Systems, devices and methods transmit data from a patient device to a location, for example a remote location, where the patient is monitored. The system may comprise a server system, for example a backend server system, a gateway and the patient worn device. The gateway can be configured to communicate with the patient worn device in response to a list transmitted from the server, for example an approved patient device list transmitted from the server to the gateway. The gateway may exclude communication with patient worn devices that are not on the list. This use of the list can control data throughput from the patient device to the gateway and also from the gateway to the server, such that the communication from the device on the list to the server is maintained and appropriate information can be reliably sent from the patient device to the server.

The invention relates to a method for manufacturing an electrode, preferably an implantable electrode array comprising the following steps: Applying (101) a layer of electrically conducting material (4) above a substrate material (1) for forming the electrically conductive traces; applying (102) a layer of insulating material (6) directly on top of the layer of electrically conducting material (4) for covering the electrically conductive traces; patterning (103) the layer of insulating material (4) by partly exposing the layer of electrically conducting material (4) to form at least one contact area (8) on the layer of the electrically conducting material (4), wherein a mask for patterning the layer of insulating material (6) defines a region (9) in the at least one contact area (8) at which the insulating material (6) in the at least one contact area (8) remains; and partly applying (104) a top layer (13) of electrically conducting material (4) at the contact area (8) on top of the layer of insulating material (6) for coating the remaining insulating material (9) to lift the contact area (8a). The invention further relates to an electrode, preferably an implantable electrode array.

A biosensor calibration structure is provided that includes at least two electrode structures in which at least one of the electrode structures has a non-random nanopattern on the sensing surface which provides a different sensing surface area than at least one other electrode structure. The at least one other electrode structure may be non-patterned (i.e., flat) or have another non-random nanopattern on the sensing surface. A biological functionalization material such as, for example, glucose oxidase or glucose dehydrogenase, can be located on at least the sensing surface of each electrode structure. The biosensor calibration structure can be used within a biosensor calibration method.

Methods, sensors, and systems that prevent or reduce data loss when more than one external sensor transceiver is used with a sensor. A sensor may receive a transceiver identification (ID) of an external transceiver conveyed from the external transceiver and determine whether the received transceiver ID is a new transceiver ID. If sensor determines the received transceiver ID to be a new transceiver ID, the sensor may store the received transceiver ID in a nonvolatile storage medium of the sensor and convey, using the sensor, measurement information stored in the nonvolatile storage medium to the external transceiver.

An electrode device is disclosed comprising: an elongate, implantable body comprising elastomeric material, a plurality of electrodes positioned along a length of the implantable body; an electrical connection comprising one or more conductive elements extending through the elastomeric material and electrically connecting to the electrodes; and a reinforcement device extending through the elastomeric material. The length of the implantable body is extendible by placing the implantable body under tension. The reinforcement device limits the degree by which the length of the implantable body can extend under tension. At least one of the electrodes can extend circumferentially around a portion of the implantable body. A delivery device and method of delivery for an electrode device is also disclosed.

An implantable medical device comprises a communication module that comprises at least one of a receiver module and a transmitter module. The receiver module is configured to both receive from an antenna and demodulate an RF telemetry signal, and receive from a plurality of electrodes and demodulate a tissue conduction communication (TCC) signal. The transmitter module is configured to modulate and transmit both an RF telemetry signal via the antenna and a TCC signal via the plurality of electrodes. The RF telemetry signal and the TCC signal are both within a predetermined band for RF telemetry communication. In some examples, the IMD comprises a switching module configured to selectively couple one of the plurality of electrodes and the antenna to the receiver module or transmitter module.

An apparatus includes a controllable signal source and a processor. The controllable signal source is configured to apply an Alternating Current (AC) signal to multiple electrodes of a multi-electrode catheter immersed in an aquatic solution. The processor is configured to, responsively to the applied AC signal, estimate a respective surface impedance or a respective electrical noise level of each of the electrodes. The processor is further configured to disconnect each electrode, independently of other electrodes, when the estimated surface impedance or electrical noise level of the electrode drops below a preset value.

An apparatus includes a controllable signal source and a processor. The controllable signal source is configured to apply an Alternating Current (AC) signal to multiple electrodes of a multi-electrode catheter immersed in an aquatic solution. The processor is configured to, responsively to the applied AC signal, estimate a respective surface impedance or a respective electrical noise level of each of the electrodes. The processor is further configured to disconnect each electrode, independently of other electrodes, when the estimated surface impedance or electrical noise level of the electrode drops below a preset value.

Methods for biomechanical mapping of the female pelvic floor may include the steps of inserting a vaginal tactile imaging probe into vagina; recording tactile responses for vaginal walls during vaginal wall deformation by moving a probe as well as dynamic pressure patterns during voluntary or involuntary muscle contractions in multiple test procedures; followed by calculating multiple biomechanical parameters characterizing vaginal tissue elasticity, pelvic support structures and dynamic pelvic functions. Individual biomechanical parameters may be visually represented by positioning their value within the established physiological parameter ranges varying from normal to diseased conditions. The methods may be used for identification of pelvic floor tissues with low elasticity, deteriorated or damaged pelvic support muscles and ligaments, and muscles with low contractive capability. Other methods include the steps of collecting clinical history and completing gynecological examinations of the pelvic floor and calculating probabilities of treatment success for pelvic diseases depending on a proposed treatment using a predictive mathematical model.

An apparatus includes a current source, an electronic circuit and a circuit board. The current source is configured to flow an electrical current having a selected frequency between a pair of electrodes coupled to a medical probe. The electronic circuit is configured to measure a single-ended voltage relative to ground that is formed on at least one of the electrodes in the pair in response to the electrical current, and, based on the measured voltage, to assess physical contact between the at least one of the electrodes and tissue. The circuit board includes the current source and the electronic circuit, and includes a layout that produces, at the selected frequency, a predefined capacitance between the current source and ground, thus forming a reference for measurement of the single-ended voltage.