A model for determining the induced voltage at the terminals of a pacemaker exposed to a low frequency magnetic field

Electromagnetic interference in cardiac electronic implants caused by novel electrical appliances emitting electromagnetic fields in the intermediate frequency range: a systematic review

Electromagnetic fields (EMF) in the intermediate frequency (IF) range are generated by many novel electrical appliances, including electric vehicles, radiofrequency identification systems, induction hobs, or energy supply systems, such as wireless charging systems. The aim of this systematic review is to evaluate whether cardiovascular implantable electronic devices (CIEDs) are susceptible to electromagnetic interference (EMI) in the IF range (1 kHz-1 MHz). Additionally, we discuss the advantages and disadvantages of the different types of studies used to investigate EMI. Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, we collected and evaluated studies examining EMI in in vivo studies, in vitro studies (phantom studies, benchmark tests), and simulation studies. Our analysis revealed that cardiac implants are susceptible to malfunction induced by EMF in the IF range. Electromagnetic interference may in particular be provoked by security systems and induction hobs. The results of the studies evaluated in this systematic review further indicate that the likelihood for EMI is dependent on exposure-related parameters (field strength, frequency, and modulation) and on implant- as well as on lead-related parameters (model, type of implant, implant sensitivity setting, lead configuration, and implantation site). The review shows that the factors influencing EMI are not sufficiently characterized and EMF limit values for CIED patients cannot be derived yet. Future studies should therefore, consider exposure-related parameters as well as implant- and lead-related parameters systematically. Additionally, worst-case scenarios should be considered in all study types where possible.

Cardiac pacemakers in magnetic fields of a shunt reactor at a 400 kV substation

The use of cardiac pacemakers (PMs) increases in Western countries. The aim of the study is to investigate cardiac pacemakers (PMs) using a human-shaped phantom in magnetic fields of a shunt reactor at a 400 kV substation. We performed seven PM experiments using a phantom. Two locations close to the shunt reactors were chosen. The magnetic field exposure was over 1000 µT in one location and over 600 µT in the other one. The magnetic field exposure did not disturb the tested five different PMs (in unipolar or bipolar configurations). It can be stated that in our experiment, the magnetic field exposure (over 600 µT and over 1000 µT) did not disturb the PMs (in unipolar or bipolar configurations). Since we only studied some PMs, it is possible that the magnetic field exposure at 400 kV substations can cause disturbances to other PMs. However, the risk of disturbances does not seem to be high.

Assessment of Electromagnetic Interference with Active Cardiovascular Implantable Electronic Devices (CIEDs) Caused by the Qi A13 Design Wireless Charging Board

Electromagnetic interference is a concern for people wearing cardiovascular implantable electronic devices (CIEDs). The aim of this study was to assess the electromagnetic compatibility between CIEDs and the magnetic field of a common wireless charging technology. To do so the voltage induced in CIEDs by Qi A13 design magnetic fields were measured and compared with the performance limits set by ISO 14117. In order to carry this out a measuring circuit was developed which can be connected with unipolar or bipolar pacemaker leads. The measuring system was positioned at the four most common implantation sites in a torso phantom filled with physiological saline solution. The phantom was exposed by using Helmholtz coils from 5 µT to 27 µT with 111 kHz sine-bursts or by using a Qi A13 design wireless charging board (Qi-A13-Board) in two operating modes “power transfer” and “pinging”. With the Helmholtz coils the lowest magnetic flux density at which the performance limit was exceeded is 11 µT. With the Qi-A13-Board in power transfer mode 10.8% and in pinging mode 45.7% (2.2% at 10 cm distance) of the performance limit were reached at maximum. In neither of the scrutinized cases, did the voltage induced by the Qi-A13-Board exceed the performance limits.

Cardiac pacemakers in electric and magnetic fields of 400-kV power lines

BACKGROUND

The cardiac pacemaker (PM) implantation rate per million is high. Earlier studies have found interference to PMs by electromagnetic fields. The aim of the study is to investigate disturbances in cardiac PM using a human-shaped phantom in electric and magnetic fields of 400-kV power lines.

METHODS

The phantom was used in the following manner: isolated from the ground, grounded from left or right foot, or grounded from left or right hand.

RESULTS

Out of the tested PMs one had such a disturbance that it set the pace 60 times per minute, when the electric field was 6.7-7.5 kV/m and the magnetic field was 2.4-2.9 μT. The electrode configuration of the PM was unipolar. In bipolar configuration, the same PM had no disturbance. During the test period, other PMs only had minor disturbances or none at all. Some PMs do not record time information for minor disturbances. In such cases, it was impossible to link the disturbances to the exposure under the power line.

CONCLUSIONS

The electric field under a 400-kV power line may disturb a PM. However, only one type out of several tested PMs showed a major disturbance and that was only with a unipolar electrode configuration. The risk of disturbances is therefore not deemed to be high.