Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T08:53:40.923Z Has data issue: false hasContentIssue false

The Artificial Heart: How Close are We, and Do We Want to Get There?

Published online by Cambridge University Press:  01 January 2021

Extract

On July 2, 2001, a medical milestone was reached when Robert Tools received a total artificial heart implant at Jewish Hospital in Louisville, Kentucky. Tools was implanted with an AbioCor artificial heart, one of several brands of new-generation artificial hearts that has been approved by the U.S. Food and Drug Administration (FDA) for clinical trial. The AbioCor heart was developed by Abiomed of Danvers, Massachusetts.

Following the surgery, physicians were guardedly enthusiastic about the device and optimistic about the patient’s future. Tools, 59, has had a history of numerous heart attacks and by-pass surgery, as well as diabetes and kidney problems. He met the requirements of the AbioCor protocol because he was not a candidate for transplant, death was otherwise probable within thirty days, and other interventions were deemed ineffective. Researchers hope that strengthening his heart function will result in increased function of his other vital organs, thus prolonging the patient's life and increasing his energy. But because the device is experimental, nothing can be promised.

Type
Currents in Contemporary Ethics
Copyright
Copyright © American Society of Law, Medicine and Ethics 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abiomed, , AbioCor Clinical Trial Information: AbioCor Frequently Asked Questions, at <http://www.abiomed.com/abiocor/faq.html> (last visited August 23, 2001).+(last+visited+August+23,+2001).>Google Scholar
See principles 5 and 10 of “The Nuremberg Code of Ethics in Medical Research,” in Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law No. 10, vol. 2 (Washington, D.C.: U.S. Government Printing Office, 1949): At 181–82.Google Scholar
Ramsey, P., “Shall We Reproduce? I: The Medical Ethics of In-Vitro Fertilization,” JAMA, 220, no. 10 (1972): 1346–50, at 1347.CrossRefGoogle Scholar
Strauss, M.J., “Special Report: The Political History of the Artificial Heart,” N. Engl. J. Med., 310, no. 5 (1984): 332–36, at 334.CrossRefGoogle Scholar
Id. at 335.Google Scholar
Gill, G., “The Artificial Heart Juggernaut,” Hastings Center Report, 19, no. 2 (1989): 27.Google Scholar
Abiomed, , AbioCor Clinical Trial Information: Technological Principles, at <http://www.abiomed.com/abiocor/principles.html> (last visited August 23, 2001).+(last+visited+August+23,+2001).>Google Scholar
Metzler, J.L., “Ethical Issues in the Implantation of the Total Artificial Heart,” N. Engl. J. Med, 311, no. 1 (1984): 6162.Google Scholar
Copeland, J.G. et al., “The CardioWest Total Artificial Heart Bridge to Transplantation: 1993 to 1996 National Trial,” Annals of Thoracic Surgery, 66 (1998): 1662–69; Copeland, J.G., “Current Status and Future Directions for a Total Artificial Heart with a Past,” Artificial Organs, 22, no. 11 (1998): 998-1001.CrossRefGoogle Scholar
Copeland, et al., supra note 9, at 1662.Google Scholar
Barnard, C., One Life (Toronto: Macmillan, 1969): at 348.Google Scholar
See Simmons, P.D., “Ethical Considerations in Composite Tissue Allotransplantation,” Microsurgery, 20 (2000): 458–65, at 463.3.0.CO;2-G>CrossRefGoogle Scholar
Simmons, P.D., “Ethical Considerations of Artificial Heart Implantations,” Annals of Clinical and Laboratory Science, 16, no. 1(1986): 112, at 4.Google Scholar
Copeland, et al., supra note 9, at 1662.Google Scholar
Miles, S.H. et al., “The Total Artificial Heart: An Ethics Perspective on Current Clinical Research and Deployment,” Chest, 94, no. 2 (1988): 409–13.CrossRefGoogle Scholar
The Working Group on Mechanical Circulatory Support of the National Heart, Lung, and Blood Institute, The Artificial Heart and Assist Devices: Directions, Needs, Costs, Societal and Ethical Issues (1985): at 21 (unpublished report, on file with author) [hereinafter cited as The Working Group].Google Scholar
Gill, supra note 6, at 25, quoting William DeVries, the surgeon for some of the Jarvik-7 recipients.Google Scholar
Preston, T.A., “Who Benefits from the Artificial Heart?,” Hastings Center Report, 15, no. 1 (1985): 57.CrossRefGoogle Scholar
Simmons, , supra note 13, at 6.Google Scholar
The Working Group, supra note 16, at 35. See also Schwartz, H., “Don't Pull the Plug on Artificial Heart Tests,” The Wall Street Journal, September 27, 1985, at 28.Google Scholar
Annas, G.J., “Consent to the Artificial Heart: The Lion and the Crocodile,” Hastings Center Report, 13, no. 2 (1983): 2022, at 20.Google Scholar
The Working Group, supra note 16, at 23.Google Scholar
Cruzan by Cruzan v. Director, Missouri Department of Health, 497 U.S. 261 (1990).Google Scholar
Annas, G.J., “Prisoner in the I.C.U.: The Tragedy of William Bartling,” Hastings Center Report, 14, no. 6 (1984): 2829, at 29. See Annas, G.J., “Reconciling Quinlan and Saikewicz: Decision-Making for the Incompetent Patient,” American Journal of Law & Medicine, 4, no. 4 (1979): 367-96.CrossRefGoogle Scholar
The Working Group, supra note 16, at 23.Google Scholar
Superintendent of Belchertown State School v. Saikewicz, 370 N.E.2d 417, 426 (Mass. 1977).Google Scholar
Guralnik, D.B., ed., “Cybernetics,” Webster's New World Dictionary of the American Language, 2d ed. (New York: World Publishing Co., 1971).Google Scholar
Gibson, W., “Will We Plug Chips into Our Brains? The Writer Who Coined the Word Cyberspace Contemplates a Future Stranger Than His Science Fiction,” Time, 155, no. 25 (2000): 8485.Google Scholar
Brooks, R., “Will Robots Rise Up and Demand Their Rights?,” Time, 155, no. 25 (2000): 86.Google Scholar
Kurzweil, R., The Age of Spiritual Machines (New York: Viking Press, 1999): at 4.Google Scholar
Id. at 6 (html layout). Kurzweil, supra note 30, at 179.Google Scholar