Abstract: A multilayer helical wave filter having a primary resonance at a selected RF diagnostic or therapeutic frequency or frequency range, includes an elongated conductor forming at least a portion of an implantable medical lead. The elongated conductor includes a first helically wound segment having at least one planar surface, a first end and a second end, which forms a first inductive component, and a second helically wound segment having at least one planar surface, a first end and a second end, which forms a second inductive element. The first and second helically wound segments are wound in the same longitudinal direction and share a common longitudinal axis. Planar surfaces of the helically wound segments face one another, and a dielectric material is disposed between the facing planar surfaces of the helically wound segments and between adjacent coils of the helically wound segments, thereby forming a capacitance.

Abstract: Various embodiments provide a method performed by an IMD to deliver a therapy to a patient. In some embodiments of the method, the therapy is delivered to the patient, and a trigger that is controlled by the patient is detected by the IMD. The therapy is automatically interrupted in response to the detected trigger, and is automatically restored after a defined period after the detected trigger. In some embodiments of the method, a trigger that is controlled by the patient is detected. The therapy is automatically initiated in response to the detected trigger, and is automatically stopped after a defined period after the detected trigger.

Abstract: Embodiments of the present invention concern the timing of sending one or more commands to control circuitry of a multi-electrode lead (MEL). In one embodiment, the one or more commands are sent to control circuitry within the MEL during a predetermined portion of a cardiac pacing cycle to avoid potential problems of prior systems that were not synchronized with the cardiac pacing cycle. In one embodiment, the one or more commands are sent when cardiac tissue is refractory from a cardiac pacing pulse, to prevent the command(s) from potentially undesirably stimulating cardiac tissue. The command sending can occur such that the one or more commands are sent between instances when sensing circuitry of the implantable cardiac stimulation device is being used to obtain one or more signals indicative of cardiac electrical activity, to prevent interference between the one or more commands with the signals indicative of cardiac electrical activity that are sensed.

Abstract: A method and system for regulating the operation of a cardiac pacemaker or defibrillator are disclosed. A processor receives signals of both an implanted hemodynamic sensor and intracardiac electrograms and digitizes them. The digitized signal of the hemodynamic sensor is used to prevent inappropriate cardiac stimulation and erroneous cardiac detection. The hemodynamic signal is also used to define arrhythmias.

Abstract: An extensible implantable electrical lead includes a lead body having a proximal end and a distal end. The lead body is formed of a polymeric material that is extensible between a first length and a second length. A plurality of electrical conductors are disposed within the lead body and extend between the proximal end and the distal end. The plurality of electrical conductors are each electrically insulated from each other and form co-axial coils between the proximal end and the distal end. The co-axial coils include an outer coil disposed about an inner coil. The inner coil has a first plurality of electrical conductors that are electrically insulated and separated from each other and have a first coil diameter. The outer coil includes a second plurality of electrical conductors that are electrically insulated and separated from each other and have a second coil diameter. The second coil diameter is greater than the first coil diameter, and the first plurality is a number less than the second plurality.

Abstract: An implantable medical device (IMD) configures one or more operating parameters of the IMD based on a type of source of a disruptive energy field to which the IMD is exposed. The disruptive energy field may, in one example, include magnetic and/or radio frequency (RF) fields generated by an MRI scanner. In one aspect, the IMD may distinguish between different types of MRI scanners and select an exposure operating mode tailored to reduce the effects of the particular type of MRI scanner. In another aspect, the IMD may adjust one or more operating parameters that will be used when the IMD returns to a normal operating mode after exposure to the MRI scanner based on the type of MRI scanner to which the IMD is exposed.

Abstract: An implantable neural stimulator includes one or more electrodes, at least one antenna, and one or more circuits connected to the at least one antenna. The one or more electrodes are configured to apply one or more electrical pulses to excitable tissue. The antenna is configured to receive one or more input signals containing polarity assignment information and electrical energy, the polarity assignment information designating polarities for the electrodes. The one or more circuits are configured to control an electrode interface such that the electrodes have the polarities designated by the polarity assignment information; create one or more electrical pulses using the electrical energy contained in the input signal; and supply the one or more electrical pulses to the one or more electrodes through the electrode interface so that the one or more electrical pulses are applied according to the polarities designated by the polarity assignment information.

Abstract: An extensible implantable electrical lead includes a lead body having a proximal region and a distal region. The lead body is formed of a polymeric material that is extensible between a first length and a second length. A first plurality of electrical conductors are disposed within the lead body and extend between the proximal region and the distal region. The first plurality of electrical conductors are each electrically insulated and spaced apart from each other and form a side-by-side co-planar first sigmoidal pattern between the proximal region and the distal region.

Abstract: Electrode stimulation signals are generated for an implanted electrode array. An acoustic audio signal is processed with a bank of filters that are each associated with a band of audio frequencies, and a set of band pass signals is generated with each band pass signal corresponding to the band of frequencies associated with one of the filters. Stimulation information is extracted from the band pass signals to generate a set of stimulation event signals defining electrode stimulation signals. Then the stimulation event signals are weighted with a weighted matrix of stimulation amplitudes reflecting patient-specific perceptual characteristics to produce a set of electrode stimulation signals for electrodes in the implanted electrode array.

Abstract: A non-planner integrated circuit device comprising a flexible structure and at least one fixture structure bonded to the flexible structure is described. The flexible structure may be curved in a desired deformation. A plurality of contact areas may be included in the flexible structure. Circuitry may be embedded within the flexible structure to perform processing operations. In one embodiment, the fixture structure may be bonded with the fixture structure via the contact areas to provide holding constraints allowing the flexible structure to remain curved. The bonding pads can also be used to connect communications in electrical signals.

