Home and Industrial Environments
▪
A variety of devices produce electromagnec interference (EMI) of sucient eld strength and
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modulaon characteriscs to interfere with proper operaon of the pulse generator. These include:
high‑powered radio, television, and radar transmiers/antennas; high‑voltage transmission lines; home
appliances; arc or resistance welders; equipment with large motors; inducon furnaces; very large or
defecve electric motors; and internal combuson engines with poorly shielded ignion systems.
▪ The paent should avoid strong magnec elds since they are potenally capable of aecng the pacing▪
mode and rate. If a paent is frequently in a high‑magnec‑eld environment and therefore at risk of not
pacing properly, you may choose to program the device to ignore magnec elds. Pacing would then be
delivered in the normal manner and applicaon would have no eect on operaon.
▪
Advise paents to not play sports or engage in acvies where there is a risk of repeve blows to the▪
implanted device area.
▪ Twiddler's Syndrome: Cauon paents against manipulang the implanted device as it may result in lead
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damage or lead displacement.
Transcutaneous Electrical Nerve Smulaon
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Transcutaneous Electrical Nerve Smulaon (TENS) may interfere with device funcon. To reduce
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interference, place the TENS electrodes close to one another and as far away from the device/lead system
as possible. Monitor cardiac acvity during TENS use.
Radiofrequency Ablaon
Radiofrequency (RF) ablaon in paents with a pulse generator may cause any of the following:
▪ Asynchronous pacing above or below the programmed rate▪
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