Biofuel cells implanted in living clams and producing sustainable electrical power in vivo were integrated in batteries. The “electrified” clams, being biotechnological living “devices”, were able to generate electrical power using physiologically produced glucose as the fuel. The activity of the living batteries was dependent on the environmental conditions which are affecting physiological processes in clams. The living batteries generated open circuitry voltage (V_oc), short circuitry current (I_sc) and maximum power (P_max) of ca. 800 mV, 25 μA, 5.2 μW and ca. 360 mV, 300 μA, 37 μW for the serial and parallel connections of 3 “electrified” clams, respectively. A clam-battery was connected to a capacitor which was charged up to 240 mV providing accumulation of electrical energy up to 28.8 mJ. Discharging the capacitor on an electrical motor resulted in the motor rotation. The “electrified” clams integrated in batteries demonstrated the possibility of activating electrical/electronic devices using energy produced in vivo.

Biocatalytic electrodes made of buckypaper were modified with PQQ-dependent glucose dehydrogenase on the anode and with laccase on the cathode and were assembled in a flow biofuel cell filled with serum solution mimicking the human blood circulatory system. The biofuel cell generated an open circuitry voltage, V_oc, of ca. 470 mV and a short circuitry current, I_sc, of ca. 5 mA (a current density of 0.83 mA cm⁻²). The power generated by the implantable biofuel cell was used to activate a pacemaker connected to the cell via a charge pump and a DC–DC converter interface circuit to adjust the voltage produced by the biofuel cell to the value required by the pacemaker. The voltage–current dependencies were analyzed for the biofuel cell connected to an Ohmic load and to the electronic loads composed of the interface circuit, or the power converter, and the pacemaker to study their operation. The correct pacemaker operation was confirmed using a medical device – an implantable loop recorder. Sustainable operation of the pacemaker was achieved with the system closely mimicking human physiological conditions using a single biofuel cell. This first demonstration of the pacemaker activated by the physiologically produced electrical energy shows promise for future electronic implantable medical devices powered by electricity harvested from the human body.