Abstract: In a method and apparatus for supplying wireless energy to a medical device implanted in a patient, wireless energy is transmitted from an external energy source located outside a patient and is received by an internal energy receiver 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 establishing a connection between a first electronic computing device and a second electronic computing device includes moving the second electronic computing device so that it is proximal to the first electronic computing device. When the first electronic computing device detects the proximity of the first electronic computing device relative to the second electronic computing device, a radio on the first electronic device is set to a connectable and discoverable state. A wireless connection is automatically established between the first electronic computing device and the second electronic computing device. Data is transmitted between the first electronic computing device and the second electronic computing device.

Abstract: An implant unit delivery tool is disclosed having an implant tool and an implant activator. The implant tool may be configured to retain an implant unit during an implantation procedure in which the implant unit is fixated to tissue. The implant activator may be associated with the implant tool. Additionally, the implant activator may be configured to selectively transfer power to the implant unit during the implantation procedure to cause modulation of at least one nerve in the body of a subject prior to final fixation of the implant unit to the tissue.

Abstract: Some embodiments of the present disclosure may include a device for conveying power from a location external to a subject to a location within the subject The device may include a flexible carrier, an adhesive on a first side of the carrier, a coil of electrically conductive material associated with the flexible carrier, and a mechanical connector extending from a second side of the carrier opposite the adhesive. The mechanical connector may be configured to be received by and retained by a receiver associated with a housing configured for mounting on the carrier.

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: A system and method are described for delivering an implantable medical device in a patient and through a catheter. The delivery catheter comprises telemetry means for communicatively coupling the implantable medical device with an external instrumentation during implantation.

Abstract: An intra-body ultrasonic signal can be converted into a first electrical signal, a local oscillator signal can be generated in an implantable system. The first electrical signal and the local oscillator signal can be mixed in an implantable system, such as to generate a demodulated signal, processed, such as using a filter. The filtered, demodulated signal can be further processed, such as implantably determining a peak amplitude of the first portion of the demodulated signal received from the filter over a time interval, implantably generating a dynamic tracking threshold that starts at an amplitude proportional the first portion of the demodulated signal and exponentially decays over a time interval, and determining a noise floor in the absence of a received intra-body ultrasonic signal and implantably comparing the peak amplitude and the tracking threshold and generate the digital output based on the difference.

Abstract: A cochlear implant system has an implantable portion that includes a stimulator module for producing for the auditory system of a user an electrical stimulation signal representative of an acoustic signal. The implantable portion further includes a battery for supplying power to the stimulator module, a receiver module for receiving an electrical power signal across the skin of a user, and a recharge module that uses the electrical power signal to recharge the battery. The recharge module recharges the battery at less than the maximum recharge rate.

Abstract: Apparatus for applying a treatment (216) to at least one tissue of a subject is described, the apparatus comprising a transmitting unit (210) configured to transmit a wireless power signal (214), a first implant (202a), and a second implant (202b), each of the implants being configured to receive the power signal and to apply the treatment asynchronously to each other, in response to the power signal. Other embodiments are also described.

Abstract: Optimal power switching circuitry for use in a closed system such as a TET system including an internal device separated from an external device by a boundary. The internal and external devices being powered by separate power sources. During telemetric communication from the external device to the internal device an external RF energy source is produced. If the power supplied by the external RF energy source produced during communication from the external device to the internal device exceeds that required for powering of the internal device, then the power switching circuitry cuts off power to the internal power source and instead draws power from the external RF energy source thereby conserving power consumed from the internal power source. The power switching circuitry may be implemented using either passive components (e.g., diodes) or active components (e.g., an analog switch).

Abstract: A power transfer system for an implanted device, such as an implanted medical device. The implanted device and a power transfer device each include a coil with a magnetically permeable core, so that operatively the coils are magnetically coupled, so as to improve the efficiency of power transfer. The coil resides in an electrically conductive implant case.

