Abstract: Electrical energy is transcutaneously transmitted at a plurality of different frequencies to an implanted medical device. The magnitude of the transmitted electrical energy respectively measured at the plurality of frequencies. One of the frequencies is selected based on the measured magnitude of the electrical energy (e.g., the frequency at which the measured magnitude of the electrical energy is the greatest). A depth level at which the medical device is implanted within the patient is determined based on the selected frequency. For example, the depth level may be determined to be relatively shallow if the selected frequency is relatively high, and relatively deep if the selected frequency is relative low. A charge strength threshold at which a charge strength indicator generates a user-discernible signal can then be set based on the determined depth level.

Abstract: A stimulation device and method for treating cardiovascular disease in a human or an animal is provided, the method including placing a magnetic pulse application unit including a coil on a skin surface of a region of the human or the animal, and generating magnetic pulses around the coil, wherein the magnetic pulses induce currents in tissues in the region to stimulate a vagus nerve. The region may be a neck region or a chest region.

Abstract: Improved devices and methods for tracking power consumption and available charge in a transcutaneous energy transfer (TET) system are provided. The method includes measuring the available charge in a battery and the current rate of power consumption in an implanted medical device, determining the remaining time before the charge level of the battery reaches a predetermined threshold level, and communicating the remaining time to a user.

Abstract: Techniques adapted for use with recharging a rechargeable power source of an implantable device. One aspect relates to providing a flexible primary coil that can be transcutaneously coupled to a secondary coil of the implantable device. Multiple adjacent turns of the coil are grouped via lacing to form bundles. The bundles have at least one dimension that is selected to be a same size as a predetermined thickness of the coil. In one embodiment, the dimension is a diameter of the bundle. In another embodiment, the dimension is at least one of a length or width of the bundle. Insulating overmolding may be provided over the coil. In one embodiment, the resulting antenna structure is bidirectional such that substantially the same performance characteristics are obtained during recharge regardless of which of two major surfaces of the antenna is placed in proximity to the patient.

Abstract: A system and method for using statistical analysis of information obtained during a rechargeable battery charging session, wherein the method is for optimizing one or more parameters that are used for controlling the charging of a rechargeable battery during the charging session.

Abstract: One aspect of the present disclosure relates to a system that can remove contaminating noise (e.g., direct current (DC) contamination or high frequency contamination) from an electric waveform. The system can include a passive filter that includes at least a secondary-side-open-transformer-inductor (SOTI). The SOTI can include a first coil inductively coupled to a second coil. The first coil of the SOTI can receive the electric waveform contaminated with the noise and output the electric waveform. The second coil of the SOTI can provide an impedance that facilitates removal of the noise from the electric waveform.

Abstract: An intra cardiac device transforms kinetic energy from heart tissue movement into electrical energy to power the device and provide information in respect of heart function. A system comprising such an intra cardiac device may communicate wirelessly with at least one receiver outside the body and may be used for conveniently monitoring or stimulating a patient's heart.

Abstract: A facility is provided for the wireless resonant charging of rechargeable hearing instruments. The hearing instrument is freely positionable in a charging device for charging purposes. The charging device for the wireless charging has a transmit antenna arrangement, a transmit amplifier for actuating the transmit antenna arrangement and a charging space. The transmit antenna arrangement has two feeding points, which are spatially arranged in relation to the charging space such that a circularly polarized electromagnetic field can thus be generated in the charging space. The transmit amplifier actuates the antennas accordingly to generate a circularly polarized electromagnetic field in the charging space. In the process a coil arrangement generates a circularly polarized HF field. A good resonant coupling, even with a tilted hearing instrument, is possible, in other words with an undetermined and unpredictable orientation and position of the receive coil of the hearing instrument.

Abstract: A portable device is provided. The portable device includes a power receiving unit configured to receive a first energy or a second energy from a wireless power transmitter, the first energy being used to perform a communication function and a control function, the second energy being used to charge a battery, and the wireless power transmitter being configured to wirelessly transmit a power, a voltage generator configured to generate a wake-up voltage from the first energy, or to generate a voltage for charging the battery from the second energy, a controller configured to perform the communication function and the control function, the controller being activated by the wake-up voltage, and a communication unit configured to perform a communication with the wireless power transmitter based on a control of the controller.

