An expandable introducer includes a hub and a tubular sheath (121) coupled thereto. The tubular sheath (121) defines a central lumen (103). A circumference of the tubular sheath includes a full thickness region (162) having a first wall thickness (T2) and a reduced thickness region (161) having a second wall thickness (T1) smaller than the first wall thickness (T2). The reduced thickness region (162) is configured to be folded such that the tubular sheath includes an unexpanded, folded state and is configured to expand to an expanded, unfolded state in response to a device passing though the central lumen (103). A first outer diameter of the tubular sheath in the unexpanded, folded state is smaller than a second outer diameter of the tubular sheath in the expanded, unfolded state.
A medical includes a first device configured to receive data from a medical device, determine based on the data that the patient is experiencing an acute health event, and in response to determining that the patient is experiencing the acute heath event, broadcast a message to a plurality of computing devices. The plurality of devices includes a second device configured to receive the message from the first device and establish a communication session with the first device in response to receiving the message.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
3.
Wireless Nerve Integrity Monitoring Systems and Devices
A nerve integrity monitoring device includes a control module and a physical layer module. The control module is configured to generate a payload request. The payload request (i) requests a data payload from a sensor in a wireless nerve integrity monitoring network, and (ii) indicates whether a stimulation probe device is to generate a stimulation pulse. The physical layer module is configured to (i) wirelessly transmit the payload request to the sensor and the stimulation probe device, or (ii) transmit the payload request to a console interface module. The physical layer module is also configured to, in response to the payload request, (i) receive the data payload from the sensor, and (ii) receive stimulation pulse information from the stimulation probe device. The data payload includes data corresponding to an evoked response of a patient. The evoked response is generated based on the stimulation pulse.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/267 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
A61B 5/08 - Measuring devices for evaluating the respiratory organs
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
A61B 5/145 - Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value
A61B 5/1473 - Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value using chemical or electrochemical methods, e.g. by polarographic means invasive, e.g. introduced into the body by a catheter
A61B 5/296 - Bioelectric electrodes therefor specially adapted for particular uses for electromyography [EMG]
A61B 5/316 - Modalities, i.e. specific diagnostic methods
An oxygen-independent analyte sensor includes at least one electrode and an oxygen-independent analyte sensing molecule disposed on the at least one electrode. The oxygen-independent analyte sensing molecule is electrografted on to the at least one electrode. The sensor may process an electrochemical impedance spectroscopy (EIS) parameter value in response to exposure to an analyte.
A61B 5/1473 - Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value using chemical or electrochemical methods, e.g. by polarographic means invasive, e.g. introduced into the body by a catheter
A61B 5/145 - Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value
A system including a thermal sensor with an instrument placed in a volume. The thermal sensor may be useful in determining a temperature at a surface of the instrument and a distance away from the instrument. A therapy may be performed based on a sensed temperature with the thermal sensors.
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 18/22 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibreHand-pieces therefor
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Aspects of the disclosure relate to “wet” transcatheter prosthetic heart valve or other implant packaging and assemblies in which a prosthetic heart valve or other implant is loaded into a first portion of a delivery device and positioned within a container in which sterilizing fluid is retained to sterilize interior portions of the container as well as provide moisture to prevent the implant from drying out. The disclosure also relates to methods of sterilizing the disclosed assemblies. Some disclosed methods include at least two sterilizing steps and adjustment of a mechanical seal member or formation of multiple seals so that areas proximate the seals are also sterilized during the sterilization process.
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61L 2/00 - Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lensesAccessories therefor
B65D 81/18 - Containers, packaging elements, or packages, for contents presenting particular transport or storage problems, or adapted to be used for non-packaging purposes after removal of contents providing specific environment for contents, e.g. temperature above or below ambient
B65D 81/22 - Containers, packaging elements, or packages, for contents presenting particular transport or storage problems, or adapted to be used for non-packaging purposes after removal of contents providing specific environment for contents, e.g. temperature above or below ambient in moist conditions or immersed in liquids
7.
TETHER ASSEMBLIES FOR MEDICAL DEVICE DELIVERY SYSTEMS
A tether handle assembly including: a first element coupled to a proximal end of a pull shaft and including: an elongated body; one or more first features; and a second element configured to retain the elongated body, the second element comprising: a housing defining a recess; and one or more second features disposed within the recess, wherein the first element is configured to rotate to transition between a locked orientation and an unlocked orientation, wherein in the locked orientation, the one or more first features are configured to interface with the one or more second features to inhibit movement of the first element relative to the second element, wherein in the unlocked orientation, the first element is configured to move along the longitudinal axis relative to the second element and impart a force along the pull shaft.
A spinal screw assembly includes a screw, a connector body, a bore, a crown positioned in the connector body, and a biasing member. The screw has an at least partially rounded head. The connector body has a base and at least two side walls extending from the base. The base includes a base opening. The at least two side walls form a support recess opening defining a central axis. The bore is in one of the at least two side walls of the connector body. The bore extends to the support recess opening along a bore axis transverse to the central axis. The crown has a first end sized to receive the at least partially rounded head of the screw. The biasing member is moveable along the bore axis and engages a slot of the crown to limit the crown's axial movement along the central axis in the unbiased state.
This disclosure is directed to medical systems and techniques for dynamic configuration of medical devices. In one example, a method is configured to access a data structure comprising an algorithm for health event detection in patient data generated by at least one of a medical device of the patient or a personal device of the patient based on a usage scenario. An association of the algorithm and the usage scenario in the data structure indicates that use of the algorithm for the usage scenario complies with one or more jurisdictional requirements.
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
An implantable medical lead includes a first defibrillation electrode and a second defibrillation electrode. The implantable medical lead further includes a pacing electrode configured to deliver a pacing pulse that generates an electric field proximate to the pacing electrode. The implantable medical lead further includes a shield disposed over a portion of an outer surface of the pacing electrode and extending laterally away from the pacing electrode. The shield is configured to impede the electric field in a direction from the pacing electrode away from a heart. The implantable medical lead further includes a conductive surface disposed on the shield and electrically coupled to the pacing electrode.
