A computer implemented method is provided that includes, under control of one or more processors of an implantable medical device (IMD), obtaining motion data indicative of a first posture, and determining a first sense setting of the IMD based on the first posture. The method also includes obtaining cardiac activity (CA) signals for a series of beats while applying the first sense setting, obtaining a characteristic of interest (COI) from the CA signals for the series of beats, and calculating a statistical indicator from the COI over the series of beats based on the COI from the CA signals. The method also includes deriving a second sense setting based on the first sense setting and the statistical indicator of the COI.

The invention discloses a cardiac pacemaker, characterized in that the cardiac pacemaker comprises a multiple of microneedles and a chip comprising at least one comparator with adaptive level, sequence control circuit, at least one capacitor stack built by n capacitors and 2n switches, at least one buffer capacitor outside the at least one capacitor stack, at least two additional switches outside the at least one capacitor stack, a CMOS-Logic, wherein further, the cardiac pacemaker comprises an interposer layer comprising holes for the multiple of microneedles and a lid. The cardiac pacemaker is characterized in that the chip, is located on one surface of the interposer layer and that the lid and the interposer layer form a capsule for the chip. Further, each microneedle of the array of microneedles has a distal end which protrudes from the chip and the cardiac pacemaker is adapted to be electrically self-sufficient.

A catheter tube comprises a tube wall, which surrounds a tube lumen, wherein the tube wall comprises the following: a mesh; and a guide lumen around which the mesh is braided and in which a pull element extends from a proximal portion of the catheter tube to a distal portion of the catheter tube. The pull element is connected in a tension-resistant manner to the tube wall in the distal portion. The guide lumen guides the pull element at least partially around the tube lumen.

A medical device and a manufacturing method for such medical device having an assembly comprising: an elongated solid housing with an outer surface and a maximum outer diameter, at least one electrical contact area at the outer surface of the housing, and a processor encapsulated within the housing,
wherein the method comprises the following steps: providing the assembly and a tube consisting of a plastic and electrically insulating material, wherein an inner diameter of the tube is greater than the maximum outer diameter (108) of the assembly, accommodating the assembly within the tube such that at least one electrical contact area of the assembly is not covered, and applying a shrinking step to the tube such that the shrunken tube is firmly attached to the outer surface of the housing.

The manufacturing method is cheaper and less time consuming than state-of-the-art methods, and also better suitable for automation.

An implantable medical device comprises a housing, a circuit board structure arranged within in the housing and comprising at least one flexible section, an electronic module comprising at least one electronic component arranged on the circuit board structure, and an energy storage device for providing electrical energy for operation of the implantable medical device. The energy storage device is a solid-state battery mounted on the circuit board structure. An energy generation device connected to the energy storage device is a secondary cell, wherein the energy generation device is configured to convert patient energy to electrical energy for charging the energy storage device.

Wirelessly powered implantable pulse generators (IPG) are described. In an embodiment, a wirelessly powered stimulator, includes an implantable pulse generator (IPG), including: an Rx antenna that receives a radio frequency (RF) signal from an external Tx antenna; a rectifier; an energy storage capacitor C.sub.STOR, where the RF signal coupled to the Rx antenna is rectified by the rectifier to generate VDD and charges the C.sub.STOR; a demodulator; an output voltage regulator that generates a stable voltage to activate the demodulator; and where the demodulator outputs a stimulation that releases the energy stored in the C.sub.STOR on an electrode based on detecting amplitude modulation in the received RF signal; and a Tx antenna that generates the RF signal that wirelessly powers the IPG and that controls timing of output stimulations of the IPG, where amplitude modulation is applied to the RF signal to control the timing of the output stimulations.

An implantation and/or retrieval device for a leadless cardiac pacing device may include a first elongate shaft including a lumen; a second elongate shaft slidably disposed within the lumen of the first elongate shaft; an end cap assembly fixedly attached to a distal end of the first elongate shaft; and a plurality of wires attached to the second elongate shaft and extending distally from the end cap assembly, the plurality of wires being movable relative to the end cap assembly. The plurality of wires is configured to engage a proximal hub of the leadless cardiac pacing device. The plurality of wires forms a plurality of wire loops extending distally from the end cap assembly.

Certain embodiments described herein related to methods, devices, and systems that provide improved communications between first and second IMDs remotely located relative to one another and capable of communicating using both conductive communication and RF communication. Such a method can include the first IMD using conductive communication to transmit message(s) intended for the second IMD, without using RF communication, during a first period of time that a first trigger event is not detected. The method can also include the first IMD detecting the first trigger event, and in response thereto, the first IMD using RF communication to transmit message(s) intended for the second IMD during a second period of time. Thereafter, in response to first IMD detecting a second trigger event, the first IMD uses conductive communication to transmit one or more messages intended for the second IMD, without using RF communication, during a third period of time.

A system comprises processing circuitry and memory comprising program instructions that, when executed by the processing circuitry, cause the processing circuitry to: apply a first set of rules to first patient parameter data for a first determination of whether sudden cardiac arrest of a patient is detected; determine that a one or more context criteria of the first determination are satisfied; and in response to satisfaction of the context criteria, apply a second set of rules to second patient parameter data for a second determination of whether sudden cardiac arrest of the patient is detected. At least the second set of rules comprises a machine learning model, and the second patient parameter data comprises at least one patient parameter that is not included in the first patient parameter data.