Abstract: A system and method of controlling the charging of the battery of a medical device using a remote inductive charger, with the method utilizing both a relatively fast closed-loop charging control based on a proxy for a target power transmission value in conjunction, and a slower closed-loop control based on an actual measured transmission value to control a charging power level for charging the medical device.

Abstract: One aspect of the present disclosure relates to a system that can provide an electric waveform for neural stimulation or nerve block. The system can include a first circuit component configured to provide a self-oscillating, voltage-boosted electric waveform. In some instances, the first circuit component can provide a “pause” waveform (e.g., with a period (T) that includes a swing time (ts) in which the waveform varies in a biphasic manner and a pause time (tp) in which the waveform has a constant amplitude). The system can also include a second circuit component configured to ensure that the oscillating signal is charge-balanced across at least one period of the self-oscillating, voltage-boosted electric waveform.

Abstract: A mechanism for transferring energy from an external power source to an implantable medical device is disclosed. A sensor may be used to measure a parameter that correlates to a temperature of the system that occurs during the transcutaneous coupling of energy. For example, the sensor may measure temperature of a surface of an antenna of the external power source. The measured parameter may then be compared to a programmable limit. A control circuit such as may be provided by the external power source may then control the temperature based on the comparison. The programmable limit may be, for example, under software control so that the temperature occurring during transcutaneous coupling of energy may be modified to fit then-current circumstances.

Abstract: A system and method for transferring power includes a power transmitting unit for transmitting power and a power receiving unit for receiving power from the power transmitting unit. The power transmitting unit may be positioned outside a human body and the power receiving unit is located on an intrabody instrument adapted to be movable from the outside of the human body to inside the human body. The intrabody instrument may be a medical instrument connected to or incorporated within a robotic arm. The power transmitting unit may wirelessly transfer power to the power receiving unit in a continuous, non-interrupted manner.

Abstract: An implantable micro-miniature device is disclosed. The device comprises a thin hermetic insulating coating and at least one thin polymer or metal secondary coating over the hermetic insulating layer in order to protect the insulating layer from the erosive action of body fluids or the like. In one embodiment the insulating layer is ion beam assisted deposited (IBAD) alumina and the secondary coating is a parylene polymer. The device may be a small electronic device such as a silicon integrated circuit chip. The thickness of the insulating layer may be ten microns or less and the thickness of the secondary layer may be between about 0.1 and about 15 microns.

Abstract: A hearing instrument has a plurality of electronic components within a body, and an inertial sensor mechanically coupled with the body. The inertial sensor is configured to monitor the motion of the body and generate a movement signal representative of the body motion. A controller operatively coupled with the inertial sensor controls power usage by at least one or more of the electronic components as a function of the movement signal.

Abstract: A power charging system is provided. The power charging system may have an information processing apparatus having a first communication unit and a power receiving unit, and an external apparatus having a second communication unit and a power transmission unit. The second communication unit may be configured to wirelessly communicate with the first communication unit using a first carrier wave having a first frequency and the power transmission unit may be configured to wirelessly transmit power to the power receiving unit using a second carrier wave having a second frequency, the second frequency being different from the first frequency.

Abstract: A listening device having an ear hook adapted for carrying the device behind the ear of a user and magnetically operated compression parts including a subcutaneous part and a device part is provided, where further a vibrator is provided and adapted to vibrationally energize a skin portion through an output coupler, wherein the hook carries the weight of the listening device and the magnetic compression parts ensures compression between the output coupler and the skin portion.

Abstract: By incorporating magnetic field-inducing position determination coils (PDCs) in an external charger, it is possible to determine the position of an implantable device by actively inducing magnetic fields using the PDCs and sensing the reflected magnetic field from the implant. In one embodiment, the PDCs are driven by an AC power source with a frequency equal to the charging coil. In another embodiment, the PDCs are driven by an AC power source at a frequency different from that of the charging coil. By comparing the relative reflected magnetic field strengths at each of the PDCs, the position of the implant relative to the external charger can be determined. Audio and/or visual feedback can then be communicated to the patient to allow the patient to improve the alignment of the charger.