Aspects of the disclosure include a bio-electric stimulation probe assembly including a patch including a first aperture and also a guide socket including a grommet and a second aperture. The guide socket is positioned on the patch such that the first and second apertures are aligned. The assembly further includes a guide including a tip that is positioned within and rotatable within the grommet. A probe of the assembly having at least one electrode is interconnected with the guide and extends through the first and second apertures. The guide and guide socket are collectively arranged and configured so that the guide has three degrees of rotational freedom with respect to the grommet thus meaning the probe correspondingly has three degrees of rotational freedom with respect to the grommet. Methods of using stimulation probe assemblies are also disclosed.
An example capture tool (180) may include an elongated body including a first end and a second end opposite the first end. A capture tool may include a proximal hub (188) encompassing the first end and extending proximally from the first end of the elongated body. A capture tool may include a tip (192) encompassing the second end and extending distally from the second end of the elongated body, the tip including: a thickened portion at a proximal end of the tip, a tapered portion extending distally from the thickened portion, and an intermediate portion extending distally from the tapered portion to a tip end, the tip end includes a rounded edge, wherein the elongated body, a portion of the proximal hub, and a portion of the tip together define a tool lumen configured to slidably receive a catheter (102, 120) of a medical device.
An adjustable spinal screw assembly includes a screw, a connector body, a crown, and an eccentric base connector. The screw has a threaded body and an at least partially rounded head. The connector body has a base opening, at least two side walls extending from the base opening, and a middle portion therebetween. The at least two side walls are spaced apart to form a support recess opening defining a central axis. The crown is positioned in the middle portion of the connector body. The eccentric base connector is disposed in the base opening. The eccentric base connector has a first opening sized to receive the at least partially rounded head of the screw and a second opening sized to receive the crown. The first opening is eccentrically positioned on the eccentric base connector.
Cardiac pacemakers; medical introducers for the delivery of cardiac pacemakers; medical instruments and apparatus, namely, delivery apparatus for cardiac pacemakers.
15.
NETWORKED SYSTEM CONFIGURED TO IMPROVE ACCURACY OF HEALTH EVENT DIAGNOSIS
This disclosure is directed to systems and techniques configured to apply at least one criterion to health event data stored in a record for a patient for determining whether to remove at least a portion of the health event data from the record or retain that portion as an accurate reflection of patient health for that point-in-time. The health event data includes adjudicated health events and non-adjudicated health events over a first time period. Based on a determination that the health event data satisfies the at least one criterion, the example technique may direct the example system to remove the health event data corresponding to the adjudicated health events and the non-adjudicated health events from the record and then, adjust longitudinal diagnostic information of a second time period that includes the first time period.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
An introducer apparatus is provided for delivering a heart valve prosthesis to a treatment site. The introducer apparatus includes a hub including a central passage and an engagement member. The introducer apparatus includes a sheath attached to the hub and including a first cross-sectional dimension. A plurality of wires extend between a first end and an opposing second end. The first end is attached to a distal sheath end of the sheath and the second end is attached to the engagement member. The engagement member moves the plurality of wires and the distal sheath end between an extended position, in which the sheath includes the first cross-sectional dimension, and a retracted position, in which the sheath includes a second cross-sectional dimension that is greater than the first cross-sectional dimension. Methods of delivering a heart valve prosthesis to a treatment site are provided.
A heart valve prosthesis includes a frame defining a central lumen, a valve assembly disposed within the central lumen of the frame, and a plurality of gripper pads. The gripper pads are configured to engage lacerated leaflets of a previously implanted heart valve prosthesis. The gripper pads are configured to separate from each other to separate the lacerated leaflets when the heart valve prosthesis radially expands from a radially compressed configuration to a radially expanded configuration.
The present disclosure provides a battery health management device including at least one sensor coupled to a battery, and a controller coupled to the at least one sensor and including a processor coupled to a memory comprising instructions, the processor configured to execute the instructions to receive a plurality of battery health input values associated with a battery health parameter over a predetermined period of time, determine an updated battery health value based on the plurality of battery health input values, determine that each battery health input value included in the plurality of battery health input values meets a predetermined trend condition, calculate a difference value, determine that the difference value is less than or equal to a predetermined upper bound battery health value and greater than or equal to a predetermined lower bound battery health value, and update the reference battery health value.
G01R 31/36 - Arrangements for testing, measuring or monitoring the electrical condition of accumulators or electric batteries, e.g. capacity or state of charge [SoC]
G01R 31/378 - Arrangements for testing, measuring or monitoring the electrical condition of accumulators or electric batteries, e.g. capacity or state of charge [SoC] specially adapted for the type of battery or accumulator
G01R 31/382 - Arrangements for monitoring battery or accumulator variables, e.g. SoC
G01R 31/389 - Measuring internal impedance, internal conductance or related variables
G01R 31/392 - Determining battery ageing or deterioration, e.g. state of health
An electrochemical cell includes a positive electrode. The positive electrode includes a first current collector and a first active material. A negative electrode includes a second current collector and a second active material. A separator is disposed between the positive electrode and the negative electrode. A silicon-based anti-corrosion coating is configured to at least partially coat one or both of the first current collector and the second current collector.
A leadless neurostimulation device having a header unit including at least one primary electrode having a contact surface that defines an external surface of the leadless neurostimulation device, a housing including a secondary electrode positioned on the same side of the leadless neurostimulation device as the at least one primary electrode, and a anchor device including at least one suture point for securing the leadless neurostimulation device to patient tissue or at least one protrusion nub configured to create mechanical resistance that impedes relative movement between wherein the leadless neurostimulation device and the patient tissue when implanted, where the at least one primary electrode and the secondary electrode are configured to transmit an electrical stimulation signal therebetween to provide electrical stimulation therapy to a target nerve of a patient.
Techniques disclosed herein relate to glucose level measurement and/or management. In some embodiments, the techniques involve obtaining in vivo characteristics of a glucose sensor predicted using fabrication process measurement data associated with the glucose sensor, the in vivo characteristics including an in vivo sensitivity, an in vivo intercept, or a combination thereof; receiving sensor measurement data measured by the glucose sensor, the sensor measurement data including sensor current (Isig), counter voltage (Vcntr), electrochemical impedance spectroscopy (EIS) data, an age of the glucose sensor, or a combination thereof; and estimating a sensor glucose (SG) value using an SG model, wherein input parameters of the SG model include the in vivo characteristics of the glucose sensor and the sensor measurement data, and the SG value is an output of the SG model.
