Electromagnetic compatibility of BIOTRONIK cardiac ...

1 Electromagnetic compatibility of BIOTRONIK cardiac pacemakers, ICDs and CRT devices Electromagnetic fields are generated by electrical devices and procedures and are omnipresent due to the widespread use of modern technology, for example, in professional life, everyday life and medicine. The functionality of pacemakers and implantable cardioverter-defibrillators (ICD), which consists of sensing the cardiac activity and the associated pacing of the heart, can be compromised by Electromagnetic pacemakers and defibrillators are protected to the greatest possible extent against this kind of interference.

2 Depending on the strength of the Electromagnetic field, a transient effect on the implanted device in the vicinity of electrical devices is nonetheless possible: The pacemaker cannot deliver a pacing pulse or unnecessarily accelerates the heart rhythm. The ICD is prevented from delivering therapy by strong magnetic fields or induced to deliver undesired defibrillation shocks due to interfering signals from Electromagnetic , there is no need to be concerned about permanent damage to the implanted device the cardiac pacemaker /defibrillator will be fully functional once again as soon as the distance to the source of interference increases or the source of interference is switched ask your doctor whether there are procedures or devices which you should not use because of your disease and prior to any medical treatments, inform the doctor that you have an implanted electrical using electrical devices.

3 Observe the manufacturer's warnings for patients with cardiac guide is intended to help you determine the Electromagnetic compatibility (EMC) and thus the assessment of electrical devices and procedures with regard to the interference potential for your implanted simple color scheme indicates whether a device can be used without hesitation, whether a safety margin during use is needed, or whether the function of the implanted device would be severely compromised as a result of interference with the implanted deviceNo interference at the indicateddistance from the implanted deviceInterference with the device possible ContraindicationHousehold appliancesBattery charger15 cmCan openerHousehold magnetCoffee machineNecklace with magnetic closureDishwasherWireless heating base stationDryerElectric blanket, heating pad30 cmElectric kettleInduction cooktopElectric shaverElectric toothbrush.

4 Ultrasonic toothbrushEmergency button, patient alarmFoot warmerHairdryer IronMicrowaveMixerRefrigeratorRobotic lawn mowerRobotic vacuum cleanerSmart meter (electricity, heating)ToasterToothbrush charging unitVacuum cleanerWashing machineNo interference with the implanted deviceNo interference at the indicateddistance from the implanted deviceInterference with the device possible ContraindicationTelecommunications/offic e/multimediaBluetooth Ham radio1CD, DVD, VCR players, radio Computer15 cm Copy machineCB radio handset (max.)

5 3 W)dLAN, PLC, PowerLANC ellular phone/smartphone (Powerline Communication)Cordless landline telephonee-reader Game console, Wii, PlayStation Electronic tag, house arrest ankletHearing aid streamer FaxModemInductive hearing loop,Multimedia player, mp3 player, iPodinduction loop systemRouterNavigation system/GPSS tereo speakerNFC (near-field communication)Tablet, iPadPrinterWalkie-talkieRadio headset, headsetWireless remote control (model-making)Video gamesWLAN ( GHz)Wireless remote controlWLAN ( GHz)40 cmCB radio mobile car station (max.

6 10 W)TETRA radio1 According to approval standard, the following distances from transmitting antennas are recommended for ham radio: <3 W = 15 cm 3 15 W = 30 cm 15 30 W = 60 cm 30 50 W = 1 m 50 125 W = 2 m 125 250 W = 3 m 250 500 W = 5 m 500 1000 W = 6 m 1000 2000 W = 9 mNo interference with the implanted deviceNo interference at the indicateddistance from the implanted deviceInterference with the device possible ContraindicationHobby/sport/travelFitnes s wristbandPowerPlate*Go-KartHeart rate monitor, smart watchMobile metal detectorSauna, tanning bed30 cmTattooingAnti-theft devicesElectric bicycle (motor)

7 Full-body scannerSegway (motor)Stationary metal detectorSki pass scannerV-pay60 cmErgometer (magnetic brake)Golf caddy (motor)Treadmill (motor)5 mMaritime radarTools / motors /electronicsBattery-operated, cordless15 cmArc weldingpower toolsCorded power toolsElectric fenceElectric carFan heaterHigh-voltage test stationKeyless entry system (car)Low-voltage power line (220 V)30 cmPhase testerGasoline-powered tools (chain saw, leaf blower, snow blower, string trimmer)Power wheelchair (motor)60 cmCar battery chargerForklift truckGeneratorLawn mowerRunning car motor3 mPhotovoltaic system transformer6 mHigh-voltage power line(110 / 220 kV)10 mHigh-voltage power line (380 kV)* Physician s approval needed because of physical stress and possible rate adaptation of the implanted deviceNo interference with the implanted deviceNo interference at the indicateddistance from the implanted deviceInterference with the device possible ContraindicationMedical procedures2 Bone density measurementMRI (magnetic resonance imaging)

8 3 Bioresonance therapyCapsule endoscopyCurrent-inducing methods such as:Diagnostic ultrasound15 cm Andullation therapyDiagnostic X-ray, :Cardioversion/external defibrillation Body fat measurement CT (computed tomography)Dental treatment Diathermy, HF heat therapy MammographyGlucose monitor Electrocautery PET (positron emission tomography)Hearing aid streamer ElectrolysisECG/EMGU ltrasonic dental cleaning Electroshock therapyHearing aid/cochlear implant HF/RF/Ultrasonic ablationHeart rate monitor Interferential current therapyLaser treatment (eyes/skin)

9 Iontophoresis Magnetic mat NeurostimulationMassage mat, massage chair Transcutaneous electrical nerve stimulation (TENS)Lithotripsy/shock wave therapyMagnetic catheter navigation/StereotaxisMagnetic field therapyRadiation therapyTherapeutic ultrasoundBIOTRONIK SE & Co. KGWoermannkehre 112359 Berlin BIOTRONIK SE & Co. KGAll rights reserved. Specifications are subject to modification, revision and In the case of contraindicated procedures which must be performed on persons with implanted devices, a careful risk/benefit assessment by the physicians involved is indicated.

10 To avoid long-term damage of the implanted device, precautionary measures should be taken and these should be coordinated with the responsible technical service of BIOTRONIK ProMRI devices are fully or partially MRI-compatible: : October 2017