Currently, we have the opportunity for Victoria to undergo surgery that involves the implementation of a diaphragmatic pacemaker, which would allow our daughter to improve her quality of life. This surgery requires a functional phrenic nerve, a diaphragm, and lungs in acceptable condition. The advantages of being operated on is that it would allow her to breathe naturally and with this Victoria will be able to stop being an Electro dependent person and thus at least leave her room to contemplate the beauties of nature that she loves so much.
A diaphragmatic pacemaker is an implanted phrenic nerve stimulator. The system consists of surgically implanted electrodes and receivers and an external transmitter, which sends signals to the implants through flexible antennas placed over the receivers. This system has been shown to be safe and effective for long-term use, in adults and children, some patients for more than thirty years of use, 24 hours a day.
The transmitter generates a series of impulses that are sent by the antenna through the skin as a radio wave. The receiver converts radio waves into electrical impulses that travel through the electrode to the phrenic nerve. Then the nerve sends these impulses to the diaphragm causing it to contract, producing inhalation. When the impulses cease, the diaphragm relaxes, the air leaves the lungs through exhalation. This series of impulses is repeated cyclically resulting in a normal breathing pattern.
Caroline was only ten months old in February 2003 when she became a C1-C2 quadriplegic as a result of a car accident. Like many tetraplegics, Caroline endured repeated hospitalizations for recurrent pneumonia.
Caroline had her diaphragm pacemaker system implanted in August 2007 by Dr. Robert Cilley at the Hershey Medical Center near her home in Pennsylvania. Your follow-up care is provided by Dr. Michael Dettorre, Director of the Hershey Pediatric Home Ventilator Program.
Caroline walks 24 hours a day and only uses her fan periodically during allergy and the occasional cold season. With her diaphragm pacemaker system, Caroline attends school and enjoys a wide variety of outdoor activities, including going to local fairs, festivals, and even professional baseball games. According to her father, Caroline’s diaphragm pacemaker system has been “the best we have been able to do for her since the accident.”
The Avery Diaphragm Pacemaker System is an implanted phrenic nerve stimulator or diaphragmatic pacemaker. It is the only device of its kind with premarket approval from the US Food and Drug Administration and has been CE marked under the European Active Implantable Medical Device Directive.
Due to their proven reliability and cost effectiveness, our devices are approved for reimbursement by Medicare and by most government and private insurance plans worldwide. Respiratory pacemakers do not require the routine maintenance or disposable supplies of a mechanical ventilator. Eliminating these costs can save more than $ 20,000 per year over the life of the patient.
The surgery is usually done at a local hospital, and some implants can be done on an outpatient basis. On-site engineering assistance is provided during surgery at no additional cost, and the systems include trans-telephone monitoring (TTM) that allows equipment to be monitored by phone from anywhere in the world.
In 1999, Ryo was left quadriplegic due to a traffic accident with his motorcycle. He remained in the hospital for 15 months on a mechanical ventilator.
After 15 months in the hospital on a mechanical ventilator, Ryo was implanted with the Avery diaphragm pacing system at Fujita Health University. Five months later, he was walking 24 hours a day and was able to live at home with his mother.
Ryo says the pacemaker gives him the freedom to do the things he enjoys, “like shopping at the PC store and tailor shops. In addition, he has the mobility to practice his rehabilitation.
The Avery Diaphragm Stimulation System is an implanted phrenic nerve or diaphragm stimulator. It consists of surgically implanted electrodes and receivers with an external transmitter and antennas.
It can be implanted cervical or thoracic using minimally invasive techniques such as video-assisted approaches (VATS) or thoracoscopic.
The Avery Diaphragm Pacemaker System is the only diaphragm pacemaker system that has full US FDA Premarket Approval (PMA) and CE marking privileges under the European Implantable Medical Device Directive Active ingredients for use in adults and children.
In addition, the use of small implanted radio frequency receivers instead of electrode cables that pass directly through the skin can reduce the risk of infection for the patient and ongoing problems with wound management.
Avery has been commercially distributing diaphragm stimulation systems since the early 1970s. Since then, more than 2,000 patients have been implanted in more than 40 countries, setting an unsurpassed record for safety and reliability. Due to their high reliability and cost effectiveness, Avery pacemakers are reimbursed by Medicare and most private and government insurers around the world.