A medicine administration and tracking system includes a delivery device configured to deliver a plurality of doses of medicine over a plurality of days and a computing device configured to receive dose information for each dose. The computing device includes a software application operable to cause the computing device to retrieve the dose information for all doses within a pre-determined period of days, categorize each dose within the pre-determined period of days into one of a plurality of time blocks throughout a 24-hour timeframe, determine a time of interest based on a time block of the plurality of time blocks having the least amount of doses categorized therein, and select a physiological parameter reading from a plurality of physiological parameter readings as a physiological parameter reading of interest based on a proximity of a time of the physiological parameter reading to the determined time of interest.
G16H 20/17 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
A61M 5/20 - Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indicesICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
23.
SURGICAL FRAME HAVING TRANSLATING LOWER BEAM AND METHOD FOR USE THEREOF
A surgical frame and method for use thereof is provided. The surgical frame is capable of reconfiguration before, during, or after surgery. The surgical frame includes a translating beam that is moveable between at least a first lateral position and a second lateral position. The translating beam is used to join a first support portion and a second support portion of the surgical frame to one another, and movement of the translating beam affords access to a patient receiving area.
Techniques are disclosed for monitoring brain perfusion of a patient using a medical device system. In some examples, the patient may have previously experienced a stroke or cardiac arrest. An implantable medical device (IMD) collects electroencephalogram (EEG) data to identify a hypoxic state of the patient. Processing circuitry of the medical device system receives the data and determines one or more metrics associated with processed patient data. The medical device system may comprise an IMD and an external device, wherein the external device may comprise a computing device, which may be a device co-located with a patient. The processing circuitry determines the hypoxic state of the patient based on a comparison between the one or more metrics associated with processed EEG data and one or more hypoxic state criteria. The IMD outputs a communication of the hypoxic state to a user when brain hypoxia is detected.
An example system includes an insertable cardiac monitor (ICM) includes a housing configured for subcutaneous implantation within a patient; and a plurality of electrodes on the housing, wherein the ICM is configured to sense a cardiac electrogram (EGM) of the patient via the plurality of electrodes; a remote computing device; and processing circuitry of at least one of the ICM or the remote computing device, the processing circuitry configured to: determine a TR interval of the sensed cardiac EGM corresponding to a heart sound beat signal; and determine a position of one or more of an S2 window, S3 window, or S4 window of the heart sound beat signal based, at least in part, on the determined TR interval of the sensed EGM.
An example system includes an implantable medical device (IMD) configured to: obtain an integrated bipolar electrogram (EGM) signal of first chamber of a heart sensed via a first lead implanted in the first chamber; and at least one of: identify an intrinsic event of a second chamber of the heart sensed via a second lead implanted in the second chamber; or identify a paced event of the second chamber sensed via the second lead; processing circuitry configured to: generate a time window of the EGM signal based on one or more of the identified intrinsic event or the identified paced event; determine a value of feature(s) of the EGM signal during the time window; determine the value of the feature(s) satisfies a far-field activity threshold; and based on determining the value of the feature(s) satisfies the far-field activity threshold, adjust a sensitivity threshold of the IMD.
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A delivery system includes an outer shaft defining an outer shaft lumen and a bistable capsule coupled to and extending distally from the outer shaft. The bistable capsule includes at least one bistable cell configured to transition from an axially expanded state and an axially compressed state. The bistable cell in the axially expanded state is configured to provide increased flexibility to the bistable capsule and the bistable cell in the axially compressed state is configured to provide enhanced column strength to the bistable capsule.
Systems and techniques to selectively stimulate or attenuate the neural activity of specific nerve fiber types, the system including electrical stimulation circuitry to generate electrical stimulation deliverable to a target nerve via a set of electrodes. System processing circuitry is also configured to determine one or more parameter values that define the electrical stimulation generated by the electrical stimulation circuitry as well as to control the electrical stimulation circuitry to generate a burst of conditioning pulses deliverable to the target nerve. The burst of conditioning pulses is configured to change a state of excitability of target nerve fibers within the target nerve. Finally to control, based on the one or more parameter values, the electrical stimulation circuitry to generate electrical stimulation therapy to the target nerve, wherein the electrical stimulation therapy is configured to treat a condition of the patient.
Disclosed is a system for assisting in guiding and performing a procedure on a subject. The subject may be any appropriate subject such as inanimate object and/or an animate object.
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A medical implant (10) includes a non-metallic core (26) comprising polyetheretherketone, and a non-metallic reinforcement layer (34) coupled to the core. The core is at least partially encapsulated by the reinforcement layer, and the reinforcement layer includes carbon fiber strands.
A61L 27/44 - Composite materials, i.e. layered or containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
Prosthetic heart valves each includes a link extending along a link axis and an axial frame. The axial frame includes a plurality of struts comprising a plurality of inner struts pivotally attached to a plurality of outer struts at a plurality of pivot nodes. A first pivot node of the plurality of pivot can be attached to the link and a second pivot node of the plurality of pivot nodes can move relative to the link along the link axis. Methods of radially expanding a prosthetic heart valve can comprise radially expanding the radially expandable frame from a radially retracted orientation to a radially expanded orientation while the second pivot node axially translates relative to the link.
A dry valve crimping and loading system includes packaging, a crimper disposed in the packaging, and a dry valve prosthesis disposed within a crimper chamber of the crimper. The crimper chamber has a first volume in an expanded state a second volume in a collapsed state, wherein the first volume is greater than the second volume. The crimper is configured to transition the dry valve prosthesis from an uncompressed state to a compressed state when the crimper chamber transitions from the expanded state to the collapsed state to expel the glycerol from the dry valve prosthesis as the crimper transitions the dry valve prosthesis from the uncompressed state to the compressed state.
