Jagielski Kai, Kraus Thomas, Stunder Dominik
Research Center for Bioelectromagnetic Interaction - Femu, Institute for Occupational, Social and Environmental Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Expert Rev Med Devices. 2021 Apr;18(4):395-405. doi: 10.1080/17434440.2021.1902802. Epub 2021 Mar 24.
: Electromagnetic interference (EMI) of cardiovascular implantable electronic devices (CIED) can lead to malfunctions and pose a danger for implant carriers. The increased use of DC technologies, e.g. in electric mobility, creates more static fields representing an increasing hazard for implant carriers.: A combination of approaches was used to determine thresholds for EMI by static fields. A literature search was conducted to identify relevant EMI mechanisms and to extract possible thresholds. The literature search revealed four interference mechanisms caused by static magnetic fields and none for static electric fields. Due to the scarce information on motion-induced EMI, numerical simulations were performed to obtain a threshold. The simulation results were evaluated using medical product standards and benchmark tests on commercially available CIEDs. The results show that motion-induced interference should not occur below the activation of the magnetic safety switch (reed switch or Hall-effect sensor, MSS).: The determined threshold for motion-induced EMI at 24.8 mT shows that the MSS activation is still the most relevant mechanism that can occur at 0.8 mT. Limit values for the general population do not protect implant carriers from EMI.
心血管植入式电子设备(CIED)的电磁干扰(EMI)可导致故障,并对植入者构成危险。直流技术(如在电动交通领域)的使用增加,产生了更多的静电场,这对植入者构成了越来越大的危害。
采用多种方法来确定静电场引起的EMI阈值。进行文献检索以识别相关的EMI机制并提取可能的阈值。文献检索揭示了由静磁场引起的四种干扰机制,而静电场未发现相关机制。由于关于运动诱发EMI的信息稀缺,进行了数值模拟以获得阈值。使用医疗产品标准和对商用CIED的基准测试对模拟结果进行评估。结果表明,在磁安全开关(簧片开关或霍尔效应传感器,MSS)激活以下,不应发生运动诱发的干扰。
确定的运动诱发EMI阈值为24.8 mT,表明MSS激活仍然是最相关的机制,其可能在0.8 mT时发生。一般人群的限值并不能保护植入者免受EMI影响。