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iPods and Pacemakers Don't Mix

fermion writes "The Register reports a study that indicates that iPods and pacemakers do not get along. While there do not appear to be any long term effects, iPods disrupt the operation of the pacemaker. It is noted that such effects have not previously been observed as iPods do seem to be popular with the pacemaker-wearing population."

38 of 152 comments (clear)

  1. Ipod only? by yakumo.unr · · Score: 4, Insightful

    Despite them being by far the most popular portable digital player, why would this focus purely on the ipod? how can they possibly be doing this, and it not be a problem for other players?

    1. Re:Ipod only? by stephanruby · · Score: 4, Informative

      Here is a list of at least 30 common devices that would probably interfere with a pacemaker. This is nothing new. All pacemaker patients are told about this when they first get one. The iPod angle was just a way to get the story in the news.

    2. Re:Ipod only? by __aaclcg7560 · · Score: 4, Funny

      Get real! The idea of someone with a pacemaker dying with a Zune in their hand is laughable. If fact, such a person would more likely die from embrassment than a pacemaker failure.

    3. Re:Ipod only? by Misch · · Score: 3, Insightful

      Jay Thaker, a student at Okemos High School in Michigan, co-authored the the report with a friend of his father, Dr. Krit Jongnarangsin, an assistant professor in the Division of Cardiovascular Medicine at the University of Michigan.

      High school student & assistant medical professor doing the study. Probably not a lot of money to go around and get lots of devices there. Probably used what they had on hand.

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    4. Re:Ipod only? by johnpaul191 · · Score: 2, Interesting

      as of last year i read somewhere that in the USA portable CD players (discmans) still outsold digital music players something like 5:1. not sure where they are going, i feel like i see digital players of some flavor everywhere i look.

    5. Re:Ipod only? by bay43270 · · Score: 5, Insightful

      Patients aren't told as much as you would think. When my infant son got his, we were given a list that basically included anything wireless. It wasn't until we asked around a little before we got more reasonable information.

      With that in mind, this article taught me something new. I had always assumed interference was related to the wireless nature of pacemakers. My son's is regularly re-programmed via a wireless device set anywhere near his chest. I had assumed if there was a problem it would be related to whatever memory was being programmed. The ipod article suggests the interference is just an interruption between the device and its leads. They suggest the interference won't cause lasting problems once the patient is separated from the interfering device. That's not something that was in the 50 page booklet that they provided with the pacemaker.

    6. Re:Ipod only? by marklar1 · · Score: 2, Informative

      The patient brochure you were given is designed to educate new "owners" of the dangers. No, they don't go into great detail as to why things are warned, they just warn there. The majority of our patients can't/won't/wouldn't be able to follow complex explanations of behaviors. They would also be less likely to get through ANY of the manuals and information if it looked like the technical manuals for one of these devices.

      The explosion of Cell phone devices has caused manufacturers to pay greater attention to EMI...and about 3-4 years ago the first of the big 3 manufacturers started advertising/marketing their engineered resistance to cell phones.

      If memory serves me correctly, the The energy field falls off at a proportion to the square of the distance. Patients used to be advised to carry their cell phones in the breast pocket of a jacket opposite their implantation site (about 90+ percent left shoulder in the US). They were further cautioned if they felt dizzy that the POTENTIAL effect of a phone would be obviated holding at arms length.

      Implantable pacemakers/defibs don't sense the type of EKG that you would see as gathered from surface leads. They try to make sense of the hearts intrinsic rhythm/activity from sensing at the tips of the leads. Different leads, different sensor technologies, and different algorithms for analysis all can play a part. Furthermore, the connectors on the heads of the devices are standardized to accomodate interchanging leads from other companies--and like all "standards" this one has evolved in generations...and has meant good things for patients BTW.

