Subcutaneous device for monitoring and/or providing therapies

1. A subcutaneously implantable device comprising:

a housing;

a clip attached to a top side of the housing that is configured to anchor the device to a muscle, a bone, and/or a first tissue;

a drug pump and a drug reservoir in the housing, wherein the drug pump is fluidly connected to the drug reservoir with a first fluid connector;

a first prong with a lumen extending through the first prong and having a proximal end attached to the housing and the drug pump, and a distal end extending away from the housing that is configured to contact an organ, a nerve, and/or a second tissue, wherein the first prong is fluidly connected to the drug pump with a second fluid connector;

circuitry in the housing in electrical communication with the drug pump that is configured to deliver a signal to the drug pump to provide a targeted or systemic therapeutic drug to the organ, the nerve, and/or the second tissue through the lumen running through the first prong; and

a battery in the housing that is configured to power the circuitry and the drug pump.

2. The device of claim 1 , wherein the clip is configured to attach the device to a xiphoid process and/or a sternum of a patient.

3. The device of claim 1 , wherein the clip further comprises:

a top portion;

a bottom portion; and

a spring portion extending between and connecting the top portion to the bottom portion, wherein the spring portion is curved and is configured to act as a spring for the clip to push the top portion of the clip onto the bone, the muscle, and/or the first tissue to which it is anchored.

4. The device of claim 1 , and further comprising:

an electrode positioned on the housing, the clip, and/or the first prong that is in electrical communication with the circuitry and is configured to sense an electrical signal from the organ, the nerve, the first tissue and/or the second tissue and/or is configured to deliver electrical stimulation to the organ, the nerve, the first tissue and/or the second tissue.

5. The device of claim 1 , wherein the therapeutic drug in the drug reservoir is configured to be pumped into the lumen of the first prong using the drug pump.

6. The device of claim 1 , wherein the first prong further comprises:

a base portion on the proximal end of the prong;

a spring portion extending from the base portion;

an arm portion extending from the spring portion; and

a contact portion extending from the arm portion and terminating at the distal end of the prong.

7. The device of claim 6 , wherein the housing further comprises:

a first port on a back side of the housing, wherein the base portion of the prong is positioned in the first port.

8. The device of claim 7 , wherein a second port in the housing fluidly connects to the drug reservoir and is configured to allow the drug reservoir to be replenished.

9. The device of claim 8 , and further comprising:

a second prong with a lumen extending through the second prong and having a proximal end attached to the second port in the housing and the drug reservoir, and a distal end extending away from the housing.

10. The device of claim 9 , wherein the second prong is fluidly connected to the drug reservoir with a third fluid connector.

11. The device of claim 9 , wherein the second prong is configured to receive replenishment of the drug reservoir through an opening at a distal end of the second prong.

12. A subcutaneously implantable device comprising:

a housing;

a clip attached to a top side of the housing that is configured to anchor the device to a muscle, a bone, and/or a first tissue;

a drug pump and a drug reservoir in the housing, wherein the drug pump is fluidly connected to the drug reservoir with a first fluid connector;

a first prong with a lumen extending through the first prong and having a proximal end attached to the housing and the drug pump, and a distal end extending away from the housing that is configured to contact an organ, a nerve, and/or a second tissue, wherein the first prong is fluidly connected to the drug pump with a second fluid connector;

a second prong with a lumen extending through the second prong and having a proximal end attached to the housing and the drug reservoir, and a distal end extending away from the housing, wherein the second prong is fluidly connected to the drug reservoir with a third fluid connector;

circuitry in the housing in electrical communication with the drug pump that is configured to deliver a signal to the drug pump to provide a targeted or systemic therapeutic drug to the organ, the nerve, and/or the second tissue through the lumen running through the first prong; and

a battery in the housing that is configured to power the circuitry and the drug pump.

13. The device of claim 12 , wherein the clip is configured to attach the device to a xiphoid process and/or a sternum of a patient.

14. The device of claim 12 , wherein the clip further comprises:

a top portion;

a bottom portion; and

a spring portion extending between and connecting the top portion to the bottom portion, wherein the spring portion is curved and is configured to act as a spring for the clip to push the top portion of the clip onto the bone, the muscle, and/or the first tissue to which it is anchored.

15. The device of claim 12 , further comprising:

an electrode positioned on the housing, the clip, and/or the first prong that is in electrical communication with the circuitry and is configured to sense an electrical signal from the organ, the nerve, the first tissue and/or the second tissue and/or is configured to deliver electrical stimulation to the organ, the nerve, the first tissue and/or the second tissue.

16. The device of claim 12 , wherein the drug in the drug reservoir is configured to be pumped through into the lumen of the first prong using the drug pump.

17. The device of claim 12 , wherein the second prong is configured to receive replenishment of the drug reservoir through an opening at a distal end of the second prong.