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Performance of implanted biogalvanic pacemakers

J K Cywinski, A W Hahn, M F Nichols

    Pacing and Clinical Electrophysiology : PACE
    |January 1, 1978
    PubMed
    Summary
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    Hybrid biogalvanic cells show promise for long-term cardiac pacemaker power. These novel power sources demonstrated encouraging electrical performance and minimal local reaction in canine implants, suggesting a 50-year operational lifespan.

    Area of Science:

    • Biomedical Engineering
    • Implantable Medical Devices
    • Biomaterials

    Background:

    • Conventional pacemakers require battery replacements, necessitating surgical procedures.
    • Developing long-lasting, implantable power sources is crucial for improving patient outcomes.
    • Hybrid biogalvanic cells offer a potential solution for extended pacemaker longevity.

    Purpose of the Study:

    • To evaluate the long-term clinical effects and electrical performance of hybrid biogalvanic cells powering cardiac pacemakers in vivo.
    • To assess the biocompatibility and local tissue response to these novel power sources.
    • To determine the potential of biogalvanic cells to achieve a 50-year operational lifespan for pacemakers.

    Main Methods:

    • Seventeen unipolar cardiac pacemakers, powered by hybrid biogalvanic cells, were implanted in canine subjects.

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  • Long-term clinical observations and electrical performance monitoring of the implanted generators were conducted.
  • Histopathological analysis was performed to evaluate local tissue reactions at the implant sites.
  • Main Results:

    • No systemic pathological changes attributable to the generator or biogalvanic cell were observed in the canine subjects.
    • Local tissue reactions to the implants were mild and comparable to those seen with conventional pacemaker implantations.
    • Biogalvanic cells achieved final steady-state voltage levels of 0.65V to 0.75V within 100-150 days post-implantation.
    • Stable voltage output was maintained for over 36 months in tested units, indicating promising long-term electrical performance.

    Conclusions:

    • Hybrid biogalvanic cells are a safe and effective power source for cardiac pacemakers, demonstrating excellent biocompatibility.
    • The electrical performance of these cells is highly encouraging, supporting their potential for achieving a 50-year operational lifespan.
    • Biogalvanic cell technology represents a significant advancement in developing next-generation, long-duration implantable medical devices.