Abstract:
A model of an implantable lead is provided via a graphical user interface. The implantable lead is configured to deliver electrical stimulation to a patient via a plurality of electrodes located on the implantable lead. The graphical user interface also provides a plurality of predefined electrode activation patterns that include a coarse pattern and a refined pattern. The coarse pattern corresponds to a first group of electrodes located in a first region of the implantable lead. The refined pattern corresponds to a second group of electrodes located in a second region of the implantable lead. The second region is smaller than, and is a subsection of, the first region. A coarse testing process is performed by selectively activating the first group of electrodes belonging to the coarse pattern. Thereafter, a refined testing process is performed by selectively activating the second group of electrodes belonging to the refined pattern.
Abstract:
A load-carrying body for reducing torsional and tensile loading on electrical components in an implantable medical electrical lead includes an electronic component disposed in-line with the implantable medical electrical lead, and a casing for the electronic component. The electronic component has a proximal end conductively coupled to a lead conductor and a distal end conductively coupled to a lead electrode. The casing is mechanically coupled to the lead so as to isolate the electrical component from torque or tensile loads applied to the lead, the lead electrode, or both.
Abstract:
A hermetically sealed feedthrough for attachment to an active implantable medical device includes a dielectric substrate configured to be hermetically sealed to a ferrule or an AIMD housing. A via hole is disposed through the dielectric substrate from a body fluid side to a device side. A conductive fill is disposed within the via hole forming a filled via electrically conductive between the body fluid side and the device side. A conductive insert is at least partially disposed within the conductive fill. Then, the conductive fill and the conductive insert are co-fired with the dielectric substrate to form a hermetically sealed and electrically conductive pathway through the dielectric substrate between the body fluid side and the device side.
Abstract:
A retractor system, kit and method of use include a plurality of retractors for use in retracting a wound during a minimally-invasive hip replacement surgery to define an access space to a surgical site is discussed. Each of the retractors comprises a handle portion configured to be held by a user, a curved bend portion distal of the handle portion, and a wound contact portion attached to the curved bend portion. The wound contact portion is configured to contact tissue of the wound when at least a portion of the retractor is inserted through a skin incision that defines the wound. Each retractor also has a distal portion disposed distally of the wound contact portion, wherein the wound contact portion has a generally curved cross-sectional profile perpendicular to its length that is configured to prevent necrosis of the tissue during retraction. In addition, the cross-sectional profile provides an improved line of sight during the surgical procedure. Furthermore, the cross-sectional profile prevents the jamming of a cutting device, such as a reamer inserted through the incision, while the retractors retract the wound.
Abstract:
An electrochemical cell, preferably a secondary, rechargeable cell, including a casing comprised of a main body portion having opposed lower and upper open ends closed by respective lower and upper lids is described. The main body portion is composed of titanium Grades 5 or 23 having a relatively high electrical resistivity material while the lower and upper lids are composed of titanium Grades 1 or 2. The lids are preferably joined to the main body portion using laser welding. The combination of these differing titanium alloys provides a cell casing that effectively retards eddy current induced heating during cell recharging.
Abstract:
An EMI/energy dissipating filter for an active implantable medical device (AIMD) is described. The filter comprises a first gold braze hermetically sealing the insulator to a ferrule that is configured to be mounted in an opening in a housing for the AIMD. A lead wire is hermetically sealed in a passageway through the insulator by a second gold braze. A circuit board substrate is disposed adjacent the insulator. A two-terminal chip capacitor disposed adjacent to the circuit board has an active end metallization that is electrically connected to the active electrode plates and a ground end metallization that is electrically connected to the at least one ground electrode plates of the capacitor. A ground path electrically extends between the ground end metallization of the chip capacitor and the ferrule. The ground path comprises a conductive pin electrically and mechanically connected to the ferrule by a third gold braze. The ground path comprises an internal ground plate disposed within the circuit board substrate, and the internal ground plate is electrically connected to both the conductive pin and the ground end metallization of the chip capacitor. An active path electrically extends between the active end metallization of the chip capacitor and the lead wire.
Abstract:
An electrolytic capacitor comprising an anode comprised of cryogenically milled anode material is described. The cryogenic milling process prepares the active anode material for anode fabrication. The capacitor further comprises a casing of first and second casing members secured to each other to provide an enclosure. A feedthrough electrically insulated from the casing and from the casing and extending there from through a glass-to-metal seal, at least one anode electrically connected within the casing, a cathode, and an electrolyte. The cathode is of a cathode active material deposited on planar faces of the first and second casing members.
Abstract:
An orthopedic impactor device for positioning an orthopedic prosthetic cup implant during a hip replacement surgery is described. The impactor comprises a distal prosthetic cup engagement portion which is separated from a proximal strike plate by an elongated housing and handle. The housing has a length that extends from a proximal housing portion to a distal housing end with an intermediate housing section therebetween. The intermediate housing section comprises spaced right and left side walls that extend upwardly from a bottom wall to an upper opening. A drive train, comprising a connection rod connectable to an orthopedic prosthetic cup, at least partially resides within the elongated housing. The drive train comprises a linkage sub-assembly that transfers rotational movement of a shaft located at the drive shaft proximal end to the connection rod.
Abstract:
An orthopedic reamer cutting tool is disclosed that incorporates a second material such as graphene having an increased coefficient of thermal conductivity to remove heat generated at the tissue cutting surface during use. The reamer is constructed having a hemispherical cutting shell that extends from an equatorial base to an apex at a distal end. A plurality of cutting teeth, each having a tissue cutting surface, extend from the exterior of the cutting shell. A reamer driver interface may be positioned spanning the diameter of the reamer base. The second material, having increased thermal conductivity, may be applied to the interior and/or exterior shell surfaces. In addition, the second material may be incorporated within the shell or the driver interface.
Abstract:
A patient is detected to be in a first posture state. In response to the patient being detected to be in the first posture state, a first electrical stimulation therapy is applied to a body region of the patient by a pulse generator implanted in the patient. The patient is detected to be in a second posture state. In response to the patient being detected to be in the second posture state that is different from the first posture state, a second electrical stimulation therapy is applied to the body region of the patient by the pulse generator. The second electrical stimulation therapy is different from the first electrical stimulation therapy.