A local communication unit adapted for communication with a plurality of implantable medical devices. The local communication unit comprises means for receiving a discovery message from an implantable medical device via a local wireless communication and means for transmitting a data request message to the implantable medical device via the local wireless communication upon receiving the discovery message. The local communication unit further comprises means for receiving a medical data set from the implantable medical device via the local wireless communication upon transmitting the data request message.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A guiding catheter includes an outer shaft defining a first guiding lumen in an interior of the outer shaft. An inner shaft is movably arranged at least partially in the first guiding lumen. The inner shaft defines a second guiding lumen in an interior of the inner shaft. A dividing device is arranged at a proximal end region of the guiding catheter. The dividing device includes a first port, and a second port angularly arranged with respect to each other. Both the first port and the second port provide access to the first guiding lumen. The inner shaft extends through the second port into the first guiding lumen. The inner shaft includes at least a section-wise slit along a longitudinal extension direction (F) of the inner shaft. The slit provides access to the second guiding lumen and enables a working catheter to enter the second guiding lumen from the first guiding lumen. The inner shaft has a length exceeding a length of the outer shaft.
A system for providing stimulation to a patient, in particular stimulation to a left bundle branch area of the heart of the patient, the system comprising: a stimulation pulse generator; at least one electrode having a distal end for being engaged with the patient and a proximal end for being engaged with the generator, the electrode being configured to be implanted at least partially in the septum of the heart of the patient, and to provide stimulation to the patient, wherein the distal end comprises a fixing portion configured to facilitate implanting in the septum; a sheath having a three-dimensional opening for guiding the at least one electrode for implanting of the electrode; wherein the generator, the electrode and the sheath are adapted for use in combination with each other.
The present invention relates to an implantable medical device (1) comprising a first connecting member (400) provided by a header body (40) and a second connecting member (300) connected to a first housing portion (2a) of the implant (1), wherein the first and the second connecting members (400, 300) are configured to engage with each other to mount the header body (40) to the housing (2), and wherein the header body (40) comprises a recess (43) for accommodating an electrically conducting structure (42) and feedthrough pins (30).
The present disclosure relates to a system (100) for providing stimulation to a patient, in particular stimulation to a left bundle branch area of the heart (701) of the patient, the system comprising: a stimulation pulse generator (10, 610); at least one electrode (30, 620, 800) having a distal end (31) for being engaged with the patient and a proximal end for being engaged with the generator (10, 610), the electrode (30, 620, 800) being configured to be implanted at least partially in the septum (713) of the heart (701) of the patient, and to provide stimulation to the patient, wherein the distal end (31) comprises a fixing portion configured to facilitate implanting in the septum (713); a sheath (50) having a three- dimensional opening for guiding the at least one electrode (30, 620, 800) for implanting of the electrode (30, 620, 800); wherein the generator (10, 610), the electrode (30, 620, 800) and the sheath (50) are adapted for use in combination with each other.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
6.
HEADER COMPRISING COMPONENT FOR COMPENSATING THE WELDING FORCE DURING RESISTANCE GAP WELDING
The present invention relates to a method for welding at least one first electrical contact member (100) of a first component (2) of a medical device (1) to at least one second electrical contact member (200) of the medical device (1), the method comprising the steps of: arranging a separate support member (5) on a second component (3) of the medical device (1), arranging the first component (2) on the second component (3) thereby arranging the at least one first electrical contact member (100) on the support member (5) so that the support member (5) is arranged between the second component (3) and the at least one first electrical contact member (100), and particularly allows to transfer a mechanical force introduced into the at least one first electrical contact member (100) into the second component (3) and/or the second component (3) is protected against heat via the support member (5), and welding the at least one first electrical contact member (100) to the at least one second electrical contact member (200) to generate an electrically conducting connection between the at least one first electrical contact member (100) and the at least one second electrical contact member (200).
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Electric and electronic apparatus and instruments for measuring, inputting, storing, displaying, analyzing, processing, generating and transmitting data and signals; reading devices Surgical and medical instruments and apparatus, medical apparatus and instruments for diagnosing, monitoring or treating spinal conditions, neurological conditions; medical apparatus and instruments for providing nerve stimulator apparatus and electronic muscle stimulators for medical purposes, medical apparatus for therapeutic purposes, electromedical apparatus and parts therefor, electronic apparatus for the electrical stimulation of tissue and nerves, including external or implantable pacemakers, programming and testing apparatus for pacemakers, defibrillators, cardioverters, electrodes, circulation relieving apparatus, cardiological diagnostic apparatus, analysis apparatus, patient monitoring apparatus and medical measuring and regulating apparatus; testing apparatus for medical purposes; resuscitation apparatus; artificial organs, endoprosthesis, implants; cardiovascular surgical and medical instruments and apparatus, namely cardiovascular implants and apparatus; stents, scaffolds, catheters; apparatus and catheters for balloon dilation, catheters for percutaneous transluminal coronary angioplasty (PTCA catheters); medical guidewires Medical services relating to the treatment of persons in the form of patient care and remote monitoring and remote programming of medical devices; providing medical information consisting of the management and transmission of patient and implant related data for diagnostic and therapeutic purposes; physician and home health care services; remote collection, recordation, supervision and diagnosis of circulatory, cardiological and implant data via computerized telemetry monitors and vital signs monitors for diagnostic and therapeutic purposes; web-based health assessment services, provision of health-related information in the form of recommended educational resources and treatment information; providing health, medical, and treatment information and options in the field of cardiology to physicians and pain management to healthcare professionals and patients; Providing online health, medical, and medical treatment support in the field of heart rhythm management, pain management and other medical areas; providing recommendations for decision making on treatment options, recommendations on treatment options, recommendations on medical workflow suggestions in the field of heart rhythm management, pain management and other medical areas based on data analysis
8.
ELECTRICAL AND MEDIA-TIGHT INSULATION OF METAL IMPLANTS BY APPLYING A GLASS LAYER OR A CERAMIC LAYER
The present invention relates to a method for coating an outer surface (2a) of a housing (2) of a medical device (1), wherein the method comprises the steps of: - providing a housing (2) of a medical device (1), the housing comprising an outer surface (2a), - applying a coating material (3) to at least a portion of said outer surface (2a), - heating the coating material (3) arranged on said outer surface to melt said coating material (3), and - curing the coating material (3) to form a coating (4) of said outer surface (2a), the coating (4) being bonded to the outer surface (2a).
C23C 24/10 - Revêtement à partir de poudres inorganiques en utilisant la chaleur ou une pression et la chaleur avec formation d'une phase liquide intermédiaire dans la couche
B23K 26/34 - Soudage au laser pour des finalités autres que l’assemblage
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61L 27/28 - Matériaux pour le revêtement de prothèses
The invention refers to a header assembly (3) for an implantable intracardiac device (1) which is automated assembly friendly, wherein the header assembly comprises a cylindrical feedthrough arrangement (5), a ring-shaped proximal cap (7), a ring-shaped distal cap (9), a base ring (11) with at least two tines (13) protruding distally from the base ring, and an envelope arrangement (15). The feedthrough arrangement has an outer shell surface (17). The proximal cap comprises an inner surface (19). The distal cap comprises an outer surface (21). The distal cap comprises a fixing portion (23) with an inner surface (25), the inner surface forming a locking connection with the outer shell surface of the feedthrough arrangement for counteracting a movement of the distal cap and the feedthrough arrangement apart from each other in an axial direction (27). The proximal cap, the distal cap and the base ring are configured such that the inner surface of the proximal cap and the outer surface of the distal cap are arranged coaxially and directed towards each other, and the base ring is interposed between the inner surface of the proximal cap and the outer surface of the distal cap such as to be coaxially rotatable relative to the distal cap. The envelope arrangement at least partially encloses the base ring and is in direct adherent contact to at least partial surfaces of the base ring. The envelope arrangement is configured such that at least parts of the envelope arrangement form an intermediate layer which is interposed between the base ring and the outer surface of the distal cap. The envelope arrangement is made with a first material and at least one of the proximal cap and the distal cap is made with a second material, the first material being softer than the second material.
The invention relates to a method to check a medical device (1,1′), to a method of operating such a medical device (1,1′) and to the respective medical device (1,1′). The medical device (1,1′) comprises at least two electrode groups (5) and a pulse generator (6), wherein each electrode group (5) comprises at least two electrodes (4), wherein the at least two electrode groups (5) are arranged on a surface (3) of at least one lead body (2,12), wherein the pulse generator (6) comprises at least one port (9), wherein the number of connections (10) of the at least one port (9) is equal to or greater than the number of electrodes (4) of all electrode groups (5) and form connection groups (11) corresponding to the electrode groups (5). In order to check whether the electrodes (4) of the at least one lead body (2) are correctly electrically linked to the pulse generator (6), the method is used.
A61N 1/08 - Aménagements ou circuits de surveillance, de protection, de commande ou d'indication
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
11.