Abstract: An improved implantable pulse generator (IPG) containing improved telemetry circuitry is disclosed. The IPG includes charging and telemetry coils within the IPG case, which increases their mutual inductance and potential to interfere with each other; particularly problematic is interference to the telemetry coil caused by the charging coil. To combat this, improved telemetry circuitry includes decoupling circuitry for decoupling the charging coil during periods of telemetry between the IPG and an external controller. Such decoupling circuitry can comprise use of pre-existing LSK circuitry during telemetry, or new discrete circuitry dedicated to decoupling. The decoupling circuitry is designed to prevent or at least reduce induced current flowing through the charging coil during data telemetry.

Abstract: Implantable devices and related systems utilize power management features in conjunction with a recharge circuit that includes a coil and capacitance. The reactance such as the capacitance and/or inductance may be variable such that in the event of an overcharge condition, the reactance may be varied to change the resonant frequency of the circuit of the coil from the recharge frequency to another frequency to reduce the power being received. Other power management features may additionally or alternatively be employed. For instance, the device may send an uplink telemetry signal to an external device to request that recharge power be decreased. The device may switch additional resistance into the circuit of the coil to reduce the Q of the circuit. As another example, the device may clamp the circuit of the coil to ground.

Abstract: In an embodiment, a neurostimulator system includes a pulse generator module and a power source and control module. The pulse generator module includes an electrical stimulation lead and electrodes and is configured to be implanted within a body of a subject, to provide a therapy to the subject, and to receive power wirelessly from a source remote from the pulse generator module. And the power source and control module is configured to be located external to the body of the subject, to cause the pulse generator module to affect the therapy, and to provide power wirelessly to the pulse generator module.

Abstract: Devices, systems and methods are disclosed that are used to treat a medical condition, by electrical stimulation of a nerve or nerve ganglion, used in conjunction with biofeedback. The system comprises a stimulator that applies electrical impulses sufficient to modulate a nerve at a target site within the patient. A sensor measures a physiological output from the patient, such as heart rate variability, and a property of the stimulation signal is varied based on the physiological output.

Abstract: An external controller/charger system for an implantable medical device is disclosed, in which the external controller/charger system provides automatic switching between telemetry and charging without any manual intervention by the patient. The external controller/charger system includes an external controller which houses a telemetry coil and an external charging coil coupled to the external controller. Normally, a charging session is carried out using the external charging coil, and a telemetry session is carried out using the telemetry coil. However, when a patient requests to carry out telemetry during a charging session, the external charging coil is used instead of the internal telemetry coil.

Abstract: The present disclosure involves a charging system for charging an implanted medical system. The charging device includes a replenishable power supply. The charging device includes a coil assembly electrically coupled to the power supply. The coil assembly includes a primary coil and a plurality of sense coils positioned proximate to the primary coil. The charging device includes electrical circuitry operable to: measure an electrical parameter of the coil assembly; and determine a position of the coil assembly relative to a position of the implanted medical device based on the measured electrical parameter. The charging device includes a visual communications interface operable to: receive an input from the electrical circuitry; and visually display on a screen the position of the coil assembly relative to the position of the implanted medical device based on the input received from the electrical circuitry.

Abstract: Systems and devices for a high-efficiency magnetic link for implantable devices are disclosed herein. These devices can include a charging coil located in the implantable device and a charging coil located in a charge head of a charger. The charging coils can each include an elongate core and wire windings wrapped around a longitudinal axis of the elongate core. The charging coil of the charge head can be attached to a rotatable mount, which can be used to align the longitudinal axis of the charging coil of the charge head with longitudinal axis of the implantable device such that the axes of the charging coils are parallel.

