Reuse of Explanted, Resterilized Implantable Cardioverter-Defibrillators

Pavri, Behzad B.; Lokhandwala, Yash; Kulkarni, Gaurav; Shah, Mandar; Kantharia, Bharat K.; Mascarenhas, Daniel

doi:10.7326/0003-4819-157-8-201210160-00004

Cited by 37 publications

(45 citation statements)

References 15 publications

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“…In a single-center, retrospective study in India involving 81 indigent persons with mean follow-up of 824.9 days, the reused ICDs functioned normally and delivered life-saving therapies, without an increased risk for complications. 12 …”

Section: Scientific Evidence Behind Reuse Of Cardiac Rhythm Control Dmentioning

confidence: 99%

“…<2 years. 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.…”

Section: Basics Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

“…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. Actually, in a series of 453 reused pacemakers with 17 years follow-up in India, the average battery life of refurbished device was 8.3 years.…”

Section: Basics Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%

“…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%

“…30 A more recent report described the resterilization procedure for ICDs. 12 After explantation, the ICDs were cleaned with saline and sealed them in biohazard plastic bags. They were then interrogated, patient and lead information were deleted, reprogrammed to non-pacing mode, and sensing, alarm and shocking functions were turned off.…”

Section: Resterilization Protocolmentioning

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: Scientific Evidence Behind Reuse Of Cardiac Rhythm Control Dmentioning

confidence: 99%

Section: Basics Of Cardiac Rhythm Control Devicesmentioning

confidence: 99%