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深部脑刺激器的电磁不兼容性问题评估

Evaluation of electromagnetic incompatibility concerns for deep brain stimulators.

作者信息

Dustin Kelly

机构信息

AMDEX Corporation, Office of Research Protections, Fort Detrick, MD, USA.

出版信息

J Neurosci Nurs. 2008 Oct;40(5):299-303, 319. doi: 10.1097/01376517-200810000-00008.

Abstract

Deep brain stimulators (DBS) may be affected by electromagnetic interference (EMI). Little research has been conducted regarding this phenomenon, although supportive background information and a literature review offer implications of EMI for persons who have this device. The warning information on Medtronic's Web site that is specific to the DBS device indicates that theft detectors and security screening devices may cause the stimulation to turn on or off and may cause some patients to experience a momentary increase in perceived stimulation. This information supports the rationale for practitioners to recommend that patients with DBS turn off their device when anticipating exposure to EMI. EMI with DBS does not appear to present an immediate safety issue even though it may cause device malfunction and a resulting temporary interruption in therapeutic benefit for persons who have the device. However, the absence of sound research on the effects of EMI on DBS does not permit the exclusion of EMI as a potential health concern. Meanwhile, healthcare professionals who care for patients with DBS should routinely educate them about potential interactions and appropriate accommodations.

摘要

深部脑刺激器(DBS)可能会受到电磁干扰(EMI)的影响。尽管有支持性的背景信息和文献综述阐述了电磁干扰对植入该设备者的影响,但针对这一现象的研究却很少。美敦力公司网站上针对DBS设备的警告信息表明,防盗探测器和安全筛查设备可能会导致刺激开启或关闭,并可能使一些患者感觉刺激瞬间增强。这一信息为从业者建议植入DBS的患者在预期会接触电磁干扰时关闭设备提供了依据。即使电磁干扰可能导致设备故障,并使植入该设备的患者暂时中断治疗益处,但它似乎并不会立即引发安全问题。然而,由于缺乏关于电磁干扰对DBS影响的可靠研究,因此不能排除电磁干扰作为一个潜在健康问题的可能性。与此同时,照顾植入DBS患者的医护人员应定期对他们进行关于潜在相互作用和适当应对措施的教育。

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