Abstract: In a method and apparatus for supplying wireless energy to a medical device (100) implanted in a patient, wireless energy is transmitted from an external energy source (104) located outside a patient and is received by an internal energy receiver (102) located inside the patient, for directly or indirectly supplying received energy to the medical device. An energy balance is determined between the energy received by the internal energy receiver and the energy used for the medical device, and the transmission of wireless energy is then controlled based on the determined energy balance. The energy balance thus provides an accurate indication of the correct amount of energy needed, which is sufficient to operate the medical device properly, but without causing undue temperature rise.

Abstract: A method for powering an autonomous intracorporeal leadless capsule includes the step of receiving a slow pressure variation at an external surface of a deformable member on the capsule. The deformable member is displacing in response to the slow pressure variation. The method further includes using a high pass mechanical filter to prevent the displacement from being transferred to an energy harvesting circuit within the capsule. The method further includes receiving a fast pressure variation at the external surface of the deformable member on the capsule, the deformable member displacing in response to the fast pressure variation. The method further includes via the high pass mechanical filter, passing the displacement to the energy harvesting circuit and creating energy using the displacement provided to the energy harvesting circuit.

Abstract: A power supply arrangement for an implantable electronic system is described. An MRI power supply arrangement cooperates with an implantable power supply circuit to provide a high output impedance for implanted circuitry during magnetic resonance imaging (MRI).

Abstract: A system for providing neurostimulation includes an external device (“external exciter”) and an implanted device. The external exciter includes an energy source which inductively powers the implanted device. Examples of such external exciters include devices having at least one of: ultrasonic transducers, Radio Frequency (RF) transmitters, and solar cells. The implanted device includes circuitry that limits its maximum energy output to a predetermined saturation threshold such that excess stimulation from the external exciter does not raise the output of the implanted device beyond the saturation threshold. The output signal of the external exciter is then pulse-width modulated in order to produce a desired amount of output stimulation from the implanted device to stimulate the bioelectrically excitable tissue at a desired level.

Abstract: An implantable medical device (IMD) having a rechargeable and primary battery is disclosed, as are algorithms for automatically selecting use of these batteries at particular times. In one IMD embodiment, the primary battery acts as the main battery, and an algorithm allows the IMD to draw power from the primary battery until its voltage reaches a threshold, after which the algorithm allows the IMD to draw power from the rechargeable battery when it is sufficiently charged. In another IMD embodiment, the rechargeable battery acts as the main battery, and an algorithm allows the IMD to draw power from the rechargeable battery if it is sufficiently charged; otherwise, the algorithm allows the IMD to draw power from the primary battery. Further disclosed are techniques for telemetering data relevant to both batteries to an external device, and for allowing a patient to choose use of a particular one of the batteries.

Abstract: An external charger for an implantable medical device, comprises a housing, an alternating current (AC) coil and substrate contained within the housing, and one or more electronic components mounted to the substrate. The AC coil is configured for wirelessly transmitting magnetic charging energy to the implantable medical device. The AC coil is disposed in a first plane, with the magnetic charging energy having a field directed perpendicular to the first plane. At least a portion of the substrate has a surface extending along a second plane that is substantially perpendicular to the first plane.

Abstract: A transcutaneous energy transfer (TET) system is provided having a plurality of secondary coils adapted for disposition in a patient, at least one primary coil configured to transmit transcutaneous energy, and a controller adapted for disposition in a patient. The controller includes circuitry to isolate the secondary coils from each other and direct electric current from at least one of the secondary coils to a charge storage device and/or implantable medical device.

Abstract: The present invention provides an implantable medical device having at least two electrodes coupled to the device housing. The electrodes may be configured for sensing physiological signals such as cardiac signals and alternatively for providing an electrical stimulation therapy such as a pacing or defibrillation therapy. In accordance with aspects of the disclosure, the device housing provides a hermetic enclosure that includes a first housing section that is hermetically coupled to a second housing section. At least one of the at least two electrodes is coupled to an exterior surface of the first housing section that encloses the battery components of the device. The first housing section is electrically insulated from the cathode and anode of the battery.

