Volume 7, Issue 1, Pages (January 2010)

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Volume 7, Issue 1, Pages 99-107 (January 2010) In vitro tests reveal sample radiofrequency identification readers inducing clinically significant electromagnetic interference to implantable pacemakers and implantable cardioverter-defibrillators Seth J. Seidman, MS, Randall Brockman, MD, Brian Marc Lewis, MD, Joshua Guag, BS, Mitchell J. Shein, MS, Wesley J. Clement, BS, James Kippola, BS, Dennis Digby, BS, Catherine Barber, MS, Dan Huntwork, MS Heart Rhythm Volume 7, Issue 1, Pages 99-107 (January 2010) DOI: 10.1016/j.hrthm.2009.09.071 Copyright © 2010 Terms and Conditions

Figure 1 A drawing of the human torso simulator. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions

Figure 2 Percentage of pacemaker reactions graded for clinical significance. The percentage of tests with a reaction for pacemakers graded for clinical significance (there were no class II reactions). Pacemaker tests at nominal sensitivity during HF RFID exposure had 1% class I reactions and 1% class III reactions. HF = high frequency; LF = low frequency; RFID = radiofrequency identification; UHF = ultra high frequency; Max = maximum sensitivity; Nom = nominal sensitivity. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions

Figure 3 Percentage of ICD reactions graded for clinical significance. The percentage of tests with a reaction for ICDs graded for clinical significance (there were no class II reactions). ICD = implantable cardioverter-defibrillators; other abbreviations as in Figure 2. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions

Figure 4 Percentage of pacemaker reactions versus distance. The percentage of pacemaker tests (at each sensitivity level) with a reaction within distance ranges during LF and HF RFID exposure. There were no pacemaker reactions caused by either of the 2 UHF RFID readers. Abbreviations as in Figure 2. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions

Figure 5 Percentage of ICD reactions versus distance. The percentage of ICD tests (at each sensitivity level) with a reaction within distance ranges during LF and HF RFID exposure. There were no ICD reactions caused by either of the 2 UHF RFID readers. Abbreviations as in Figure 2. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions

Figure 6 Feed-through filter performance. Performance of 4 different valued feed-through capacitors. The majority of attenuation occurs at 915 MHz (UHF RFID), less attenuation at 13.56 MHz (HF RFID), and less than 1 dB of attenuation at 134 kHz (LF RFID). Abbreviations as in Figure 2. Heart Rhythm 2010 7, 99-107DOI: (10.1016/j.hrthm.2009.09.071) Copyright © 2010 Terms and Conditions