Abstract:
Deep brain electrodes are remotely sensed and activated by means of a remote active implantable medical device (AIMD). In a preferred form, a pulse generator is implanted in the pectoral region and includes a hermetic seal through which protrudes a conductive leadwire which provides an external antenna for transmission and reception of radio frequency (RF) pulses. One or more deep brain electrode modules are constructed and placed which can transmit and receive RF energy from the pulse generator. An RF telemetry link is established between the implanted pulse generator and the deep brain electrode assemblies. The satellite modules are configured for generating pacing pulses for a variety of disease conditions, including epileptic seizures, Turrets Syndrome, Parkinson's Tremor, and a variety of other neurological or brain disorders.
Abstract:
A shielded three-terminal flat-through EMI/energy dissipating filter includes an active electrode plate through which a circuit current passes between a first terminal and a second terminal, a first shield plate on a first side of the active electrode plate, and a second shield plate on a second side of the active electrode plate opposite the first shield plate. The first and second shield plates are conductively coupled to a grounded third terminal. In preferred embodiments, the active electrode plate and the shield plates are at least partially disposed with a hybrid flat-through substrate that may include a flex cable section, a rigid cable section, or both.
Abstract:
A band stop filter is provided for a lead wire of an active medical device (AMD). The band stop filter includes a capacitor in parallel with an inductor. The parallel capacitor and inductor are placed in series with the lead wire of the AMD, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at a selected frequency. The Q of the inductor may be relatively maximized and the Q of the capacitor may be relatively minimized to reduce the overall Q of the band stop filter to attenuate current flow through the lead wire along a range of selected frequencies. In a preferred form, the band stop filter is integrated into a TIP and/or RING electrode for an active implantable medical device.
Abstract:
An RFID tag is associated with an implantable lead, its sensing or therapy delivery electrode, or a patient, for identifying the MRI compatibility of the implantable lead and/or the presence of a bandstop filter and its attendant characteristics. An RFID-enabled AIMD external telemetry programmer transmits an electromagnetic signal to establish a communication link with the RFID tag.
Abstract:
A band stop filter is provided for a lead wire of an active medical device (AMD). The band stop filter includes a capacitor in parallel with an inductor. The parallel capacitor and inductor are placed in series with the lead wire of the AMD, wherein values of capacitance and inductance are selected such that the band stop filter is resonant at a selected frequency. The Q of the inductor may be relatively maximized and the Q of the capacitor may be relatively minimized to reduce the overall Q of the band stop filter to attenuate current flow through the lead wire along a range of selected frequencies. In a preferred form, the band stop filter is integrated into a TIP and/or RING electrode for an active implantable medical device.
Abstract:
A system is provided for identifying implanted medical devices, leads and systems, as well as objects in close proximity to a patient having an implanted medical device (IMD), using a radio frequency identification (RFID) tag having retrievable information relating to the IMD, lead system and/or patient. An RFID tag communicator includes a circuit for limiting the total continuous transmit time of an interrogation signal, and a time-out circuit for delaying a second and any subsequent interrogation of the RFID tag. An external IMD programmer incorporating a multi-functional RFID reader is capable of identifying and communicating with various types of implanted medical devices, even if such devices are made by different manufacturers.
Abstract:
A radiation protected active implantable medical device includes an ionizing radiation shield disposed over at least one major surface of an electronics package, a microprocessor, or both contained within an AIMD housing. The ionizing radiation shield is made from a high atomic number, high atomic weight, high density material such as led, gold, platinum, iridium, tungsten or tantalum and has an atomic weight of at least 180 and a density of at least 11 grams per cubic centimeter. The ionizing radiation shield has a thickness of at least 0.25 millimeters and is preferably no thicker than 1.05 millimeters and has an overall attenuation of ionizing radiation of at least 0.5 HVL.
Abstract:
A lead body adapted for in-vivo implantation in a living subject includes a proximal end configured for electrical and mechanical connection to a therapy or a monitoring device, and a distal end. A collar is disposed at the distal end of the lead body, and a casing is disposed within the collar and is translatable along a central longitudinal axis of the collar. At least one electrical conductor extends substantially the length of the lead body, and an electronic component is disposed within the casing and conductively coupled to the electrical conductor. An electrode is mechanically connected to the casing and conductively coupled to the electronic component. A seal is disposed between the casing assembly and the collar to prevent passage of ionic fluid into the lead body through its distal end.
Abstract:
Decoupling circuits are provided which transfer energy induced from an MRI pulsed RF field to the housing for an active implantable medical device (AIMD) which serves as an energy dissipating surface. This is accomplished through broadband filtering or by resonant filtering. In a passive component network for an AIMD, a frequency selective energy diversion circuit is provided for diverting high-frequency energy away from an AIMD lead to the AIMD housing for dissipation of said high-frequency energy.
Abstract:
A modular EMI filtered terminal assembly for an active implantable medical device (AIMD) includes a hermetic terminal subassembly having at least one conductor extending through an insulator in non-conductive relation with the AIMD housing, and a feedthrough capacitor subassembly disposed generally adjacent to the hermetic terminal assembly. The feedthrough capacitor subassembly includes a conductive modular cup conductively coupled to the AIMD housing, and a feedthrough capacitor disposed within the modular cup. A first electrode plate or set of electrode plates is conductively coupled to the conductor, and a second electrode plate or set of electrode plates is conductively coupled to the modular cup.