METHOD AND APPARATUS FOR PRODUCING A COVERED STENT COMPRISING BACTERIAL NANOCELLULOSE
The present invention relates to a covered stent comprising bacterial nanocellulose (BNC) and a method as well as an apparatus for producing the covered stent.
B05C 9/00 - Appareillages ou installations pour appliquer des liquides ou d'autres matériaux fluides aux surfaces par des moyens non prévus dans l'un des groupes , ou dans lesquels le moyen pour déposer le liquide ou autre matériau fluide n'est pas important
B05D 1/00 - Procédés pour appliquer des liquides ou d'autres matériaux fluides aux surfaces
C12N 1/00 - Micro-organismes, p. ex. protozoairesCompositions les contenantProcédés de culture ou de conservation de micro-organismes, ou de compositions les contenantProcédés de préparation ou d'isolement d'une composition contenant un micro-organismeLeurs milieux de culture
C12P 19/00 - Préparation de composés contenant des radicaux saccharide
C12M 1/00 - Appareillage pour l'enzymologie ou la microbiologie
B05C 13/02 - Moyens pour manipuler ou tenir des objets, p. ex. des objets individuels pour des objets particuliers
C12M 1/12 - Appareillage pour l'enzymologie ou la microbiologie avec des moyens de stérilisation, filtration ou dialyse
C12M 3/06 - Appareillage pour la culture de tissus, de cellules humaines, animales ou végétales, ou de virus avec des moyens de filtration, d'ultrafiltration, d'osmose inverse ou de dialyse
C12P 19/04 - Polysaccharides, c.-à-d. composés contenant plus de cinq radicaux saccharide reliés entre eux par des liaisons glucosidiques
An implantable medical device for stimulating a human or animal heart. During operation, the device performs the following steps: a) repeatedly detecting a cardiac electric signal; b) determining a duration of a cardiac interval from the detected cardiac electric signal and calculating a theoretic cardiac rate for each interval from the determined duration; c) determining a percentage of cardiac intervals lying within a first band having a predeterminable first width around a border between first and second cardiac rate zones in which the implantable medical device is operated in first and second operational modes, respectively; and d) if the determined percentage exceeds a predeterminable threshold, i) outputting a notification signal being indicative for a recommended adjustment of the border between the first and second cardiac rate zones, or ii) automatically adjusting the border between the first and second cardiac rate zones.
A cardiac pacemaker which stays synchronized with the heart's natural cycle but also provides a safe patient support in cases where an atrial rhythm is detected by the implant promoting suspicion that an SVT occurred. The pacemaker includes a processing unit, a detector and a pacing signal generator, wherein the detector and the pacing signal generator are electrically connected to the processing unit, wherein the processing unit is configured to determine a ventricular pacing time value and/or a ventricular pacing rate value and to transmit a corresponding pacing information to the pacing signal generator for providing a pacing signal for a patient's heart based on this information.
A cardiac pacemaker which stays synchronized with the heart's natural cycle but also provides a safe patient support in cases where an atrial rhythm is detected by the implant promoting suspicion that an SVT occurred. The pacemaker includes a processing unit, a detector and a pacing signal generator, wherein the detector and the pacing signal generator are electrically connected to the processing unit, wherein the processing unit is configured to determine a ventricular pacing time value and/or a ventricular pacing rate value and to transmit a corresponding pacing information to the pacing signal generator for providing a pacing signal for a patient's heart based on this information.
An operation method of such a pacemaker, a respective computer program product and computer readable data carrier are also disclosed.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
15.
Communication System and Method for an Implantable Medical Device
The invention is directed to a communication system for a wireless message transfer between an implantable medical device (IMD) and an external device. A communication system is disclosed that effectively throttles/manages messages in a limited resource communication scheme, wherein the IMD is configured to monitor the health status of a patient and/or configured to deliver a therapy signal to the patient, wherein the IMD comprises a processor and a transceiver module configured to bi-directionally exchange the messages with the external device, wherein the processor adopts at least a predefined active state and a predefined processing state, wherein the processor of the IMD is configured to produce response messages in order to send these response messages from the transceiver module to the external device. The invention is further directed to a respective communication method, computer program product and computer readable data carrier.
A method for controlling a medical device implanted in a patient in presence of an external device in the patient's environment includes: receiving a detection signal indicating the presence of the external device in the patient's environment, wherein the detection signal incudes a unique identifier for the external device; selecting an operating mode for the medical device by comparing the identifier to a list of known identifiers, wherein each known identifier is associated with a predefined operating mode for the medical device; and applying the selected operating mode to the medical device, thereby adjusting the medical device so that undesirable electromagnetic interaction between the medical device and the external device is reduced.
Implantable medical device configured to provide for an intra-cardiac pacing includes an electrode arrangement configured to sense a cardiac sense signal and processing circuitry operatively connected to the electrode arrangement. The processing circuitry is configured to start a first timer based on a ventricular sense event; to open an atrial detection window based on a first timer count; to start a second timer based on an atrial sense event; to identify a first timeout based on a comparison of a second timer count and a first pacing delay; to identify a second timeout based on a comparison of the first timer count and a second pacing delay; to identify a third timeout based on a comparison of the first timer count and a basic rate interval; and to trigger a ventricular pace signal based on an identification of at least one of the first, second and third timeouts.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
18.
COMPUTER IMPLEMENTED METHOD AND SYSTEM FOR PROGRAMMING LEADLESS CARDIAC PACEMAKERS
A computer implemented method for programming leadless cardiac pacemakers including assigning a unique identifier to each of the first leadless cardiac pacemaker and the second leadless cardiac pacemaker by means of the computing device, and preconfiguring the parameters of the first leadless cardiac pacemaker and/or the second leadless cardiac pacemaker by means of the computing device regardless of a location of the first leadless cardiac pacemaker and the second leadless cardiac pacemaker with respect to a transmit-receive unit of the computing device. Moreover, the invention relates to a system for programming leadless cardiac pacemakers. In addition, a computer program and a computer-readable data carrier are also disclosed.
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Electronic apparatus for the electrostimulation of tissue and nerves, including external or implantable heart stimulators; cardiac stimulators; defibrillators; cardioverters; test apparatuses for cardiac pacemakers and defibrillators; parts and fittings of all previously mentioned goods. Medical services, namely remote monitoring and preparation of bodily function-related, in particular neurological, circulatory system data and cardiology data for medical treatments and diagnosis, including telemetric and direct reporting of patient data and implant-related data for diagnostic and therapeutic purposes; Performing medical and clinical analyses; remote management of cardiac stimulators, defibrillators or cardioverters.
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Electronic apparatus for the electrostimulation of tissue and nerves, including external or implantable heart stimulators; cardiac stimulators; defibrillators; cardioverters; test apparatuses for cardiac pacemakers and defibrillators; parts and fittings of all previously mentioned goods. Medical services, namely remote monitoring and preparation of bodily function-related, in particular neurological, circulatory system data and cardiology data for medical treatments and diagnosis, including telemetric and direct reporting of patient data and implant-related data for diagnostic and therapeutic purposes; Performing medical and clinical analyses; remote management of cardiac stimulators, defibrillators or cardioverters.
A catheter includes a medical bypass implant having a first end, a second end, and a body forming a flow lumen. A catheter shaft defines an inner lumen and a distal end. The inner lumen receives the medical implant in a delivery state such that the first end is arranged near to the distal end and the second end is arranged proximally from the first end. The catheter shaft is moved towards a vessel wall to place the first end on the vessel wall. An actuating catheter is received in the inner lumen. A tip thereof is operatively connected to the second end. The actuating catheter moves the second end towards the first end. The tip is configured to penetrate the vessel wall and to move the second end of the medical implant through the vessel wall.
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61L 27/36 - Matériaux pour prothèses ou pour revêtement de prothèses contenant des constituants de constitution indéterminée ou leurs produits réactionnels
23.
THERMAL DOSE CALCULATION AND PROTECTION IN AN IMPANTABLE MEDICAL DEVICE
The present invention relates to control system (1) for controlling a charging process of an implantable medical device, IMD, for a patient, the control system (1) comprising: means for determining a temperature (10) of a tissue of a patient; a control unit (20) configured to determine a cumulative thermal dose of the patient based on the determined temperature; wherein the control unit (20) is configured to continue, after an interruption of the charging process and upon resumption of the charging process, the determination of the cumulative thermal dose based on one or more predefined conditions, wherein the control unit (20) is configured to reset the determined cumulative thermal dose when a time span from interruption is greater than a time limit and/or when a measured temperature is lower than a temperature limit. The present invention is further directed to a system comprising such a control system, to a method and a corresponding computer program.
An implantable medical device, for example an implantable leadless pacemaker, is disclosed comprising a processor, a therapy signal generator, for example a pacing signal generator, as well as a communication unit and a memory unit, wherein the memory unit is configured to exchange data with the processor, wherein the memory unit comprises a ROM sub-unit, a second memory sub-unit and a state element, wherein the state element is configured to be set to one state of a first state and at least one second state, wherein the second memory sub-unit comprises a RAM, wherein the communication unit is configured to receive information comprising a state input information from an external computing device and to transmit at least one data corresponding to this information to the processor, wherein the processor is configured to set the state of the state element.
