Department of Biomedical, Industrial and Human Factors Engineering, Wright State University, Dayton, USA.
Wright State University Boonshoft School of Medicine, Internal Medicine, Dayton, USA.
Pacing Clin Electrophysiol. 2024 Jul;47(7):885-892. doi: 10.1111/pace.15019. Epub 2024 Jun 3.
Electromagnetic interference (EMI) encompasses electromagnetic field signals that can be detected by a device's circuitry, potentially resulting in adverse effects such as inaccurate sensing, pacing, device mode switching, and defibrillation. EMI may impact the functioning of Cardiac Implantable Electronic Devices (CIEDs) and lead to inappropriate therapy.
An experimental measuring device, a loop antenna mimicking the implantable cardioverted defibrillator (ICD) antenna, was developed, and validated at the US Food and Drug Administration (FDA) and sent to Wright State University for testing. Two sets of measurements were conducted while the vehicle was connected to a 220-Volt outlet with charging at ON and OFF. Each measurement set involved three readings at various locations, with the antenna oriented in three different positions to account for diverse patient postures. The experiment utilized a Tesla Model 3 electric vehicle (EV), assessing scenarios both inside and outside the car, including the driver's seat, driver's seat floor, passenger's seat, rear seat, rear seat floor, cup holder, charging port (car), and near the charging station.
The detected voltage (max 400 to 504 millivolts) around the cup holder inside the car differed from all other measurement scenarios.
The investigation highlights the identification of EMI signals originating from an EV) that could potentially interrupt the functionality of a Subcutaneous Implantable Cardioverter-Defibrillator (S-ICD). These signals fell within the R-wave Spectrum of 30-300 Hz. Further in-vivo studies are essential to determine accurately the level of interference between S-ICDs and EMI from Electric Vehicles.
电磁干扰(EMI)包括设备电路可以检测到的电磁场信号,可能导致感应不准确、起搏、设备模式切换和除颤等不良影响。EMI 可能会影响心脏植入式电子设备(CIED)的功能,并导致不适当的治疗。
开发了一种实验测量设备,即模拟植入式心脏复律除颤器(ICD)天线的环形天线,并在美国食品和药物管理局(FDA)进行了验证,然后送到莱特州立大学进行测试。在车辆连接到 220 伏插座并打开和关闭充电的情况下进行了两组测量。每组测量在不同位置进行了三次读数,天线在三个不同位置定向,以考虑到不同的患者姿势。该实验使用了特斯拉 Model 3 电动汽车(EV),评估了车内和车外的各种情况,包括驾驶员座椅、驾驶员座椅地板、乘客座椅、后排座椅、后排座椅地板、杯架、充电口(车)和靠近充电站。
车内杯架周围检测到的电压(最高 400 到 504 毫伏)与所有其他测量情况不同。
该研究强调了识别源自电动汽车(EV)的 EMI 信号的重要性,这些信号可能会干扰皮下植入式心脏复律除颤器(S-ICD)的功能。这些信号落在 30-300 Hz 的 R 波频谱内。进一步的体内研究对于准确确定 S-ICD 与电动汽车 EMI 之间的干扰水平至关重要。