Diaphragmatic Pacemaker

Two respiratory therapists assist a patient in a motorized wheelchair down a hospital corridor. One provides support from behind, and the other walks alongside.

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Cutting-edge respiratory care to improve your quality of life

At Shepherd Center, we pride ourselves on offering innovative healthcare services. Our respiratory therapy program stands out as one of the few in the nation equipped to offer the Diaphragm Pacing System (DPS), also known as a diaphragmatic pacemaker. This innovative device can reduce your reliance on a ventilator, giving you greater freedom and enhancing your health. As a patient, you can trust in our commitment to advancing your journey toward autonomy and well-being.

What is a diaphragmatic pacemaker?

A diaphragmatic pacemaker is a medical device that helps people who rely on mechanical ventilation breathe more naturally. By stimulating your diaphragm muscles, it mimics normal breathing patterns, offering a safer, more functional alternative to traditional ventilators.

How it works

  • Electrodes placement: Electrodes are implanted in your diaphragm during a minimally invasive laparoscopic surgery.
  • External control device: A small device, about the size of a remote control, manages the system.
  • Natural breathing patterns: The electrodes stimulate your diaphragm to contract, imitating how the brain naturally signals muscles to move.

Benefits of a diaphragmatic pacemaker

With a diaphragmatic pacemaker, you can experience significant improvements compared to using a traditional ventilator. Benefits include:

  • Improved speech, mobility, and more natural breathing.
  • Enhanced sense of smell.
  • Greater social interaction.
  • Expanded participation in rehabilitation activities.
  • Improved occupational opportunities.

Evaluation for a diaphragmatic pacemaker

To qualify for a diaphragmatic pacemaker, patients must demonstrate good health and stability. Good health indicators ensure the success of the system and the patient’s long-term outcome.

Requirements to receive a diaphragmatic pacemaker include:

  • Be at least 18 years or older and be committed to the treatment process.
  • Have a cervical spinal cord injury and are dependent on mechanical ventilation.
  • Be clinically stable following an acute spinal cord injury.
  • Have a committed primary caregiver. The patient (or a designated representative) and the patient’s caregiver will be required to sign a “Patient and Caregiver Agreement” form.
  • Female patients of child-bearing age must have a negative pregnancy test.

While a diaphragmatic pacemaker offers many benefits, it may not be suitable for individuals with certain conditions or impairments. You may not qualify if you:

  • Have any medical conditions that would interfere with the surgery.
  • Were hospitalized or treated for an active infection within the past three months.
  • Have a significant chest deformity or scoliosis.
  • Are currently pregnant or breastfeeding.
  • Are unable to comply with the treatment plan, either personally or through a caregiver.
  • Have been deemed ineligible by your physician for any medical reason.

To determine if you qualify for a diaphragmatic pacemaker, the following assessments are required:

  • Physician and surgeon consultation to assess eligibility for treatment
  • Chest X-ray
  • Lab work, including blood tests
  • Electrocardiogram (EKG) to monitor heart function

While the procedure is generally safe, some potential side effects include:

  • Surgical site pain or spasms
  • Risks associated with general anesthesia
  • Mild nausea following anesthesia
  • Potential damage to internal organs
A healthcare professional in pink scrubs and blue gloves tends to a patient in a medical setting. She's focused on her task, with medical equipment visible in the foreground and background.

Additional respiratory resources

As a leader in rehabilitative care for traumatic brain injury, spinal cord injury, and neurological conditions, Shepherd Center offers specialized information on innovative medical research and treatments. To learn more about respiratory health, visit MyShepherdConnection, our online source for patient and family education.