Abstract: An automated external defibrillator (AED) and methods for reducing the delay between termination of cardiopulmonary resuscitation (CPR) and administration of a defibrillating shock, among other disclosed apparatus and methods. In one embodiment, the AED includes an ECG sensor that obtains an ECG signal corresponding to patient heart activity and a prompting device that provides instructions regarding cardiopulmonary resuscitation. The AED also has a control system including a microprocessor programmed to run two rhythm analysis algorithms after instructions to terminate CPR. The two rhythm analysis algorithms analyze segments of the ECG signal for recognizing the presence of a shockable rhythm, with one algorithm having a delayed start relative to the other algorithm. The AED additionally includes a therapy generation circuit for treating the shockable rhythm with a defibrillation pulse in response to the control system determining the presence of a shockable rhythm.

Abstract: The present disclosure provides a system for tracking and recording movements of a mobile communication device that includes one or more movement sensors. The mobile communication device communicates sensor signals to the system, wherein the sensor signals are indicative of motion associated with activities to which the mobile communication device is exposed by its user. The sensor signals are pre-classified to generate the intermediate data, where the intermediate data is processed in one or more processors to generate indications of likely activities associated with the sensor signals, and an aggregate of the indications is computed to provide an analysis of activities associated with the sensor signals. The information indicating most likely activity types is then sent to the mobile communication device.

Abstract: Systems and techniques for configuring Automated External Defibrillators are described herein. In certain embodiments, a defibrillator may include a memory configured to store a protocol comprising multiple configurations. The defibrillator may also include a computing device configured to send, to a remote database that includes records associated with automated external defibrillator protocols, a request for available protocols for configuring the automated external defibrillator, receive information about one or more available protocols, send, to the remote database, a request to download a particular one of the available protocols, receive from the remote database, configuration information to automatically configure the automated external defibrillator based on the selected protocol, store the received protocol in the memory, and/or configure the automated external defibrillator to operate according to the protocol stored in the memory.

Abstract: A device and method for reducing patient transthoracic impedance for the purpose of delivering a therapeutic current are provided. In one embodiment, the device for reducing patient transthoracic impedance for the purpose of delivering a therapeutic current may be used in a defibrillator. The device for reducing patient transthoracic impedance for the purpose of delivering a therapeutic current may be a microneedle array that may have a number of different configurations and may be made with different materials.

Abstract: An implantable electroacupuncture device (IEAD) treats a disease or medical condition of a patient through application of stimulation pulses applied at a specified acupoint or other target tissue location. In a preferred implementation, the IEAD is an implantable, coin-sized, self-contained, leadless electroacupuncture device having at least two electrodes attached to an outside surface of its housing. The device generates stimulation pulses in accordance with a specified stimulation regimen. Power management circuitry within the device allows a primary battery, having a high internal impedance, to be used to power the device. The stimulation regimen generates stimulation pulses during a stimulation session of duration T3 minutes applied every T4 minutes. The duty cycle, or ratio T3/T4, is very low, no greater than 0.05. The low duty cycle and careful power management allow the IEAD to perform its intended function for several years.

Abstract: The present disclosure provides systems and methods for neurostimulation. The system includes an electrode assembly for a paddle lead. The electrode assembly includes a wire wound around a bobbin to form an inductor. The wire is coupled to an input contact plate and an output contact plate. The bobbin is inserted into an aperture defined through an electrode, such that the inductor is substantially surrounded by the electrode.

Abstract: A wearable defibrillation system can establish a local comlink with a mobile communication device, such as a smartphone, tablet-type computer and the like. The mobile communication device can in turn establish a remote comlink with other devices in a network such as the internet. Accordingly, communication tasks relating to the wearable defibrillation system can be performed via the local and the remote comlinks, with or without the participation of the patient, who is wearing the system. The wearer can thus use the familiar interface of a mobile communication device for interacting with his defibrillator system. Moreover, he can do so while keeping on his regular clothes, which could conceal completely the wearable defibrillator system. The patient can thus preserve his dignity and privacy.

Abstract: An AED unit which is operable to selectively execute either an adult rescue protocol or a pediatric rescue protocol is causes to execute the pediatric rescue protocol by inserting a key-like device into a slot of the AED unit. A sensor inside the case of the AED unit senses the presence of the device in the slot and responds by executing the pediatric rescue protocol. In an illustrated embodiment the AED unit includes a lighting mechanism which is used to light an illustration showing the proper placement of electrode pads on an adult patient. The key-like device includes an illustration showing the proper placement of electrode pads on a pediatric patient which obscures the adult illustration when the device is inserted in the AED unit. The key-like device is configured to make use of the same AED unit lighting mechanism to light the pediatric pad placement illustration.