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
Cardiac pacemaker for a patient's heart including a processing unit with a data memory, further including a first detector, and a second detector, a pacing signal generator, which are all electrically connected to the processing unit, wherein the first detector is configured to detect time-dependent electrical signals of the heart, wherein the second detector is configured to detect time-dependent bodily signals of the patient different from the signals detected by the first detector, wherein the first detector and the second detector are configured to transmit the detected and, if applicable, pre-processed signals to the processing unit, wherein the processing unit is configured to process the signals received from the first detector and the signals from the second detector and to detect from the received signals of the first detector intrinsic atrial events, intrinsic ventricular events and pacing events and to determine an actual cardiac rate.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/02 - ÉlectrothérapieCircuits à cet effet Parties constitutives
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A cardiac pacemaker which stays synchronized with the heart's natural cycle even if atrial sensing events are intermittently sensed and intrinsic AV conduction occurs intermittently. The pacemaker includes a processing unit, a data memory, a detector and a pacing signal generator, wherein the processing unit, the data memory, the detector and the pacing signal generator are electrically interconnected, wherein the data memory is configured to store a pre-defined programmed AV delay, wherein the detector is configured to detect an intrinsic atrial activity signal and to detect an intrinsic ventricular activity signal, wherein the processing unit is configured to produce a ventricular pace control signal and to transmit it to the pacing signal generator. A respective operation method is also disclosed.
A cardiac pacemaker for a patient's heart, for example an ILP which realizes integrated circuit space conservation and simple design that covers many modes of operation even though robust behaviour requires complex dynamic adaptive algorithms. The pacemaker includes a processing unit, a detector and a pacing signal generator, wherein the processing unit, the detector and the pacing signal generator are electrically interconnected, wherein the detector is configured to detect electrical signals of the heart, for example an intracardiac electrogram, and to transmit these signals to the processing unit, wherein the processing unit is configured to perceive an intrinsic ventricular signal and an intrinsic atrial signal from the signals received from the detector, to enable or disable the perception of the intrinsic atrial signal, to produce a ventricular pacing control signal.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
28.
ELECTRODE HEAD OF AN ELECTRODE LEAD AND ASSEMBLY THEREFORE
The invention is directed to an assembly for an electrode head of an electrode lead having a coil-shaped inner conductor that has a simple structure and manufacturing method, wherein the assembly comprises • a fixation helix, • a cover sleeve adapted to partially cover the fixation helix, and • a substantially cylindrical fixation component having a distal end and a proximal end with respect to a longitudinal axis, wherein the fixation component comprises • a pin-shaped distal section at its distal end, • a blind hole at its proximal end, and • a reduced diameter section located between the pin-shaped distal section and the proximal end. The invention is further directed to a respective electrode head and electrode lead as well as to the respective manufacturing methods thereof.
A computer implemented method for determining a QT-interval, a corrected QT-interval or a classification of a QT-interval and/or a classification of a corrected QT-interval, comprising the steps of receiving a first data set comprising pre-acquired cardiac current curve data, in particular one-channel cardiac current curve data, captured by an implantable medical device, applying a machine learning algorithm to the pre-acquired cardiac current curve data, and outputting a second data set representing the QT-interval, the corrected QT-interval or the classification of the QT-interval and/or the corrected QT-interval by the machine learning algorithm. Furthermore, a corresponding system and a method for providing a trained machine learning algorithm is also provided.
A method for determining a state of a patient with an implanted neurostimulator comprises receiving acceleration data of the patient, determining a body movability score of the patient, based at least in part on the acceleration data, and determining a physiological patient state based at least partly on the BMS.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
31.
ELECTRODE ASSEMBLY FOR AN IMPLANTABLE MEDICAL DEVICE
The invention relates to an electrode assembly (1) for an implantable medical device, having a tubular electrode body (2), an electrode connector (3) arranged in a proximal end portion (5) of the electrode body (2), at least three electrode poles (4, 41, 42, 43) and at least three electrode conductors (8, 9, 10, 12, 13) which run within the electrode body (2), wherein in each case one electrode conductor (8, 9, 10, 12, 13) electrically conductively connects a contact portion (31, 32, 33) of the electrode connector (3) to one of the electrode poles (4, 41, 42, 43). The electrode assembly is distinguished in that each electrode conductor (8, 9, 10, 12, 13) is surrounded by an electrically non-conductive insulator (83, 93, 103, 123, 133), wherein all electrode conductors (8, 9, 10, 12, 13) form an electrode conductor composite (7) in which the individual electrode conductors (8, 9, 10, 12, 13) are mechanically connected to one another but electrically insulated from one another.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
H01B 7/04 - Câbles, conducteurs ou cordons flexibles, p. ex. câbles traînants
H01B 7/30 - Conducteurs ou câbles isolés caractérisés par la forme avec dispositions pour réduire les pertes dans les conducteurs transmettant du courant alternatif, p. ex. dues à l'effet pelliculaire
32.
CATHETER SYSTEM AND METHOD FOR CLOSURE OF AT LEAST ONE PARAVALVULAR LEAKAGE
A catheter system for a interventional procedure includes a bendable and/or steerable extension arm and a guiding sheath. The extension arm is movable along the sheath or fixed at the distal end so that it projects in an operation position from the distal end. The extension arm has an inner guidewire lumen. At least one alignment component having a collapsed state and being configured to expand into an expanded state is advanceable to or attached to the guiding sheath at a pre-defined position within the distal section but proximally from its distal end. The alignment component includes a plurality of struts distributed on the circumference. Each strut of the struts runs at least sectionwise into radial direction and/or is inclined with regard to the longitudinal axis in the expanded to produce a force directed radially outwardly and to support the alignment component on the patient's heart, vasculature and/or implant.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A method for preparing a biodegradable tissue includes providing one or more native biological tissue(s) or one or more decellularized biological tissue(s). The method includes structurally stabilizing the one or more native biological tissue(s) or the one or more decellularized biological tissue(s) with a tissue water replacement material to obtain a structurally stabilized tissue and providing one or more permeable material layer(s). The method includes placing the structurally stabilized tissue on the one or more permeable material layer(s) or between two of the one or more permeable material layers and drying the structurally stabilized tissue while applying a pressure to the structurally stabilized tissue to obtain a dried biodegradable tissue.
A61L 27/36 - Matériaux pour prothèses ou pour revêtement de prothèses contenant des constituants de constitution indéterminée ou leurs produits réactionnels
A61L 27/16 - Matériaux macromoléculaires obtenus par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
The present application relates to a catheter, which may comprise an inner shaft, an outer shaft and a sealing element. The catheter may be adapted to comprise a first predetermined configuration in which the sealing element may be arranged to seal a distal end of the inner shaft and wherein the catheter may be adapted to comprise a second predetermined configuration in which the sealing element may not be arranged to seal the distal end of the inner shaft. The inner shaft may comprise a pressure sensitive valve.
The present application relates to a catheter, which may comprise an inner shaft and an outer shaft arranged such that a lumen is defined therebetween. The catheter may further comprise at least one blocking element arranged on an inner side of the outer shaft and/or on an outer side of the inner shaft. The at least one blocking element (16) may be adapted such as to stop blood from flowing past the at least one blocking element (16) in a proximal direction (P), but to allow gas (12) to flow past the at least one blocking element (16) in the proximal direction (P).
A control handle for controlling functions of a delivery system for implanting a medical device is described. The delivery system comprises an elongate delivery catheter and a mandrel being displaceable longitudinally relative to the delivery catheter. The control handle comprises a locking mechanism and a handle housing. The locking mechanism is configured for being switchable between a locked configuration and an unlocked configuration such that, in the locked configuration, the mandrel is fixed relative to the locking mechanism such that the mandrel is not displaceable relative to the locking mechanism beyond a predetermined abutment position due to a mechanical mandrel abutment blockage, whereas, in the unlocked configuration, the mandrel is movable in the longitudinal direction relative to the locking mechanism beyond the predetermined abutment position due to the mandrel abutment blockage being released.
A control handle for controlling functions of a delivery system for implanting a medical device is described. The delivery system comprises an elongate delivery catheter and a mandrel being displaceable longitudinally relative to the delivery catheter. The control handle comprises a slider mechanism and a handle housing. The slider mechanism is configured for being displaceable in a longitudinal direction relative to the handle housing between a fully undeployed position and a fully deployed position such as to thereby displacing the mandrel relative to the delivery catheter by a deployment distance. The slider mechanism is further configured such that, in the fully undeployed position, the mandrel is fixed relative to the slider mechanism such that the mandrel is not displaceable relative to the slider mechanism beyond a predetermined stop position due to a mechanical mandrel motion blockage, whereas, in a tether position being beyond the fully deployed position, the mandrel is movable in the longitudinal direction relative to the slider mechanism beyond the predetermined stop position due to the mandrel motion blockage being released.
