Interference thresholds for active implantable cardiovascular devices in occupational low-frequency electric and magnetic fields: a numerical and in vitro study

Abstract

In light of concerns regarding the occupational safety and health of workers wearing active implantable medical devices (AIMDs), this study aims to investigate the potential risks of electromagnetic interference (EMI) between AIMDs and low-frequency 50/60 Hz electromagnetic fields (EMFs) in the workplace. A total of 58 AIMDs, consisting of pacemakers (PMs) and implantable cardiac defibrillators (ICDs) of different brands, models, and configurations were tested to determine the immunity thresholds for high-voltage electric fields (EFs) and magnetic fields (MFs) at 50/60 Hz. The EFs and MFs at the levels in workplaces are reproduced by setups using Helmholtz coils and aluminum plates, respectively, to ensure that the EM/MF exposures are controllable and reproducible. The EMI thresholds were recorded by observing the occurrences of PM or ICD dysfunctions. In addition, numerical studies on anatomical models were carried out using CST® software. The results indicate that the recorded thresholds all exceed the EF and MF public exposure limits given in the ICNIRP 2010 guidelines. No dysfunction was observed among four ICDs tested under MF exposure up to 2750 µT at 50 Hz and 2480 µT at 60 Hz. However, among the 43 PMs and 11 ICDs tested under EF exposures, potential hazards may occur below the occupational exposure level proposed in the ICNIRP guidelines.