Abstract:
An implantable medical device (IMD) may include an outer housing having a titanium outer surface, the titanium outer surface including a plurality of titanium atoms. A tissue growth-inhibiting layer may extend over the titanium outer surface. In some cases, the tissue growth-inhibiting layer may include a plurality of polyethylene glycol molecules, at least some of the plurality of polyethylene glycol molecules covalently bonded via an ether bond to one of the plurality of titanium atoms.
Abstract:
An implantable medical device may include a housing configured to be positioned at least in part in a right ventricle (RV) proximate an RV facing side of the ventricular septum. A power source and circuitry may be disposed within the housing and may be operatively coupled together. An RV electrode may be fixed relative to the housing to be proximate the RV facing side of the ventricular septum and may be operatively coupled with the circuitry. An LV electrode support may extend away from the housing into the ventricular septum toward the LV facing side of the ventricular septum and may support an LV electrode that is operatively coupled with the circuitry. The circuitry may be configured to pace the RV of the patient's heart using the RV electrode and to pace the LV of the patient's heart using the LV electrode.
Abstract:
A temporary implantable medical device lead includes a connector, a helically coiled conductor and a first mechanical element. The connector is configured to connect the lead to an external control module. The helically coiled conductor has a proximal end mechanically and electrically connected to the connector. The conductor includes a plurality of filars mechanically and electrically connected to the connector. The first mechanical element includes a metal tube having a plurality of longitudinally spaced grooves formed along an exterior of the tube. The plurality of longitudinally spaced grooves receives at least some of the plurality of filars. The at least some of the plurality of filars electrically connected to the first mechanical element such that the first mechanical element is configured as an electrode to deliver electrical stimulation to portions or systems of a body from the external control module.
Abstract:
Systems, devices, and methods for determining occurrences of myocardial infarctions are disclosed. In one embodiment, a method of sensing for an occurrence of a myocardial infarction may include sensing a baseline accelerometer signal during a baseline, determining a baseline template based on one or more characteristics of the baseline accelerometer signal, and storing the baseline template in a memory. The method may further include sensing an accelerometer signal during a test period subsequent to the baseline, determining a test template based on one or more characteristics of the accelerometer signal during the test period, and comparing the baseline template with the test template, and based on the comparison, determining if a myocardial infarction occurred in the patient's heart. If it is determined that a myocardial infarction occurred in the patient's heart, the method may further include displaying an indication on a display that a myocardial infarction occurred.
Abstract:
Delivery devices, systems, and methods for delivering implantable leadless pacing devices are disclosed. An example delivery device may include a proximal section including a deflection mechanism for deflecting the proximal section, and a distal holding section extending distally of a distal end of the proximal section and defining a cavity therein for receiving an implantable leadless pacing device. The distal holding section may be structured to have portions that flex and bend while allowing the implantable device to be recaptured within the distal holding section.
Abstract:
Various embodiments concern a lead comprising a cable conductor and a coil electrode having one or more filars, the one or more filars wound in a helical pattern. The lead can further include an inner fitting axially aligned with the coil electrode. The inner fitting can comprise external threading and a slot extending along the inner fitting. The slot can receive a portion of the cable conductor. The lead can include an outer tubular fitting having a lumen with internal threading. Each of the coil electrode and the inner fitting can be partially received within the lumen, both of the external threading and the one or more filars threadedly engaged with the internal threading. The cable conductor can be pinched in the slot to mechanically connect the cable conductor to the inner fitting. The pinching can be supported by the outer tubular fitting.
Abstract:
An implantable medical device includes operational circuitry and a power source configured to deliver energy to the operational circuitry. The operational circuitry includes, for example, a therapy circuit. The implantable medical device also includes a deactivation element configured to disable the therapy circuit. The implantable medical device also includes a power manager configured to detect an end-of-life condition of the power source and, in response to detecting the end-of-life condition, to cause the deactivation element to disable the therapy circuit.
Abstract:
Delivery devices, systems, and methods for delivering an implantable leadless pacing device having an outer peripheral surface are disclosed. An example delivery device may include a proximal section including a distal end, and a distal holding section extending distally of a distal end of the proximal section. The distal holding section defines a cavity therein for receiving the implantable leadless pacing device, and may be configured to apply a holding force to the implantable leadless pacing device. In some cases, the distal holding section may be configured to apply a compressive force to the outer peripheral surface of the leadless pacing device when the leadless pacing device is disposed in the cavity.
Abstract:
A retrieval device and an associated implantable cardiac pacing device. The retrieval device includes a grasping mechanism configured to capture a docking member of the implantable cardiac pacing device to draw the implantable cardiac pacing device into the lumen of a retrieval catheter. The grasping mechanism is expandable from a first position to a second position and is biased toward the first position in an equilibrium condition. The grasping mechanism is configured to surround and pass over a head portion of the docking member in the second position, and be contracted toward the first position to capture the docking member with the grasping mechanism.
Abstract:
Implantable leadless pacing devices and medical device systems including an implantable leadless pacing device are disclosed. An example implantable leadless pacing device may include a pacing capsule. The pacing capsule may include a housing. The housing may have a proximal region and a distal region. A first electrode may be disposed along the distal region. One or more anchoring members may be coupled to the distal region. The anchoring members may each include a region with a compound curve.