An implantable medical device (IMD) may be configured for deployment at a patient's atrioventricular septum in order to sense and/or pace a patient's heart. The atrioventricular septum of the patient's heart may have an atrial facing side defining part of the right atrium of the patient's heart and a ventricle facing side defining part of the left ventricle of the patient's heart. The IMD may include a first component configured to be positioned at least in part in the right atrium of the patient's heart proximate the atrioventricular septum, and a second component configured to be positioned at least in part in the left ventricle.

An apparatus includes a thread (58) and a tissue anchor (60) coupled to the thread. The anchor includes a proximal portion (60p), shaped to define one or more appendages (82), a distal portion (60d), and a plurality of strips (84) joining the proximal portion to the distal portion. The anchor is configured to anchor the thread at tissue (42) of a subject by virtue of the appendages expanding radially, and the strips expanding radially to form respective loops at a distal side of the tissue, upon removal of a radially-constraining force from the anchor. Other embodiments are also described.

A deep intracranial electrode which comprises a flexible wire, an electrode contact, a connector and a shield sleeve, one end of the flexible wire is connected to the electrode contact, the other end connected to the connector; the shield sleeve sheathes around the flexible wire, a sum of a length of a part of the flexible wire arranged outside the shield sleeve and a length of the shield sleeve being adjustable. When the shield sleeve sheaths around the flexible wire, the length of the flexible wire inside the radio-frequency magnetic field of the magnetic resonance equipment may equal to a sum of the length of the shield sleeve and a length of the flexible wire outside the shield sleeve.

A method for manufacturing a deep intracranial electrode, a bending-resistant deep intracranial electrode and an electroencephalograph is disclosed. The method comprises the following steps: manufacturing a support rod of the deep intracranial electrode with a shape memory alloy material, the shape memory alloy having a preset phase-transformation temperature; subjecting the support rod in a straight state to an annealing process such that the support rod memorizes a straight shape.

An apparatus includes a thread (58) and a tissue anchor (60) coupled to the thread. The anchor includes a proximal portion (60p), shaped to define one or more appendages (82), a distal portion (60d), and a plurality of strips (84) joining the proximal portion to the distal portion. The anchor is configured to anchor the thread at tissue (42) of a subject by virtue of the appendages expanding radially, and the strips expanding radially to form respective loops at a distal side of the tissue, upon removal of a radially-constraining force from the anchor. Other embodiments are also described.

A delivery system for an intracorporeal device includes a sheath defining one or more lumens shaped to receive a delivery catheter or shaft and a guidewire. The system may include a delivery shaft having a distal coupling feature adapted to releasably couple with a proximal coupling feature of the intracorporeal device. The delivery system may further include a hub through which the delivery shaft and guidewire are passed. The delivery shaft may be coupled to a feature, such as a knob, that enables manipulation of the delivery shaft to decouple the distal fixation feature from the proximal fixation feature of the intracorporeal device in order to deploy the intracorporeal device within a patient.

A catheter including one or more echogenic members facilitate guiding the catheter to a selected locations within a patient using ultrasound imaging. The echogenic members may include expandable members, such as balloons, be positioned near a distal end of the catheter. The echogenic members include an echogenic material, such as a coating or a fluid, that is configured to enhance the diffuse sound scattering of the echogenic member. An expanded echogenic member is detectable using ultrasound imaging.

A method is disclosed for continuously monitoring a blood pressure measurement using a sensor connected by a hydraulic link to an arterial catheter, the method includes determining the dynamic parameters of the link, analyzing the frequency content of the incident signal, detecting one of the following situations: (a) ability of the link to transmit the incident signal with a distortion below a threshold, (b) ability of the link to transmit the incident signal with a distortion above the threshold and possibility of correcting the measured signal, (c) inability of the link to transmit the incident signal with a distortion below the threshold and impossibility of correcting the measured signal, periodic application of a mechanical action to the tubing providing the hydraulic link.

A catheter device for placing a sensor device comprises a shaft and a coupling device, arranged at the shaft, for coupling the catheter device to the sensor device comprising at least one bracket element. The coupling device comprises a coupling element and a locking element adjustable with respect to the coupling element, wherein the coupling element comprises at least one engagement section with which the at least one bracket element of the sensor device can be brought in engagement, wherein the locking element is designed, in a coupled position, to block the at least one bracket element at the at least one engagement section, and is adjustable with respect to the coupling element so as to release the at least one bracket element for detachment from the at least one engagement section.

Methods and systems for use of the Q-wave to R-wave interval to guide placement of a leadless cardiac pacemaker are disclosed. An implant delivery device is equipped with sensing electrodes to sense R-wave onset in a ventricle of a patient's heart to allow placement at a location of last or latest onset of the R-wave. Guidance tools are provided to assist in determination of the Q-wave to R-wave interval during implantation. For a chronic system, a cooperative approach is disclosed in which an implantable medical device and a leadless cardiac pacemaker exchange data to determine Q-wave to R-wave intervals and enhance cardiac resynchronization therapy delivery by the leadless cardiac pacemaker.