Project My Heart Your Heart

three people standing outside of the ICU

Revitalizing Pacemaker Care Worldwide

Donate a Pacemaker

Contact Us

MHYH Donations

Support the My Heart is Your Heart project

Donate here
My heart your heart logo

As we enter the 21st century, the healthcare disparities between the industrialized world and those in underserved nations have become all too apparent. Cardiovascular disease has an increasing impact on morbidity and mortality in many developing countries, many of which already face a disproportionate burden of infections leading to abnormalities of the conduction system. Novel methods of delivering costly electrophysiological healthcare to impoverished nations are needed.

My Heart Your Heart is a collaboration between citizens, physicians, and funeral directors in the state of Michigan, the University of Michigan Cardiovascular Center, World Medical Relief, and teaching hospitals in several low and middle income countries. The purpose of the project is to create a central organization that obtains pacemakers post-mortem for evaluation and subsequent sterilization while creating a distribution network for safe reuse. Our goal is to create a reproducible model that other academic centers in the United States and Europe can emulate in order to create their own collaborative network for refurbished device distribution to those unable to afford bradycardia arrhythmia therapy. Thus far, Project My Heart Your Heart has received and interrogated more than 30,000 used devices, has completed pilot projects in several countries, and presented and published numerous abstracts and papers related to this work. The project currently has 7,500 eligible devices for the reconditioning process.

Project My Heart Your Heart received FDA and IRB approval to begin a randomized, multi-center study. The objective is to prove that postmortem pacemaker reutilization can be shown to be a safe and effective means of delivering care to patients in low and middle income countries without resources. Countries participating in this study include Sierra Leone, Venezuela, Kenya, Nigeria, and Ghana. Countries that have shown interest in further collaboration include Dominica, Mozambique, Pakistan, Philippines, Uganda, Rwanda, Cape Verde, St. Thomas and Prince, Angola, East Timor, and Guinea-Bissau. To date, over 60 patients have been randomized to either a new or refurbished pacemaker in 3 different countries.

How a Pacemaker is Recycled for Reimplantation Abroad

Recycled Pacemakers Offer Treatment Outside the U.S.


Site Map

MHYH

My Heart Your Heart (MMYH)

- MMYH Coordinating Center, Ann Arbor, MI, USA
- MMYH Lab: WMR, Southfield, MI, USA

Sites Participating in Clinical Trial:
- Eldoret, Kenya
- Monterrey, Mexico
- Maputo, Mozambique
- Lashiri, Nigeria
- Port Harcourt, Nigeria
- Asuncion, Paraguay
- Freetown, Sierra Leone
- Barquisimeto, Venezuela

Humanitarian Devices Sent to Countries:
- Accra, Ghana
- Kumasi, Ghana
- Port Au Prince, Haiti
- Tegucigalpa, Honduras
- Lagos, Nigeria
- Port Harcourt, Nigeria
- Kiev, Ukraine
- Odessa, Ukraine
- Barquisimeto, Venezuela


Principal Investigators

crawford-thomas

Thomas Christopher Crawford, MD, FACC, FHRS

Assoicate Director
Internal Medicine
Clinical Professor of Internal Medicine
Program Associate
Internal Medicine
Medical Director
UMMG
Medical School
Kim A. Eagle

Kim A Eagle

Albion Walter Hewlett Professor of Internal Medicine
Professor of Internal Medicine
Medical Director
Patient Facilitated Services
Program Director
Medical School Administration
co-Director Frankel Cardiovascular Center
Medical School and Professor of Health Management and Policy
School of Public Health


Publications

Patients' and family members' views on pacemaker reuse: An international survey

Reuse of pacemakers and implantable cardioverter-defibrillators: systematic review, meta-analysis and quality assessment of the body of evidence

Reuse of catheters and devices labelled for single use: evidence, recommendations and oversight

Worldwide pacemaker and defibrillator reuse: Systematic review and meta-analysis of contemporary trials

Using Reconditioned Pacemakers to Treat Bradycardia in Africa

The Case for Resource Sensitivity: Why It Is Ethical to Provide Cheaper, Less Effective Treatments in Global Health

Pacemaker recycling: A notion whose time has come(link is external)

