Methods and apparatus are provided for pulsed electric field neuromodulation via an intra-to-extravascular approach, e.g., to effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, changes in cytokine upregulation and other conditions in target neural fibers. In some embodiments, the ITEV PEF system comprises an intravascular catheter having one or more electrodes configured for intra-to-extravascular placement across a wall of patient's vessel into proximity with target neural fibers. With the electrode(s) passing from an intravascular position to an extravascular position prior to delivery of the PEF, a magnitude of applied voltage or energy delivered via the electrode(s) and necessary to achieve desired neuromodulation may be reduced relative to an intravascular PEF system having one or more electrodes positioned solely intravascularly. The methods and apparatus of the present invention may, for example, be used to modulate one or more target neural fibers that contribute to renal function.

A method and apparatus for making a connection with a part of a body to transfer an electromagnetic signal for a predetermined purpose, the apparatus including: a garment including one or more electrode capable of passing the signal to or from the part of the body; and a controller for controlling the nature of or processing the signal dependant on one or more parameters in order to vary the nature of the signal dependant on the purpose; wherein at least one parameter of the one or more parameters is stored on a data storage device included in the garment.

A system and method for providing therapy to a patient can include a monitoring unit and a therapy unit. The monitoring unit can have a user interface and one or more sensors to measure patient data. The therapy unit can have a stimulator for generating electrical stimulation and a microcontroller for controlling the generation of the electrical stimulation based on the measured patient data.

A system and method for providing therapy to a patient can include a monitoring unit and a therapy unit. The monitoring unit can have a user interface and one or more sensors to measure patient data. The therapy unit can have a stimulator for generating electrical stimulation and a microcontroller for controlling the generation of the electrical stimulation based on the measured patient data.

A support garment for supporting a patient wearable defibrillator is made from a fabric having an outside surface and an inside surface and is configured to be worn about a chest of a patient. The support garment includes a back portion and a front portion connected to the back portion. The back portion and the front portion are configured to support a plurality of sensing electrodes and at least one therapeutic defibrillator electrode on the inside surface thereof. The front portion of the support garment further includes at least one bra portion. The at least one bra portion is configured to support front upper torsal female anatomy.

Apparatus for transcutaneous electrical nerve stimulation in a user, the apparatus comprising: a stimulator for electrically stimulating at least one nerve with at least one stimulation pulse; a controller connected to the stimulator for controlling at least one characteristic of the at least one stimulation pulse; an analyzer for identifying the current and future presence of pain-altering patterns based on weather and/or environmental factors; and a processor connected to the analyzer and the controller for modulating the at least one characteristic of the at least one stimulation pulse according to the pain-altering patterns identified by the analyzer.

A wearable cardiac device for providing feedback during device assembly includes a garment configured to be continuously worn and an electrode belt including a plurality of assemblable elements. Each of the assemblable elements is configured for assembly into the garment prior to use of the wearable cardiac device. The plurality of assemblable elements includes electrodes configured to facilitate sensing electrical signals associated with cardiac activity of and/or deliver one or more therapeutic pulses to a patient. At least one of the plurality of assemblable elements includes respective local assembly feedback circuitry. Each respective local assembly feedback circuitry includes an assembly verification sensor configured to sense whether the respective assemblable element is correctly assembled into the garment and local assembly feedback indicator(s) locally disposed on the respective assemblable element and configured to provide a human-discernable feedback alert indicating whether the respective assemblable element is correctly assembled into the garment.

Systems, devices and methods to facilitate wireless interaction between an implantable therapy delivery device and an external transmitter device are provided. In an example, the systems, devices, and methods discussed herein include or use a garment for receiving and positioning an external transmitter device proximal to an implanted device, and the external transmitter device includes a midfield device configured to provide one or more signals to manipulate evanescent fields outside of tissue to generate a propagating and focused field in the tissue. In an example, the garment includes a receptacle configured to receive and retain the external transmitter device near a tissue interface, and the garment further includes a dielectric portion provided between the receptacle and the tissue interface. In an example, the dielectric portion has a relative permittivity that is approximately the same as the relative permittivity of air.

A wearable cardiac device for providing feedback during device wear includes a garment, tags disposed on the garment, and electrodes configured to facilitate sensing electrical signals associated with cardiac activity of the patient and/or delivering therapeutic pulses to the patient. Each electrode is configured for assembly into the garment in a respective predetermined position. At least one respective electrode includes respective local position feedback circuitry. Each respective local position feedback circuitry includes a position verification sensor configured to sense one or more tags and one or more local position feedback indicators locally disposed on the respective electrode and configured to provide a human-discernable feedback alert indicating whether the respective electrode is assembled into the garment in the respective predetermined position. The position verification sensor is further configured to activate the one or more local position feedback indicators based on whether the position verification sensor senses the one or more tags.

Apparatus for transcutaneous electrical nerve stimulation in humans, the apparatus comprising: a housing; stimulation means mounted within the housing for electrically stimulating nerves; an electrode array releasably mounted to the housing and connectable to the stimulation means, the electrode array comprising a plurality of electrodes for electrical stimulation of nerves; control means mounted to the housing and electrically connected to the stimulation means for controlling at least one characteristic of the stimulation means; monitoring means mounted to the housing and electrically connected to the stimulation means for monitoring at least one characteristic of the stimulation means; user interface means mounted to the housing and electrically connected to the control means for controlling the stimulation means; display means mounted to the housing and electrically connected to the control means and the monitoring means for displaying the status of the stimulations means; and a strap attached to the housing; wherein the strap is configured to hold the housing, stimulation means and electrode array at a specific anatomical location to treat pain.