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Australian man survives 100 days with artificial heart

mahkeiro

Carmat a French company has a total heart product for a while in Europe. In February they celebrated the 100 implants, with the longest one lasting 25 month. https://www.carmatsa.com/en/our_product/

However this is really difficult and the company is struggling financially as the market is rather limited.

johnnyanmac

Really sucks a company doing something important like this is struggling. Such kind of company shouldn't need to worry about profits because we know how profit-minded medical breakthroughs look like.

stavros

Health economics is a fairly large field, and there are tradeoffs everywhere. Generally, you try to maximise quality-adjusted life years gained, which for rare diseases doesn't tend to win.

If you can give one person ten good years for a million in a rare disease, you can give ten people twenty good years in a less rare disease, so those tend to get more funding.

Traubenfuchs

Easy to say, but who SHOULD pay for this, lenmeldy or zolgensma?

(Compared to those treatments an artificial heart is cheap.)

Those easily cost more than the average human earns in their life.

Should the public be financially burdened by outrageously expensive research and treatments for rare diseases?

When do we say, it‘s enough, your condition is not compatible with life, enjoy some palliative treatment?

david-gpu

> Should the public be financially burdened by outrageously expensive research and treatments for rare diseases?

Yes, precisely because they are rare and thus market forces will fail to provide a treatment.

> When do we say, it‘s enough, your condition is not compatible with life, enjoy some palliative treatment?

That will vary case by case, depending on how much the public votes in favor of socialized care vs the suffering of these people.

spookie

It's research like this that throughout the ages has led our life expectancy to grow as much as it has. We are just tackling more and more niche areas because we have solved a lot of the easy stuff.

It's like computers, but more life threatening :)

wiseowise

> When do we say, it‘s enough, your condition is not compatible with life, enjoy some palliative treatment?

When it doesn’t affect you, obviously. Maybe if some billionaire had 5 less jets, we could push medicine a little bit further and save more lives for the benefit of humanity.

geraneum

sometimes I read these sentiments in 2025, and read about “Shanidar 1” who lived ~50k years ago and just feel… sad.

mschuster91

> Those easily cost more than the average human earns in their life.

For this, we have insurance - to distribute the chance of utterly bad luck across all in society.

jajko

Yes, its called a developed society and compassion for a fellow less fortunate man. Christianity for example has this at its absolute core, as do all other religions. But since I saw first hand how US population in general sees and treats homeless and those with mental issues, I dont think the message gets through.

Whole (not only) western world can make such system work for a fraction of US healthcare costs, why shouldnt US?

Maybe in 5 years after some health issue or accident you will end up on sone lifelong treatment, then you may reconsider how others will help you survive.

rossant

> An Australian man with heart failure has become the first person in the world to walk out of a hospital with a total artificial heart implant.

So... Why don't they mention Carmat?

supermatt

I guess it’s to do with what is considered “artificial”? Carmat uses bovine pericardium to line blood contacting surfaces.

aithrowawaycomm

This was very unclear in the article - typically artificial hearts have external pumps and motors, the internal component is basically a fancy valve to manage flow/oxygenation correctly. But this one has an internal pump and motor, like a real heart, but with an external battery pack. (The battery currently only lasts four hours...I am too absent-minded to be trusted with this!)

This article was a bit more clear: https://www.abc.net.au/news/2025-03-12/sydney-hospital-artif...

viraptor

Only four hours? That sounds problematic for sleep...

iancmceachern

I've worked in this industry (LVADS and artificial hearts) and met Dr. Timms personally several times.

He and his team have been working on this for decades. It's real, and good stuff.

Congratulations to the whole team, this is the culmination of decades of effort from thousands of people.

Well done

bufferoverflow

2016: Successful heart transplant after 1374 days living with a total artificial heart

https://pubmed.ncbi.nlm.nih.gov/26819291/

alpaca128

Yeah, I find that confusing too. Recently I heard in a YT video with a cardiologist (Medlife Crisis) that some people in the US lived more than 4 years with an artificial heart.

The article calls it the "world’s first implantable rotary blood pump that can act as a complete replacement for a human heart", so maybe there's a difference but the article is written as if this was the first artificial heart ever which it clearly isn't.

xpl

How does the device regulate the heartbeat speed? I mean, how does it know that it needs to pump blood faster or slower?

yazaddaruvala

Blood oxygen sensors seem relatively cheap and low power.

I wonder if they could use that as the feedback mechanism.