An implantable neurostimulation device includes a system for determining at least one physiological and/or at least one biological parameter. The device is configured to derive a health status based at least in part on the at least one parameter. The system includes at least one element or shares at least one element associated with a neurostimulation therapy for determining the at least one parameter. Further aspects relate to a method carried out by such a device and a computer program.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/02 - ÉlectrothérapieCircuits à cet effet Parties constitutives
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
39.
REINFORCED LEARNING METHOD FOR OPTIMIZING PATIENT THERAPY DELIVERY BY A MEDICAL DEVICE
A reinforced learning method is used to optimize patient therapy delivered by an implanted medical device. The real environment of the device and patient provides inputs to a reinforced learning algorithm which has an agent that uses them as states and rewards. The agent applies a policy to map states into actions and modify the real environment according to the actions. The reinforced learning algorithm further comprises a model that simulates the real environment and generates simulated states and rewards and outputs these to the agent. The agent thus receives both real and simulated states and rewards and maximizes rewards according to the value function responsive to both the real and simulated environments. The rewards are then used to affect the real environment, including through associating rewards with control parameters of the medical device to optimize therapy.
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p. ex. la physiothérapie, l’acupression ou les exercices
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
40.
EVALUATION OF PATIENTS SUFFERING FROM CHRONIC PAIN
A computer-implemented method for evaluation of a patient suffering from pain based on analysis of contextual data collected from the patient including conversational data taken from a patient interview. A machine learning model is trained to link the patient contextual data to one or more pain sentiment parameters to determine probability values for the pain sentiment parameters. The pain sentiment parameters relate to both current states of the patient, such as their current satisfaction with the pain treatment, and predicted future states of the patient, such as the likelihood of successful outcome for the patient with continuance of the current therapy unchanged or with continuance of the current therapy with specific modification. The pain sentiment parameters included in the machine learning model include patient states, patient therapy efficacy, patient therapy outcomes, patient therapy interventions. The patient contextual data includes conversational data collected from a patient interview.
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p. ex. la physiothérapie, l’acupression ou les exercices
G16H 10/20 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des essais ou des questionnaires cliniques électroniques
G16H 20/10 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des médicaments ou des médications, p. ex. pour s’assurer de l’administration correcte aux patients
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
41.
METHODS AND DEVICES FOR WIRELESSLY PROVIDING ENERGY TO LEADLESS IMPLANTS
The invention relates to a device (200) for wirelessly providing energy to a leadless implant (100). The device (200) comprises a plurality of inductive charging coils (241) for wirelessly providing the energy according to at least one operating parameter and a controller (220) coupled to the plurality of inductive charging coils (241). The controller (220) is configured to select the at least one operating parameter out of a set of operating parameters of the plurality of inductive charging coils (241).
A method for preparing a biological material for a medical application includes exposing the biological material to a first liquid, for example including, by at least 10%, a component other than water, and applying a first compression step onto the biological material, wherein the first compression step includes repeatedly applying a compression force in a plurality of compression intervals. The method further includes drying the biological material, and can included applying second and/or third liquids after respective first and second compression steps.
A61L 24/00 - Adhésifs ou ciments chirurgicauxAdhésifs pour dispositifs de colostomie
A61L 27/36 - Matériaux pour prothèses ou pour revêtement de prothèses contenant des constituants de constitution indéterminée ou leurs produits réactionnels
An energy supplying component (100) includes a plurality of power sources (161, 171, 181, 191) and at least one switch (163, 165, 167, 173, 175, 177, 183, 185, 187, 193, 195, 197). Each power source of the plurality of power sources is configured to output a defined energy level. The at least one switch is configured to reversibly combine two or more power sources of the plurality of power sources for enabling the energy supplying component to supply requested energy at one or both of a needed voltage or a needed current.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
An implantable covered stent (1), the covered stent (1) being expandable in a radial direction (R) from a collapsed state to an expanded state, wherein the covered stent (1) further comprises: a scaffold (2) comprising an inner side (2a) and an outer side (2b), and a tubular inner stent cover (3) arranged on the inner side (2a) of the scaffold (2), the tubular inner stent cover (3) comprising an inner surface (3a) delimiting a lumen (4) of the covered stent (1), wherein the inner surface (3a) of the inner stent cover (3) is a microstructured surface and/or has a surface roughness Rz in the range of from 1.0 to 5.0 µm.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
An implant includes a base body defining a receptacle configured to receive an X-ray marker in the base body. A plastically deformed X-ray marker is force fit into the receptacle. A flexible film is between the X-ray marker and the based body. The flexible film is arranged such that the X-ray marker does not contact the base-body.
B29C 65/20 - Assemblage d'éléments préformésAppareils à cet effet par chauffage, avec ou sans pressage avec un outil chauffé à contact direct, p. ex. avec un "miroir"
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
B29C 65/00 - Assemblage d'éléments préformésAppareils à cet effet
B29C 65/44 - Assemblage d'un élément en matière autre que plastique chauffé avec un élément en matière plastique
A vascular implant, in particular a prosthetic heart valve, for providing valve function, has a stent structure with a proximal conical-convex inflow region, a distal, linear cylindrical outflow region, an intermediate transition region, and a corresponding valve arrangement. When the stent structure is in the expanded state, a higher maximum radial force exists in the inlet region in direct comparison to the lower maximum radial force in the outlet region and in the transition region.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
47.
IMPLANTABLE CARDIOVERTER DEFIBRILLATOR DEVICE COMPRISING A PULSE GENERATION CIRCUITRY
1nn) based on a residual energy stored in the at least one energy storage device (C1-C7) subsequent to the generation of the defibrillation shock pulse (DP).
An intracardiac medical device comprising a processing unit and a detector configured to detect time-dependent electrical signals of the heart including ventricular events, for example an intracardiac electrogram, and to transmit the detected electrical signals to the processing unit, wherein the processing unit is configured to classify a current intrinsic ventricular event of the received electrical signals as a normal sense event or a ventricular extrasystole. The invention is further directed to an operation method of such medical device as well as a computer program product and a computer readable data carrier.
A method for assessing pain experienced by a patient (3) comprises: receiving a sensor signal (8) which has been generated in a sequence of epochs (10) by a sensor (2) configured for measuring a physical activity of the patient (3), wherein each epoch (10) comprises a sequence of measurement periods (11), wherein the sensor signal (8) has been generated in each measurement period (11); determining a signal intensity value (12) for each measurement period (11) from the sensor signal (8); classifying the signal intensity values (12) of each epoch (10) with different physical activity classes (13a, 13b, 13c, 13d) to obtain a classification result (15) for the epoch (10); and determining a behavior assessment score (16) indicative of the pain experienced by the patient (3) from the classification results (15) of different epochs (10).
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
50.
IMPLANTABLE MEDICAL DEVICE FOR STIMULATING A HUMAN OR ANIMAL HEART FEATURING A VENTRICULAR STIMULATION UPON DETECTION OF A PREMATURE VENTRICULAR CONTRACTION
The invention relates to an implantable medical device for stimulating a human or animal heart. The implantable medical device comprises at least one electrode (20, 21) that comprises a distal dipole (203) and is designed and arranged to be implanted within the septum (13) of the heart (1) to be stimulated. During operation, the implantable medical device performs the following steps: a) detecting, with the at least one electrode (20, 21), at least one of an intrinsic atrial signal and an intrinsic ventricular signal, or stimulating, with the at least one electrode (20, 21), the atrium (2) of the heart (1) to be stimulated; b) triggering a stimulation of the ventricle (5) of the heart (1) to be stimulated upon i) detecting the intrinsic atrial signal, ii) stimulating the atrium (2), or iii) detecting the intrinsic ventricular signal, wherein triggering upon i) detecting the intrinsic atrial signal or ii) stimulating the atrium (2) is carried out only with a predeterminable temporal delay, and triggering upon iii) detecting the intrinsic ventricular signal is carried out without temporal delay but only if a predeterminable first time period has passed since a preceding ventricular signal, the first time period representing an allowable minimum ventricular interval.
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
51.
SYSTEM FOR PROVIDING FOR A CARDIAC RESYNCHRONIZATION THERAPY
A system for providing for a cardiac resynchronization therapy comprises an implantable medical device (1) comprising a generator device (10) having a processing circuitry (100) for controlling operation of the generator device (10). The implantable medical device (1) is configured to be selectively connected to a left-ventricular coronary sinus electrode lead (12) configured for implantation on the left ventricle (LV) through the coronary sinus (CS) or to a left bundle branch electrode lead (13) configured for implantation on the cardiac septum (M) to engage with the conductive structure of the left bundle branch (LBB). A configuration unit (2, 4) has a user interface (20) to modify a configuration of the implantable medical device (1). The user interface (20) is user-actuatable to select a first mode or a second mode out of at least two modes for configuring the implantable medical device (1), wherein in the first mode a first set of parameters is pre-selected or user-selectable for configuring the implantable medical device (1) to function with the left-ventricular coronary sinus electrode lead (12) and in the second mode a second set of parameters is pre-selected or user-selectable for configuring the implantable medical device (1) to function with the left bundle branch electrode lead (13).