Abstract: One aspect relates to a method for connecting a housing of an active implantable medical device to a head part, whereby an uncured joining agent that is arranged, at least in part, between the housing and the head part is transitioned into a cured joining agent to attain a firmly bonded connection. In one embodiment, the uncured joining agent includes monomers of a (meth)acrylic acid alkyl ester, and the cured joining agent includes at least one polymer of the (meth)acrylic acid alkyl ester.

Abstract: A method for extinguishing a cardiac arrhythmia utilizes destructive interference of the passing of the reentry wave tip of an anatomical reentry through a depolarized region created by a relatively low voltage electric field in such a way as to effectively unpin the anatomical reentry. Preferably, the relatively low voltage electric field is defined by at least one unpinning shock(s) that are lower than an expected lower limit of vulnerability as established, for example, by a defibrillation threshold test. By understanding the physics of the electric field distribution between cardiac cells, the method permits the delivery of an electric field sufficient to unpin the core of the anatomical reentry, whether the precise or estimated location of the reentry is known or unknown and without the risk of inducting ventricular fibrillation. A number of embodiments for performing the method are disclosed.

Abstract: The disclosure describes circuits for providing therapy in an implantable medical device. The illustrative circuits include features that provide fault tolerance with graceful degradation as well as switching control methods that reduce component count and improves reliability.

Abstract: A system can include a container that includes a cabinet capable of attenuating or blocking wireless signals, an AED located within the cabinet, an internal patch antenna removably mounted to an internal surface of the cabinet, an external patch antenna removably mounted to an external surface of the cabinet, and an electrical connection between the internal patch antenna and the external patch antenna. The internal and external patch antennas can be configured to transmit wireless signals at a particular frequency and to receive wireless signals at the particular frequency. The system can be configured such that the internal patch antenna is operative to receive a first wireless signal from the AED, a first electrical signal based on the first wireless signal is provided via the electrical connection to the external patch antenna, and a second wireless signal based on the first electrical signal is radiated by the external patch antenna.

Abstract: Devices, systems, and methods for treating a heart of a patient may make use of structures which limit a size of a chamber of the heart, such as by deploying a tensile member to bring a wall of the heart toward (optionally into contact with) a septum of the heart. The implant may include an electrode or other structure for applying pacing signals to one or both ventricles of the heart, for defibrillating the heart, for sensing beating of the heart or the like. A wireless telemetry and control system may allowing the implant to treat congestive heart failure, monitor the results of the treatment, and apply appropriate electrical stimulation.

Abstract: A disclosed telemetry system comprises an Nth number of telemetry devices and an equal number of standard disposable circular electrode patches. A body of each telemetry device in the system includes a female snap receptor configured to attach to a single male snap post of an electrode patch. A wireless transmitter module is disposed immediately around and in direct connection with each female snap receptor. Each wireless transmitter module transmits a signal from the respective female snap receptor to a receiver. A wireless receiver module is configured to receive and to process an Nth number of transmitted signals from the Nth number of telemetry devices into an Nth?1 number of signals where the number of signals is greater than zero. There are Nth?1 number of signals because at least one of the Nth telemetry devices is configured as a ground reference for the rest of the Nth telemetry devices.

Abstract: Methods and devices for cardiac signal analysis in implantable cardiac therapy systems. Several signal processing and/or conditioning methods are shown including R-wave detection embodiments including the use of thresholds related to previous peak amplitudes. Also, some embodiments include sample thresholding to remove extraneous data from sampled signals. Some embodiments include weighting certain samples more heavily than other samples within a sampled cardiac signal for analysis.

Abstract: A defibrillator including the function for measuring motion artifact generated when pressing the heart, and method of operating the defibrillator are provided. The defibrillator includes: a first pair of electrodes including a first main electrode and a first sub-electrode arranged adjacent to and insulated from the first main electrode; a second pair of electrodes including a second main electrode and a second sub electrode arranged adjacent to and insulated from the second main electrode; a first measuring unit measuring a first action potential associated with the first pair of electrodes by using the potential difference between the first pair of electrodes; a second measuring unit measuring a second action potential associated with the second pair of electrodes by using the potential difference between the second pair of electrodes; and an estimating unit estimating ECG artifacts associated with the difference between the first action potential and the second action potential.

Abstract: A method, device and/or a system of centralized management and emergency allocation of deployed defibrillators each having associated communication modules. A central server may process a message from a communication module associated with a defibrillator, and then analyze a photograph and/or a video of a defibrillator display to compare it to a set of expected visual markers using a pixel algorithm of a pixel analysis module. The central server may then determine the operational status of the defibrillator such as whether it is in a nonfunctional status. The central server may then send alerts to the communication module and notifications to the an organization owning or leasing the defibrillator. The central server may also send alerts to the communication module based on a nearby emergency call, provide geospatial mapping of defibrillators to improve deployment efficiency and/or establish bi-directional communication between the operator of the defibrillator and a medical professional.

