Feasibility of postmortem device acquisition for potential reuse in underserved nations

Baman, Timir S.; Crawford, Thomas; Sovitch, Patricia; Meier, Pascal; Sovitch, Nathan; Gakenheimer, Lindsey; Kirkpatrick, James N.; Wasserman, Brad; Samson, George; Oral, Hakan; Eagle, Kim A.

doi:10.1016/j.hrthm.2011.09.067

Cited by 35 publications

(47 citation statements)

References 20 publications

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“…12 In another recent study involving 3176 rhythm control devices donated for the reutilization program, approximately 21% of donated devices and 30% of donated biventricular ICDs possessed an adequate battery life for potential reuse. 1 So, current cardiac rhythm control devices often have substantial remaining serviceable battery life after the death of the patient. 12 And this creates the scope of recycling these devices.…”

Section: Basics Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

“…18 Therefore, nearly 2 million individuals with pacemakers and ICDs are expected to be cremated in 2025, and their device will have to be explanted as per routine protocol. 1 So, only explantation after death in developed countries is, and will continue to be a huge source of rhythm control device for recycling.…”

Section: Disposal Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

“…Adequate battery life was defined as >75% or >4 years of estimated longevity in a more recent reutilization programme involving 3176 devices (65% pacemakers, 21% ICDs, 12% biventricular ICDs, and 3% biventricular pacemakers). 1 For reuse of ICDs, presence of battery voltage of at least 3.0 V or projected longevity of at least 3 years was a prerequisite of selection of device in a recent study from India. 12 Clearly, presence of standard, uniform criteria would make the practice of device recycling more efficient and confident.…”

Section: Device Selection For Reuse Of Cardiac Rhythm Control Devicementioning

confidence: 99%

“…Large ICD implanters per million population included USA (434), Germany (290), the Netherlands (220), and Italy (174). Again ICD implantation rate per million population was Bangladesh (1), India (1), Pakistan (<1), Indonesia (<1), Mayanmar (<1), Sudan (<1), Peru (1). This disparity is explained in part by cost.…”

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confidence: 99%

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Reuse of Cardiac Rhythm Control Devices: A Review

et al. 2013

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Cardiac rhythm control devices i.e. pacemakers, implantable cardioverter-defibrillators (ICDs) and biventricular pacemakers are at times lifesaving treatment and prevention of arrhythmia. But, despite definite indications, many people in the developing countries cannot afford these devices due to high cost, and succumb to premature death. On the other hand, after implantation, pacemakers and ICDs are sometimes underutilized because of premature explantation due to death of the recipient, device infection, or upgradation, leaving a considerable extent of serviceable battery life unused. Majority of these explanted devices are simply thrown away. Though made for single use, a growing body of evidence indicates the safety, efficacy and feasibility of reimplantation of the prematurely explanted devices in patient in need who is otherwise unable to afford a new one. Patients, physicians, morticians, and even the general public support the idea of device donation and recycling. A number of organizations around the world have engaged themselves in this benevolent effort, and t he feasibility of device reutilization programme has already been established. However, some logistic, legal and ethical concerns are yet to be solved. The statutory bodies and professional organizations should address the issue of device recycling to solve the unsolved issues and formulate standard practice guidelines. In that case, such medical wastes may turn into invaluable resources, and help ensuring equitable medical care throughout the world. Cardiovascular Journal Volume 6, No. 1, 2013, Page 52-59 DOI: http://dx.doi.org/10.3329/cardio.v6i1.16116

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Section: Basics Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

Section: Disposal Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

Section: Device Selection For Reuse Of Cardiac Rhythm Control Devicementioning

confidence: 99%

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Reuse of Cardiac Rhythm Control Devices: A Review

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“…However, a significant proportion of donated devices are likely to have acceptable battery life. About 18% of pacemakers collected from funeral homes and crematories had at least 75% of the original battery life or >48 months of battery life remaining [10]. In another study of battery life involving 328 extracted implantable cardioverter-defibrillators (ICDs) of living patients, 74% of devices that had been removed for clinical reasons not related to battery life had a remaining expected longevity of at least 24 months (or 50% of battery life) [11].…”

Section: Availability Of Post-mortem Pacemakersmentioning

confidence: 99%