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Early pacemakers had captive air and did not tolerate compression due to carcass deflection. Recent devices are designed PowerPoint Presentation
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Early pacemakers had captive air and did not tolerate compression due to carcass deflection. Recent devices are designed - PowerPoint PPT Presentation


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IMPLANTED DEVICES. Wreford-Brown CE., Bodwin DM Virginia Mason Center for Hyperbaric Medicine, Seattle, WA 98101. I BACKGROUND. Early pacemakers had captive air and did not tolerate compression due to carcass deflection. Recent devices are designed for better pressure tolerance. . II METHODS.

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IMPLANTED DEVICES.

Wreford-Brown CE., Bodwin DM Virginia Mason Center for Hyperbaric Medicine, Seattle, WA 98101.

I BACKGROUND

Early pacemakers had captive air and did not tolerate compression due to carcass deflection. Recent devices are designed for better pressure tolerance.

II METHODS

Device manufactures were contacted for testing data. Data was pulled from manufacturers through phone calls, online posted data, and email.

III RESULTS

Automatic Implanted Cardiac Defibrillators and Pacemakers.

Implanted Insulin Infusion Pumps.

IPX 8 and Animus pumps are rated for swimming only, with 12 ft maximum depth

Mini med pumps are not water proof or pressure tested for hyperbaric therapy

Boston Scientific pacemaker to 2.35 ATA

ELA Medical pacemaker to 4 ATA

St. Jude/Ventritex pacemaker to 7 ATA

St. Jude/Ventritex ICD to 3 ATA

Medtronic pacemaker and ICD to 2.5 ATA

Biotronic pacemaker and ICD to 3 ATA

Cochlear Implants.

ITB TherapySM (Intrathecal Baclofen Therapy)

Nucleus C124R and CI124M to 2.5 ATA

Freedom to 4 ATA

Medtronic Synchro Med II to 2 ATA

IV CONCLUSIONS

Manufacturers are designing some implantable devices that are compatible with our current routine hyperbaric treatment protocols. Testing methods vary among manufacturers and among devices within the same manufacturer. Standardized testing and design would increase the safety of hyperbaric patients with implantable devices.