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Percutaneously injectable fetal pacemaker: electronics, pacing thresholds, and power budget.

Adriana Nicholson1, Ramen Chmait, Yaniv Bar-Cohen

  • 1Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA 90089, USA. nicholsa@usc.edu

Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
|February 1, 2013
PubMed
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This study details a miniaturized fetal pacemaker to treat fatal hydrops fetalis. The device prioritizes low power consumption and wireless recharging due to size constraints, addressing critical battery challenges.

Area of Science:

  • Biomedical Engineering
  • Fetal Medicine
  • Cardiology

Background:

  • Complete heart block in fetuses can lead to hydrops fetalis, a fatal condition.
  • Existing treatments are limited, necessitating innovative solutions for fetal cardiac conditions.

Purpose of the Study:

  • To develop a miniaturized percutaneous cardiac pacemaker for fetal implantation.
  • To address the technical challenges of battery life and wireless recharging in a 3mm device.

Main Methods:

  • Determined pacing thresholds for a relaxation oscillator using surface mount components.
  • Analyzed device power consumption across various electrode configurations and stimulus parameters.
  • Assessed the feasibility of an inductive recharging system within package constraints.

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Main Results:

  • Established pacing thresholds for the designed oscillator circuit.
  • Identified power consumption characteristics relevant to device design.
  • Confirmed the feasibility of an inductive recharging system for the miniaturized pacemaker.

Conclusions:

  • A miniaturized pacemaker is feasible for treating fetal complete heart block and hydrops fetalis.
  • Low power design and wireless recharging are critical for device functionality.
  • The developed technology offers a potential life-saving intervention for affected fetuses.