Medical system and method for operation of an active implantable medical device (IMD) and an extracorporeal device attached to a patient's skin, comprising: determining data regarding a bodily parameter of the patient by the IMD, processing the determined data and detecting a condition from a plurality of predefined conditions based on the determined data, periodically sending an intra-body communication signal representing the detected condition by the IMD to the extracorporeal device, receiving the intra-body communication signal by the extracorporeal device, providing a predefined notification signal by the extracorporeal device to the patient to motivate the patient to perform a predefined action based on the received intra-body communication signal, sending a termination signal by the extracorporeal device to the IMD, and receiving the termination signal by the IMD and subsequently terminating sending the intra-body communication signal which was initiated by the previously detected condition.

Techniques for use with an implantable medical device (IMD) reduce how often a first receiver of the IMD wakes up a second receiver thereof to reduce power consumption. A received message and/or a channel over which messages can be received is/are examined, and a value is adjusted based on results thereof. After being adjusted, the value is compared to a first threshold if the IMD is in a normal state, or compared to a second threshold if the IMD is in a noise state. If in the normal state, there is a determination whether to stay in the normal state or switch to the noise state. If in the noise state, there is a determination whether to stay in the noise state or switch to the normal state. At least the second receiver is temporarily put to sleep, if the IMD is maintained in or switched to the noise state.

A medical device is configured to produce a cardiac motion signal by sampling a signal produced by an axis of a motion sensor, starting a blanking period, suspending the sampling of the signal during at least a portion of the blanking period, and restarting the sampling of the signal at the sampling frequency before the blanking period has expired. The medical device may detect a cardiac event from the cardiac motion signal and generate a pacing pulse in response to detecting the cardiac event in some examples.

A method, system and external instrument are provided. The method initiates a communication link between an external instrument (EI) and an implantable medical device (IMD), established a first connection interval for conveying data packets between the EI and IMD and monitors a connection criteria that includes at least one of a data throughput requirement. A battery indicator or link condition of the communications link is between the IMD and EI. The method further changes from the first connection interval to a second connection interval based on the connection criteria.

In one embodiment, an implantable medical device (IMD) comprises: therapeutic circuitry for controlling delivery of a medical therapy to a patient; a processor for controlling the IMD according to executable code; wireless communication circuitry for conducting wireless communications; and memory for storing data and executable code, wherein the executable comprises code for causing the processor to (1) communicate with an external programming device to define therapeutic settings for operation of the IMD, (2) perform validation operations on one or more instances of therapeutic settings by determining whether a respective instance of therapeutic settings is accompanied by permanent validation data or temporary validation data, wherein the validation operations comprise analyzing temporary validation data against at least one key of a plurality of cryptographic keys stored by the IMD.

Techniques for switching an implantable medical device (IMD) from a first mode to a second mode in relation to signals obtained from internal sensors are described. The internal sensors may include a temperature sensor and a biosensor. In some examples, processing circuitry of the IMD may make a first preliminary determination that the IMD is implanted based on a first signal from the temperature sensor. In response to the first preliminary determination being that the IMD is implanted, the processing circuitry may make a second preliminary determination that the IMD is implanted based on a second signal from the biosensor. The processing circuitry may switch the IMD from a first mode to a second mode based on both the first preliminary determination and the second preliminary determination being that the IMD is implanted.

Devices, systems, and techniques are described for use in recharging a power source of a cranially mounted implantable medical device. In one example, a wearable medical device includes a flexible body configured to cover at least a portion of a scalp of a head of a patient. A securing member is connected to the flexible body and configured to extend around a circumference of the head to stabilize the flexible body with respect to the scalp of the patient. A fixation member is configured to mount to a location of the flexible body and couple the flexible body to a recharge coil that is configured to recharge the power source of the cranially-mountable implantable medical device.

A method for managing power during communication with an implantable medical device, including establishing a communications link, utilizing a power corresponding to a session start power, to initiate a current session between an implantable medical device (IMD) and external device. A telemetry break condition of the communications link is monitored during the current session. The power utilized by the IMD is adjusted between low and high power levels, during the current session based on the telemetry break condition. The number of sessions is counted, including the current session and one or more prior sessions, in which the IMD utilized the higher power level, and a level for the session start power to be utilized to initiate a next session following the current session is adaptively learned based on the counting of the number of sessions.

Apparatus and associated methods relate to providing secure gatekeeping of communication from a remote internet-based website having an Internet-Protocol (IP) address to an implantable biomedical device. A gatekeeping device receives the communication transmitted by the remote internet-based website. The communication received is encoded using a first encoding algorithm. The gatekeeping device decodes the communication received. The gatekeeping device then encodes the communication decoded using a second encoding algorithm. The gatekeeping device wirelessly relays the communication encoded using the second encoding algorithm to the implantable biomedical device. In some embodiments, the gatekeeping device compares the IP address of the communication transmitted by the remote internet-based website with a predetermined static IP address corresponding to the implantable biomedical device and rejects the communication transmitted by the remote internet-based website if the IP address is not that of the predetermined static IP address corresponding to the implantable biomedical device.

The systems and methods described herein include an external base station with a tethered transceiver, an implanted hub that includes power, telemetry, and processing electronics, and a plurality of implanted satellite that contain reconfigurable front-end electronics for interfacing with electrodes. The system can operate in different modes. In a first mode, called a base boost mode, the external base station is used for closed-loop control of stimulation therapies. In a second, autonomous mode, closed-loop control is performed in the hub without direct influence from the base station. In a third mode, streams of neural data are transmitted to an offline processor for offline analysis.