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
52.
IMPLANTABLE MEDICAL DEVICE FOR A COMBINED CARDIAC RESYNCHRONIZATION THERAPY AND CARDIAC CONTRACTILITY MODULATION THERAPY
The invention relates to an implantable medical device for stimulating a human or animal heart. The implantable medical device comprises at least one electrode (20, 21) that comprises a distal bipole (203) and is designed and arranged to be implanted within the septum (13) of the heart (1) to be stimulated. During operation, the implantable medical device performs the following step: a) delivering a left bundle branch area pacing stimulation and a cardiac contractility modulation stimulation to the heart (1) to be stimulated, wherein the cardiac contractility modulation stimulation is delivered temporally offset to the left bundle branch area pacing stimulation.
The present invention relates to an electrode (20) for an implantable medical device for stimulating a human or animal heart, the human or animal heart comprising a left ventricle (5) and a right ventricle (3). According to an aspect of the invention, the electrode (20) comprises a first electrode pole surface (201) and a second electrode pole surface (202) located in a distal tip region of the electrode (20), wherein the second electrode pole surface (202) is spatially separated from the first electrode pole surface (201) and is arranged proximally of the first electrode pole surface (201), wherein the first electrode pole surface (201) is designed and arranged for stimulating the left ventricle (5) and wherein the second electrode pole surface (202) is designed and arranged for stimulating the right ventricle (3).
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
54.
METHOD FOR PROCESSING AN OUTPUT SIGNAL FROM A SENSOR OF AN IMPLANTABLE MEDICAL DEVICE
A method for processing an output signal (13) from a sensor (5) of an implantable medical device (1) comprises: receiving an output signal (13) generated by the sensor (5) from an electrical heart signal (7) from a patient's (3) heart (9); identifying an undesired pulse pattern (35, 35a, 35b) in the output signal (13); determining a first portion (37) of the output signal (13), the first portion (37) including the undesired pulse pattern (35, 35a, 35b); generating a modified output signal (17) by replacing the first portion (37) with a second portion (39) that lacks the undesired pulse pattern (35, 35a, 35b).
A61B 5/29 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG] invasives pour implantation permanente ou à long terme
A61B 5/363 - Détection de la tachycardie ou de la bradycardie
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
The invention relates to an implantable medical device for stimulating a human or animal heart that comprises a single electrode (20) comprising a proximal electrode pole (213) designed and arranged to be implanted within an atrium (2) of the heart (1) to be stimulated and a distal electrode pole (203) designed and arranged to be implanted within the septum (13) of the heart (1) to be stimulated. During operation, the implantable medical device performs the following steps: a) detecting (500), with the proximal electrode pole (213), an intrinsic atrial contraction of the heart (1) to be stimulated or stimulating (500), with the proximal electrode pole (213), the atrium (2) of the heart (1) to be stimulated; b) detecting (530), with the distal electrode pole (203), an intrinsic ventricular contraction of the heart (1) to be stimulated; c) determining (530) an intrinsic atrioventricular conduction time between i) the intrinsic atrial contraction or the stimulation of the atrium and ii) the intrinsic ventricular contraction; d) setting (550) a stimulated atrioventricular conduction time for stimulating the ventricle (3, 5) of the heart (1) to be stimulated with the distal electrode pole (203), the stimulated atrioventricular conduction time being shorter than the intrinsic atrioventricular conduction time.
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
An implantable medical device (1) for performing a cardiac stimulation comprises a generator device (12) comprising a processing circuitry (120) for processing electrical signals, an electrode lead (10, 11) connected to the generator device (12) and extending from the generator device (12), the electrode lead (10) comprising a lead body (100) forming a distal end (101) to be arranged on cardiac tissue within a patient's heart (H), and an electrode pole arrangement comprising at least three electrode poles (102, 103, 121). The processing circuitry (120) is configured to generate an electrical stimulation signal (P) and to provide the electrical stimulation signal (P) to said electrode pole arrangement for stimulating cardiac activity. The processing circuitry (120) furthermore is configured to measure at least two electrical response signals (S, SA, SB, SC) indicative of a stimulated cardiac activity in response to said electrical stimulation signal (P) using at least two different pairs of electrode poles out of said at least three electrode poles (102, 103, 121) and to derive information indicative of a stimulation effectiveness of said electrical stimulation signal (P) based on said at least two electrical response signals (S, SA, SB, SC).
An implantable medical device (1) for performing a cardiac stimulation comprises a generator device (12) comprising a processing circuitry (120) for processing electrical signals, an electrode lead (10, 11) connected to the generator device (12) and extending from the generator device (12), the electrode lead (10) comprising a lead body (100) forming a distal end (101) to be arranged on cardiac tissue within a patient's heart (H), and an electrode pole arrangement comprising at least a first electrode pole (102) and a second electrode pole (103, 121). The processing circuitry (120) is configured to generate an electrical stimulation signal and to provide the electrical stimulation signal to said electrode pole arrangement for stimulating cardiac activity. The processing circuitry (120) furthermore is configured to measure, using said electrode pole arrangement, an impedance curve (C1, C2) indicative of a stimulated cardiac activity in response to said electrical stimulation signal and to derive information indicative of a stimulation effectiveness of said electrical stimulation signal based on said impedance curve (C1, C2).
The invention relates to an electrode (20) for an implantable medical device for stimulating a human or animal heart. According to an aspect, the electrode (20) comprises at least four electrode poles (201, 202, 203, 204, 205) and a single connector (208) comprising an individual connector pole (209, 210, 211, 212, 213) for each electrode pole (201, 202, 203, 204, 205).
An active implantable medical device comprising a housing and a first component and a second component received within the housing, wherein the first component and the second component are stabilized and mechanically linked to each other by a connecting element to form a composite unit. The connecting element has a film-like shape with a thickness lying in a range of from 0.01 mm to 0.1 mm and adheres at least section-wise to the first component as well as to the second component.
A medical electrode device for implantation into a patient includes:
a carrier element, a contact element on the carrier element and comprising a contact body including a contact surface for contacting tissue, and an electrical supply line having an end portion connected to the contact element. The contact element comprises first and second fastening flaps arranged at a distance with respect to each other. The electrical supply line connected to the contact element at the first and second flaps. Each flap extends from a circumference of the contact body with a first end integral with the contact body and a second end free. Each flap comprises a bent portion proximal to the circumference of the contact body and a straight portion distal to such circumference. Each flap connected to the supply line with a lateral contact surface extending along a side edge of the straight portion of the respective flap.
A packaging arrangement for a medical device includes at least one device recess configured to receive the medical device. A loading is basin configured to receive a liquid that can manipulate the medical device housed in the at least one device recess or to be connected to the medical device housed in the at least one device recess. A spillway basin is connected to the loading basin via a spillway passage having a spillway passage inflow and a spillway passage outflow. The spillway passage includes a downward slope from the spillway passage inflow to the spillway passage outflow configured to promote a liquid flow to the spillway passage outflow
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
62.
PACKAGING ARRANGEMENT FOR A MEDICAL DEVICE AND CONNECTING ELEMENT FOR SUCH A PACKAGING ARRANGEMENT
A detachable connecting element for a packaging arrangement includes a first connecting element part and a second connecting element part configured for relative movement with respect to each other around a connecting element axis (R) by a rotational or helical movement to transfer the detachable connecting element from a linking state to a non-linking state. The second connecting element part includes at least one protrusion. The first connecting element part includes at least one recess configured to incorporate the at least one protrusion. The at least one protrusion includes at least one curved protrusion sidewall. The at least one recess includes at least one curved recess sidewall. The at least one curved protrusion sidewall or the at least one curved recess sidewall includes a slope.
An implantable medical device, in particular an extravascular cardioverter-defibrillator, comprises: an implantable housing for accommodating a control unit configured to generate and/or process electrical signals; wherein an outer surface of the housing comprises at least one electrode portion for receiving electrical signals to be processed by the control unit and/or for providing electrical signals generated by the control unit, the electrode portion being surrounded along its outer contour by an insulating portion which electrically insulates the electrode portion from a remainder of the housing; wherein both the electrode portion and the remainder of the housing are made of a biocompatible and electrically conductive first material; wherein the insulating portion is made of a biocompatible and electrically insulating second material comprising a titanium oxide compound.
A catheter system can be selectively combined by a clinical operator to form at least two configurations selected from the group of a dilator configuration, a percutaneous transluminal angioplasty configuration, an LLS (lesion length selective) percutaneous transluminal angioplasty configuration, a CTO-dilator configuration, and a reentry-dilator configuration. A manifold is configured for fluid communication and is insertable into at least one support catheter. A lock-grip handle is configured for the at least two configuration and is configured to coaxially engage and seal with the at least one support catheter and to mechanically actuate the at least two functional components such that distal tips of the at least two functional components can be projected controllably in vivo through the distal end of the at least one support catheter.