Abstract: Methods and systems for controlling power output from an external power source in a transcutaneous energy transfer (TET) system are provided to prevent inadvertent energy transfer when no secondary coil is present. The system operates by transmitting power transcutaneously from an external primary coil and determining whether a response from a secondary coil implanted within a patient is detected. If no response is detected, the power output of the primary coil is decreased. The decrease in power output can be accomplished by operating the primary coil at a lower average power level, which can include variations in power level, duty cycle, etc. The system can also be configured to periodically repeat the process in order to continue searching for a coupled secondary coil.

Abstract: The energy harvester module of the capsule comprises: a primary oscillating structure subjected to an external low-frequency stress; a secondary oscillating structure comprising an elastic element and able to vibrate in high-frequency resonance; and an electrostatic structure with a first electrode coupled to the primary structure and a second electrode coupled to the secondary structure. The electrodes exert a mutual attraction between them driving the secondary structure away from its stable equilibrium position with tensioning of the elastic element, up to a limit beyond which the secondary structure is released by relaxation effect to vibrate at a resonance frequency. A transducer coupled to the secondary structure converts these high frequency vibration movements into electrical energy.

Abstract: An implantable electroacupuncture device (IEAD) treats cardiovascular disease through application of stimulation pulses applied at at least one of acupoints EX-HN1, BL14, HT7, HT5, PC6, ST36, LI11, LU7 and LU2. The IEAD comprises 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: Described here are devices, systems, and methods for treating one or more conditions (such as dry eye) or improving ocular health by providing stimulation to nasal or sinus tissue. Generally, the devices may be handheld or implantable. In some variations, the handheld devices may have a stimulator body and a stimulator probe having one or more nasal insertion prongs. When the devices and systems are used to treat dry eye, nasal or sinus tissue may be stimulated to increase tear production, reduce the symptoms of dry eye, and/or improve ocular surface health.

Abstract: A prosthesis including an external device and an implantable component. The external device includes a first inductive communication component. The implantable component includes a second inductive communication component, wherein the implantable component is configured to be implanted under skin of a recipient. The external device is configured to transmit power via magnetic induction transcutaneously to the implantable component via the second inductive communication component. The internal component is configured to receive at least a portion of the power transmitted from the external device via the inductive communication component. At least one of the first and second inductive communication components comprise an inductive communication component configured to vary its effective coil area.

Abstract: An implantable medical device having an implantable power source such as a rechargeable lithium ion battery. The implantable medical device includes a recharge module that regulates the recharging process of the implantable power source using closed-loop feedback control. The recharge module includes a recharge regulator, a recharge measurement device monitoring at least one recharge parameter, and a recharge regulation control unit for regulating the recharge energy delivered to the power source in response to the recharge measurement device. The recharge module adjusts the energy provided to the power source to ensure that the power source is being recharged under safe levels.

Abstract: A system and method are described for testing communication through a patient during implantation using telemetry coupling electrodes on a delivery catheter. In one example, at least two telemetry coupling electrodes may be placed on or within a delivery catheter to test conductive communication with external body electrodes during implantation. In some instances, the telemetry coupling electrodes of the delivery catheter may approximate the spacing of telemetry electrodes on an IMD. In this manner, testing conductively coupled communication with telemetry coupling electrodes of the catheter may be used to mimic the telemetry electrodes on the IMD and determine a target position and/or orientation of an electrode or electrodes of the IMD for successful conductive communication through the body.

Abstract: An implantable control module for an implantable electrical stimulation system includes a housing with at least a portion of the exterior forming a metallic structure and at least a portion of the interior defining a sealed compartment. The control module further includes an electronic subassembly disposed in the sealed compartment; a connector assembly coupled to the housing and defining a port for receiving a lead; connector contacts disposed in the port to electrically couple with terminals of the lead; feedthrough interconnects extending from the connector assembly into the sealed compartment and coupling the connector contacts to the electronic subassembly; and a coil disposed within or on the housing and configured and arranged to be shorted when an external electromagnetic field is applied in order to resist generation of an eddy current in the metallic structure of the exterior of the sealed housing in response to the external electromagnetic field.

