Pacemakers

Can you recycle pacemakers?

User Avatar
Wiki User
2009-11-02 20:00:50

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- Yes! A pacemaker device is designed to last anywhere between 6

and 10 years. Though FDA regulations does not permit the recycling

of pacemakers for humans in the United States, we have come to find

many scientific journals that say recycling pacemakers is a safe

practice. Here are a few excerpts from some of the scientific

journals we have found that support recycling pacemakers

Many skeptics of pacemaker

recycling cite potential problems with sterilizing the extracted

pacemaker and guaranteeing its mechanical ability for a second

recipient.http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftn1

While these concerns may have been viable years ago technological

developments and clinical research has proven them to be

archaic.

The Cardiovascular Department

at the University of Michigan Medical Center is now engaged in a

pacemaker recycling study where they utilize the following

procedure to adequately sterilize recycled pacemakers. According to

their article published in the Journal of the American College of

Cardiology, "Pipe cleaners and other instruments were employed to

ensure that all debris was removed, specifically at the lead

insertion sites. Devices were then bathed with isopropyl alcohol

and soaked overnight in Asepti-zyme at a concentration of 1:128.

Pacemakers were wiped with 70% ethanol, air dried, packed in gas

permeable envelopes, and decontaminated via an 8-h ethylene oxide

gas sterilization protocol." The U of M program has successfully

re-implanted 12 pacemakers in the

Philippines.http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftn2

As far as the mechanical

quality of potential recycled pacemakers, there seems to be no

difference in quality except in battery life. The non-profit

organization, Heart Too Heart and the University of Michigan both

require that a pacemaker's battery has 70% or greater batter life

remaining before it even becomes a candidate for reuse. Further,

several longitudinal research studies have shown that there is no

recognizable difference in mechanical quality between new and

recycled pacemakers. In fact, some suggest that doctors can be more

confident with a recycled pacemaker because of its proven track

record. The following is another study that has shown pacemaker

recycling to be a safe and life-saving opportunity for people in

less privileged countries. Over 3,500 patients were studied in two

groups from 1976 to 1981. One group received a new device and the

other received a recycled pacemaker. The study concluded that

"There were no statistically significant differences between the

two groups, either in terms of indications for implantation or in

terms of actuarial survival of patients. In addition, there was no

significant change in survival of the pulse generator. The

reutilization of pacemakers appeared to be in no way detrimental to

patients."http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftn3

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- If you would like to read more scholarly work on the safety of

pacemaker recycling the following articles all come from a

scholarly background.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- 1. Is there an afterlife for pacemakers and

defibrillators?(2007). Harvard Heart Letter, 17(6), 7.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- [1] Food and Drug Administration. (June 18, 2009). CPG Sec.

310.100 Pacemaker Reuse (CPG 7124.12). Retrieved October 31,

2009, from

http://www.fda.gov.er.lib.kstate.edu/ICECI/ComplianceManuals/CompliancePolicyGuidanceManual/ucm073891.htm

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- 2Baman, T., Romero, A., Kirkpatrick, J., Romero, J., Lange, D.,

Sison, E., Tangco, R., Abelardo, N., Samson, G., Grezlik, R.,

Goldman, E., Oral, H., & Eagle, K. (2009). Safety and efficacy

of pacemaker reuse in underdeveloped nations: a case series.

Journal of the American College of Cardiology, 54(16),

1557.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

- 3 Mugica, J., Duconge, R., & Henry, L. (1986). Survival and

mortality in 3,701 pacemaker patients: arguments in favor of

pacemaker reuse. Pacing and Clinical Electrophysiology,

9(6), 1282.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

2. Anilkumar, R., &

Balachander, J. (2004).

Refurbishing Pacemakers: A Viable Approach. Indian Pacing and

Electrophysiology Journal, 4(1), 1-2.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

3. Francis, J., Anilkumar,

R., & Mond, H. (2007). Reuse of Expanted Pacemakers: An Options

for Ecomomically Underprivileged Patients in Developing Countries.

Indian Pacing and Electrophysiology Journal, 7(4),

192-194.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

4. Jackson, M. (1996). Issues

affecting refurbishment and re-use of pacemakers. Australian

Health Review, 19(1), 68.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

5. Linde, C. L., Bocray, A.,

Jonsson, H., Rosenqvist, M., Rdegran, K., & Rydn, L. (1998).