A manufacturing method for a header assembly for an implantable intracardiac device, wherein the header assembly comprises at least one tine extending from a conically formed base ring, further comprising a header cap and a header base, wherein the header cap and the header base each comprises a supporting side surface corresponding to the conical form of the base ring, the method comprising:
an assembly step, wherein the base ring is placed between the header base and the header cap such that the base ring is located adjacent the supporting header base side surface and the supporting header cap side surface, and
a subsequent fixing step, wherein the header cap is permanently fixed to the header base such that the base ring is located in a base ring groove formed by the supporting header cap side surface and the supporting header base side surface.
A packaging for a medical device includes an outer packaging defining an internal space. A first and a second tray are configured to be arranged in the internal space. The second tray includes at least one protrusion on a bottom side of the second tray. The first tray includes at least one recess on a top side of the first tray in alignment with the protrusion. The second tray is configured to be arranged on the first tray so that the at least one protrusion engages with the at least one recess.
The present invention relates to a stent (1) and a catheter system (2) comprising such a stent (1), the stent (1) comprising: a self-expandable scaffold (10) extending along an axial direction (x) comprising a plurality of open cells (11) formed by a plurality of circumferential strut structures (12) connected by axial struts (13) extending along the axial direction (x), the scaffold (10) comprising an outside facing away from an interior (14) of the stent (1) surrounded by the scaffold (10), the interior (14) forming a passage for blood through the stent (1) in an implanted state of the stent (1), a proximal end (15) configured to be connected to a catheter (3) to allow returning at least the scaffold (10) into a lumen (30) of the catheter (3), and a cover (16) arranged at least on the outside of the scaffold (10), the cover (16) being further configured to carry a drug to be administered and/or to seal a vascular rupture.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
68.
IMPLANTABLE CARDIOVERTER DEFIBRILLATOR DEVICE HAVING A SHOCK GENERATION CIRCUITRY
An implantable cardioverter defibrillator device (1) comprises a generator device (10) comprising a processing circuitry (102) and a shock generation circuitry (103). The processing circuitry (102) is configured to control the shock generation circuitry (103) to produce a first shock pulse (Al) at a first peak voltage (PH1) by connecting, in a first initial time span (T1), a first group of energy storage devices of a multiplicity of energy storage devices (C1-C7) to an output circuitry (105) and, in at least one further time span (T2, T3) following said first initial time span (T1), a combination of the first group of energy storage devices and at least one further energy storage device to the output circuitry (105). The processing circuitry (102) is further configured to control the shock generation circuitry (103) to produce, subsequent to said first shock pulse (Al), a second shock pulse (A2) at a second peak voltage (PH2) larger than said first peak voltage (PH2) by connecting, in a second initial time span (T4), a second group of energy storage devices to the output circuitry (105).
An assembly set for providing an implantable medical device (1) comprising at least one supply module (3A, 3A') having an energy supply device (31), at least one control module (3B) having a control device (32) for controlling operation of the implantable medical device (1), a multiplicity of functional modules (3C-3G) each having a functional device (33) for performing a medical function in an implanted state of the implantable medical device (1), and a collection of interface modules (4). The supply module (3A, 3A'), the control module (3B) and at least one of the multiplicity of functional modules (3C-3G) are connectable to one another using the interface modules (4) such that, in an assembled state, interface modules (4) interconnect pairs of neighboring modules of the supply module (3A, 3A'), the control module (3B) and at least one of the multiplicity of functional modules (3C-3G).
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/0295 - Mesure du débit sanguin utilisant la pléthysmographie, c.-à-d. par mesure des variations du volume d'une partie du corps induites par la circulation du sang qui traverse cette partie, p. ex. pléthysmographie par impédance
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A connector for connecting a medical implant to a delivery catheter includes a proximal portion and a distal portion connected to the proximal portion via a central portion. The proximal, distal and central portions extend along a central axis (A). A distal end of the distal portion facing away from the central portion. At least one recess is formed in the central portion and in the distal portion. The at least one recess is configured to receive a connecting element of the medical implant configured to connect the medical implant to the connector. The distal portion tapers towards the distal end. The distal portion can include a conical section, and an outer surface of the conical section includes a generatrix that encloses an acute angle (α) with the central axis (A), with the acute angle (α) in the range of between 20° and 60°.
A cardiac pacing device for implantation in a patient's heart, wherein the cardiac pacing device comprises a processing unit for controlling a pacing signal generator and further comprises a detector configured to measure a time-dependent signal of an intrinsic atrial activity, wherein the processing unit is configured to detect a presence and absence of an intrinsic atrial event within a cardiac cycle based on the measured signal of the atrial activity within the respective cardiac cycle received from the detector, wherein the processing unit is configured to control the pacing signal generator to provide an electrical signal based on the presence and absence of an intrinsic atrial event. Further, a system comprising such first cardiac pacing device and a second cardiac pacing device is explained as well as respective operation methods.
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
A61N 1/368 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque comprenant plus d'une électrode coopérant avec différentes régions du cœur
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A paddle lead for implantation in the epidural space through an insertion tool, the paddle lead comprising a paddle structure with a first paddle wing, a second paddle wing and at least one resilient element connected with at least one of the first paddle wing and the second paddle wing, wherein the at least one resilient member biases at least one of the first paddle wing and the second paddle wing to an expanded state. According to an aspect of the invention, the at least one resilient element has a longitudinal extension direction that runs exclusively along the longitudinal extension direction of the paddle structure and in that the at least one resilient element has a wall that surrounds alone or with another part of the paddle structure a hollow space, wherein the hollow space also extends exclusively along the longitudinal extension direction of the paddle structure.
A method/device for fixing an intracardiac device at an anchoring region within the tissue of a patient's heart which allows fixing at a thin wall. The intracardiac device comprises one electrode and at least two tines attached at a distal end of the intra-cardiac device adjacent the electrode. Each of the tines has an S-form. The method including:
the intra-cardiac device is moved towards the anchoring region with the tines facing forwards until the tines touch the tissue at the anchoring region,
the tines are pressed against the tissue at the anchoring region such that the tines are pivoted and/or bent outwards, with the distal ends of the tines penetrating the tissue, and,
the pressure on the tines is against the tissue is removed, thereby bunching a wall segment of the tissue by the tines and pulling this wall segment towards the electrode.
A non-transvenous ICD system comprises a defibrillation generator, a controller, an electrode line, a shock electrode arranged at the electrode line and at least three sensing electrodes arranged at various positions within the ICD system. The defibrillation generator is configured for generating electric shocks and applying the electric shocks to cardiac tissue of a patient via the shock electrode. The controller is configured for
(i) sensing plural signals indicating a cardiac activity by detecting an electric voltage along each of a plurality sensing vectors, wherein each sensing vector extends between two of the sensing electrodes,
(ii) automatically selecting at least one of the sensed signals based on predetermined criteria being fulfilled, and
(iii) controlling the defibrillation generator for generating the electric shocks based on the at least one selected signal.
An implantable medical device (IMD) comprising at least one sensor, a processor and a transceiver module, wherein the at least one sensor is configured to monitor at least one predefined body function of a patient, wherein the transceiver module is configured to bi-directionally exchange messages with an external device, namely, to receive request messages from the external device and to send respective response messages to the external device replying to the request messages. In order to best leverage the limited data communication throughput of IMDs to enable body function data streaming the processor is configured to receive signals of the at least one predefined body function detected by the at least one sensor. Further, a communication system comprising the IMD, a communication method as well as a computer program product and a computer readable data carrier is also provided.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
76.
System and Method for Identifying an Active Medical Implant
A system for identifying an active medical implant, comprising an active medical implant configured to store information related to the active medical implant in a memory of the active medical implant, wherein the active medical implant has a first short-range communication module; and a mobile terminal having a second short-range communication module configured to directly communicate with the first short-range communication module of the active medical implant via a communication link, wherein the active medical implant is configured to transmit the information related to the active medical implant to the mobile terminal via the communication link.
An active electrical system comprising implantable components and an external programming unit, the system further comprising an algorithm for classifying the sensed electrical cardiac signals, and a control unit configured to drive the pulse delivery unit in a first mode to deliver a predetermined number of pulses at repetition rates greater than or equal to a threshold value, and to drive the pulse delivery unit in a second mode to deliver a predetermined maximum number of pulses at repetition rates below the threshold value, and wherein the control unit in the second mode is configured to switch to the first mode or terminate pulse delivery depending on a classification result of the algorithm.
A system for remote assessment of a patient, comprising: a first device associated to a physician, a second device associated to the patient, a medical device associated to the patient, wherein the second device is configured to communicate with the medical device, and wherein the medical device is configured to be programmed via the second device, wherein the first device is further configured to communicate with the second device, and wherein the second device is configured to be controlled via the first device, and wherein the second device is configured to acquire data indicative of at least one physiological parameter or of several physiological parameters of the patient. Furthermore, a method for remote assessment is provided.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/16 - Dispositifs pour la psychotechnieTest des temps de réaction
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
An implantable medical device for sensing physiological signals comprises an arrangement of at least a first electrode pole, a second electrode pole and a third electrode pole, said arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole being configured to sense physiological signals. A processing module is configured for processing physiological signals received via said arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole. The processing module in particular is configured to process different physiological signals received by different pair of electrode poles of the arrangement of at least the first electrode pole, the second electrode pole and the third electrode pole and to assess a cardiac function based on the processing.