Abstract: Devices, systems, and techniques for managing heat generated in coils for wireless energy transmission are disclosed. Inductive coupling between two coils (e.g., a primary coil and a secondary coil) may be used to recharge the power source of an implantable medical device. A phase change material may be thermally coupled to the primary coil to absorb heat generated during the inductive coupling and reduce temperature increases of the primary coil. In one example, the phase change material may be configured to absorb heat from an energy transfer coil. A housing may be configured to contain the phase change material and a coupling mechanism may be configured to removably attach the housing to the energy transfer coil.

Abstract: A sleep apnea treatment device may include a flexible carrier configured to be implanted in a body of a subject. The device may also include at least one electrode disposed on the flexible carrier, the at least one electrode being configured to modulate nerve fibers of the subject. A flexible antenna may be disposed on the flexible carrier, the flexible antenna electrically connected to the at least one electrode in a manner permitting at least some energy received by the flexible antenna to be transferred to the at least one electrode.

Abstract: The present invention provides an implantable medical device having at least two electrodes coupled to the device housing. The electrodes may be configured for sensing physiological signals such as cardiac signals and alternatively for providing an electrical stimulation therapy such as a pacing or defibrillation therapy. In accordance with aspects of the disclosure, the device housing provides a hermetic enclosure that includes a first housing section that is hermetically coupled to a second housing section. At least one of the at least two electrodes is coupled to an exterior surface of the first housing section that encloses the battery components of the device. The first housing section is electrically insulated from the cathode and anode of the battery.

Abstract: A bio-implantable energy capture and storage assembly is provided. The assembly includes an acoustic energy transmitter and an acoustic energy receiver. The acoustic energy receiver also functions as an energy converter for converting acoustic energy to electrical energy. An electrical energy storage device is connected to the energy converter, and is contained within a bio-compatible implant for implantation into tissue. The acoustic energy transmitter is separate from the implant, and comprises a substantially 2-dimensional array of transmitters. The acoustic energy converter may also provide conditioned power directly to a load, connected to said energy converter.

Abstract: Disclosed are designs and methods of construction for an implantable medical device employing an internal support structure. The single-piece support structure holds various electronic components such as a communication coil and a circuit board, and further is affixed to a battery, thus providing a subassembly that is mechanically robust. The support structure further provides electrical isolation between these and other components. Method of construction allows for the subassembly to be adhered to a case of the implantable medical device at the battery, and possibly also at the support structure. The battery includes an insulating cover having holes. An adhesive is used consistent with the location of the holes to affix the battery to the case without electrically shorting the battery to the case.

Abstract: Disclosed are designs and methods of construction for an implantable medical device employing an internal support structure. The single-piece support structure holds various electronic components such as a communication coil and a circuit board, and further is affixed to a battery, thus providing a subassembly that is mechanically robust. The support structure further provides electrical isolation between these and other components. Method of construction allows for the subassembly to be adhered to a case of the implantable medical device at the support structure, and possibly also at the battery, without electrically shorting the battery to the case.

Abstract: A nerve root stimulator, according to the present invention, comprises: a body which is installed at the spinal nerve root inside the human body; an antenna, which is provided on the body, for receiving a wireless frequency that is irradiated from outside of the human body; a power generation unit for generating power by using the wireless frequency that is received by the antenna; and electrodes for electrically stimulating the spinal nerve root by using the power that is generated by the power generation unit.

Abstract: A system for treating chronic inflammation may include an implantable microstimulator, a wearable charger, and optionally an external controller. The implantable microstimulator may be implemented as a leadless neurostimulator implantable in communication with a cervical region of a vagus nerve. The microstimulator can address several types of stimulation including regular dose delivery. The wearable charger may be worn around the subject's neck to rapidly (<10 minutes per week) charge an implanted microstimulator. The external controller may be configured as a prescription pad that controls the dosing and activity of the microstimulator.

Abstract: Transcutaneous magnetic energy transfer to drive a VAD or other implanted medical device can be supplied through two spinning (or otherwise moving) permanent magnets, or a moving permanent magnet and a moving ferric material, or a moving permanent magnet and a coil or an array of coils, One part is implanted under the patient's skin, so that the skin does not have to be broken for a connection to take place.