Although blackbody radiation described by Planck's law is commonly regarded as the maximum of thermal radiation, thermal energy transfer in the near-field can exceed the blackbody limit due to the contribution from evanescent waves. Here, we demonstrate experimentally a broadband thermal energy extraction device based on hyperbolic metamaterials that can significantly enhance near-field thermal energy transfer. The thermal extractor made from hyperbolic metamaterials does not absorb or emit any radiation but serves as a transparent pipe guiding the radiative energy from the emitter. At the same gap between an emitter and an absorber, we observe that near-field thermal energy transfer with thermal extraction can be enhanced by around 1 order of magnitude, compared to the case without thermal extraction. The novel thermal extraction scheme has important practical implications in a variety of technologies, e.g., thermophotovoltaic energy conversion, radiative cooling, thermal infrared imaging, and heat assisted magnetic recording.
Background
The SelectSecure lumenless 3830 pacing lead is often considered to be the pacing lead of choice for transvenous pacing in children because of its small diameter, lead strength, and reliable long-term sensing and pacing characteristics. One of the potential long-term pitfalls of a sturdy pacing lead is relative retraction with growth in children resulting in late lead dislodgement.
Case summary
We report two cases of late SelectSecure 3830 lead dislodgement at 11.8 years (Case 1) and 8.8 years (Case 2), respectively, post the initial implantation. Case 1 was diagnosed with congenital complete heart block (CHB) at 9 months old when he presented with unconfirmed diphtheria infection. Case 2 was diagnosed with CHB at 14 weeks of age with positive maternal anti-Ro antibodies. Both patients underwent implantation of a transvenous permanent pacemaker implantation with Medtronic SelectSecure 3830 lead due to symptomatic bradycardia. Apart from a pulse generator change at 8.5 years (Case 1) and 7 years (Case 2), respectively, post-implant due to normal battery depletion, both patients are well in the interim.
Discussion
As part of the pacemaker follow-up for rapidly growing children, we recommend more frequent surveillance of lead ‘tautness’ by chest radiography especially in children with CHB with no underlying heart rhythm.
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