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
Feedthroughs, feedthrough assemblies, and methods of making the same for use in implantable medical devices are provided herein. Feedthroughs provided herein include a feedthrough ferrule, a feedthrough pin, and an electrically insulative metal oxide surface coating disposed on the feedthrough ferrule, disposed on the feedthrough pin, or disposed on both the feedthrough pin and the feedthrough ferrule.
A processor-implemented method includes receiving sensor measurement data from a glucose sensor; selecting, based on the sensor measurement data, a first regional sensor glucose (SG) model from a first plurality of regional SG models for respective regions of a first plurality of regions of an input parameter space associated with the sensor measurement data, and a second regional SG model from a second plurality of regional SG models for respective regions of a second plurality of regions of the input parameter space; estimating a first SG value and a second SG value using the first regional SG model and the second regional SG model, respectively; and determining a predicted SG value based on a combination of the first SG value and the second SG value. The input parameter space is partitioned into the first plurality of regions and the second plurality of regions using different partition schemes.
A system includes a delivery catheter with an elongated body and a receptacle configured to retain an implantable medical device. The system further includes a set of emitters and a set of sensors. The set of emitters is configured to conduct a wave into tissue distal of the receptacle for the implantable medical device. The set of sensors is configured to conduct a reflection of the wave to processing circuitry of the system. The processing circuitry is configured to determine, based on the reflection of the wave, tissue properties of the tissue. The processing circuitry is further configured to determine, based on the tissue properties, whether the tissue is suitable as a target implant site.
Techniques are disclosed for monitoring MVD state of a patient using a medical device system. An implantable medical device (IMD) collects physiological patient data. The processing circuitry of the medical device system receives the data and determines metric values associated with processed patient data. Patient data may correspond to any one or more of patient heart sound signals, patient activity signals, patient respiration signals, and patient ECG signals. The medical device system may comprise an IMD and an external device, wherein the external device may comprise a computing device, which may be a device co-located with a patient. The processing circuitry determines the MVD state of the patient and outputs a communication of the disease state to a user.
In some examples, an example system includes a chamber configured to receive a bed including solid electrolytic particles. The system further includes a translation mechanism configured to translate a workpiece including a metal or an alloy along a path relative to the bed to electropolish the workpiece. In some examples, an example technique includes translating a workpiece including a metal or an alloy along a path relative to a bed including solid electrolytic particles to electropolish the workpiece.
A medical device is configured to sense one or more cardiac electrical signals and sense ventricular event signals from the one or more cardiac electrical signals. The medical device may determine that tachyarrhythmia detection criteria are met by the one or more cardiac electrical signals and apply delay criteria to the one or more cardiac electrical signals sensed during each of a plurality of groups of multiple sensed ventricular event signals in response to the tachyarrhythmia detection criteria being met. In response to the detection delay criteria being met, the medical device may delay detection of a tachyarrhythmia.
Cardiac events classified as ventricular events after atrial events may be reclassified as negligible events using the illustrative devices and methods described herein. For example, cardiac events classified as ventricular events within a time window following after atrial events. The negligible events will not be inadvertently used to affect cardiac pacing therapy including, for example, ventricular sense response pacing.
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
45.
AUGMENTED POWER SYSTEM FOR IMPLANTABLE MEDICAL DEVICE
Example systems, devices, and techniques are disclosed. An example implantable medical device (IMD) includes a power source, a receive antenna configured to receive an induced electrical current from a wireless power transmission system, and power control circuitry coupled to the power source and the receive antenna, the power control circuitry being configured to power operation of the IMD from at least one of the power source or the induced electrical current. The IMD includes processing circuitry coupled to the power control circuitry. The processing circuitry is configured to control the power control circuitry to power operation of the IMD from the power source, determine a presence of the induced electrical current and based on the presence of the induced electrical current, control the power control circuitry to power at least one high-power operation of the IMD from the induced electrical current.
An implantable medical lead comprising a plurality of barbs supported by a lead body. The lead body comprises a biostable material. The barbs comprise a biodegradable material. The lead body supports a fixation device extending distal to a distal end of the lead body. The plurality of barbs are resiliently biased to extend radially outward from the lead body to engage tissues when the fixation device engages tissues. The fixation device may support an electrode configured to provide pacing signals to a heart of a patient.
A delivery assembly is provided for delivering a heart valve prosthesis to a treatment site. The delivery assembly includes a hub including a first locking component and a shaft apparatus extending along a central axis. The shaft apparatus includes a shaft portion terminating at a distal end and a second locking component attached to the shaft portion. When the distal end is located a first distance from the hub, the shaft apparatus rotates relative to the hub about the central axis and the first locking component is spaced apart from the second locking component. When the distal end is located a second distance from the hub, the first locking component engages the second locking component such that the shaft apparatus is prevented from rotating. Methods of delivering a heart valve prosthesis are provided.
A delivery system includes an inner shaft assembly and a split capsule assembly disposed at a distal end of the delivery system. The split capsule assembly includes a proximal capsule and a distal capsule. The delivery system is configured to be transitioned from a loading state for loading a prosthetic heart valve into the split capsule assembly to a delivery state for delivering the prosthetic heart valve to the treatment site In the loading state, the proximal capsule is not coupled to the inner shaft assembly such that a proximal end of the proximal capsule is open and the prosthetic heart valve may be loaded through the proximal end of the proximal capsule. In the delivery state, the proximal end the proximal capsule is coupled to the inner shaft assembly..
A heart valve prosthesis includes an inner frame, a fixation frame coupled to and radially surrounding the inner frame, an inner skirt coupled to a surface of the inner frame, a fixation skirt coupled to a surface of the fixation frame, a bridge skirt having an inner edge coupled to the inner skirt and an outer edge coupled to the fixation skirt, and a prosthetic valve component disposed within and coupled to the inner frame.
A system or method according to embodiments of the present disclosure includes: generating, at a first time, a first electrical pulse; measuring a first neurological response to the first electrical pulse; generating, at a second time, a second electrical pulse with at least one characteristic different than the first electrical pulse; measuring a second neurological response to the second electrical pulse; and removing at least one artifact from at least one of the first neurological response and the second neurological response.
