Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system

Abstract Pacemakers have existed for decades as a means to restore cardiac electrical rhythms. However, lead-related complications have remained a clinical challenge. While market-released leadless devices have addressed some of the issues, their pacer-integrated batteries cause new health risks and...

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Autores principales: Parinaz Abiri, Ahmad Abiri, René R. Sevag Packard, Yichen Ding, Alireza Yousefi, Jianguo Ma, Malcolm Bersohn, Kim-Lien Nguyen, Dejan Markovic, Shervin Moloudi, Tzung K. Hsiai
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/de21cac1c006464e9a56108b8886c6f8
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spelling oai:doaj.org-article:de21cac1c006464e9a56108b8886c6f82021-12-02T11:52:27ZInductively powered wireless pacing via a miniature pacemaker and remote stimulation control system10.1038/s41598-017-06493-52045-2322https://doaj.org/article/de21cac1c006464e9a56108b8886c6f82017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-06493-5https://doaj.org/toc/2045-2322Abstract Pacemakers have existed for decades as a means to restore cardiac electrical rhythms. However, lead-related complications have remained a clinical challenge. While market-released leadless devices have addressed some of the issues, their pacer-integrated batteries cause new health risks and functional limitations. Inductive power transfer enables wireless powering of bioelectronic devices; however, Specific Absorption Rate and size limitations reduce power efficiency for biomedical applications. We designed a remote-controlled system in which power requirements were significantly reduced via intermittent power transfer to control stimulation intervals. In parallel, the cardiac component was miniaturized to facilitate intravascular deployment into the anterior cardiac vein. Given size constraints, efficiency was optimal via a circular receiver coil wrapped into a half-cylinder with a meandering tail. The pacemaker was epicardially tested in a euthanized pig at 60 beats per minute, 2 V amplitude, and 1 ms pulse width, restoring mean arterial pressure from 0 to 37 mmHg. Power consumption was 1 mW at a range of > 3 cm with no misalignment and at 2 cm with 45° displacement misalignment, 45° x-axis angular misalignment, or 45° y-axis angular misalignment. Thus, we demonstrated a remote-controlled miniaturized pacing system with low power consumption, thereby providing a basis for the next generation of wireless implantable devices.Parinaz AbiriAhmad AbiriRené R. Sevag PackardYichen DingAlireza YousefiJianguo MaMalcolm BersohnKim-Lien NguyenDejan MarkovicShervin MoloudiTzung K. HsiaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-10 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Parinaz Abiri
Ahmad Abiri
René R. Sevag Packard
Yichen Ding
Alireza Yousefi
Jianguo Ma
Malcolm Bersohn
Kim-Lien Nguyen
Dejan Markovic
Shervin Moloudi
Tzung K. Hsiai
Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
description Abstract Pacemakers have existed for decades as a means to restore cardiac electrical rhythms. However, lead-related complications have remained a clinical challenge. While market-released leadless devices have addressed some of the issues, their pacer-integrated batteries cause new health risks and functional limitations. Inductive power transfer enables wireless powering of bioelectronic devices; however, Specific Absorption Rate and size limitations reduce power efficiency for biomedical applications. We designed a remote-controlled system in which power requirements were significantly reduced via intermittent power transfer to control stimulation intervals. In parallel, the cardiac component was miniaturized to facilitate intravascular deployment into the anterior cardiac vein. Given size constraints, efficiency was optimal via a circular receiver coil wrapped into a half-cylinder with a meandering tail. The pacemaker was epicardially tested in a euthanized pig at 60 beats per minute, 2 V amplitude, and 1 ms pulse width, restoring mean arterial pressure from 0 to 37 mmHg. Power consumption was 1 mW at a range of > 3 cm with no misalignment and at 2 cm with 45° displacement misalignment, 45° x-axis angular misalignment, or 45° y-axis angular misalignment. Thus, we demonstrated a remote-controlled miniaturized pacing system with low power consumption, thereby providing a basis for the next generation of wireless implantable devices.
format article
author Parinaz Abiri
Ahmad Abiri
René R. Sevag Packard
Yichen Ding
Alireza Yousefi
Jianguo Ma
Malcolm Bersohn
Kim-Lien Nguyen
Dejan Markovic
Shervin Moloudi
Tzung K. Hsiai
author_facet Parinaz Abiri
Ahmad Abiri
René R. Sevag Packard
Yichen Ding
Alireza Yousefi
Jianguo Ma
Malcolm Bersohn
Kim-Lien Nguyen
Dejan Markovic
Shervin Moloudi
Tzung K. Hsiai
author_sort Parinaz Abiri
title Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
title_short Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
title_full Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
title_fullStr Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
title_full_unstemmed Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
title_sort inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/de21cac1c006464e9a56108b8886c6f8
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