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The Evolution of the Cardiac Implantable Electronic Device Connector
Author(s) -
MOND HARRY G.,
HELLAND JOHN R.,
FISCHER AVI
Publication year - 2013
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.12211
Subject(s) - cable gland , medicine , lead (geology) , header , generator (circuit theory) , electrical engineering , computer science , engineering , computer network , power (physics) , physics , geomorphology , geology , quantum mechanics
Cardiac implantable electronic devices (CIEDs) play a vital role in the management of cardiac rhythm disturbances. The devices are comprised of two primary components: a generator and lead joined by a connector. Original pacemaker lead connectors were created de novo at the time of implantation or replacement and were very unreliable. With the development of new lead designs, creation of a standard connector configuration, the IS‐1 connector became mandatory. Similar connector development also occurred with the advent of the implantable cardioverter defibrillator (ICD), resulting in creation of the high voltage standard: the DF‐1 connector. Differing from a pacemaker lead, the ICD lead connector requires one IS‐1 connector and one or two DF‐1 connectors, resulting in a large cumbersome lead connector and generator header block. Recently, a revolutionary quad pole single plug connector standard has been approved for market release. These are the single‐pin DF4 and IS4 lead connectors that carry low‐ and high‐voltage poles or all low‐voltage poles, respectively. These connectors, together with new labeling guidelines, have simplified operative procedures and reduced errors, when mating lead connectors into the generator's connector block.