A method of sensing a physiological parameter involves advancing a delivery catheter to a right atrium of a heart of a patient via a transcatheter access path, advancing the delivery catheter through an interatrial septum wall into a left atrium of the heart, deploying a distal anchor of a sensor implant device from the delivery catheter, anchoring the distal anchor of the sensor implant device to a first pulmonary vein, withdrawing the delivery catheter away from the first pulmonary vein, thereby exposing at least a portion of a sensor module of the sensor implant device in the left atrium, deploying a proximal anchor of the sensor implant device from the delivery system, anchoring the proximal anchor of the sensor implant device to a second pulmonary vein, and withdrawing the delivery catheter from the heart.

A cardiac medical system, such as an implantable cardioverter defibrillator (ICD) system, receives a cardiac electrical signal by and senses cardiac events when the signal crosses an R-wave sensing threshold. The system determines at least one sensed event parameter from the cardiac electrical signal for consecutive cardiac events sensed by the sensing circuit and compares the sensed event parameters to P-wave oversensing criteria. The system detects P-wave oversensing in response to the sensed event parameters meeting the P-wave oversensing criteria; and adjusts at least one of an R-wave sensing control parameter or a therapy delivery control parameter in response to detecting the P-wave oversensing.

Disclosed herein is a system for assessing ablation lesions. The system includes an ablation catheter configured to ablate a target cardiac tissue site to form an ablation lesion thereon, and a mechanical probe operable to impart mechanical force to the target cardiac tissue site. The mechanical probe includes at least one sensor configured to measure a mechanical response of the target cardiac tissue site to the mechanical force. The system further includes a controller communicatively coupled to the mechanical probe, and configured to determine systolic and diastolic stiffness values of the target cardiac tissue site based on the mechanical response. The controller is further configured to determine a transmurality value of the ablation lesion based on the determined systolic and diastolic stiffness values.

An apparatus for emitting a field comprising a a core, a conductive winding with a first end, a second end, and an intermediate portion, where the conductive winding surrounds a portion of the core and is wound about a winding axis, a protrusion for aligning the apparatus where the protrusion is parallel with the winding axis, and a conductive connector extending from the conductive winding, wherein the conductive connector is electrically coupled with the conductive winding at the intermediate portion.

Apparatus and methods are described, including apparatus that includes an antenna (34), configured to, by drawing energy from a magnetic field, provide a main supply voltage. The apparatus further includes operational circuitry (46, 22) configured to operate only if a derived supply voltage, derived from the main supply voltage and supplied to the operational circuitry, is greater than a threshold value, and modulating circuitry (36, 40, 42), configured to modulate a load of the antenna by alternatingly (i) connecting current-drawing circuitry to the main supply voltage, thus causing the main supply voltage to drop below the threshold value, and (ii) disconnecting the current-drawing circuitry from the main supply voltage without disconnecting the operational circuitry from the main supply voltage. Other embodiments are also described.

Methods and systems in which a first medical device provides patient status details to a second medical device. Patient status details may include one or more of patient posture and/or patient activity level, or other indications of patient status. The second medical device, in response to information about patient status and changes in patient status, uses a sensing configuration management function to respond to and accommodate the change in patient status. In an example, a first medical device monitors patient posture and communicates information related to patient posture to a second medical device, which then tailors sensing configurations to the patient posture.

The invention relates to an implantable sensor for detecting an electrical excitation of muscle cells, in particular cardiac muscle cells, wherein it is provided that the sensor comprises a dielectric component and a contact point for contacting muscle cells, which is connected to the dielectric component, so that an electric field in the dielectric component, and correspondingly a capacitance of the dielectric component, change with an electrical excitation of the muscle cells. The invention furthermore relates to a system comprising a sensor and an implant.

The present disclosure relates generally to pacing of cardiac tissue, and more particularly to adjusting delivery of His bundle or bundle branch pacing in a cardiac pacing system to achieve synchronized ventricular activation. Bundle pacing may be delivered in response to determining whether the QRS parameter or activation interval is greater than a threshold. A set of AV delays may be generated, and an optimal AV delay may be selected from the stored set of AV delays. His-bundle or bundle-branch pacing may be selectively delivered based on RV or LV activation time. Pacing may also be adjusted based on dyssynchrony detected or the type of bundle branch block pattern detected.

A medical probe includes an insertion tube for insertion into a patient body, at least an arm, which is attached to a distal end of the insertion tube, at least a reference electrode coupled to the arm, and multiple electrodes, which are coupled to the arm, surround the reference electrode and are configured to sense electrical signals of body tissues that, when measured relatively to the reference electrode, are indicative of anatomical signals in the patient body.

Wireless, variable inductance and resonant circuit-based vascular monitoring devices, systems, methodologies, and techniques, including specifically configured anchoring structures for same, are disclosed that can be used to assist healthcare professionals in predicting, preventing, and diagnosing various heart-related and other health conditions.