      The first pacers just had a minimum rate...ie. wouldn't let the heart rate drop below 60. Subsequent generations added "rate smoothing"...ie if your heart was beating at rate above 60, the pacer would allow for the subsequent beat to be no longer than a fixed or programmable percentage than the prior beat, to regularlize heart rate during activity or strain. The latest devices use either vibration sensors, or accelerometers, optionally combined with minute ventillation (breathing rate sensors measuring changes in impedance in a separate/non-pacing signal conducted from the tip of the lead back to a sensor on the generator) to vary rate according to exertion levels.

      Most patients see their doctor one to three times in the month post operatively, then follow up with an annual (single-lead pacer), biannual (dual-lead pacer), or quarterly (AICD / defibrillator). This is a good time for patients or family members to ask questions. At a great percentage of these followup appointments, a representative of the company is often there. The programming interface, features, and diagnostic/therapeutic algorithms vary consideratbly from company to company, device to device, and there are devices going back up to twenty years!!! Old flask-sized devices in patients with minimal usage just ticking away.....

      The Pacemaker companies (3 majors in the US) have done a good job in educating customers, providing 24 hour hotline technical support by phone and on pager response via sales and clinical reps... the level of accountability, the level of service, and as part and parcel the level of education of the sales/clinical team has few peers in ANY industry.

      Further, the pacemaker companies direct clients are the physicians and hospitals. They buy the device, and install it, and should be the primary line of information and service of the device. The companies have done an amazing job in educating and including patients where the hospitals and doctors don't really have widely-available, ,efficient mechanisms to do that in place.

      Beyond what is produced by the manufacturers, there are many widely available books on pacing and defibrillation, as well as electophysiologic "EP" testing that start with the fundamentals--you can follow along with if you have a decent basic science background. A few of the standard intro texts are:

      K Ellenbogen: Cardiac Pacing

      R Fogros: Electrophysiologic Testing

      Best of luck to you and your son.

  2. iPods *do* seem to be popular? by The+Iso · · Score: 2, Insightful

    "It is noted that such effects have not previously been observed as iPods do seem to be popular with the pacemaker-wearing population." Is this a typo?

    --
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    1. Re:iPods *do* seem to be popular? by fractoid · · Score: 2
      Yes.

      The reason why it this hasn't been caught before?
      "Most pacemaker patients are not iPod users," Jongnarangsin said. ®
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  3. iRobot by ghoul · · Score: 2, Funny

    In further investigation it was found this effect is present only in the new fifth generation iPods when the red light is on. Apple has denied plans for world domination by sending signals to iPods to control peoples minds. "Ridiculous", said an Apple spokesman "Our brain control waves are on a totally different wavelenth than the heart stopping killer waves" Inestigators have also come across reports of a single iPod mini going around turning off the waves

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  4. Returns by Joebert · · Score: 4, Funny

    And why are you returning this product today sir ? Has it quit functioning properly ? Would you like to trade it in for a new one ?

    Nah, it killed grandpa, I want my money back.

    --
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  5. Re:Frist Post by rts008 · · Score: 4, Funny

    Yeah, that's the problem with this thing.

    I originally tried it out with some favorite DeathSpeedMetal tunes, but alas, it induced extreme fibrillation- had to reload my iPacemaker with neil diamond. Now I can't even get out of my chair from in front of my computer.
    Oh well, nothing lasts forever. *sigh*

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  6. must be a slow news day.... by blankmange · · Score: 3, Interesting

    so this is a valid study? a 17-year-old high school student tested 100 pacemaker-wearing subjects with only iPods (and no other MP3 devices)..... yeah...

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    1. Re:must be a slow news day.... by networkzombie · · Score: 2, Funny

      Are you kidding? Let's send an iPod to Dick Cheney ASAP! Wait... am I posting anonymously?

  7. This is a bit biased... by msauve · · Score: 4, Interesting

    iPods obviously meet FCC regulations for RF emissions.

    The real concern is why pacemakers are made so they are susceptible to such interference. What happens when a user is exposed to an intentional RF radiator, which would be expected to put out much more power, and consequently cause problems at much greater distance?

    It should be obvious that more study must be done - at what frequencies are pacemakers most affected? Might an 802.11 device, for example, be even more disruptive?

