A transcutaneous energy transfer (TET) system has been developed to po
wer implantable devices such as artificial hearts, defibrillators, and
electrical stimulators. Transcutaneous coupling of power to these imp
lanted devices vices remains a favorable alternative as percutaneous l
ines are avoided in order to eliminate the potential of infection and
allow patient mobility. In vitro, in vivo, ex vivo, and human cadaver
studies of the electrohydraulic ventricular assist device TET have dem
onstrated that power can be transmitted over a range of skin thickness
es of 3-15 mm and can tolerate radial misalignments of up to 20 mm. Se
nsitivity to coil separation and radial misalignment variations has be
en addressed by the development of an autotuning TET. The system has o
nly a 10% attenuation in secondary coil voltage when metallic objects
are in contact with the primary coil. The system has demonstrated a po
wer transfer efficiency of 60-80% for power demands from 5 to 70 W. Th
e TET secondary coil will provide an output voltage of 10-25 V for cur
rent demands from 0.5 to 4.0 A. TET chronic studies in porcine models
have demonstrated no adverse effect to the tissue when up to 40 W of p
ower can be delivered to an implanted load without the tissue-contacti
ng surface of the coil exceeding 42 degrees C. In conclusion, the TET
is a feasible alternative for tether-free power transmission.