A system comprising: a medical device comprising: an elongated body extending along a longitudinal axis and defining a proximal portion and a distal portion; a plurality of projections disposed on the distal portion; and a plurality of protrusions disposed on the distal portion, wherein the medical device is configured to extend through a channel in a septum of a heart of a patient, the channel extending from a first chamber of the heart to a second chamber of the heart, wherein the plurality of projections is configured to radially expand away from the elongated body and contact the septum in the second chamber, wherein the plurality of protrusions is configured to radially expand away from the elongated body and contact the septum in the first chamber, and wherein when the plurality of projections is radially expanded, the plurality of projections is configured to create a shunt through the septum.
Disclosed is a system for assisting in guiding and performing a procedure on a subject (30). The subject may be any appropriate subject such as inanimate object and/or an animate object. The system comprises a subject support member (204) configured to support at least a portion of a mass of the subject in a selected position; and a coil assembly (95) positioned with the support member, wherein the coil assembly is configured to at least one of emit an electromagnetic (EM) field or sense an EM field.
Disclosed is a system for assisting in guiding and performing a procedure on a subject. The subject may be any appropriate subject such as inanimate object and/or an animate object.
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
54.
CARDIAC PROSTHESIS DELIVERY DEVICE HAVING DEVICE POSITION FEEDBACK
Delivery devices for delivering a cardiac prosthesis to a target site are disclosed. Such devices can be used with a feedback system including haptic elements incorporated into the delivery device for providing tactile and/or audio feedback regarding the loading and/or deployment of the prosthesis. Certain disclosed delivery devices include a handle including an actuator, a sheath interconnected to the handle for selectively sheathing the prosthesis. The feedback system can be provided within the handle and configured to provide one or more feedback indications relating to the position of the sheath with respect to the prosthesis during loading and/or deployment of the prosthesis.
A pacemaker is configured to operate in an atrial synchronous ventricular pacing mode and, after expiration of a conduction check time interval, switch to an asynchronous ventricular pacing mode that includes setting a ventricular pacing interval to a base pacing rate interval. The pacemaker is further configured to determine when atrioventricular block detection criteria are satisfied during the asynchronous ventricular pacing mode and, responsive to the atrioventricular block detection criteria being satisfied, switch back to the atrial synchronous ventricular pacing mode.
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
A stent and stent system includes fluid dynamic monitoring. The stent may have an integral induction receiver and an integral capacitor to facilitate fluid dynamic monitoring. The stent may include a layer that is a continuous sinusoid. The stent system may also include a transceiver including a processor and an induction transmitter for coupling to the induction receiver of the stent. The control unit monitors frequency at which impedance at the induction receiver changes and determines fluid pressure and/or flow rate based on this feedback signal.
A61F 2/82 - Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61F 2/915 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
57.
POLYMER INTERBODY DEVICE WITH METAL ENDCAPS AND ENDPLATE GROOVES AND MANUFACTURING METHOD THEREOF
Interbody implants formed by disposing a polymeric body between superior and inferior metallic endplates and the methods of forming the implants are disclosed. In some embodiments, the interbody implant comprises a plurality of porous and non-porous metallic sheets that are bonded to form metallic endplates. In various embodiments, a polymeric body may be infilled between the superior metallic endplate and inferior metallic endplate by an injection molding process. In various embodiments, the metallic endplates may comprise a plurality of grooves produced by a subtractive manufacturing process. In various embodiments, the metallic endplates may further comprise providing a surface treatment to produce nanoscale metallic oxide nanostructures.
Techniques disclosed herein relate to automatic association of a non-medical device with a medical device. In some embodiments, the techniques involve pre-storing first identification information of a first device in a second device, receiving second identification information of the first device by the second device from the first device, and establishing a secure communication link between the first device and the second device based on determining by the second device that the second identification information corresponds to the first identification information. At least one of the first device or the second device includes a medical device.
H04L 9/32 - Arrangements for secret or secure communicationsNetwork security protocols including means for verifying the identity or authority of a user of the system
H04L 67/10 - Protocols in which an application is distributed across nodes in the network
H04W 12/03 - Protecting confidentiality, e.g. by encryption
H04W 12/04 - Key management, e.g. using generic bootstrapping architecture [GBA]
A surgical bur for use in cutting bone includes a stem adapted to selectively couple to an attachment tube of a micro-burring instrument assembly and is configured for selective rotation upon activation of the micro-burring instrument. The surgical bur includes a plurality of cutting flutes disposed at a distal end of the stem which defines a corresponding number of clearance surfaces disposed therebetween. Each of the cutting flutes includes a cutting edge and a trailing edge. One or more push-off elements is defined in the clearance surface between adjacent pairs of cutting flutes of the plurality of cutting flutes, the push-off elements being configured to contact bone during rotation of the surgical bur and being configured to deflect the surgical bur relative thereto and optimize the cutting efficiency and effectiveness of the surgical bur based on the rotational speed (RPM) thereof.
An interface for moveably interconnecting a surgical table with a stationary gantry supporting a surgical robotic system is provided. The interface includes a collar portion, an actuator portion, and a locking portion. The collar portion is attached relative to a longitudinal cross-member of the surgical table via receipt of a portion of the longitudinal cross-member through the collar portion. The actuator portion is one of attached to the collar portion and attached to and/or supported by the gantry, and includes gearing operatively engaged to gearing attached to the longitudinal cross member. The locking portion is attached to and/or supported relative to the gantry, and includes a shoulder portion configured to contact an exterior surface of the collar portion, and at least one engagement portion moveable between a disengaged position and an engaged position. After the exterior surface is contacted to the shoulder portion, the locking portion can be moved from the disengaged position to the engaged position to maintain the position of the collar portion relative to the stationary gantry. And, after the collar portion is maintained in position relative to the stationary gantry, actuation of the actuator portion drives interaction of the gearing that moves portions of cross member into and out of the collar portion in a first linear direction and a second linear direction.
Neurostimulation is provided by implanting an endovascular lead with a distal tip in proximity to a target area within a brain of a patient. The neurostimulation therapy provided during a trial period using the endovascular lead may be compared to a target threshold. Both stimulation and sensing may be compared to target thresholds for purposes of determining efficacy of the neurostimulation therapy. A decision may be made as to whether to implant a non-endovascular lead such as a deep brain stimulation lead for purposes of continuing the neurostimulation therapy.
