Skip to main content
Log in

Interaction of work electromagnetic field with implanted cardiostimulation system, analysis by in vitro method at patient practicing of profession

  • Original Paper
  • Published:
Health and Technology Aims and scope Submit manuscript

Abstract

The aim was to assess the clinical significance of the interaction of the cardiac implantable electronic device (CIED) of the selected patient and the interfering electromagnetic field (EMF) during practicing of a profession in an industrial environment. The next step was to analyze risk factors using the specific measurement on the phantom and to determine the conditions for minimizing the risk. We present a method of the provocative analysis on the phantom of the stimulation system. The phantom approximates the system in patient’s chest. The measurement was performed using real-time analysis of sensed signals and the pacemaker (PCM) response on the programmer to the source of an electromagnetic interference (EMI) at the workplace. Disturbing signals from an external source can cause an emergency operation of PCM, like asynchronous pacing or pacing inhibition. The interaction was assessed in various exposures, changes of device programming and function responses to EMI. The magnetic field was detected in close proximity (< 5 cm) of CIED from the surface of the EMI source. Induced potentials were continuously sensed at close distances from the source and it activated asynchronous stimulation. The response varied according to the system orientation. At greater distances (< 20 cm above, < 10 cm in front) the intermittent signal sensing and the pacing inhibition occurred during standard PCM programming. Zones for safe operation were determined and the PCM programming was optimized. The interference signal sensing is significantly affected by the CIED programming. This patient can continue to practice the profession safely with high probability by following certain precautions and adjusting PCM settings. We present this analysis on the phantom of the CIED as one of options where the measurement does not pose a risk to the patient with an implant.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Enticos 4 ProMRI. Enticos 8: Technical manual. Germany: Biotronik; 2016.

    Google Scholar 

  2. IEGM Troubleshooting Guide. Advanced Product Support. Germany: Biotronik; 2017.

    Google Scholar 

  3. ČSN EN 50527-2-1 editor. 2:2017. Postup pro hodnocení vystavení zaměstnanců s aktivními implantabilními zdravotnickými prostředky elektromagnetickým polím — Část 2 – 1: Specifické hodnocení zaměstnanců s kardiostimulátory. Praha: Úřad pro technickou normalizaci, metrologii a státní zkušebnictví; 2017.

    Google Scholar 

  4. Morava J, Richter A, Roubicek T, Soucek T. Vliv polohy kardiostimulační elektrody na detekci elektromagnetické interference. Elektrorevue. 2021;22(5):126.

    Google Scholar 

  5. ISO 14117:2012. Active implantable medical devices - Electromagnetic compatibility - EMC test protocols for implantable cardiac pacemakers, implantable cardioverter defibrillators and cardiac resynchronization devices. Switzerland: International Organization for Standardization; 2012.

    Google Scholar 

  6. Seckler T, Stunder D, Schikowsky C, Joosten S, Zink MD, Kraus T, Marx N, Napp A. Effect of lead position and orientation on electromagnetic interference in patients with bipolar cardiovascular implantable electronic devices. Europace. 2019;12(2):319.

    Google Scholar 

  7. Richter A, Ferkova Z, Bittner V. Impact of External Low-dynamic Magnetic Field on Human Body with Metal Implants, Combination of Energy Conversation Principle and Maxwell Equations. Proceedings of the 19th International Conference on Electrical Drives & Power Electronics, pp. 235–241, 2019.

  8. Ellenbogen KA, Wilkoff BL, Kay GN, Lau CP, Auricchio A. Clinical cardiac pacing, defibrillation, and resynchronization therapy. Philadelphia: Elsevier; 2017.

    Google Scholar 

  9. Morava J, Richter A, Eichler J. Detection of Electromagnetic Interference on Electrodes of Cardiac Implantable Electronic Devices. MEASUREMENT 2019: Proceedings of the 12th International Conference on Measurement, pp.182–185, 2019.

Download references

Acknowledgements

This research is a partial result of cooperation between Technical University of Liberec, Faculty of Mechatronics and Faculty of Health Studies, and Regional Hospital Liberec, Department of Cardiology.

Funding

This research was supported by Student Grant Competition SGS-2021-3002 of Technical University of Liberec in 2021.

Author information

Authors and Affiliations

Authors

Contributions

All authors have more or less equally contributed in generating/collecting data in their respective fields as well as in the compilation of data and manuscript preparation.

Corresponding author

Correspondence to Jan Morava.

Ethics declarations

Conflict of interest

Authors declare no conflict of interest.

Ethical statement

Authors state that the research was conducted according to ethical standards. The research (reference number: EK/117/2020) was approved by Ethics Committee of the Regional Hospital in Liberec in 12/2020.

Consent to participate

Informed consent was obtained from the patient participating in this study.

Consent for publication

Not applicable.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Morava, J., Richter, A., Kupec, J. et al. Interaction of work electromagnetic field with implanted cardiostimulation system, analysis by in vitro method at patient practicing of profession. Health Technol. 12, 801–807 (2022). https://doi.org/10.1007/s12553-022-00680-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12553-022-00680-9

Keywords

Navigation