Impact of EAS Systems on Implanted Cardiac Pacemakers and Defibrillators
نویسندگان
چکیده
To investigate electromagnetic interference (EMI) of electromagnetic fields (EMF) from electronic article surveillance (EAS) systems with electronic implants numerical anatomical models of pacemaker patients were generated accounting for different implantation sites (left pectoral, right pectoral and abdominal) and body size. Induced interference voltages were calculated with a software package applying the Finite Integration Technique and analysed in dependence on frequency. Results were referred to reported maximum magnetic fields levels measured at EAS systems in the ELF, IF and RF range. With reference to electromagnetic immunity requirements of safety standards of implanted cardiac pacemakers and defibrillators, the numerical analysis showed that the relevance of interference depends on the applied EMF frequency. At EAS systems operating in the RF range, EMI and consequential inadequate pacing is rare but cannot be ruled out. The probability of such events increases at EAS systems in the IF range and even more in the ELF range. Since interference is encountered already at yet existing systems, the situation would be worse if future systems would further increase their emissions by making use of the elevated reference levels recommended in updated exposure guidelines.
منابع مشابه
Electronic article surveillance systems and interactions with implantable cardiac devices: risk of adverse interactions in public and commercial spaces.
Electronic article surveillance (EAS) systems are widely implemented in public spaces and can adversely affect the performance of pacemakers and implantable cardioverter defibrillators. The interaction between implantable devices and EAS systems is a serious problem that can be minimized through appropriate facility design. Careful facility design and employee education along with patient vigil...
متن کاملImpact of a Radio Frequency Electronic Article Surveillance (EAS) System on Active Implants
In view of the omnipresence of electronic article surveillance (EAS) systems in daily life and the increasing number of patients with active implants, there is concern about adverse electromagnetic interference in particular cardiac pacemakers (CPM) and cardioverter defibrillators (ICD), which due to sensing electrocardial signals are particularly vulnerable. To provide quantitative information...
متن کاملErosive Pressure Dermatitis Associated with Cardiac Pacemaker
Erosive dermatitis is a skin reaction associated with implantable cardiac devices (ie, pacemakers and cardioverter defibrillators). We report a 65-year-old man with a history of several cerebrovascular attacks who developed an erythematous crusted erosive patch over the pacemaker site after implantation of two subsequent pacemakers. We suggest that physical irritation may be a trigger factor fo...
متن کاملImplantable Microimagers
Implantable devices such as cardiac pacemakers, drug-delivery systems, and defibrillators have had a tremendous impact on the quality of live for many disabled people. To date, many devices have been developed for implantation into various parts of the human body. In this paper, we focus on devices implanted in the head. In particular, we describe the technologies necessary to create implantabl...
متن کاملInterference in implanted cardiac devices, Part I.
Sensing intrinsic cardiac electrical activity is essential for the function of pacemakers and implantable cardioverter defibrillators (ICDs). Examples of undesired triggering or inhibition of pacemaker output by extraneous signals were identified early after the introduction of noncompetitive, “demand” pacemakers. Hermetic shielding in metal cases, filtering, and interference rejection circuits...
متن کامل