A delivery assembly is provided for delivering a heart valve prosthesis to a treatment site. The delivery assembly includes an inner shaft and a distal tip attached to a distal end of the inner shaft. The distal tip includes one or more slots that are circumferentially surrounded by an outer tip wall of the distal tip. A distal segment of the heart valve prosthesis is configured to be received within the one or more slots and is circumferentially surrounded by the outer tip wall. The outer tip wall maintains the distal segment in a radially compressed configuration. A capsule circumferentially surrounds the inner shaft and defines a cavity within which a proximal segment of the heart valve prosthesis is received. The capsule is configured to maintain the proximal segment in the radially compressed configuration. Methods of implanting a heart valve prosthesis are provided.
A prosthetic heart valve includes a stent frame with a first end portion, a second end portion, and a central portion extending between the first end portion and the second end portion. The stent frame extends in a first direction of a longitudinal axis of the prosthetic heart valve from the first end portion to the second end portion. The prosthetic heart valve further includes a support arm coupled to the stent frame, a valve structure associated with the stent frame, and a seal configured to expand to a swelled orientation by fluid passing into the seal.
Aspects of the disclosure relate to pledget stimulation/recording electrode assemblies that are particularly useful for automatic periodic stimulation. Embodiments are compatible with nerve monitoring systems to provide continuous stimulation of a nerve during surgery. Disclosed embodiments include an electrode assembly having one or more electrodes rotatably supported by and positioned within a pledget substrate. The flexible pledget substrate conforms and fixates to bioelectric tissue to secure the electrode assembly in position, wrapped around the target tissue. In some embodiments, the pledget substrate includes two bodies, each including at least one electrode, the two bodies being selectively separable so that the bodies can be repositioned with respect to one another. The electrode assembly further includes a lead wire assembly including at least one insulating jacket positioned around a wire core. Optionally, the electrode assembly includes an insulating cup interconnecting the electrode and the insulating jacket.
A medical device system includes a first medical device having circuitry configured to perform a function according to a control parameter and a control circuit configured to determine that the control parameter is to be adjusted. The first medical device includes communication circuitry configured to receive a communication signal from a second medical device of the medical device system. The control circuit of the first medical device may, based on the received communication signal, withhold the adjustment of the control parameter or adjust the control parameter for performing the function according to the adjusted control parameter.
A medical system includes techniques for adjusting the cycling of electrical stimulation therapy delivered by a medical device based on user input. The disclosure describes techniques to iteratively adjust the duration that stimulation is delivered and not delivered based on user input indicative of patient's symptoms.
A medical device system includes a first medical device having circuitry configured to perform a medical device system function, a communication circuit, and a control circuit configured to detect a condition for disabling performing the medical device system function by the first circuitry. The control circuit may, in response to detecting the condition, transmit via the communication circuit a communication signal to a second medical device capable of performing the medical device system function. The control circuit may disable the performing of the medical device system function by the circuitry.
Systems, devices, and techniques for setting up secure communication with a medical device. The medical device, such as an implantable medical device, may include computer readable storage media configured to store encrypted information in such a way to allow a trusted instrument to access this stored, encrypted information. The trusted instrument may decrypt the information from the medical device and use the decrypted information to set up and allow a second computing device, including a patient computing device, to communicate with that medical device.
A system comprising processing circuitry configured to receive a wirelessly-transmitted messages from a patient or responder via one of their devices, the messages indicating a verified connection with that patient or responder device and a current location of the patient. After a number of messages, the processing circuitry generates an activity profile for the patient or responder such that in response to a next message, the processing circuitry is configured to determine a level of responsiveness to attribute to the patient or responder and coordinate an emergency response to the patient's current location based on the level of responsiveness.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 80/00 - ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
A transcatheter valve prosthesis includes a frame and a prosthetic valve coupled to the frame. In a radially compressed configuration, the frame is a single layer tube. In a radially expanded configuration, the frame comprises an outer structure and an inner structure, wherein the prosthetic valve attached to the inner structure, and wherein the outer structure surrounds the inner structure and is spaced from the inner structure by a gap.
An implantable medical device (IMD) includes a body, a fixation component, and an interface assembly. The body extends from a proximal portion to a distal portion along a longitudinal axis. The fixation component includes a penetrator tine. The penetrator tine includes an incisive distal end configured to penetrate a tissue to fix the IMD to the tissue. The electrode interface assembly includes a proximal section and a distal section. The proximal section is attached to and extends distally from the distal portion of the body along the longitudinal axis. The distal section extends from the proximal section of the electrode interface assembly and defines a non-incisive distal end. The distal end of the electrode interface assembly is configured to contact the tissue to control a depth of tissue penetration of the penetrator tine.
Ventricle-from-atrium (VfA) cardiac therapy may utilize a tissue-piercing electrode implanted in the left ventricular myocardium of the patient's heart from the right atrium through the right atrial endocardium and central fibrous body. The exemplary devices and methods may determine whether the tissue-piercing electrode is achieving effective left ventricular capture. Additionally, one or more pacing parameters, or paced settings, may be adjusted in view of the effective left ventricular capture determination.
An intracardiac ventricular pacemaker is configured to detect a ventricular diastolic event from a motion signal received by a pacemaker control circuit from a motion sensor. The control circuit starts an atrial refractory period having an expiration time set based on a time of the detection of the ventricular diastolic event. The control circuit detects an atrial systolic event from the motion signal after expiration of the atrial refractory period and controls a pulse generator of the pacemaker to deliver a pacing pulse to a ventricle of a patient's heart at a first atrioventricular pacing time interval after the atrial systolic event detection.
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
A61N 1/05 - Electrodes for implantation or insertion into the body, e.g. heart electrode
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A61N 1/372 - Arrangements in connection with the implantation of stimulators
A61N 1/375 - Constructional arrangements, e.g. casings
A bone screw has a first portion including a head. A second portion includes a threaded shaft having a length and a major diameter. The shaft includes a length-to-major diameter ratio of less than about 2.0. The thread has a minor diameter and includes a major-diameter-to-minor diameter ratio of greater than about 2.0. The shaft further has at least one thread including a pitch of greater than about 1.0 mm and defining a pitch cavity for disposal of tissue. Systems and methods of use are disclosed.
