The Evolution of the Cardiac Implantable Electronic Device Connector
Version of Record online: 27 JUN 2013
©2013, The Authors. Journal compilation ©2013 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 36, Issue 11, pages 1434–1446, November 2013
How to Cite
MOND, H. G., HELLAND, J. R. and FISCHER, A. (2013), The Evolution of the Cardiac Implantable Electronic Device Connector. Pacing and Clinical Electrophysiology, 36: 1434–1446. doi: 10.1111/pace.12211
Harry G. Mond: No disclosures.
John R. Helland and Avi Fischer: Full time employees of St. Jude Medical, IESD.
John R. Helland: Engineer participant in the AAMI Connector Task Force for the IS-1, the DF-1, and the DF4/IS4 lead connector standard efforts.
- Issue online: 24 OCT 2013
- Version of Record online: 27 JUN 2013
- Manuscript Accepted: 23 APR 2013
- Manuscript Revised: 20 APR 2013
- Manuscript Received: 23 MAR 2013
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.