Re-used pacemakers--as safe as new? A retrospective case-control

study. European Heart Journal, 19(1), 154.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

6. Mitka, M. (2007). Death

not necessarily end for heart devices. JAMA, 297(2),

144.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

7. Mugica, J., Duconge, R.,

& Henry, L. (1986). Survival and mortality in 3,701 pacemaker

patients: arguments in favor of pacemaker reuse. Pacing and

Clinical Electrophysiology, 9(6), 1282.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

8. Panja, M., Sarkar, C. N.,

Kumar, S., Kar, A. K., Mitra, S., Sinha, D. P., Chatterjee, A.,

Roy, S., Sarkar, N. C., & Majumder, B. (1996). Reuse of

pacemaker. Indian Heart Journal, 48(6), 677.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

9. Romero, J., Romero, A.,

Kirkpatrick, J. N., Lange, D. C., Eagle, K. A., & Baman, T. S.

(2009). Pacemaker Reuse in a 65-Year-Old Woman in the Philippines

with Severe Medical Need. Pacing and Clinical

Electrophysiology,

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

10. Sethi, K. K., Bhargava,

M., Pandit, N., Mohan, J. C., Arora, R., Khanna, S. K., &

Khalilullah, M. (1992). Experience with recycled cardiac

pacemakers. Indian Heart Journal, 44(2), 91.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

11. Tyers, G. F. (1992).

Recycling and 'transplantation' of implantable electronic devices.

The Canadian Journal of Cardiology, 8(7), 683.

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1">

-

Though the FDA does not endorse or

prohibit recycling outside of the United States, a few

organizations that have taken on the task of recycling pacemakers.

These pacemakers come from patients in the US who have recently

passed and are shipped to third world countries to save the lives

of their people. Most pacemakers sent to third world countries are

used to help save the lives of children. Between the 7

organizations we have researched, we have found they have jointly

saved over 14,524 lives! For more information on joining the effort

to recycle pacemakers, or to find out how to donate one yourself

contact one of the following organizations:

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

1. Heart Too Heart/World Heart Aid- 220 34th St. West Billings, MT

59102

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

2. Solidarity Bridge-

•http://www.solidaritybridge.org/index.html

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

3. University of Michigan- Project My Heart Your Heart-

www.med.umich.edu/cvc

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

4. World Medical Relief- www.worldmedicalrelief.com

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 0pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

5. Second Life Program- (what info did we have;I cant find any)

"TEXT-INDENT: -0.25in; MARGIN: 0in 0in 10pt 0.75in; mso-list: l1 level1 lfo2; mso-add-space: auto">

6. Heartbeat International- www.heartbeatintl.org

Animals have become a growing

speicies in need of pacemakers. Though the FDA does not permit

recycling pacemakers between humans, they do not prohibit the

recycling of pacemakers in pets. Check out the following website

for information on how to recycle a pacemaker to your pet.

http://vetmed.illinois.edu/petcolumns/showarticle.cfm?id=177


http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftnref1 Food

and Drug Administration. (June 18, 2009). CPG Sec. 310.100

Pacemaker Reuse (CPG 7124.12). Retrieved October 31, 2009, from

http://www.fda.gov.er.lib.k-state.edu/ICECI/ComplianceManuals/CompliancePolicyGuidanceManual/ucm073891.htm

http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftnref2

Baman, T., Romero, A., Kirkpatrick, J., Romero, J., Lange, D.,

Sison, E., Tangco, R., Abelardo,

N., Samson, G., Grezlik, R.,

Goldman, E., Oral, H., & Eagle, K. (2009). Safety and efficacy

of pacemaker reuse in underdeveloped nations: a case series.

Journal of the American College of Cardiology, 54(16),

1557.

http://wiki.answers.com/Q/Special:Wysiwyg?tid=wysiwyg#_ftnref3


Copyright © 2020 Multiply Media, LLC. All Rights Reserved. The material on this site can not be reproduced, distributed, transmitted, cached or otherwise used, except with prior written permission of Multiply.