A blog about what is new (and old) in the world of active implantable medical devices

Author Archives: David Prutchi

Crazy Pacemaker Hack: d.i.y. High-Speed Photography

Posted on by Posted in Cardiac Pacing, My Portfolio, Tech Talk

High speed photography by David Prutchi using pacemaker as interval timer

This is a hack that combines three of my favorite passions: pacemakers, photography, and coffee!

I took this photograph by feeding the output of an infrared barrier to the atrium input of an old DDD pacemaker, setting an appropriate AV delay, and using the ventricular output to trigger a camera flash (via a optoisolator).  In a darkened room, I opened my camera’s shutter for 2 seconds.  I then let one drop of milk fall through the infrared barrier, starting the AV delay in VAT mode.  The flash then fires as the drop enters the coffee in the cup, freezing the action. Continue reading→

St. Jude’s (ANS) Rechargeable Spinal Cord Stimulators Eon and Eon Mini

Posted on by Posted in Advanced Neuromodulation Systems (ANS), Pain, Spinal Cord Stimulation, St. Jude Medical, Tech Talk, Wireless Power Transmission

St Jude Medical Eon and Eon Mini Spinal Cord Stimulators

In 2005, St. Jude Medical purchased Advanced Neuromodulation Systems (ANS) in Plano, Texas.  ANS had developed a number of spinal cord stimulation IPGs that were either externally powered via inductive link, internally powered by a primary cell, or internally powered by a transcutaneously rechargeable lithium-ion cell.

Today, the most popular St. Jude spinal cord stimulators are the rechargeable 42 cc Eon and 18 cc Eon mini neurostimulators.

They are constant-current devices with a rated longevity of 10 years. Current through up to 16 electrodes is programmable between 0-25.5 mA with a pulse width of 50-500 µs and a frequency between 2-1200 Hz. Continue reading→

Intermedics’ First Pacemakers (Mid 1970s)

Posted on by Posted in Bradycardia, Cardiac Pacing, History, Intermedics (1974-1999), Museum

Intermedics InterLith Pacemakers from the mid-1970s

In 1973, former Medtronic sales representative Albert Beutel founded Intermedics in Freeport, TX.  The first product was a small, mercury-cell-powered pacemaker.  In 1974 Intermedics introduced a lithium-powered version, and in 1976 it introduced InterLith which was hermetically sealed, and weighed just 65 grams.  At the time, InterLith’s size was a breakthrough, and became a very popular device, solidifying Intermedics’ position in the industry.

 

Original Datasheet for Arco’s Nuclear Pacemakers (ca. 1974)

Posted on by Posted in Arco Medical (1969-1980), Bradycardia, Cardiac Pacing, History, Museum, Nuclear Batteries

Original Arco Medical datasheet for NU5 plutonium-powered nuclear pacemaker

Some time ago, my friend and colleague Paul Spehr gave me a copy of Arco Medical’s product catalog.  I scanned the original datasheets for Arco Medical’s nuclear fixed-rate and demand pacemakers models NU-5 and NU-6 and posted them here in pdf format: Arco_Nuclear_Datasheets

Click here for a color picture and more information on Arco Medical’s nuclear pacemakers.

 

St. Jude’s DBS Study Confirms Benefit of Constant Current System for Parkinson’s Disease

Posted on by Posted in Brain Stimulation, Parkinson's Disease, St. Jude Medical
SJM Libra and Libra XP deep-brain neurostimulators to treat Parkinson's disease
Image Credit: St. Jude Medical

Today St. Jude announced that its first controlled study of Deep Brain Stimulation (DBS) confirms benefit of constant current system for patients with Parkinson’s Disease.

Results were published online today by The Lancet Neurology journal. The aim of the study was to evaluate the Libra(TM) and LibraXP(TM) DBS constant current systems to determine the devices’ safety and effectiveness in managing the symptoms of PD. Continue reading→

St. Jude 4Q IPG Sales: CRM Down 4%, Neuromodulation 12% Up vs. Q4 2010

Posted on by Posted in AIMD Business, St. Jude Medical

Yesterday, Jan 9, 2011, St. Jude Medical announced preliminary revenue results for the fourth quarter ended December 31, 2011:

“Fourth quarter cardiac rhythm management sales were approximately $728 million, a 4 percent decrease compared with the fourth quarter of 2010. Fourth quarter sales of implantable cardiac defibrillators were approximately $436 million, a 5 percent decrease from the comparable quarter in 2010. Pacemaker sales during the quarter were approximately $292 million, a 4 percent decrease compared with the fourth quarter of 2010.

…

Fourth quarter sales of neuromodulation products were approximately $121 million, a 12 percent increase compared to the fourth quarter of 2010.”

Company website: www.sjm.com

 

 

Implantable-Device.com is Back On-Line!

Posted on by Posted in Administrative

I apologize for yesterday’s interruption of service in this blog.  I moved hosting company because the old one was too slow and unreliable.

Unfortunately, I fell for the 5-star reviews which actually ended up being paid by the hosting company…  I wish that they would invest half their marketing dollars on lowering server load.

Oh well… The blog does work much faster on the new server, so I’m sure that it will make your experience on this site much more pleasant.  Hope you enjoy it!

American Optical Cardio-Care Demand Pacemaker (1968)

Posted on by Posted in American Optical (1965-1975), Bradycardia, Cardiac Pacing, History, Museum

American Optical Cardio-Care Implantable Demand Pacemaker (1968)

Barouh Berkovits at American Optical Co of Boston, MA designed the first “Demand Pacemaker” – what we now know as a VVI pacemaker. The Cardio-Care Demand Pacemaker, introduced in 1968, was American Optical’s first implantable device.