Ideally if the sensors are small, low power, and cheap enough CO2 and lactic acid levels would also be good to check on to increase bloodflow.

slicktux

That’s a good question! As a layman I would assume there’s no way to read/detect the hormones that would demand acceleration of the heartbeat? So one has to take it easy for the rest of their life? Or maybe there’s a way to manipulate it manually?

3eb7988a1663

If the heart is no longer the weak link, can you permanently increase level of blood flow to something akin to moderate exertion? Presumably you are now limited by what the veins can handle, but maybe they have more flexible performance characteristics?

xphos

Layman, but I imagine if your blood is flowing to fast doesn't help much the lungs have certain diffusion rates, the waste products wouldn't be increased because your not doing as much work. There is probably an optimal point where anymore just doesn't really matter.

I beat there is some psychological factors to thought you don't have a beat or pulse that is probably unsettling

qingcharles

IIRC this problem affects heart transplants as the nerve that controls the speed of the heart is severed during the operation.

xpl

Can't implants read from that nerve? Or the issue is that the "protocol" is hard to reverse?

briansm

I would assume the kind of people who need a replacement heart are already on beta-blocker drugs, which clamp the peak heart-rate down significantly, so their body would already be used to a very limited heart-rate range.

iancmceachern

It doesn't, neither do lvads

monero-xmr

My friend had this pump pack attached to him (the same thing Dick Cheney had) and it was constant flow. His heart technically worked but it was so weak you could barely detect it. The pump was just constant circulation, no pumping.

aitchnyu

Hmm, do body processes depend on the fact that blood flows in pulses, and an optimal heart must be pulsed?

Aunche

It used to be assumed to be the case because the heartbeat is so closely associated with life. This is why the first artificial hearts replicated pulses, despite requiring much more complexity. It turns out that your body can function more or less fine with continuous blood flow.

Nextgrid

Accelerometers to measure physical activity?

epicureanideal

Let's hope this improves rapidly every year and can become a convenient, inexpensive temporary replacement in a few decades.

I wonder what the progress curve will look like.

This time it's 100 days, next year will it be 110 or 200? I wonder what the shape of the curve is?

energy123

It's longer than 100 days already in their preclinical testing but they took it out because the patient found a heart transplant.

They say one upcoming improvement is wireless power via skin, somehow. At the moment the rechargeable battery lasts for five hours.

Gigachad

Sounds kinda scary. So if the battery goes flat or gets disconnected you just immediately die?

Maxion

These devices have double batteries, external power, and will beep like crazy already quite a while before it runs flat.

ljf

I can’t find the link now, but that chap who died a couple of years ago after living most of his life in an iron lung, had a similar story of being transported home on the back of a flatbed truck with a generator running, if the power went out he suffocated. His mother slept by his bed and in the case of a power cut had to manually help him breathe until the power returned.

An amazing man and amazing he made it so far in life.

yonatan8070

I mean, if this didn't exist you'd just immediately die a lot sooner. So I think it's a fair trade-off.

anshumankmr

closest thing to the arc reactor in the iron man movie...

jart

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appleorchard46

Source? This seems hard to believe and google isn't pulling anything like it up.

teraflop

It's not true at all. A cardioplegia solution is injected into the heart itself to arrest the heartbeat, and to protect it from tissue damage while awaiting transplantation. But this is done after the donor's chest has already been surgically opened, and has nothing at all to do with "paralyzing" them or preventing them from struggling. If they were going to struggle, surely they would do so when the operation started! But no such paralysis is needed, of course, because the donor has already been determined to be brain-dead by that point.

As an interesting note, even the basic premise of the preceding comment is not accurate. A small but increasing number of heart transplants are performed as DCD operations, which means the donor's heart stops naturally on its own before being removed: https://www.acc.org/Latest-in-Cardiology/Articles/2022/11/21...

mathieuh

Sounds like an offshoot of one of those Death Panel conspiracy theories

wileydragonfly

A very interesting tour is the small museums at Baylor College of Medicine and Texas Heart Institute. They were literally making replacement parts on a sewing machine 60 years ago. (On the other hand, they let one of those surgeons practice too far long and he left a sponge in my grandfather during an angioplasty. He was ultimately reopened and cleaned out and died of something else a few years later)

josu

I wasn't expecting that steampunk look.

keyle

I know it's crazy. Looks like a car part.