Methods and apparatus for performing medical ablation procedures. In one example, a catheter for performing pulsed field ablation has an integrated electromagnetic and impedance sensor in which at least one element is used to support both position and shape tracking. The element sharing enables the footprint of the distal portion of the catheter to remain relatively small even with a new capability having been added thereto.
A connector configured for use with a spinal surgical system includes a rod portion defining a longitudinal axis and a head portion integrally connected to the rod portion. The head portion has a transverse bore defined therethrough and a longitudinal cut out defined therein. The transverse bore defines a first axis substantially perpendicular to the longitudinal axis and configured to enable coupling of the head portion to a screw assembly. The longitudinal cut out defines a second axis substantially parallel to or substantially coaxial with the longitudinal axis and configured to receive a portion of a rod therein such that the portion of the rod is substantially parallel to or substantially coaxial with the rod portion. A connection assembly include the connector, a set screw, and a nut. A spinal surgical system includes the connection assembly, a screw assembly, and a rod.
Techniques are described for initiating a change to rules used by a medical device to identify a plurality of episodes based on a determination that an amount of the plurality of episodes classified as a classification for which transmission of the episode data from the medical device to the computing device was unnecessary satisfies at least one criterion.
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
Devices, systems, and techniques are described for selecting an evoked compound action potential (ECAP) growth curve based on a posture of a patient. The ECAP growth curve defines a relationship between a parameter defining delivery of stimulation pulses delivered to the patient and a parameter of an ECAP signal of a nerve of a patient elicited by a stimulation pulse. In one example, a medical device detects a posture of a patient and selects an ECAP growth curve corresponding to the detected posture. The medical device selects, based on the ECAP growth curve corresponding to the detected posture and a characteristic of a detected ECAP signal, a value for a parameter for defining delivery of the stimulation pulses to the patient and controls delivery of the stimulation pulses according to the selected value for the parameter.
A device, such as an IMD, having a tissue conductance communication (TCC) transmitter controls a drive signal circuit and a polarity switching circuit by a controller of the TCC transmitter to generate an alternating current (AC) ramp on signal having a peak amplitude that is stepped up from a starting peak-to-peak amplitude to an ending peak-to-peak amplitude according to a step increment and step up interval. The TCC transmitter is further controlled to transmit the AC ramp on signal from the drive signal circuit and the polarity switching circuit via a coupling capacitor coupled to a transmitting electrode vector coupleable to the IMD. After the AC ramp on signal, the TCC transmitter transmits at least one TCC signal to a receiving device.
An intracardiac ventricular pacemaker having a motion sensor is configured to produce a motion signal including an atrial systolic event and a ventricular diastolic event indicating a passive ventricular filling phase, set a detection threshold to a first amplitude during an expected time interval of the ventricular diastolic event and to a second amplitude lower than the first amplitude after an expected time interval of the ventricular diastolic event. The pacemaker is configured to detect the atrial systolic event in response to the motion signal crossing the detection threshold and set an atrioventricular pacing interval in response to detecting the atrial systolic event.
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A61N 1/372 - Arrangements in connection with the implantation of stimulators
A61N 1/375 - Constructional arrangements, e.g. casings
Valve skirts for prosthetic devices are provided. In particular, valve skirts for attachment to an outer frame of a heart valve prosthesis are provided. Valve skirts provided herein include one piece valve skirts. One piece valve skirts may be configured to reduce a size of a prosthetic heart valve in a reduced diameter delivery configuration.
Infusion devices are disclosed herein. The present technology includes, for example, an infusion device for delivering a medicament to a body of a user. The device can comprise an insertion assembly comprising a cannula, a reservoir assembly comprising a reservoir configured to receive a medicament, and a trigger assembly configured to trigger insertion of the cannula into the user in response to a command from a remote computing device communicatively coupled to the infusion device.
A61M 5/145 - Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. by means of pistons
G16H 20/17 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
86.
ANALYTE SENSORS AND METHODS FOR IMPROVING INTERFERENT REJECTION AND LONGEVITY
An analyte sensor includes a microcontroller, a base layer, a conductive layer disposed on the base layer where the conductive layer includes a working electrode configured to provide a current signal in presence of glucose, an interference rejection membrane (“IRM”) layer disposed on the working electrode where the IRM layer is negatively charged, and an enzyme layer disposed on the IRM layer where the enzyme layer includes an enzyme selected to generate a detectable electrical signal upon exposure to the glucose. The microcontroller is configured to process an electrochemical impedance spectroscopy (EIS) parameter to determine a state of the IRM layer.
A tissue-removing catheter for removing tissue in a body lumen includes an elongate body and a tissue-removing element mounted on a distal end portion of the elongate body. The tissue-removing element is configured to remove the tissue as the tissue-removing element is rotated by the elongate body within the body lumen. An inner liner is received within the elongate body. The inner liner defines a guidewire lumen. The inner liner isolates an interior of the guidewire lumen from the elongate body and tissue-removing element such that rotational forces are not transferred from the elongate body and tissue-removing element to the interior of the guidewire lumen when the elongate body and tissue-removing element are rotated during removal of tissue from the body lumen.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A catheter includes a catheter body extending from a proximal end to a distal end. The catheter further includes a cup at the distal end. The cup defines an opening at a cup distal end. The cup is configured to receive an implantable medical device through the opening. The cup includes a flared tip configured to flex radially inward.
Surgical systems and devices for inserting a lead with one or more tines and collapsing the one or more tines are provided. The system may include an introducer defining a pathway to a target surgical site and having a body extending from a first end to a second end. The body also has a bore extending from a first opening at the first end to a second opening at the second end. A surgical tool is configured to collapse one or more tines of a lead from a first diameter to a second diameter such that the lead can fit through the first opening, the second opening, and the bore and travel through the pathway to the target surgical site.
