Leadless pacing using induction technology: impact of pulse shape and geometric factors on pacing efficiency

Wieneke, Heinrich; Rickers, Sebastian; Velleuer, Jonathan; Bruck, Guido H.; Bai, Zijian; Kocks, Christian; Grandjean, Pierre; Lenihan, Tim; Jung, Peter; Erbel, Raimund; Prinzen, Frits W.; Kisker, E.

doi:10.1093/europace/eus308

Cited by 15 publications

(7 citation statements)

References 16 publications

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“…Several studies have been conducted in which the feasibility, efficacy, and safety of LCPs have been evaluated [6][7][8][9][10]. Spickler and colleagues were the first to successfully implant the LCP in dogs, but the nuclear-powered device could not be practically used due to safety concerns and short battery life.…”

Section: Animal Studies and Technological Advancementsmentioning

confidence: 99%

Leadless pacemakers: A new era in cardiac pacing

Seriwala

Khan

Munir

et al. 2016

Journal of Cardiology

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Cardiac pacemakers are a critical management option for patients with rhythm disorders. Current efforts to develop leadless pacemakers have two primary goals: to reduce lead-associated post-procedural morbidity and to avoid the surgical scar associated with placement. After extensive studies on animal models and technological advancements, these devices are currently under investigation for human use. Herein, we review the evidence from animal studies and the technological advancements that have ushered in the era of use in humans. We also discuss different leadless pacemakers currently under investigation, along with limitations and future developments of this innovative concept.

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Section: Animal Studies and Technological Advancementsmentioning

confidence: 99%

Leadless pacemakers: A new era in cardiac pacing

Seriwala

Khan

Munir

et al. 2016

Journal of Cardiology

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“…d, e Fluoroscopy of the whole implanted system with defibrillator and WiSE-CRT system: antenna, transmitter, battery field, of which a fraction is converted to stimulatory voltage pulses by the receiver unit. While leadless pacing using induction may be feasible, it has only been tested in animal models (porcine and goat), and further work is needed to determine the effects of alignment, distance, and external interferences of this technology [24].…”

Section: Induction Technologymentioning

confidence: 99%

Leadless Cardiac Pacemakers: Pacing Paradigm Change

Neužil

Reddy

2015

Curr Cardiol Rep

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Traditional transvenous approach for permanent cardiac pacing can be associated with significant acute and chronic complications related partly to either the insertion of transvenous lead or subcutaneous placement of pacemaker device. We summarize the current status of a novel self-contained leadless cardiac pacemaker in the first-in-human and subsequent series of feasibility studies in patients indicated for ventricular rate-responsive pacing (VVI). Using a femoral venous approach, the device is implanted at the right ventricular apical septum region. We describe the technical and clinical characterization of this innovative technology. Two different systems of leadless pacemakers are currently implanted to the patients. Up to now, the electrical parameters, such as pacing thresholds, sensing parameters, and pacing impedances, either improved or remained stable within the accepted range. In this chapter, we also discuss the potential benefit for the future, but in summary, all available data demonstrate the feasibility of leadless cardiac pacing.

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“…Other complications include the infection, tricuspid valve insufficiency and central vein obstruction [ 57 ]. The possibility of implementing leadless pacing has been considered for many years and has been shown to be feasible [ 58 ].…”

Section: Imds In Cardiovascular Diseasementioning

confidence: 99%

“…Wieneke et al have shown that the energy transfer can also be achieved using electromagnetic induction [ 58 ]. The subcutaneous transmitter unit consists of a coil which sends an alternating magnetic field.…”

Section: Imds In Cardiovascular Diseasementioning

confidence: 99%

Future of Smart Cardiovascular Implants

Bussooa

Neale

Mercer

2018

Sensors

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Cardiovascular disease remains the leading cause of death in Western society. Recent technological advances have opened the opportunity of developing new and innovative smart stent devices that have advanced electrical properties that can improve diagnosis and even treatment of previously intractable conditions, such as central line access failure, atherosclerosis and reporting on vascular grafts for renal dialysis. Here we review the latest advances in the field of cardiovascular medical implants, providing a broad overview of the application of their use in the context of cardiovascular disease rather than an in-depth analysis of the current state of the art. We cover their powering, communication and the challenges faced in their fabrication. We focus specifically on those devices required to maintain vascular access such as ones used to treat arterial disease, a major source of heart attacks and strokes. We look forward to advances in these technologies in the future and their implementation to improve the human condition.

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Leadless pacing using induction technology: impact of pulse shape and geometric factors on pacing efficiency

Abstract: For any given RU position up to a distance of 100 mm reliable pacing using induction can be obtained. In anatomically crucial distances, up to 60 mm energy consumption is within a reasonable range.

Cited by 15 publications

References 16 publications

Leadless pacemakers: A new era in cardiac pacing

Leadless pacemakers: A new era in cardiac pacing

Leadless Cardiac Pacemakers: Pacing Paradigm Change

Future of Smart Cardiovascular Implants

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