The premise sounds space-age enough: an implant that converts the mechanical energy of the heart to electrical energy, allowing a body to power the very mechanism that is keeping it alive. But the actual mechanics of the implant are pretty easy to understand, while still being a gigantic scientific leap forward.
The implant itself is a flexible film that's piezoelectric -- that means that when the material is flexed (or when pressure is applied in general), it generates electrical energy. If this sounds out of this world, consider that piezoelectric materials are actually used in something as everyday as your inkjet printer. Piezoelectric crystals in the printer have a small charge that cause a vibration, which in turn disperses ink onto paper.
When the flexible, piezoelectric nanostrips of the pacemaker implant are pressed, an electrical signal pops up. The idea is that the beating of the heart -- or the movement of other organs, like your lungs and diaphragm as you breathe -- will press the material, and electricity will be harvested with every breath or beat. The rechargeable battery in the implant will thus be powered for as long as your heart ticks or your lungs fill.
The implant's piezoelectric material is made of lead zirconate titanate (PZT), which is actually a ceramic that is used in sensors [source: Fellman]. While piezoelectric devices were tested in 2012 as material for self-powered pacemakers, the PZT material was able to generate three to five times more current than the non PZT devices [source: Shankland]. The scientists have only tested it on animals, but were successful when it was attached to the heart, lungs or diaphragm -- successful enough to provide sufficient power to a 3.8-volt battery [source: Fellman]. They also found that placement was an issue; not every inch of our moving body worked equally. Placing the device on a heart ventricle at an angle seemed to work best [source: Marks and Rutkin].
In short? A heart-powered pacemaker isn't that far in the future. Even more significantly, it appears that this technology will be useful in all sorts of implanted electrical devices.