Cleaning and Sterilization of Used Cardiac Implantable Electronic Devices With Process Validation

Post-Mortem Cardiac Device Retrieval for Re-Use in Third World Nations: Views of the General Public & Patient Population

Heart Rhythm Society Members' Views on Pacemaker and Implantable Cardioverter-Defibrillator Reuse

Scientific American Pacemaker

Reuse of Pacemakers Comparison of Short and Long-term Performance

Cardiac Implantable Electronic Device Reutilization - Battery Life of Explanted Devices at a Tertiary Care Center

Feasibility of postmortem device acquisition for potential reuse in underserved nations

Pacemaker Reuse for Patients in Resource Poor Countries - Is Something Always Better Than Nothing

Safety, Efficacy, and Performance of Implanted Recycled Cardiac Rhythm Management (CRM) Devices in Underprivileged Patients

Safety of Pacemaker Reuse

Cardiac Device Reutilization: Is It Time to "Go Green" in Underserved Countries?

Societal views of pacemaker reutilization for those with untreated symptomatic bradycardia in underserved nations

The ethics of pacemaker reuse- might the best be the enemy of the good

An Initiative to Alleviate the Burden of Symptomatic Bradyarrhythmia in Impoverished Nations Around the World

Reuse of pacemakers and defibrillators in developing countries: Logistical, legal, and ethical barriers and solutions

Safety and Efficacy of Pacemaker Reuse in Underdeveloped Nations

Pacemaker Reuse in a 65-Year-Old Woman in the Philippines with Severe Medical Need

Post-Mortem Cardiac Device Retrieval for Re-Use in Third World Nations: Views of Funeral Directors

Post-Mortem Cardiac Device Retrieval for Re-Use in Third World Nations: Views of the General Public & Patient Population

Collaborators

WMR Logo

World Medical Relief was established in 1953 to address the needs of Korean War orphans. Over the years, the organization has expanded its mission to impact the well-being of the medically impoverished on a local, national and international basis and provided medical aid to thousands of under served people in the Detroit metropolitan area and in over 130 developing nations worldwide. WMR achieves this through the collection of financial donations and goods, including medical, dental and laboratory items, as well as through the purchase and distribution of such commodities. Goods are distributed in a non-discriminatory manner without regard to race, color, gender, religion, nationality or political beliefs.

Pace4Life logo

Arrhythmia Alliance Pace4Life (A-A P4L) is a registered non-profit charity that provides cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter defibrillators (ICDs) and training to cardiac teams to upskill or to establish device implant services to those in low and middle-income countries (LMIC) or where they would not otherwise be able to access these life-saving treatments. We source CIEDs, identify viable clinics in LMIC and set up programs at these clinics. We also facilitate the training of personnel, organise implant missions, and provide ongoing online support to those programs. We source devices from two main areas: those that are out of shelf life in UK National Health Service (NHS) Hospitals and explanted devices from patients via funeral directors or hospitals.

UK Registered Charity Number: 1107496
US Registered Non-Profit 501(c)(3)

Nescientific logo

Northeast Scientific is a leading medical device remanufacturer company. We provide high quality remanufactured catheters and medical devices. Request a quote.

Implant Recycling logo

Implant Recycling recycles the metallic bi-products of the cremation process. Additionally, they manufacture, maintain, and repair cremation equipment and provide cremation supplies to their customers. Implant Recycling has worked with the program My Heart Your Heart since 2010 and has collected over 100,000 pacemakers.

Cremation Recycling

Mid-States Recycling: Cremation Recycling: Mid-States Recycling specializes in accurate, verifiable precious metal refining services.

Garfield Refining

Garfield Refining: Gold Refinery & Precious Metal Scrap Refining is a long-running precious metals refinery specializing in refining and recycling scrap gold, silver, platinum, and palladium. It was formed in 1892.

Project Manager

Eric Puroll, BS CCRP | Constantina Alexandris-Souphis, RN BSN BS

Michigan Medicine| Cardiovascular Medicine |MCORRP
Domino’s Farm |24 Frank Lloyd Wright | PO Box 363
Ann Arbor MI| 48106
Phone: 734-998-0655