A crimper configured to radially compress a transcatheter valve prosthesis into a crimped configuration for delivery within a vasculature. The transcatheter valve prosthesis includes a frame and at least one leaflet secured within the frame. The crimper is configured to apply pressurized fluid to the at least one leaflet of the transcatheter valve prosthesis during the crimping process to prevent protrusion of the leaflet into the frame of the transcatheter valve prosthesis that may cause leaflet pinching and damage. The crimper includes a plurality of crimper elements that collectively define a crimper chamber of the crimper, and at least one crimper element of the plurality of crimper elements includes an integral channel extending therethrough for applying the pressurized fluid to the at least one leaflet.
B21D 39/04 - Application of procedures in order to connect objects or parts, e.g. coating with sheet metal otherwise than by platingTube expanders of tubes with tubesApplication of procedures in order to connect objects or parts, e.g. coating with sheet metal otherwise than by platingTube expanders of tubes with rods
91.
NUTRITIONAL CONTENT DETERMINATION BASED ON GESTURE DETECTION DATA
Techniques disclosed herein relate to nutritional content determination based on gesture detection data. In some examples, the techniques involve obtaining gesture detection data corresponding to consumption of a food item or a drink, determining nutritional content of the food item or the drink based on the gesture detection data, and causing delivery of insulin in accordance with the nutritional content of the food item or the drink.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/17 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
H04W 4/80 - Services using short range communication, e.g. near-field communication [NFC], radio-frequency identification [RFID] or low energy communication
92.
CONTEXTUAL PERSONALIZED CLOSED-LOOP ADJUSTMENT METHODS AND SYSTEMS
Techniques for adjustment of control parameters are provided. In some embodiments, the techniques may involve causing fluid delivery to a patient based on a first value for a control parameter. The techniques may further involve determining an anomalous physiological condition of the patient. The techniques may further involve in response to determining the anomalous physiological condition, causing fluid delivery to the patient based on a second value for the control parameter.
A61M 5/172 - Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters electrical or electronic
A61M 5/145 - Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. by means of pistons
G16H 20/17 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
An endovascular hemostasis valve adapter. The adapter includes a proximal face, a distal face, a body extending between the proximal face and the distal face and having a longitudinal axis, and a bypass portion extending away from the distal face and defining a bypass lumen. The proximal face defines a first sealable opening offset the longitudinal axis and a second sealable opening aligned with the longitudinal axis. The body defines a first lumen extending from the first sealable opening a second lumen extending from the second sealable opening. The first lumen and the second lumen communicate with the bypass lumen. The first sealable opening and the first lumen are configured to sealably pass a first endovascular device. The second sealable opening and the second lumen are configured to sealably pass a second endovascular device.
A shoulder hold-down is provided for use in securing at least a shoulder of a patient in position relative to a surgical frame. The shoulder hold-down includes a locking mechanism that is adjustable to afford positioning of a shoulder engaging portion for contacting the patient.
An interbody spinal implant including a body portion having a superior side, an inferior side and a lateral side connecting the superior side and the inferior side, at least one of the superior side or the inferior side comprises a bone contacting surface operable to be coupled to an anatomical structure of a patient; and a plurality of uniform features formed in the bone contacting surface, wherein each uniform feature of the plurality of uniform features comprise a planar peak or a round peak and are dimensioned to increase a surface area of the bone contacting surface to promote bone growth.
A medical device system includes a first medical device having circuitry configured to operate according to a first control parameter for performing a medical device function. The first medical device includes communication circuitry for receiving a pending value of the first control parameter and receiving information on a second medical device control parameter status. The first medical device may include a control circuit configured to, based on at least the received information on the second medical device control parameter status, either cancel the pending value of the control parameter or implement the pending value of the control parameter for performing the medical device function.
A61N 1/372 - Arrangements in connection with the implantation of stimulators
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A61N 1/375 - Constructional arrangements, e.g. casings
An implantable medical device includes a plurality of implantable electrodes to sense and pace a patient's heart. The plurality of electrodes include a cardiac conduction system electrode positionable proximate a portion of the patient's cardiac conduction system. A computing apparatus includes processing circuitry and is operably coupled to the plurality of implantable electrodes. The computing apparatus monitors a heart sound pre-ejection period (HS-PEP) of the patient's heart. A change in the HS-PEP is determined based on the monitoring. It is determined that the change in the HS-PEP is greater than or equal to a specified threshold. Delivery of cardiac conduction system pacing therapy to the patient's cardiac conduction system using the cardiac conduction system electrode is initiated based on the HS-PEP being greater than or equal to the specified threshold.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
98.
SYNCHRONIZING A FIRST COMMUNICATION LINK AND A SECOND COMMUNICATION LINK
In some examples, a first device includes a memory; and processing circuitry in communication with the memory. The processing circuitry is configured to initiate, via a first communication link, a first connection event with a second device according to a first connection event schedule and respond, via a second communication link, to a second connection event initiated by a third device according to a second connection event schedule. The processing circuitry is also configured to determine whether the second connection event conflicts with the first connection event schedule; and initiate, based on whether the second connection event conflicts with the first connection event schedule, a third connection event with the second device so that a fourth connection event initiated by the third device according to the second connection event schedule does not conflict with the first connection event schedule.
H04W 4/80 - Services using short range communication, e.g. near-field communication [NFC], radio-frequency identification [RFID] or low energy communication
Medical devices with electromagnetic navigation sensors and free floating conductor wires are described herein. In some variations, a medical device may include an elongated member comprising an inner structure, an outer structure arranged circumferentially around the inner structure, and a channel defined by an outer surface of the inner structure and an inner surface of the outer structure. The medical device may further include an electromagnetic navigation coil wrapped circumferentially around the inner structure and arranged between the inner structure and the outer structure, and at least one conductor wire extending from the navigation coil and free floating within the channel along the elongated member.
Illustrative devices and methods may use an adaptable rate responsive atrioventricular (AV) delay profile to deliver cardiac fusion pacing therapy. The rate responsive AV delay profile may generate an AV therapy delay based on heart rate, and the rate responsive AV delay profile may be adapted based on intermittently sampled intrinsic AV delays.
A61N 1/368 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential comprising more than one electrode co-operating with different heart regions
A61N 1/365 - Heart stimulators controlled by a physiological parameter, e.g. by heart potential