_carbyau_

It is kinda cool looking. But if people can see it in your chest you are doing it wrong.

elihu

My guess is that they put it in some kind of rubbery enclosure before installing it, but who knows? Maybe it's not actually a problem to have hard edges.

abdusco

CNC'ed out of a block of titanium

maxglute

It looks... very crude.

Willingham

Looks like the device is powered by a battery carried by the patient that is connected through what is called a ‘driveline’ basically a wire coming out of your belly connecting to the heart. Really amazing stuff here, especially considering failure of the heart is THE most common cause of death in human beings. One day getting an artificial heart at an old age may be as common as a teenager getting braces. https://www.monash.edu/news/articles/monash,-bivacor-led-con...

3eb7988a1663

Just avoid getting into any bar brawls with Nausicaans.

(https://memory-alpha.fandom.com/wiki/Tapestry_(episode) although, the point of the episode was, in hindsight, the fight was the correct move)

somenameforme

Oh man, you gave me goosebumps just thinking about that episode. That is one of the best episodes [1] of any sci-fi, ever, IMO. That episode changed my entire life perspective.

Looking at the writer's Wiki [2], he was also behind some amazing DS9 episodes like House of Quark and Rules of engagement. Gah, what happened to sci-fi? Turns out he was even the head guy on For All Mankind. Nobel Prize effect, studio pressure, what is it?

[1] - https://ww1.goojara.to/eGJakb

[2] - https://en.wikipedia.org/wiki/Ronald_D._Moore

blooalien

Don't neglect your payments and fall afoul of the Repo-Men either. :P

bandrami

I could have sworn there were artificial hearts in the 1980s, or at least news stories about them

yesco

Probably this: https://en.m.wikipedia.org/wiki/AbioCor

They technically worked but they were expensive, painful, and basically just kept you alive on a bed. In essence they were like a more invasive version of the iron lung but required a team to maintain.

For this reason while you may have heard it used it various trials with "success" they were considered a failure in the end and rejected by the FDA. I've spoken to some people who worked on it and the feelings are pretty bittersweet.

Learning from this, Abiomed later brought a heart pump called the "Impella" to market which works to assist your heart instead of replace it. This device is cool for different reasons and can actually save peoples lives instead of merely prolong them a few years.

The new artificial heart in the OP is more sophisticated than the AbioCor, the science keeps improving.

interludead

The Jarvik-7 artificial heart was first implanted in a human patient in 1982. But those early designs were bulky, required external power sources, and were more of a temporary measure

jumperabg

How much power does the heart need to pump the liquid and what is it's life expectancy? Any technical specifications for a product that can work in the human body?

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symlinkk

Crazy how slow medicine progresses compared to technology.

grishka

Biology, and by extension medicine, only started to look like engineering in the last ~50 years because it requires serious advancements from many other fields of science. As in, you can't discover cells if you haven't invented a microscope yet. It's literally reverse engineering alien technology, in the sense that it's something that wasn't created by humans. And you can't really reverse engineer something when you don't have any tools to meaningfully interact with it and pick it apart.

danparsonson

I disagree - if you move fast and break things then people die. The human body is not a single well-understood system; everyone is different in subtle ways, which incidentally is why personalised medicine is becoming a thing.

aithrowawaycomm

How do you even compare those two things? And how do you separate technology from medicine? This statement seems like pure nonsense, hinging on a slippery definition of "technology" that in some contexts means "consumer gizmos," other contexts means "computers," and in yet other contexts means "Civilization tech tree."

interludead

It definitely feels that way, especially compared to fields like computing where progress is exponential. But with medicine, the stakes are so much higher... Every breakthrough has to go through years of testing, trials, and regulatory hurdles to make sure it's actually safe and effective

xvector

I hope it dramatically speeds up as AI improves. ASI is likely only scalable route to solving the medical issues that plague humanity.

Gigachad

I imagine the slow link is that you have to actually test stuff in the real world, on people. Who in this case could very easily die if it doesn’t work. Isn’t like programming where you can just keep whacking it until it works.

worthless-trash

Its even worse than you think, there are complex and numerous requirement hoops you need to jump through for medical software and hardware. It is not easy.

im3w1l

The question I have is why they they die if it doesn't work. Imagine how much faster we could progress if people didn't when an experiment failed. But how could we even accomplish such a thing? Telemetrics to catch issues early, and redundancy to hold the patient over until the issue can be found and corrected?

In this case, two separate mechanical hearts built on different principles hoping they would have different failure modes? Would it even be possible to hook that up correctly? Just brainstorming.

alexey-salmin

Wait I thought that was blockchain

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