In vitro tests reveal sample radiofrequency identification readers inducing clinically significant electromagnetic interference to implantable pacemakers and implantable cardioverter-defibrillators

Seidman, Seth J.; Brockman, Randall; Lewis, Brian; Guag, Joshua; Shein, Mitchell J.; Clement, Wesley J.; Kippola, James; Digby, Dennis; Barber, Catherine; Huntwork, Dan

doi:10.1016/j.hrthm.2009.09.071

Cited by 85 publications

(54 citation statements)

References 7 publications

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“…1 Other researchers have described the potentially hazardous complications of RF devices in healthcare settings. 12, 13 Seidman et al 2 performed in vitro testing of RF device effects on CIEDs and found that low-frequency (134 kHz) RF systems cause significantly more EMI than higher frequency systems, and the closer the RF device was to the CIED, the more likely it was to cause EMI. Notably, the RF Assure operates at a frequency of 145 kHz.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency Scanning for Retained Surgical Items Can Cause Electromagnetic Interference and Pacing Inhibition if an Asynchronous Pacing Mode Is Not Applied

2016

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Radiofrequency (RF) scanning is an increasingly popular method of detecting retained surgical items. RF systems are generally regarded as safe but have the potential to cause electrical interference with pacemakers. This may lead to serious adverse events, including asystole. We present a case of an RF system used with a temporary pacemaker resulting in asystole. With the use of RF devices becoming widespread, it is important for all operating room personnel to recognize the potential for pacemaker interference from RF scanning devices and the requirements for asynchronous pacing when these devices are in use.

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Section: Discussionmentioning

confidence: 99%

Radiofrequency Scanning for Retained Surgical Items Can Cause Electromagnetic Interference and Pacing Inhibition if an Asynchronous Pacing Mode Is Not Applied

2016

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“…20 As such, it is not surprising that increasing the distance of the lead from the miniaturized HeartWare LVAD resolved the problem. If an ICD is placed in a patient who is being considered for an LVAD, a lead location other than the apex may be preferable if the pacing and defibrillation thresholds are adequate.…”

Section: Discussionmentioning

confidence: 99%

“…20 These device components are manufacturer dependent. In general, the majority of reports on EMI with LVADs have involved St. Jude Medical ICDs.…”

Section: Discussionmentioning

confidence: 99%

Electromagnetic Interference of Automatic Implantable Cardioverter Defibrillator and HeartWare Left Ventricular Assist Device

et al. 2013

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The use of continuous-flow left ventricular assist devices (LVAD) have markedly improved outcomes in patients with advanced heart failure (HF). The HeartWare LVAD is a miniaturized centrifugal pump implanted within the pericardial space. Implantable cardioverter-defibrillators (ICDs) are susceptible to oversensing of extracardiac signals (electromagnetic interference [EMI]). We report two cases of EMI in patients that received a HeartWare LVAD as destination therapy for advanced HF. The patients were 75 and 78 years old, both with severe ischemic dilated cardiomyopathy (ejection fraction < 0.20) and New York Heart Association class 4 heart failure. Both patients had a St. Jude Medical Unify ICD with a 7 Fr dual coil St. Jude Medical Durata ICD lead. In both patients, the lead location was in the right ventricular apex with an inferior orientation. Both patients experienced immediate ICD therapies after LVAD placement, requiring the tachytherapies to be disabled. ICD programming changes to increase sensitivity and the detection windows were ineffective. Both patients underwent ICD system revision. In one patient, the existing lead was moved to an anteroseptal location that stopped the EMI. In the other patient, the ICD system was changed to allow a separate right ventricular sensing lead in an anteroseptal location and a dual coil ICD lead placed in an apical location, a strategy used to obtain an acceptable defibrillation threshold. The patients have had no subsequent EMI detected on clinical and remote monitoring. Patients with a right ventricular apical ICD lead placement that undergo placement of a HeartWare LVAD are susceptible to EMI and inappropriate ICD therapies. These cases suggest the primary mechanism is proximity of the ICD lead to the device and as such relocation to an anteroseptal location can overcome the problem. These data suggest that all patients that receive a HeartWare LVAD with an ICD should have the device carefully checked at maximum LVAD output to determine if EMI may be present. ASAIO Journal 2013;59:136-139. Key Words: left ventricular assist device, electromagnetic interference, improper ICD shocks, end-stage heart failure.

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“…For example, tagging pharmaceutical items to prevent counterfeiting as well as tagging items in a hospital environment for inventory purposes have been fairly successful. However, certain RFID applications have faced resistance in a hospital setting where their electromagnetic interference could affect normal operation of medical instruments (e.g., Ashar and Ferriter, 2007;Seidmann et al, 2010;Togt et al, 2008). Nevertheless, in spite of these issues, there is a large untapped potential for RFID applications in healthcare organizations.…”

Section: Introductionmentioning

confidence: 99%

RFID-Embedded Decision Support for Tracking Surgical Equipment

Meiller

Bureau

Zhou

et al. 2011

2011 44th Hawaii International Conference on System Sciences

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Healthcare and supply chain management have recently been the two most active areas for RFID applications. The healthcare environment is a natural fit for generating and utilizing instance-level data for decision support. We consider a scenario from the French healthcare environment involving tracking and tracing of surgical equipment within and among hospitals and develop a knowledge-based system for decision support that helps improve the overall performance of the surgical instrument management process while reducing errors. We illustrate the process through the developed healthcare knowledgebased system and evaluate its performance..

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In vitro tests reveal sample radiofrequency identification readers inducing clinically significant electromagnetic interference to implantable pacemakers and implantable cardioverter-defibrillators

Cited by 85 publications

References 7 publications

Radiofrequency Scanning for Retained Surgical Items Can Cause Electromagnetic Interference and Pacing Inhibition if an Asynchronous Pacing Mode Is Not Applied

Radiofrequency Scanning for Retained Surgical Items Can Cause Electromagnetic Interference and Pacing Inhibition if an Asynchronous Pacing Mode Is Not Applied

Electromagnetic Interference of Automatic Implantable Cardioverter Defibrillator and HeartWare Left Ventricular Assist Device

RFID-Embedded Decision Support for Tracking Surgical Equipment

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