Cardiac pacemakers are electronic devices with sensing circuits which
detect small electrical signals from inside the heart. Pacemakers may
detect extraneous electrical signals from other sources. The pacemaker
can incorrectly interpret these signals as heart activity, which may
inhibit the pacemaker. The result could be no output pulse or
asynchronous pacing. Asynchronous pacing means that there is no
coordination between the heart and the pacemaker.
If you have a St. Jude Medical pacemaker and use or are in close
proximity to an electric welder, you shouldn’t have any
problems. However, this doesn’t mean that there is a total absence
of the effects of welding interference on pacemakers. Any problems
caused by radiated interference will end when the arcing ends.
http://www.sjm.com/_MediaAssets/documents/resources/precautionselectricarcwelding.pdf
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Any problems
> caused by radiated interference will end when the arcing ends.
Or the wearer hits the deck.
Steve
Good description.
The leads to the heart likely will act as an antenna...picking up the
welder's RF emissions and feeding them to the digital circuitry to
affect the internal processor.
I really suspect that during testing a pacemaker is NOT subjected to
this intensity of RF emissions...a cell phone or a microwave
likely...a welder not likely.
If I had a pacemaker, I would not be welding.
TMT
Good description.
The leads to the heart likely will act as an antenna...picking up the
welder's RF emissions and feeding them to the digital circuitry to
affect the internal processor.
I really suspect that during testing a pacemaker is NOT subjected to
this intensity of RF emissions...a cell phone or a microwave
likely...a welder not likely.
If I had a pacemaker, I would not be welding.
TMT
I don't know if welding with the pacemaker is good or not, any way.... I
know of an old old guy who has a pacemaker and puts his spare arm across his
chest as a "shield" when he MIG welds - obviously this may be against what
the Dr recommends and may not be safe.......
I've some experience in the testing of electronic devices for EMI
compliance. There are different standards for different classes of device -
ie kids toy v's electric wheelchair v's pacemaker. For devices needing a
degree of immunity from EMI the tests involve pointing an antenna at the
device and irradiating it with different levels and frequencies of RF
radiation. How this level of RF compares with that emitted by a TIG I don't
know. I'd be more worried about the high magnetic fields around a
spotwelder.
Similar precautions apply to working on car engines and possibly other
activities generating electromagnetic fields. I have always been interested
in the effect of amateur radio on pacemakers. The research I did, some with
help of pacemaker company representatives, was rather inconclusive.
Personally I would avoid a ham shack in operation having seen RF sparks on
metal objects otherwise not connected to anything, light bulbs connected to
a piece of wire lit up by a KW with a key down, neighbours' lamps turned on
and off and many other amusing phenomena.
The message I think is that you *can* have problems while arc welding, be it
a St. Jude, Medtronics or any of the others. One problem not mentioned is
re-programming the pacemaker which may enter the back up mode and not revert
when the EM field is gone. Some may not notice it, some may become
symptomatic.
A similar situation arises during surgery when the surgeon uses
electro-cautery to stop bleeding. The usual procedure in this region is to
convert the pacemaker pre-operatively to a fixed output that cannot be
inhibited and crank up the voltage. The pacemaker is checked and
reprogrammed carefully back to the original settings after the surgery. This
is clearly not an option while welding :-)
Oh, and I would not expect a discussion with your MD to provide any more
information than what is in the article. Unless he works in a major centre
and does nothing but pacemakers. Even then I have my doubts...
--
Michael Koblic,
Campbell River, BC
Good comments Mike...and I agree that electro-cauterization would be a
condition that they would likely test for.
TMT
Martin
Not if you discuss it with the implanting surgeon and ask for the pocket to
be made on the left (for a right hander). Most pacemaker pockets are on the
right upper chest as the vascular access is easier from there but this is
not written in stone.
Martin
It is a reflection of current practice.