A61B 5/29 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG] invasives pour implantation permanente ou à long terme
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
Medical apparatus and instruments for treating
cardiovascular diseases, medical devices for treating or
diagnosing cardiovascular diseases, medical implants made of
artificial materials, in particular for anchoring joint
capsule components and ligament and tendon structures,
catheters, medical and surgical catheters, intracardiac
catheters, catheters for treating heart and cardiovascular
diseases, medical balloons, medical balloons for
angioplasty, medical stents, balloon catheters, coatings
sold as integral components of medical stents, balloons and
other implantable medical devices.
81.
IMPLANTABLE MEDICAL DEVICE AND METHOD OF OPERATING AN IMPLANTABLE MEDICAL DEVICE
The invention relates to an implantable medical device (1), comprising means (10) for capturing respiratory activity data (D) of a patient and/or calculating the respiratory activity data (D) of the patient based on at least one medical parameter (12) captured by the implantable medical device (1), and means (14) for triggering a storage of the captured and/or calculated respiratory activity data (D) of the patient in response to fulfillment of a predetermined triggering event (E), wherein the respiratory activity data (D) comprises a time series of the respiratory activity of the patient. The invention further relates to a computer-implemented method for operating an implantable medical device (1).
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/085 - Mesure de l'impédance des organes respiratoires ou de l'élasticité pulmonaire
A61B 5/0538 - Mesure de l'impédance ou de la conductivité électrique d'une partie du corps invasive, p. ex. en utilisant un cathéter
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/365 - Stimulateurs cardiaques commandés par un paramètre physiologique, p. ex. par le potentiel cardiaque
Cardiac pacing arrangement comprising first and second leadless pacing devices, wherein the second leadless pacing device is operated in standby or operational states. During operation, the cardiac pacing arrangement carries out the following steps: a) determining whether a condition for transferring the second leadless pacing device from the standby to the operational state is fulfilled, wherein the condition is chosen from the group consisting of i) delivering N consecutive stimulating pulses (N is an integer from 2-10), ii) non-detection of any stimulation pulse over a predeterminable time period (0.5-72 hours) and detection of an existing intrinsic rhythm of the patient at the same time, and iii) detecting M consecutive non-capturing stimulation pulses (M is an integer from 2-10); and b) transferring the second leadless pacing device from the standby to the operational state if the condition is fulfilled.
A stent system comprising a stent, a first pressure sensor and a second pressure sensor, wherein the first pressure sensor and the second pressure sensor are configured for communication with each other.
An implantable device comprising means for deriving a circadian rhythm associated with a physiological parameter. The implantable device further comprises means for determining a blood pressure, based at least in part on the circadian rhythm. Further aspects relate to a method carried out by such a device and a computer program.
A tine array (30) for a header assembly (22) of an implantable medical device (22) is proposed. The tine array (30) comprises a base ring (38) and at least two tines (32) extending from the base ring (38), wherein the base ring (38) has at least one element of a pin-notch- pair for preventing a rotation of the tine array (30) with respect to a header base (24) of the header assembly (22) and wherein the pin-notch-pair comprises a pin (40) and a notch (42).
A computer-implemented method for classification of a medical relevance of a deviation between cardiac current curves, comprising applying a machine learning algorithm to the pre-acquired first cardiac current curve data and the pre-acquired at least second cardiac current curve data for classification of the medical relevance of the deviation between the pre-acquired first cardiac current curve data and the pre-acquired at least second cardiac current curve data. Furthermore, a corresponding system and a method for providing a trained machine learning algorithm are provided.
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
87.
METHOD AND SYSTEM FOR PREDICTING AN ADVERSE TECHNICAL AND/OR MEDICAL EVENT
The invention relates to a computer-implemented method for predicting an upcoming adverse technical event and/or for detecting an acute adverse technical event of the implantable medical device (10), comprising the steps of providing a first dataset (DS1) comprising medical and/or technical data acquired by the implantable medical device (10), applying a machine learning algorithm (A) to the first dataset (DS1) for predicting an upcoming adverse technical event and/or for detecting an acute adverse technical event of the implantable medical device (10) and outputting a second dataset (DS2) comprising a classification of the predicted and/or detected adverse technical event of the implantable medical device (10). In addition, the invention relates to a computer-implemented method for providing a machine learning algorithm (A) and to a system for predicting an upcoming adverse technical event and/or for detecting an acute adverse technical event of the implantable medical device (10).
G16H 40/60 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
88.
METHOD AND SYSTEM FOR PREDICTING AN ADVERSE PATIENT CLINICAL EVENT
The invention relates to a computer-implemented method for predicting an upcoming adverse patient clinical event and/or for detecting an acute adverse patient clinical event, comprising the steps of providing a first dataset (DS1) comprising medical data acquired by the implantable medical device (10), applying a machine learning algorithm (A) to the first dataset (DS1) for predicting an upcoming adverse patient clinical event and/or for detecting an acute adverse patient clinical event and outputting a second dataset (DS2) comprising a classification of the predicted and/or detected adverse patient clinical event. In addition, the invention relates to a computer-implemented method for providing a machine learning algorithm (A) and to a system for predicting an upcoming adverse patient clinical event and/or for detecting an acute adverse patient clinical event.
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
89.
MEDICAL DEVICE, MEDICAL DEVICE SYSTEM AND METHOD FOR OPERATING A MEDICAL DEVICE SYSTEM
The invention relates to a medical device, in particular implantable medical device or medical device for use outside of the human body configured to receive and/or capture medical data (D), comprising a determining means (12) configured to estimate a service life of the medical device (10a; 10b) by evaluating at least one medical device parameter (P) of the medical device (10a; 10b) and/or reading out a pre-programmed value (14). Furthermore, the invention relates to a medical device system (1), comprising a first medical device (10a), wherein the first medical device (10a) is an implantable medical device, and at least one second medical device (10b), wherein the at least one second medical device (10b) is an implantable medical device or a medical device for use outside of the human body configured to receive and/or capture medical data (D), wherein the first medical device (10a) and the at least one second medical device (10b) are a medical device according to the present invention. In addition, the invention relates to a computer-implemented method for operating a medical device system.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A system used for neurological stimulation, includes a pulse generator module, including a first housing configured to accommodate a pulse generator unit. The first housing includes a coupling portion and a first electrical interface located at the coupling portion. The pulse generator unit is configured to generate neurological stimulation pulses to be supplied to at least one neurological stimulation electrode via the first electrical interface. A first lead interface module is connectable to the coupling portion and the first electrical interface. The first lead interface module is detachably connectable to the at least one neurological stimulation electrode. A second lead interface module is connectable to the coupling portion and the first electrical interface. The second lead interface module includes an extension cable connectable to an electrode coupling box for supplying neurological stimulation pulses generated by the pulse generator unit to the at least one neurological stimulation electrode.
09 - Appareils et instruments scientifiques et électriques
10 - Appareils et instruments médicaux
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Computer programs and software in the medical field; Downloadable mobile applications for retrieving and displaying health information in the field of cardiac rhythm management (CRM), pain management, radiology and other medical areas; Non-downloadable online applications for clinical and patient data management and analysis of the same; Non-downloadable online applications for workflow optimization in the medical field; Non-downloadable online applications for remote monitoring of medical device or implants. Portable medical devices with sensors to monitor and respond to the physical, physiological and autonomic activity, temperature, stress, blood pressure and heart rate of a person wearing or carrying the device; Medical wearables. Medical services relating to the treatment of persons in the form of patient care and remote monitoring and remote programming of medical devices; web-based health assessment services, namely, a series of health-related questions for response from the user that result in a report that provides health-related and treatment information; providing health, medical, and treatment information and options in the field of cardiology radiology and pain management to physicians, healthcare professionals and patients; Providing online health, medical, and medical treatment support in the field of heart rhythm management (CRM), radiology, pain management and other medical areas; providing recommendations for decision making on treatment options, recommendations on treatment options, recommendations on medical workflow suggestions in the field of cardiology, radiology and pain management based on data analysis.
93.
IMPLANT COMMUNICATION SYSTEM AND METHOD FOR COMMUNICATING WITH AN IMPLANTABLE MEDICAL DEVICE
An implant communication system configured to receive the data transferred by the first control unit and to simulate the communication interface, the back-end communication unit further comprising a programmer app unit configured to read out data from the communication interface simulation unit, the back-end communication unit further comprising a second control unit configured to control the communication interface simulation unit and the programmer app unit in such a way that the data is saved, in particular as a report, in a storage unit communicatively connected to the second control unit and/or the back-end communication unit, said data being accessible by the health care provider. Furthermore, the invention relates to a computer implemented method for communicating with an implantable medical device and a computer program.
