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Diaphragmatic pacemaker: information, advantages & therapy

Comprehensive information for healthcare professionals

Working principle of diaphragm pacemakers

A diaphragm pacemaker supports breathing by sending electrical impulses directly to the diaphragm and thus triggering its contraction. This medical device is particularly helpful for patients with a severe spinal cord injury, where the respiratory center of the brain no longer transmits signals to the respiratory muscles.

Instead, the diaphragm pacemaker takes over this function and controls breathing using targeted electrical impulses. This creates a breath that is very similar to natural breathing.

Patients with other severe breathing disorders also benefit from a diaphragmatic pacemaker. These includes people with a damaged diaphragmatic nerve (phrenic nerve), for example after major surgery or as side-effect of certain neurological diseases that severely impair or prevent independent breathing.

Advantages of the diaphragmatic pacemaker

Further indications: Unilateral (one-sided) diaphragmatic elevation

Unilateral diaphragmatic elevation occurs when one side of the diaphragm shifts significantly upwards. This change usually occurs on one side and often leads to shortness of breath - especially during physical exertion or when lying down.

Possible causes:

Treatment options: Diaphragmatic pacemaker instead of surgical plication

Before doctors perform a surgical diaphragmatic plication, they should always consider treatment with a diaphragmatic pacemaker. The nerve is often not completely destroyed, but only temporarily damaged.

Ventilator-induced diaphragmatic dysfunction (VIDD)

The diaphragm is the most important muscle for breathing and is particularly susceptible to damage caused by artificial respiration. Studies show that initial damage occurs after just two hours of invasive ventilation.

Side effects of VIDD:

Temporary diaphragm pacemaker (TransAeris): Effective prevention

The use of the TransAeris temporary diaphragm pacemaker is a proven method of preventing VIDD. The electrical stimulation regularly activates the diaphragm muscle and prevents atrophy.

Typical areas of application:

Reimbursement in Germany

In Germany both systems are fully reimbursed. Hospitals can offer this therapy option without any financial risk.

Main benefits:

Implantation procedures

Long-term and short-term systems

These videos show the minimally invasive techniques for implanting long-term and short-term diaphragmatic pacemakers for various indications.

Product documentation

Detailed technical documentation

Comprehensive product documentation, application guidelines and technical specifications for both pacemaker systems.

Scientific studies

Current research results

Access to the latest scientific findings, studies on effectiveness and examples of use from clinical practice.

Education and training of HCPs

Professional training

Access to the latest scientific findings, studies on effectiveness and examples of use from clinical practice.

Consultation

Individual support

Personal advice on applications in clinics and practices, tailored to your specific requirements.

Technical support

Mail support

Technical support regarding installation, use and maintenance of our medical products.

European cooperations

DACH region and specific EU countries

Information on existing collaborations with clinics and research institutions in German-speaking countries and the EU.

Our partner clinics

These are our partner clinics. All our clinics are fully trained and well experienced. If requested we can put you in touch with the right contact person at our cooperation partners – simply use the contact form and let us know.

BG Trauma Clinic Murnau

Center for spinal cord injury patients

Prof. Küntscher Strasse 8
82418 Murnau
Germany

Heidelberg University Hospital

Clinic for Paraplegiology

Building 9040, Schlierbacher Landstrasse 200a
69118 Heidelberg
Germany

Swiss Paraplegic Center Nottwil

Guido A. Zäch Strasse 1
6207 Nottwil
Switzerland

Motol University Hospital - Prague

Spinal Cord Unit

V Uvalu 84
15006 Prague
Czech Republic