Abstract: An intravascularly-deliverable electrode assembly can be used to provide electrostimulation. The electrode assembly can include an electrostimulation circuit located in a housing, two or more elongate members coupled to the housing and configured to anchor the housing to a heart, the two or more elongate members including two or more electrodes electrically coupled to the electrostimulation circuit and controllably addressable by the electrostimulation circuit for delivery of an electrostimulation to the heart. The two or more elongate members can be sized and shaped for intravascular delivery to the heart in a first configuration, and in response to a user actuation, the two or more elongate members can move to a second configuration that is expanded relative to the first configuration to securely anchor the intravascularly-deliverable electrode assembly to the heart. Circuitry within the electrode assembly can coordinate electrostimulation, such as for delivery to sites near each electrode.

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: An implantable microstimulator configured for implantation beneath a patient's skin for tissue stimulation to prevent and/or treat various disorders, uses a self-contained power source. Periodic or occasional replenishment of the power source is accomplished, for example, by inductive coupling with an external device. A bidirectional telemetry link allows the microstimulator to provide information regarding the system's status, including the power source's charge level, and stimulation parameter states. Processing circuitry automatically controls the applied stimulation pulses to match a set of programmed stimulation parameters established for a particular patient. The microstimulator preferably has a cylindrical hermetically sealed case having a length no greater than about 27 mm and a diameter no greater than about 3.3 mm. A reference electrode is located on one end of the case and an active electrode is located on the other end.

Abstract: Implantable devices and related systems utilize coils or coil portions of a coil for inductive telemetry at one frequency and recharge at another frequency. The coils or coil portions are included in one or more tank circuits that share at least one node between the coils or coil portions. The recharge application may be provided with variations for aspects including power management and rectification. The telemetry application may be provided with variations for aspects including receiver connectivity for the downlink and coil driving for the uplink.

Abstract: A neurostimulation system is shown and described. The neurostimulation system may include a stimulation device implantable into a patient, a lead operatively coupled with the stimulation device, a first power cell providing power to the stimulation device where the first power cell is charged by an externally applied AC (High HF) magnetic field.

Abstract: Cochlear implant systems include a circuit board having electronic circuitry configured to generate one or more signals configured to direct electrical stimulation of one or more stimulation sites within a patient, an induction coil configured to transmit a telemetry signal by generating a telemetry magnetic field, and a telemetry flux guide positioned between the induction coil and the circuit board. The telemetry flux guide is configured to direct magnetic flux of the telemetry magnetic field away from the circuit board.

Abstract: A device for powering an implant within a body of a subject from a location external to the subject, wherein the implant requires a threshold rate of power increase in order to operate in at least one mode, may include an antenna configured to wirelessly transmit energy to the implant. The device may also include a power storage unit configured to store energy from a power source incapable of delivering the threshold rate of power increase to enable the implant unit to operate in the at least one mode and a power release unit configured to release a pulse of energy from the power storage unit to the antenna after the power storage unit collects an amount of energy sufficient to enable the implant unit to operate in the at least one mode.

Abstract: In a method and apparatus for supplying wireless energy to a medical device implanted in a patient, wireless energy is transmitted from an external energy source located outside a patient and is received by an internal energy receiver 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: An external charging system for charging or powering an implantable medical device is disclosed which is self-affixing to the patient without the need for a holding device. The charging system can comprise two modules attached to opposite ends of a flexible member. The flexible member is bendable, and when bent will firmly hold its position on the patient. The two modules can comprise a coil module containing a charging coil, and an electronics module including a user interface and the necessary electronics for activating the charging coil to produce a magnetic charging field. Wires can couple the charging coil in the coil module to the electronics in the electronics modules. The entire assembly can be encased in a water proof sleeve having a high-friction surface, which protects the charging system and helps the charging system to adhere to the patient.

Abstract: Systems, methods, and devices for wireless recharging of an implanted device. In response to receiving identification information from an implanted device, a charger can set an electrical field to a first field strength and receive first field strength information from the implanted device. The charger can then set the electrical field to a second field strength and receive second field strength information from the implanted device. This information relating to the first and second field strengths can be used to determine whether to recharge the implanted device.

Abstract: Molded headers, implantable signal generators having molded headers, and associated systems and methods are disclosed herein. An implantable signal generator in accordance with a particular embodiment includes a can having a shell and a battery positioned at least partially within the shell. An output terminal can be operably coupled to the battery and positioned to provide electrical power to a signal delivery device. A pre-molded header having a plurality of openings can be coupled to the can, and the output terminal can be positioned at least partially within an individual opening.