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
G06F 9/455 - ÉmulationInterprétationSimulation de logiciel, p. ex. virtualisation ou émulation des moteurs d’exécution d’applications ou de systèmes d’exploitation
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
09 - Appareils et instruments scientifiques et électriques
41 - Éducation, divertissements, activités sportives et culturelles
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Transmission of database information via telecommunications networks; providing telecommunications connections to a global computernetwork; providing telecommunications connections and networks via internet or databases for data storage and data transmission Computer programs and software; Downloadable mobile applications for retrieving and displaying health information workshops in the field of cardiac rhythm management (CRM), pain management and other medical areas; Non-downloadable online applications for clinical and patient data management and analysis of the same; Non-downloadable online applications for workflow optimization in the medical field; Non-downloadable online applications for remote monitoring of medical device or implants Services consisting of all forms of education of persons, providing of training, Educational services, namely, conducting in person or online classes, seminars, conferences and workshops in the field of cardiac rhythm management (CRM), pain management and other medical areas; providing information about medical devices and implants; providing continuing medical education medical device, implants and therapies; providing information relating to medical device, implants and therapies; providing information about medical device, implants and therapies via a website; providing information in the field of education regarding healthcare; personal coaching services in the field of cardiac rhythm management (CRM), pain management and other medical areas provided via in person or online classes, seminars, conferences and workshops Consultancy and information services relating to programming and maintenance of medical devices and programmable implants; technical support services, namely, remote and on-site management services for medical devices and implants in the field of cardiac rhythm management (CRM), pain management and other medical areas; administration and management of public and private cloud computing IT and application systems for data storage in the field of heart rhythm management (CRM), pain management and other medical areas Medical services relating to the treatment of persons in the form of patient care and remote monitoring and remote programming of medical devices; web-based health assessment services, namely, a series of health-related questions for response from the user that result in a report that provides health-related information in the form of recommended educational resources and treatment information; providing health, medical, and treatment information and options in the field of cardiology to physicians and pain management to healthcare professionals and patients; Providing online health, medical, and medical treatment support in the field of heart rhythm management (CRM), pain management and other medical areas; providing recommendations for decision making on treatment options, recommendations on treatment options, recommendations on medical workflow suggestions in the field of heart rhythm management (CRM), pain management and other medical areas based on data analysis
95.
METHOD AND SYSTEM FOR PERFORMING A REMOTE STRESS ECG
The invention relates to a computer-implemented method for performing a remote stress ECG comprising the steps of sending (S1) a stress ECG request (10) to a patient communication device (12) by means of a remote network service (14), upon receipt of the stress ECG request (10), sending (S2) a stress ECG start command (C1) to an implantable medical device (16) by means of the patient communication device (12), upon receipt of the start stress ECG command (C1), recording (S3) stress ECG data (D1) by means of the implantable medical device (16) and transmitting (S4) the stress ECG data (D1), in particular in real-time or with a definable time-delay, to the patient communication device (12) or a relay device (18), and transmitting (S5) the received stress ECG data (D1) to the remote network service (14) by means of the patient communication device (12) or the relay device (18). In addition, the invention relates to a system for performing a remote stress ECG.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 80/00 - TIC spécialement adaptées pour faciliter la communication entre les professionnels de la santé ou les patients, p. ex. pour le diagnostic collaboratif, la thérapie collaborative ou la surveillance collaborative de l’état de santé
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p. ex. leur création ou leur transmission
G16H 20/30 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies ou des activités physiques, p. ex. la physiothérapie, l’acupression ou les exercices
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61N 1/08 - Aménagements ou circuits de surveillance, de protection, de commande ou d'indication
The invention relates to a medical data relay device (10) for relaying messages between an implantable medical device (IMD1, IMD2...IMDn) and a remote network service (14), comprising a controller (16) configured to instantiate and configure at least one virtual relay device (R1, R2...Rn), and the at least one virtual relay device (R1, R2...Rn) configured to communicate with a dedicated implantable medical device (IMD1, IMD2...IMDn) via a first interface (18) and with the remote network service (14), in particular directly or via a cloud server (20), via a second interface (22). Furthermore, the invention relates to a computer-implemented method for operating a medical data relay device (10) for relaying messages between an implantable medical device (IMD1, IMD2...IMDn) and a remote network service (14) and to an implant communication system (1).
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
H04L 67/12 - Protocoles spécialement adaptés aux environnements propriétaires ou de mise en réseau pour un usage spécial, p. ex. les réseaux médicaux, les réseaux de capteurs, les réseaux dans les véhicules ou les réseaux de mesure à distance
H04W 88/04 - Dispositifs terminaux adapté à la retransmission à destination ou en provenance d'un autre terminal ou utilisateur
H04L 67/60 - Ordonnancement ou organisation du service des demandes d'application, p. ex. demandes de transmission de données d'application en utilisant l'analyse et l'optimisation des ressources réseau requises
H04L 67/00 - Dispositions ou protocoles de réseau pour la prise en charge de services ou d'applications réseau
09 - Appareils et instruments scientifiques et électriques
37 - Services de construction; extraction minière; installation et réparation
38 - Services de télécommunications
41 - Éducation, divertissements, activités sportives et culturelles
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Computer programs and software; Downloadable mobile applications for retrieving and displaying health information workshops in the field of cardiac rhythm management (CRM), pain management and other medical areas; Non-downloadable online applications for clinical and patient data management and analysis of the same; Non-downloadable online applications for workflow optimization in the medical field; Non-downloadable online applications for remote monitoring of medical device or implant. Consultancy and information services relating to maintenance of medical devices and programmable implants. Transmission of database information via telecommunications networks; providing telecommunications connections and networks via internet or databases for data storage and data transmission; providing telecommunications connections to a global computer network. Services consisting of all forms of education of persons, providing of training, Educational services, namely, conducting in person or online classes, seminars, conferences and workshops in the field of cardiac rhythm management (CRM), pain management and other medical areas; providing educational information about medical devices and implants; providing continuing medical education medical device, implants and therapies; providing educational information relating to medical devices, implants and therapies; providing educational information about medical devices, implants and therapies via a website; providing information in the field of education regarding healthcare; personal coaching services in the field of cardiac rhythm management (CRM), pain management and other medical areas provided via in person or online classes, seminars, conferences and workshops. Consultancy and information services relating to programming of medical devices and programmable implants; technical support services, namely, remote and on-site management services for medical devices and implants in the field of cardiac rhythm management (CRM), pain management and other medical areas; administration and management of public and private cloud computing IT and application systems for data storage in the field of heart rhythm management (CRM), pain management and other medical areas; providing technical informatio about medical devices and implants; providing technical information relating to medical device, implants and therapies; providing technical information about medical devices, implants and therapies via a website. Medical services relating to the treatment of persons in the form of patient care and remote monitoring and remote programming of medical devices; web-based health assessment services, namely, a series of health-related questions for response from the user that result in a report that provides health-related information in the form of recommended educational resources and treatment information; providing health, medical, and treatment information and options in the field of cardiology to physicians and pain management to healthcare professionals and patients; Providing online health, medical, and medical treatment support in the field of heart rhythm management (CRM), pain management and other medical areas; providing recommendations for decision making on treatment options, recommendations on treatment options, recommendations on medical workflow suggestions in the field of heart rhythm management (CRM), pain management and other medical areas based on data analysis.
A preferred embodiment folding box includes a bottom. A circumferential lateral wall is connected to the bottom. A lid is hinged to the rear wall portion, so that the lid is pivotable in an open state of the folding box and closed state. A panel of the wall includes two front flaps each being connected to the panel via a first crease. In the closed state of the folding box, a slot is delimited by a front wall portion, an edge region and the two front flaps. A slot is arranged between the edge region and the front wall portion in the closed state to allow insertion of a package information leaflet. The wing is integrally connected to the front wall portion via a second crease and configured to protrude from the front wall portion along the panel of the lid when the folding box is in the closed state.
A pressure sensor for pressure measurement in an aggressive medium comprising a base element and a moveable element adapted to move at least in part based on an external pressure. The pressure sensor further comprises a flexible element arranged on the base element inside the pressure sensor. The flexible element is adapted for determining the external pressure, wherein the movable element is mechanically in contact with the flexible element.
The invention relates to a medical information system (10) and method, the system comprising a data storage device (12) configured to receive and store medical data (D) of a plurality of patients acquired by implantable medical devices (14) and/or wearable devices (16), and a user interface (18) configured to provide access to the medical data (D) of a respective individual patient among the plurality of patients stored in the data storage device (12) to multiple users, in particular multiple medical professionals, wherein the data storage device (12) is further configured to receive and store diagnostic and/or treatment information (D1) related to the medical data (D) of each individual patient by at least one of the multiple users, and wherein the user interface (18) is configured to provide access for each of the plurality of users to the stored diagnostic and/or treatment information (D1).
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