    --
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    1. Re:This is a bit biased... by neapolitan · · Score: 2, Informative

      802.x frequencies generally don't cause any problem if they stay in the frequency range, but at extremely close proximity any RF source would give significant power to frequencies outside this range and could contribute to noise seen by the device...

      In fact, Guidant released a defibrillator/pacer awhile back that programmed wirelessly, I believe in the 802.11 spectrum.

      http://www.guidant.com/news/500/web_release/nr_000 570.shtml

      This opens up a whole realm of bad possibilities, to your ambitious neighbor kid reprogramming your device to accidental interference. Of course, the engineers prepared for this -- one must initiate programming with a wand / frequency outside 802.11, which only has a range of 2 inches. Thus, there can be no drive-by hacking of the device. This wireless device is not used much (in fact, I've never seen one outside the research setting) as the wireless convenience of programming was still regarded as a security / safety risk and did not really add too much utility...

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    2. Re:This is a bit biased... by Fred+Ferrigno · · Score: 2, Informative

      The real concern is why pacemakers are made so they are susceptible to such interference. The heart's electrical signals are very weak, so the pacemaker's sensing leads have to be incredibly sensitive in order to pick them up. Unfortunately, any ungrounded wire is an antenna, so that hyper sensitivity means that they pick up noise, even from sources that meet FCC regulations. Since the exposed lead has to be in physical contact with the heart at some point, there's no 100% effective way to eliminate the noise. It's a known problem with the very concept of a pacemaker.
  8. Easy... by adona1 · · Score: 5, Funny

    They did try to do the same study with the Zune, but were unable to find anyone to participate

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  9. The answer is obvious by commodoresloat · · Score: 2, Funny

    It's because the iPod has DRM.

    (not only that; you should see how long it takes to copy a 17 megabyte file from an ipod to a pacemaker!)

    1. Re:The answer is obvious by Misch · · Score: 4, Funny

      Digital Rhythm Management?

      --

      --You will rephrase your request for me to go to hell. Goto statements are not acceptable programming constructs
    2. Re:The answer is obvious by Dirtside · · Score: 4, Funny

      What song was it? "My Heart Will Go On"?

      --
      "Destroy science and religion. Science would re-emerge exactly the same; but not religion." - Penn Jillette, paraphrased
  10. Re:Frist Post by Goldberg's+Pants · · Score: 5, Funny

    "Look at that guy dancing to his iPod..."
    "He's not dancing, he's having a coronary!"
    "Either way, he's got good rhythm!"

  11. touch sensor, maybe by SuperBanana · · Score: 4, Insightful

    how can they possibly be doing this, and it not be a problem for other players?

    Well, for one thing, the touch-sensitive scroll-wheel is somewhat (though certainly not completely) unique. They use capacitive touch sensing. They utilize a low-voltage, low current AC voltage to measure the change in capacitance when you move your finger over the sensor. The googles say 102kHz is common.

    My "second generation" nano produces a high-pitched noise whenever it's on- it's noticeable if you have it within 2 feet or so of your head. I'm pretty sure it is the inverter that generates the AC current, but if it's 120kHz, that shouldn't be possible, unless there's a resonant frequency in the audible range.

    Maybe the sensor just happens to use a frequency that confuses pacemakers. Now that Apple is aware of the problem, they might do some testing and change it on future iPods.

    1. Re:touch sensor, maybe by hazem · · Score: 3, Informative

      My "second generation" nano produces a high-pitched noise whenever it's on- it's noticeable if you have it within 2 feet or so of your head. I'm pretty sure it is the inverter that generates the AC current, but if it's 120kHz, that shouldn't be possible, unless there's a resonant frequency in the audible range.

      That's a known problem and you can get a warranty replacement. I bought one and as soon as I turned it on I notice the sound. Googled and found many people complained about it. I called the mac store and they said bring it back and they gave me a replacement with no hassles.

