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Implantable cardioverter-defibrillators and the pathologist: comment and cautionary notes
V M Walley1, M E Bourke, M Green
1Department of Pathology, University of Ottawa Heart Institute, Ontario, Canada.
Journal of Forensic Sciences
|September 8, 1998
Summary
This guide details implantable cardioverter-defibrillators (ICDs), focusing on pathologist safety during postmortem examination. It provides crucial recommendations and cautionary notes to prevent accidental discharge or device explosion.
Area of Science:
- Medical Device Technology
- Pathology
- Forensic Medicine
Background:
- Implantable cardioverter-defibrillators (ICDs) are critical for managing life-threatening arrhythmias.
- Proper identification and handling of explanted ICDs are essential for safety and accurate postmortem analysis.
- Pathologists face unique risks when examining devices that may retain electrical charge.
Observation:
- This review covers ICD components, clinical applications, implantation techniques, and potential complications.
- Specific information for identifying various ICD models is provided.
- Case study highlights accidental postmortem discharge of an active ICD.
Findings:
- Recommendations for safe autopsy examination and postmortem explantation of ICDs are presented.
- Cautionary notes address the risks of postmortem discharge and incineration-related device explosion.
- Standardized protocols are needed for handling active ICDs in postmortem settings.
Implications:
- Enhanced pathologist safety protocols for ICD handling are crucial.
- Accurate postmortem device identification aids in determining cause of death and device performance.
- This information supports best practices in forensic pathology and medical device safety.