From Kirk Jeffrey’s Machines in our Hearts(2001):

“Berkovits in 1963 designed a sensing capability into the pacemaker. His invention behaved exactly like an asynchronous pacer until it detected a naturally occurring R wave, the indication of a ventricular contraction. This event would reset the timing circuit of the pacemaker, and the countdown to the next stimulus would begin anew. Thus the pacer stimulated the heart only when the ventricles failed to contract. It worked only ‘‘on demand.’’ As an added benefit, noncompetitive pacing extended the life of the battery. Continue reading→

Biotectix

Posted on by Posted in Biotectix, Brain Stimulation, Cardiac Pacing, Electrode Materials, Electrodes, Tech Talk
Biotectix electrically conductive polymers for implantable devices
Image Credit: Biotectix

Biotectix of Ann Arbor, MI recently contacted me to let me know of new conductive polymer materials that they are developing to enhance the performance of next-gen implantable stimulation and sensing devices.

Indeed, their materials sound very promising.  According to Biotectix, their electrode coatings and device components are made from proprietary conducting polymers that provide intimate, long-term electrical and biological connections between implantable electrodes and the target tissue.  They offer the conductivity and stability of metals at a low-cost with the ease of processing and biological functionality of polymers. Continue reading→

Nanowattics: Ultra-Low-Power ASIC Design for Implantable Devices

Posted on by Posted in Nanowattics, Ultra-Low-Power ICs

Nanowattics logo custom IC ASIC design for implantable medical devices

Nanowattics ASIC for an implantable medical device Nanowattics was founded in 2007 to provide development services of ultra-low-power application-specific integrated circuits (ASICs) for safety-critical applications.

Nanowattics’ core team is extremelly experienced in the design of ASICs for implantable medical devices.  Their designs include the main ASIC for a DDDR pacemaker,  a sub-microvolt differential amplifier for electroneurographic signal acquisition, and the chipset for a multi-channel current-mode implantable stimulator.

Besides IC design services, Nanowattics also offers IC development project management through the entire product design cycle, including feasibility studies, translation of requirements, foundry submission, fabrication, packaging, prototype testing, documentation, certifications, and production. Continue reading→

A Challenge to History Buffs: Who Was Digikon?

Posted on by Posted in Bradycardia, Cardiac Pacing, Digikon, History, Museum

Digikon model LD451 Ventricular Inhibited Pulse Generator

I took this picture a very long time ago at the office of one of my implanter friends in Europe.  Ever since then, I’ve tried to find out about “Digikon,” but have had no luck so far.  All that I have been able to find from the St. Jude legacy device database is that Digikon had produced a number of pacemaker models, including the one shown in this picture.

Do you know anything about Digikon?  Please let me know!

Cook Pacemaker’s Sensor Kelvin 504 Central-Venous-Temperature-Sensing Pacemaker (ca. 1992)

Posted on by Posted in Bradycardia, Cardiac Pacing, Cook Pacemaker, History, Museum

Cook Pacemakers Sensor Kelvin Model 504 central-venous-temperature-sensing rate-responsive pacemaker

In 1983, Bill Cook and Dr. Neal Fearnot began to work under the Cook Pacemaker Company in Leechburg, PA on developing the technology developed by Dr. Fearnot at Purdue University into an improved prototype for a temperature-based exercise responsive pacemaker that was released in 1988 as the Kelvin Sensor rate-responsive pacemaker.  One of the first CVT rate-adaptive pacemakers was the Cook Model Kelvin 500 series. Continue reading→

Intermedics’ Circadia Central Venous Temperature-Sensing Pacemaker (ca. 1993)

Posted on by Posted in Bradycardia, Cardiac Pacing, History, Intermedics (1974-1999), Museum

Intermedics Circadia central-venous-temperature-sensing rate-responsive pacemaker

Back side of Intermedics Circadia pacemaker. Labeling shows special connector for temperature-sensing lead.

The Circadia pacemaker was one of the very few devices that had a lead-borne thermistor to measure cental venous temperature (CVT) as a sensor for rate-response.

A unique feature of this pacemaker was an iridium-oxide (IrOx)-coated button welded to the can.  It was believed that this button would improve unipolar IEGM sensing and reduce unipolar pacing thresholds (it didn’t). Continue reading→

Cook’s Sensor Kelvin and Intermedics’ Circadia Temperature-Sensing Rate-Responsive Pacemakers

Posted on by Posted in Bradycardia, Cardiac Pacing, Cook Pacemaker, History, Intermedics (1974-1999), Museum

 

Cook Pacemaker's Kelvin and Intermedics' Circadia central venous temperature-controlled rate-responsive pacemakersOne of the indicators of metabolic demand that has been used for controlling the rate of pacemakers is central venous blood temperature (CVT).

In 1983, Bill Cook and Dr. Neal Fearnot began to work under the Cook Pacemaker Company on developing the technology developed by Dr. Fearnot at Purdue University into an improved prototype for a temperature-based exercise responsive pacemaker that was released in 1988 as the Kelvin Sensor rate-responsive pacemaker.  One of the first CVT rate-adaptive pacemakers was the Cook Model Kelvin 500 series.

Another one of the first CVT rate-adaptive pacemakers was the Intermedics Nova MR, which differs from the Kelvin 500 series in that its pacing algorithm had a more dynamic HR response. Continue reading→