    2. Re:touch sensor, maybe by Agripa · · Score: 2, Interesting

      The capacitance sensor electronics run at such a low power level that I am certain that is not the cause of the noise you are hearing. The main switching power supply is a much more likely candidate.

    3. Re:touch sensor, maybe by smellsofbikes · · Score: 2, Interesting

      I just walked down the hall and asked the guy who designed about 70% of the switchers for the various ipods, and he said they run at "about 600 KHz" fwiw. I bet it's not them.

      --
      Nostalgia's not what it used to be.
  12. Pure Sensationlism by Anonymous Coward · · Score: 5, Informative

    I'm an engineer who works for a pacemaker company, and from what I've understood on this hype, the iPod is just disrupting communication with the cardiologist's programming station. "The equipment to misread the heart's pacing" is misunderstood as the pacemaker missing the heart's pace, but I believe it much more likely to be the programming station missing the real time EKG stream to the programming station. With the exception of that lone device, I bet the rest of the pacemakers paced and performed as properly as they could with a noisy communication channel. The communication protocols for the devices I've worked on are often wrapped with many parity checks and CRCs. And yes, modern pacemakers are even run through lengthy tests of randomly hitting them with a multitude of communication errors to make sure these situations are covered.

    So in short, this is just a poorly written and misleading article that is going to feed off the public's misunderstanding of technology.

  13. Nothing like... by davidsyes · · Score: 4, Funny

    heart-felt music....

    (Captcha: "leaking")

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  14. Re:iPods and pacemakers don't mix?! by Babbster · · Score: 5, Informative

    Despite the fact that you've been modded into oblivion, I'll respond because it's a fairly common belief that people with heart problems requiring a pacemaker are always restricted in terms of their cardiovascular activity. In fact, pacemakers are often prescribed to treat symptoms such as exercise intolerance, and the patients who have them can often exercise just as vigorously as anyone else (barring other physical problems). A quick googling turned up this American Heart Association paper which details many of the common misconceptions associated with pacemaker use.

  15. No problems with my pacemaker by Anonymous Coward · · Score: 3, Informative

    I'm 31 and I've got a pacemaker (implanted when I was 17) and I have not experienced any problems when using my 5th generation iPod. I don't keep the iPod on top of my pacemaker, either, but I can't recall ever having a problem when using the iPod. I use lots of wireless devices as well (blackberry pearl, MS wireless keyboard, bluetooth headset, etc) and don't experience any problems. Again, as the manufacturers of the devices and the pacemakers recommend, I usually keep the devices a few inches from the pacer (and most often use the phone on the ear opposite the pacer implant location).
    The study should include information about the pacer models and manufacture dates...perhaps these were very old units.

  16. Re:where's all the EM noise coming from by Anonymous Coward · · Score: 3, Interesting

    I work for a pacemaker company and have personally seen the vast amount of engineering and V&V that goes into a new pacemaker. Pacemakers aren't just slapped together by a 4 or 5 guys in a weekend, and the FDA says "Yeah that looks about right." They are built over the course of years, by teams of dozens and dozens of hardware and software engineers with a mind numbing amount of V&V. Then the FDA goes through their literally thousands of test results with a fine tooth comb.

    That said, I think the biggest problem I could see happening is if an external device somehow managed to fake out a "wake up and communicate" pulse and caused an unnecessary power drain on the pacemaker.

  17. Re:Frist Post by bccomm · · Score: 5, Funny

    neil diamond

    Still searching for that artificial heart of gold, eh? I know the feeling.

  18. Re:That is not... by stephanruby · · Score: 2, Informative

    stated in the article, or any reference to this issue that I can find. Can you provide a cite to back that up? If it were true, the the title would be even more misleading, since it's not all iPods, but is all harddrives.

    The article is misleading, yes, but it is not the magnet that's doing the interference. In 1995 cell phones were also found to interfere with pacemakers at the same range. This is not news, there are a number of devices that can interfere with pacemakers -- all patients with pacemakers already know this.

  19. Regarding sensationalism... by neapolitan · · