An example method includes delivering one or more electrical stimulation signals to a patient, sensing a composite stimulation-evoked signal comprising a composite of signals generated by one or more signal sources in response to the one or more electrical stimulation signals, and controlling delivery of electrical stimulation therapy to the patient based on the composite stimulation-evoked signal.

The present disclosure discusses a urinary catheter attachment that is equipped with a sensor and microcontroller that monitors bladder parameters, such as pressure or volume, and determines when the bladder is full and should be voided. In various embodiment, the disclosed system allows individuals who cannot know, feel, or remember when their bladder should be voided to use catheter accessories such as catheter valves. According to various embodiments, the system computes bladder fullness through an algorithm and triggers the alert system when a bladder fullness threshold is passed. In various embodiments, the alert system includes, but is not limited to, notifications via smartphone or smart devices, wearable technology, and patient management systems. The alert system may be substituted with an electronically actuated catheter valve.

Aspects of the present disclosure are directed to pressure sensing. As may be implemented in accordance with one or more embodiments, an external energy field is applied to a resonant circuit having inductive conductors separated by a compressible dielectric, for wirelessly detecting pressure. Specifically, the resonant circuit is responsive to the energy field and applied pressures by operating in respective states exhibiting different resonant frequencies that are based upon pressure-related compression of the compressible dielectric. These resonant frequencies, or a change in the resonant frequencies, can be used as an indication of the pressure.

Provided is a biofeedback apparatus using a magnetic stimulator. In the biofeedback apparatus, a tube filled with a non-conductive fluid is disposed between a magnetic stimulator and patient's pelvic floor muscles to measure a change in pressure according to muscle exercise of the pelvic floor muscles, biofeedback is available without insertion of a tool for measurement of a pressure or an EMG (electromyogram) into vagina, urethra, or the like. In the biofeedback apparatus, since driving of the magnetic stimulator and driving of a pressure transducer do not influence each other, a controller can continuously monitor a state of change in pressure of the pelvic floor muscles by using the pressure transducer and, at the same time, can adjust a strength of a magnetic field generated from the magnetic stimulator to an optimal strength according to the monitored state, so that it is possible to maximize the effect of treatment.

A system for bidirectional signal transmission may comprise a forward data transmission circuit to unidirectionally transmit a first input signal and a backward data transmission circuit to unidirectionally transmit a second input signal. The backward data transmission circuit may comprises a logic circuit to detect a voltage difference over a resistance element in the forward data transmission circuit. When the voltage difference is lower than a threshold value, the logic circuit outputs a first voltage level. When the voltage difference is greater than or equal to a threshold value, the logic circuit outputs a second voltage level different from the first voltage level.

A urodynamic investigation apparatus for receipt of urine from a bladder is provided. The apparatus is characterized by a tubular element, first and second fittings, and a sleeve element, for select passage of urine there through, within the tubular element. The tubular element is characterized by opposing first and second end portions, and a port. The fittings are adapted to be received by the opposing end portions of the tubular element so as to delimit an apparatus chamber. The sleeve element, suspended between the fittings within the chamber, has collapsed and open configurations. The collapsed configuration is indicative of a no urine flow condition, and the open configuration indicative of a urine flow condition, with the sleeve element urine flow condition being a function of pressure applied to the chamber via the port of the tubular element.

Embodiments herein include systems and methods for detecting, predicting and/or assessing acute kidney injury. In an embodiment, a monitoring system to detect acute kidney injury is included. The monitoring system can include a sensor circuit configured to collect renal data including at least one of systemic renal data, direct renal data, urinary tract data, and renal-relevant extracorporeal data. The monitoring system can also include a memory circuit to store collected renal data, an evaluation circuit to assess renal status, and a telemetry circuit. The evaluation circuit can determine whether acute kidney injury has occurred or is likely to occur by comparing the renal data to at least one of threshold values, personal historical values, patient population values and patterns indicative of acute kidney injury. The evaluation circuit can initiate a warning notification if acute kidney injury has occurred or is likely to occur. Other embodiments are also included herein.

A catheter insertable into a patient for monitoring pressure having an expandable outer balloon. An expandable inner balloon is positioned within the lumen of the catheter and has having a second outer wall and forms a gas chamber to monitor pressure within the patient. In response to pressure exerted on the outer wall of the outer balloon, fluid within the outer balloon enters an opening in the wall of the catheter lumen to exert a pressure on the outer wall of the expanded inner balloon to deform the inner balloon and compress the gas within the inner balloon. A pressure sensor communicates with the gas containing chamber for measuring pressure based on compression of gas caused by deformation of the expanded inner balloon resulting from deformation of the expanded outer balloon.

An implantable ureteral stent for implanting in the ureter comprising a first end for placing in the renal pelvis and a second end for placing in the bladder, each said end including a pressure sensor arranged to measure urinary pressure. Each pressure sensor can include an electronic circuit with electronic components and a substrate for receiving the electronic circuit and electronic components, wherein said substrate is a flexible membrane. The flexible membrane can be a sleeve surrounding the stent or the flexible membrane can be a flexible tube that is part of a thin tube that forms the stent, in particular the flexible membrane may have a thickness of 80-150 μm. The electronic components can be connected by wire-bonding. Each pressure sensor can have a flexible PCB having soldered electronic components. A manufacturing method is disclosed to make said implantable ureteral stent.

In some examples, a device includes a catheter insert elongated body defining a body lumen, the catheter insert elongated body being configured to be at least partially inserted to a catheter lumen defined by a catheter without covering a first fluid opening of the catheter and to form a fluidically tight coupling with the catheter, and one or more sensors positioned on the elongated body. At least one of the one or more sensors are configured to sense a substance of interest. The catheter insert elongated body includes a material that is a substantially non-permeable to the substance of interest.