Abstract: A device including at least one photovoltaic cell and at least one nanowire configured to electrically stimulate a biological material in response to radiation.

Abstract: Devices, systems, and methods provide for intravascular or extravascular delivery of renal denervation therapy and/or renal control stimulation therapy. Wireless vascular thermal transfer apparatuses and methods provide for one or both of production of current densities sufficient to ablate renal nerves and terminate renal sympathetic nerve activity, and production of current densities sufficient to induce endothelium dependent vasodilation of the renal artery bed. A common apparatus may be used for both renal ablation and control of renal function locally after renal denervation.

Abstract: A transcutaneous energy transfer system, method and kit for an implantable medical device having componentry for providing a therapeutic output and a secondary coil operatively coupled to the componentry and is adapted to be implanted at a location in a patient. An external power source has a primary coil contained in a housing. The external power source is capable of providing energy to the implantable medical device when the primary coil of the external power source is placed in proximity of the secondary coil of the implantable medical device. A holder is adapted to be externally positioned with respect to the patient at a spot in proximity of the location of the implantable medical device and secured at the location. A spacer, removably coupled to the holder, has an opening receiving the protrusion. A plurality of spacers can be used. The number is spacers is selectable based on the size of the protrusion.

Abstract: A non-invasive electrical stimulator shapes an elongated electric field of effect that can be oriented parallel to a long nerve, such as a vagus nerve in a patient's neck, producing a desired physiological response in the patient. The stimulator comprises a source of electrical power, at least one electrode and a continuous electrically conducting medium in contact with the electrodes. The conducting medium is also in contact with an interface element that may conform to the contour of a target body surface of the patient when the interface element is applied to that surface. When the interface element is made of insulating (dielectric) material, and disclosed stimulation waveforms are used, the power source need not supply high voltage, in order to capacitively stimulate the target nerve.

Abstract: Methods, devices and systems are disclosed that provide for dynamically adjusting the valid lifespan of a session key for wireless communication sessions established between at least two medical devices. Adjusting the session key lifetime balances protecting the communications link so that it is not unnecessarily susceptible to eavesdropping by third parties or other interference while obviating the need for a user to repeatedly perform access control steps.

Abstract: An implanted coil supplies energy or control signals to, or provides information from, a medical device implanted in a human or animal patient. Preferably, the coil is implanted subcutaneously in the patient at a location suitable for easy access to the coil. The implanted coil is wound from a wire that is formed into a plurality of smaller diameter coils connected in series and positioned perpendicular to the larger implanted coil. Preferably, the wire used to form the implanted coil is a helically-shaped wire that is very resilient, and, thus, capable of handling even extreme movements of a patient in whom it is implanted without the risk of breaking.

Abstract: A system includes a controller module, which includes a storage device, a controller, a modulator, and one or more antennas. The storage device is stored with parameters defining a stimulation waveform. The controller is configured to generate, based on the stored parameters, an output signal that includes the stimulation waveform, wherein the output signal additionally includes polarity assignments for electrodes in an implantable, passive stimulation device. The modulator modulates a stimulus carrier signal with the output signal to generate a transmission signal.

Abstract: A system and method for contactless power transfer in implantable devices for charging rechargeable batteries disposed within the implantable devices are provided. The system includes a first coil electrically couplable to a power source, wherein the first coil is configured to produce a magnetic field. The system further includes a second coil electrically coupled to the rechargeable battery disposed within the implantable device and configured to receive power from the first coil via the magnetic field and to transfer the power to the rechargeable battery. The system also includes a field focusing element disposed between the first coil and the second coil and configured as a self resonant coil having a standing wave current distribution to focus the magnetic field onto the second coil and enhance the coupling between the first coil and the second coil.