Abstract: In one embodiment, a method for defining a stimulation program for electrical stimulation of a patient, the method comprising: providing a single screen user interface that comprises a first plurality of controls and a second plurality of controls, the first plurality of controls allowing selection of multiple stimulation parameters for a plurality of stimulation sets, the second plurality of controls allowing selection of multiple stimulation parameters defining burst stimulation and tonic stimulation; receiving user input in one or more of the second plurality of controls; and automatically modifying parameters for one or more stimulation sets in response to receiving the user input in one or more of the second plurality of controls and modifying values displayed in one or more controls of the first plurality of controls according to the modified parameters, the modified parameters reflecting a stimulation program that includes an interleaved pattern of burst stimulation and tonic stimulation for delivery t

Abstract: A stimulation system, such as a spinal cord stimulation (SCS) system, having a programmer and a patient feedback device for establishing a protocol to treat a patient. The programmer uses a computer assisted stimulation programming procedure for establishing the protocol. Also described are methods of treating a patient with a spinal cord stimulation system including the programmer and the patient feedback device.

Abstract: Embodiments of the invention provide methods for the detection and treatment of atrial fibrillation (AF) and related conditions. One embodiment provides a method comprising measuring electrical activity of the heart using electrodes arranged on the heart surface to define an area for detecting aberrant electrical activity (AEA) and then using the measured electrical activity (MEA) to detect foci of AEA causing AF. A pacing signal may then be sent to the foci to prevent AF onset. Atrial wall motion characteristics (WMC) may be sensed using an accelerometer placed on the heart and used with MEA to detect AF. The WMC may be used to monitor effectiveness of the pacing signal in preventing AF and/or returning the heart to normal sinus rhythm (NSR). Also, upon AF detection, a cardioversion signal may be sent to the atria using the electrodes to depolarize an atrial area causing AF and return the heart to NSR.

Abstract: An electrode lead of a pacemaker includes at least one lead wire. The at least one lead wire includes at least one conductive core, a first insulating layer coated on an outer surface of the at least one conductive core, at least one carbon nanotube yarn spirally wound on an outer surface of the first insulating layer, and a second insulating layer coated on the surface of the at least one carbon nanotube yarn. One end of the at least one conductive core protrudes from the first insulating layer to form a naked portion. The at least one carbon nanotube yarn includes a number of carbon nanotubes joined end to end by van der Waals attractive forces. A pacemaker includes a pulse generator and the electrode lead electrically connected with the pulse generator.

Abstract: A method of maintaining a state in a subject (12) comprises generating a pacing signal (20) at a first frequency, presenting to the subject an output based upon the generated pacing signal, measuring one or more physiological parameters of the subject, detecting that the measured parameter(s) conform to a desired state in the subject, and either removing the presentation to the subject of the output based upon the generated pacing signal, or generating a new pacing signal at a second frequency, and presenting to the subject an output based upon the generated new pacing signal. The method can further comprise, prior to the detecting that the measured parameter(s) conform to a desired state in the subject, adjusting the pacing signal according to feedback from the measured parameter(s).

Abstract: A surgical instrument that comprises at least one microcontroller arranged in the handle of the instrument and that communicates with the surgical apparatus—without the interposition of a radio link via the cable that already exists between the surgical apparatus and the surgical instrument. Safe data transmission is ensured not only in the high-interference environment of an active RF surgical apparatus, but also in, for example, water jet, argon plasma and cryosurgical apparatuses, endoscopes. A differential transmission technique is selected, wherein one or more conductor pairs (insulated conductors) are utilized, one of the conductors of said conductor pairs transmitting the signal and the other transmitting the inverted signal. By subtracting the two signals, the actual data signal is yielded on the receiver side. If feedback interferences from the environment act on the data transmission link, the subtractions performed on the respective receivers cancels out the interferences.

Abstract: This disclosure provides a medical lead assembly that includes a lead body having a proximal end configured to couple to an implantable medical device and a distal end. The lead assembly further includes an electrode assembly located at the distal end of the lead body, the electrode assembly including a tip electrode, a conductive electrode shaft that is electrically coupled to the tip electrode and an energy dissipating structure that is coupled to at least a portion of the conductive electrode shaft at high frequencies to redirect at least a portion of the current induced in the lead by a high frequency signal from the tip electrode to the energy dissipating structure.

Abstract: A therapy assembly configured for at least partial insertion in a living body. A plurality of fixation structures are disposed radially around the therapy delivery element proximate the electrodes. The fixation structures include wires having a diameter in a range between about 0.004 inches and about 0.020 inches. The wires have a first end attached to the therapy delivery element and a second end attached to a sliding member configured to slide along the therapy delivery element. The fixation structures are configured to collapse inward to a collapsed configuration when inserted into a lumen of an introducer and to deploy to a deployed configuration when the introducer is retracted. A fitting is located at proximal end of the introducer that releasably locks the therapy delivery element to the introducer, such that torque applied to the fitting is substantially transmitted to the distal end of the therapy assembly.

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: A neurostimulation system provides for capture verification and stimulation intensity adjustment to ensure effectiveness of vagus nerve stimulation in modulating one or more target functions in a patient. In various embodiments, stimulation is applied to the vagus nerve, and evoked responses are detected to verify that the stimulation captures the vagus nerve and to adjust one or more stimulation parameters that control the stimulation intensity.