A battery comprising a battery cell within a battery housing. The battery further comprises a feedthrough inserted through an opening in a top cover of the battery. The feedthrough including a nailhead. A diameter of the nailhead is substantially the same as a length of the feedthrough. Methods for manufacturing the battery are also described.

A battery comprising a tubular battery housing having a first end and a second end. The first end and the second end can have a substantially same inner diameter and a substantially same outer diameter. The battery further comprises a battery cell within the tubular battery housing. The battery further comprises a top battery cover coupled to the first end and a bottom battery cover coupled to the second end to form a substantially sealed enclosure around the battery cell. Method for manufacturing the battery are also described.

A subcutaneously implantable device includes a housing, a clip attached to a top side of the housing, a first prong with a proximal end attached to the housing and a distal end extending away from the housing, and a first electrode on the first prong. The clip is configured to anchor the device to a muscle, a bone, and/or a tissue. The first prong is configured to contact a heart. The first electrode is configured to contact the heart. Sensing circuitry in the housing that is configured to sense an electrical signal from the heart, and therapeutic circuitry in the housing is in electrical communication with the first electrode and is configured to deliver electrical stimulation to the heart through the first electrode.

An intracardiac ventricular pacemaker includes a pulse generator for delivering ventricular pacing pulses, an impedance sensing circuit, and a control circuit in communication with the pulse generator and the impedance sensing circuit. The pacemaker is configured to produce an intraventricular impedance signal, detect an atrial systolic event using the intraventricular impedance signal, set an atrioventricular pacing interval in response to detecting the atrial systolic event, and deliver a ventricular pacing pulse in response to the atrioventricular pacing interval expiring.

An intraseptal multi-electrode cardiac pacemaker has a plurality of first individual electrodes implanted at an interventricular septum at varying depths and/or lateral distances from the distal end of a flexible conduit and configured to provide a cardiac pacing therapy by stimulating left bundle branch conduction fibers. A plurality of second individual electrodes may also be implanted in the septum at suitable depths to stimulate conduction fibers of the right bundle branch. After implantation, first and second individual electrodes are interrogated to select a subset of electrodes suitable to deliver the pacing therapy according to a predetermined criterion such as capturing the left ventricle or capturing the right ventricle via normal conduction system of the heart at the lowest voltage level via corresponding bundle branches. A combination of the pacemaker with a cardioverter/defibrillator is provided by positioning a defibrillator coil near the distal end of the flexible conduit of the pacemaker.

A transport system for delivery or retrieval of a biostimulator, such as a leadless cardiac pacemaker, is described. The biostimulator transport system includes a docking cap supported by a bearing within a bearing housing. The bearing allows relative rotation between a torque shaft connected to the docking cap and an outer catheter connected to the bearing housing. The bearing housing and the docking cap include respective bearing retainers that constrain the bearing within the bearing housing without a weld attachment. The weldless retainers of the biostimulator transport system provide a robust mechanical securement of the bearing that is not vulnerable to corrosion. Other embodiments are also described and claimed.

A leadless pacemaker device configured to provide for an intra-cardiac pacing, including: processing circuitry configured to generate ventricular pacing signals for stimulating ventricular tissue, and a reception device for receiving a sensing signal indicative of an atrial activity, wherein the processing circuitry is configured to detect an atrial event derived from said sensing signal, wherein the atrial event is a valid atrial sense event, where a series of atrial events lie within a range for a normal atrial rate, and/or when the atrial rate variability is within a certain range indicating a regular atrial rhythm, wherein in case a valid atrial sense event is detected, the processing circuitry is further configured to: determine ventricular pacing events according to atrial events, calculate ventricular-atrial time delays, determine a correction value based a measured time delay and the calculated time delay, and adjust the ventricular pacing timing based on the correction value.

The present invention relates to a system and method for replacing an implanted medical device with an implantable medical replacement device, wherein a programming device sends a command signal to the medical device to change an address of the medical device to a new address being different from an address of the replacement device to allow independent communication of the programming device with both the medical device and the replacement device.

In some examples, an implantable medical device (IMD) includes a housing defined in part by a longitudinal axis, a header at a distal end of the housing, the header defining a header plane, the header plane disposed at an angle relative to a reference plane, where the reference plane is perpendicular to the longitudinal axis, a fixation mechanism extending from the header, the fixation mechanism configured to be advanced into tissue of a heart of a patient to fix at least a portion of the IMD to the heart, one or more electrodes that extend from the header and are configured to engage with the septum, and circuitry within the housing, wherein the circuitry is configured to deliver cardiac pacing to the heart via the one or more electrodes.

An implantable medical device contains a hermetic battery. The hermetic battery contains a hermetically sealed battery housing defining an internal chamber, an electrochemical cell disposed within the internal chamber, and an electronic module disposed within the internal chamber. The electronic module is electrically conductively connected to the electrochemical cell, and the electronic module is arranged in the electrochemical cell.