Abstract: Wireless energy transfer methods and designs for implantable electronics and devices include, in at least one aspect, a source resonator external to a patient, a device resonator coupled to an implantable device and being internal to the patient, a temperature sensor, and a tunable component coupled to the device resonator, wherein the tunable component is adjusted to detune a resonant frequency in response to measurement from the temperature sensor, and wherein a strength of the oscillating magnetic fields generated by the source resonator is adjusted to increase power output to maintain a level of power captured by the device resonator, thereby compensating for reduced efficiency resulting from detuning of the device resonator via the tunable component.

Abstract: An intravascular device for placement within an animal vessel, the intravascular device being adapted to at least one of sense and stimulate activity of neural tissue located outside the vessel proximate the intravascular device.

Abstract: A particular method of providing power to an implantable medical device includes providing a first signal to a primary coil that is inductively coupled to a secondary coil of an implantable medical device. The method also include determining a first alignment difference between a voltage corresponding to the first signal and at least one of a current corresponding to the first signal and a component voltage at a component of a primary coil circuit. The method further includes determining a frequency sweep range based on the first alignment difference. The method also includes performing a frequency sweep over the frequency sweep range.

Abstract: An external charger for a battery in an implantable medical device and charging techniques are disclosed. Simulation data is used to model the power dissipation of the charging circuitry in the implant at varying levels of implant power. A power dissipation limit constrains the charging circuitry from producing an inordinate amount of heat to the tissue surrounding the implant, and duty cycles of a charging field are determined so as not to exceed that limit. A maximum simulated average battery current determines the optimal (i.e., quickest) battery charging current, and at least an optimal value for a parameter indicative of that current is determined and stored in the external charger. During charging, the actual value for that parameter is determined, and the intensity and/or duty cycle of the charging field are adjusted to ensure that charging is as fast as possible, while still not exceeding the power dissipation limit.

Abstract: A method and system is presented for an implantable wireless power receiver for use with a medical stimulation or monitoring device. The receiver receives transmitted energy through one or more non-inductive antenna(s), utilizes microelectronics to perform rectification of the received signal for generation of a DC power supply to power an implantable device, and may also utilize microelectronics to provide parameter settings to the device, or stimulating or other waveforms to a tissue.

Abstract: An implantable device includes a stimulation electronic circuit, a battery, a receiver configured to receive energy from a source external to the implantable stimulation device, and a battery charger circuit configured to use the energy to charge the battery and power the stimulation electronic circuit, the battery charger circuit including a load switch for connecting/disconnecting the battery, the load switch being controlled by the stimulation electronic circuit.

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

Abstract: For supplying energy to a medical implant (100) in a patient's body a receiver (102) cooperates with an external energizer (104) so that energy is wirelessly transferred. A feedback communication system (109) sends feedback information from the receiver to the energizer, the feedback information being related to the transfer of energy to the receiver. The feedback communication system communicates using the patient's body as an electrical signal line. In particular, the communication path between the receiver and the external energizer can be established using a capacitive coupling, i.e. the feedback information can be capacitively transferred over a capacitor having parts outside and inside the patient's body. An energy balance between the amount of energy received in the receiver and the energy used by the medical implant can be followed over time, and then the feedback information is related to the energy balance.

Abstract: A system includes at least one active energy transfer coil and a first passive energy transfer coil. The active energy transfer coil is configured to couple with a power supply. The at least one active energy transfer coil has an active coupling range. The first passive energy transfer coil is magnetically coupled to the active energy transfer coil and is located within the active coupling range. The first passive energy transfer coil has a passive coupling range. The first passive energy transfer coil is configured to provide energy to a first device located within the passive coupling range and based on energy received from the at least one active energy transfer coil.

Abstract: Techniques are disclosed for controlling the transcutaneously transfer of energy to an implantable medical device (IMD) that is in proximity to a conductive object that conducts current in the presence of an electromagnetic field. Various techniques are disclosed for estimating or determining the levels of heat dissipation associated with the object during the transfer of energy. If too much heat is being dissipated, the transfer of energy may be adjusted so that heating remains below acceptable levels.

