WHAT YOU NEED TO KNOW:

What do I need to know about a pacemaker generator change? The pacemaker generator is the metal piece that you can feel under your skin. A battery is sealed within your generator. Your healthcare provider will check the generator for battery power and function during scheduled generator checks. He will decide when it is time for your generator to be changed. He will replace your generator before the battery runs out of power completely. Pacemaker batteries can last up to 12 years. He will also replace the generator if it does not function properly.

How do I prepare for a pacemaker generator change? Your healthcare provider will talk to you about how to prepare for the procedure. He may tell you not to eat or drink anything after midnight on the day of your procedure. He will tell you what medicines to take or not take on the day of your procedure.

What will happen during a pacemaker generator change?

• You will be given medicine in your IV to help you relax. Local anesthesia will be given to numb the area. You may still feel pressure or pushing during the procedure, but you should not feel any pain. You will have a continuous ECG (electrocardiogram) to monitor your heart rate during your procedure.
  
  
• Your healthcare provider will make an incision over the original scar from the procedure used to insert the pacemaker. The incision will be slightly longer than the generator. Your healthcare provider will have to remove any scar tissue holding the generator in place. He will remove the generator, unplug the leads from the generator and inspect them for damage. He may have to remove any tissue that makes the leads difficult to move. Then he will plug the leads into the new generator. Your healthcare provider will make sure the new generator functions properly. Then he will insert the new generator and close the incision.

What are the risks of a pacemaker generator change? There is risk of bleeding and infection. The leads may move and damage your veins, nerves, wall of your heart, or lungs. You may have to have another procedure to correct the damage or to replace the generator or leads.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.