The New Directive 2013/35/EU on Occupational Exposure to Electric Fields and Electrical Workers’ Use of Implantable Cardioverter Defibrillators (ICDs)

Leena Korpinen, Rauno Pääkkönen, Martine Souques, Vesa Virtanen

Abstract

The indications for implantable cardioverter-defibrillators (ICDs) are expanding and workers’ use of ICDs has increased. The aim of this paper was to investigate the new directive, 2013/35/EU, on occupational exposure to ELF electric fields and the electrical workers’ use of Implantable Cardioverter Defibrillators (ICDs). For example, the directive includes information about medical implants, e.g. ICDs and possible interference problems. In this paper, we describe our earlier study of ICDs and analyze where it is possible to find such high electric fields that the exposure can influence the ICDs. Based on experiments at Tampere University of Technology, the electric field under a 400 kV power line may disturb an ICD, when the electric field is below the low action level (10 kV/m). However, there were no no effects observed on ICDs functioning up to 0.9 kV/m, and only anomalous behavior in some conditions was observed when levels exceeded 5.1 kV/m. The risk of disturbances is not considered to be high.

References

  1. CENELEC, European Committee for Electrotechnical Standardization 2010. Procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices - Part 1: General. Brussels, Belgium.
  2. CENELEC European Committee for Electrotechnical Standardization 2011. Procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices d Part 2- 1: Specific assessment for workers with cardiac pacemakers. Brussels, Belgium.
  3. EN 45502-2-1. 2003. Active implantable medical devices-Part 2-1: Particular requirements for active implantable medical devices intended to treat bradyarrhythmia (cardiac pacemakers). Brussels, Belgium.
  4. http://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ :L:2013:179:0001:0021:EN:PDF
  5. Katrib, J., Nadi, M., Kourtiche, D., Magne, I., Schmitt, P., Souques, M. et al. 2013. In vitro assessment of the immunity of implantable cardioverter-defibrillators to magnetic fields of 50/60 Hz. Physiol Meas; 34(10):1281-92.
  6. Korpinen, L.H., Elovaara, J.A., Kuisti, H.A, 2009. Evaluation of current densities and total contact currents in occupational exposure at 400 kV substations and power lines. Bioelectromagnetics 30 (3): 231-240.
  7. Korpinen, L., Kuisti, H., Elovaara, J., Virtanen, V., 2012. Cardiac pacemakers in electric and magnetic fields of 400-kV power lines. Pacing Clin Electrophysiol 35: 422-430.
  8. Korpinen, L., Kuisti, H., Elovaara, J., Virtanen, V., 2013a, Response Pacing Clin Electrophysiol, 36, 2, 267-268.
  9. Korpinen, L., Kuisti, H., Pääkkönen, R., Vanhala, P., Elovaara, J., 2011. Occupational Exposure to Electric and Magnetic Fields While Working at Switching and Transforminig Stations of 110 kV. Annals of Occupational Hygiene 55 (5): 526-536.
  10. Korpinen, L., Kuisti, H., Elovaara J., Virtanen, V., 2014. Implantable Cardioverter Defibrillators in Electric and Magnetic Fields of 400 kV Power Lines. Pacing Clin Electrophysiol, 37: 297-303.
  11. Souques, M., Magne, I., Lambrozo, J., 2011. Implantable cardioverter defibrillator and 50-Hz electric and magnetic fields exposure in the workplace. Int Arch Occup Environ Health, 84: 1-6.
  12. Trigano, A., Blandeau, O., Souques, M., Gernez, JP., Magne., I. 2005. Clinical study of interferences with cardiac pacemakers by a magnetic field at power-line frequency. J Am Coll Cadiol, 45 (6): 896-900.
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Paper Citation


in Harvard Style

Korpinen L., Pääkkönen R., Souques M. and Virtanen V. (2014). The New Directive 2013/35/EU on Occupational Exposure to Electric Fields and Electrical Workers’ Use of Implantable Cardioverter Defibrillators (ICDs) . In Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX, ISBN 978-989-758-055-0, pages 45-49. DOI: 10.5220/0005142500450049


in Bibtex Style

@conference{cardiotechnix14,
author={Leena Korpinen and Rauno Pääkkönen and Martine Souques and Vesa Virtanen},
title={The New Directive 2013/35/EU on Occupational Exposure to Electric Fields and Electrical Workers’ Use of Implantable Cardioverter Defibrillators (ICDs)},
booktitle={Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX,},
year={2014},
pages={45-49},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005142500450049},
isbn={978-989-758-055-0},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 2nd International Congress on Cardiovascular Technologies - Volume 1: CARDIOTECHNIX,
TI - The New Directive 2013/35/EU on Occupational Exposure to Electric Fields and Electrical Workers’ Use of Implantable Cardioverter Defibrillators (ICDs)
SN - 978-989-758-055-0
AU - Korpinen L.
AU - Pääkkönen R.
AU - Souques M.
AU - Virtanen V.
PY - 2014
SP - 45
EP - 49
DO - 10.5220/0005142500450049