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Electromagnetic interference caused by common surgical energy-based devices on an implanted cardiac defibrillator.

Abstract：

BACKGROUND:Surgical energy-based devices emit energy, which can interfere with other electronic devices (eg, implanted cardiac pacemakers and/or defibrillators). The purpose of this study was to quantify the amount of unintentional energy (electromagnetic interference [EMI]) transferred to an implanted cardiac defibrillator by common surgical energy-based devices. METHODS:A transvenous cardiac defibrillator was implanted in an anesthetized pig. The primary outcome measure was the average maximum EMI occurring on the implanted cardiac device during activations of multiple different surgical energy-based devices. RESULTS:The EMI transferred to the implanted cardiac device is as follows: traditional bipolar 30 W .01 ± .004 mV, advanced bipolar .004 ± .003 mV, ultrasonic shears .01 ± .004 mV, monopolar Bovie 30 W coagulation .50 ± .20 mV, monopolar Bovie 30 W blend .92 ± .63 mV, monopolar instrument without dispersive electrode .21 ± .07 mV, plasma energy 3.48 ± .78 mV, and argon beam coagulator 2.58 ± .34 mV. CONCLUSION:Surgeons can minimize EMI on implanted cardiac defibrillators by preferentially utilizing bipolar and ultrasonic devices.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Paniccia A,Rozner M,Jones EL,Townsend NT,Varosy PD,Dunning JE,Girard G,Weyer C,Stiegmann GV,Robinson TN

doi

10.1016/j.amjsurg.2014.09.011

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

932-6; discussion 935-6

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(14)00454-1

journal_volume

208

pub_type

杂志文章

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