Abstract: External cardiac defibrillators that include automatic or semi-automatic self-contained defibrillators to be used by non-health professionals (physicians, nurses and other specifically trained persons). A power subassembly in an automatic or semi-automatic cardiac defibrillator system which, associated with a computer device, is capable of diagnosing a patient's condition by performing a simplified electrocardiogram, transmitting the data to the electronic device and supplying, controlled by this device, electric shocks to the patient, and also providing or contributing to further ancillary defibrillation functions.

Abstract: Recent advancements in power electronics technology have provided opportunities for enhancements to circuits of implantable medical devices. The enhancements have contributed to increasing circuit miniaturization and an increased efficiency in the operation of the implantable medical devices. The therapy delivery circuits and techniques of the disclosure facilitate generation of a therapy stimulation waveform that may be shaped based on the patient's physiological response to the stimulation waveform. The generated therapy stimulation waveforms include a stepped leading-edge that may be shaped having a varying slope and varying amplitudes associated with each of the segments of the slope. Unlike the truncated exponential waveform delivered by the conventional therapy delivery circuit which is based on the behavior of the output capacitors (i.e., i=C(dV/dt)), the stimulation waveform of the present disclosure may be dynamically shaped as a function of an individual patient's response.

Abstract: Various aspects relate to a device which, in various embodiments, comprises a header, a neural stimulator, a detector and a controller. The header includes at least one port to connect to at least one lead, and includes first and second channels for use to provide neural stimulation to first and second neural stimulation sites for a heart. The controller is connected to the detector and the neural stimulator to selectively deliver a therapy based on the feedback signal. A first therapy signal is delivered to the first neural stimulation site to selectively control contractility and a second therapy signal is delivered to the second neural stimulation site to selectively control one of a sinus rate and an AV conduction. Other aspects and embodiments are provided herein.

Abstract: An apparatus comprises an external device for communication with an implantable device. The external device includes a communication circuit configured to receive a communication signal from at least a third device separate from the external device and the implantable device, a locating circuit configured to determine a location of the external device using the received communication signal, a port configured to receive user identity information into the external device, and a control circuit electrically coupled to the communication circuit, the locating circuit, and the port. The control circuit is configured to allow user access to an implantable device feature according to the determined location and received user identity information.

Abstract: An implantable device includes at least one solid structure having an external surface and a volume beneath the surface. One or more of a first conductor or set of conductors is disposed externally and/or internally on or within the structure and an array of elongate electrically conductive elements are disposed radially outwardly within the volume. A breach is detected when a conductive fluid intrudes into the volume through the surface.

Abstract: A hermetically sealed capacitor and method of manufacturing are provided. The hermatically sealed capacitor includes an anode element having an anode wire and a feed through barrell, a cathode element, a first case portion having a first opening portion and a second case portion having a second opening portion. The first and second opening portions form an opening configured to mate with the feed through barrel. The first opening portion may include a slot portion configured to receive the feed through barrel. The hermatically sealed capacitor may also include electrolytic solution disposed between the first and second case portions.

Abstract: An implantable cardiac stimulator includes at least one first sensing unit for detecting intrinsic cardiac activities of a first ventricle, at least one ventricular stimulation unit for stimulating a second ventricle, and a stimulation control unit connected to the first sensing unit. The stimulation unit processed output signals of the first sensing unit and generates control signals for the stimulation units. The stimulation control unit derives a current intrinsic RR interval from detected ventricular intrinsic cardiac activities R of the first ventricle, and to determine from the RR interval a delay interval ?, which begins with a ventricular event of the first ventricle and at the end of which the stimulation control unit triggers a stimulation of the second ventricle (unless it is suppressed).

Abstract: A tissue stimulator including a sensing unit, wherein the sensing unit includes an A/D converter that samples an analog signal using a sampling clock and converts the analog signal into a digital signal. The tissue stimulator includes a digital filter with an input, wherein the input is connected to an output of the A/D converter. Using a filter clock, the digital filter filters the digital signal, and wherein the filter clock is a multiple of the sampling clock for a specific period of time T.

Abstract: The present invention includes a method for cardiac defibrillation, especially low-voltage defibrillation, in a subject, including converting fibrillation into tachycardia and using feedback or an estimation thereof from the heart to time stimuli to occur when large amounts of tissue are excitable in the heart of the subject. The resultant tachycardia can then be terminated using a tachycardia termination protocol known to or conceivable by one of skill in the art. The method can be implemented using a currently available defibrillator or an internal cardioverter-defibrillator (ICD) configured to apply a lower voltage shock, such as a far-field stimulation. A device designed especially for the method or another device employing this method can also be used. Because the proposed defibrillation method requires less energy than current approaches using single biphasic stimulus, defibrillator battery life is improvable or battery size decreasable.