Abstract: An implantable, rechargeable medical system comprised of an implanted device, a power storage device connected to the implantable device, and a charging device operatively connected to the electrical storage device. The charging device can be thermoelectric and have components for transferring thermal energy from an intracranial heat accumulator to an extra-cranial heat sink, for generating an electrical current from the thermal energy transfer, for charging the electrical storage device using the electrical current, for measuring power generation, usage and reserve levels, for measuring temperatures of the intracranial and extra-cranial components, for physically disrupting heat transfer and charging operations, and for generating signals relevant to the status of temperature and electricity transfer in relation to energy generation criteria. The system may also have long-range and short range wireless power harvesting capability as well as movement, and photovoltaic charging capability.

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: The present specification discloses devices and methodologies for the treatment of GERD. Individuals with GERD may be treated by implanting a stimulation device within the patient's lower esophageal sphincter and applying electrical stimulation to the patient's lower esophageal sphincter, in accordance with certain predefined protocols. The presently disclosed devices have a simplified design because they do not require sensing systems capable of sensing when a person is engaged in a wet swallow and have improved energy storage requirements.

Abstract: In a method and apparatus for controlling transmission of wireless energy to a medical device (100) implanted in a mammal patient, the 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 ultrasonic feedback control signal (S) is transmitted from an internal ultrasonic signal transmitter (110) located inside the patient to an external ultrasonic signal receiver (112) located outside the patient. The feedback control signal relates to the energy for operating the medical device and is used for controlling the transmission of wireless energy from the external energy source.

Abstract: A particular method of providing power to an implantable medical device includes providing a first signal to a primary coil that is inductively coupled to a secondary coil of an implantable medical device. The method also include determining a first alignment difference between a voltage corresponding to the first signal and at least one of a current corresponding to the first signal and a component voltage at a component of a primary coil circuit. The method further includes determining a frequency sweep range based on the first alignment difference. The method also includes performing a frequency sweep over the frequency sweep range.

Abstract: An improved external charger for charging the battery within or providing power to an implantable medical device is disclosed. The improved external charger includes circuitry for detecting the temperature of the external charger and for controlling charging to prevent exceeding a maximum temperature. The external charger in some embodiments includes a user interface for allowing a patient to set the external charger's maximum temperature. The user interface can be used to select either constant maximum temperatures, or can allow the user to choose from a number of stored charging programs, which programs can control the maximum temperature to vary over time. Alternatively, a charging program in the external charger can vary the maximum temperature set point automatically. By controlling the maximum temperature of the external charger during charging in these manners, the time needed to charge can be minimized while still ensuring a temperature that is comfortable for that patient.

Abstract: An external charger for a battery in an implantable medical device (implant), and technique for charging batteries in multiple implants using such improved external charger, is disclosed. During charging, values for a parameter measured in the implants are reported from the implants to the external charger. The external charger infers from the magnitudes of the parameters which of the implants has the highest (hot) and lowest (cold) coupling to the external charger. The intensity of the magnetic charging field is optimized for the cold implant to ensure that it is charged with a maximum (fastest) battery charging current. The duty cycle of the magnetic charging field is also optimized for the hot implant to ensure that it does not exceed a power dissipation limit. As a result, charging is optimized to be fast for all of the implants, while still safe from a tissue heating perspective.

Abstract: A combination charging and telemetry circuit for use within an implantable device, such as a microstimulator, uses a single coil for both charging and telemetry. In accordance with one aspect of the invention, one or more capacitors are used to tune the single coil to different frequencies, wherein the coil is used for multiple purposes, e.g., for receiving power from an external source and also for the telemetry of information to and from an external source.

Abstract: Implantable subcutaneous device of biocompatible material that can receive data and energy by electromagnetic coupling with at least one external device is disclosed. The implantable device bears an airtight housing and a magnet that can hold the other external device centered with the implantable device. The housing bears a hollow crown containing at least electronic device(s) and a coil, and a bottom sealing the opening of the crown in an airtight manner. The magnet has dimensions compatible with a central housing formed by the so-called internal wall of the crown and in which it is positioned.

Abstract: A neural prosthesis includes a centralized device that can provide power, data, and clock signals to one or more individual neural prosthesis subsystems. Each subsystem may include a number of individually addressable, programmable modules that can be dynamically allocated or shared among neural prosthetic networks to achieve complex, coordinated functions or to operate in autonomous groups.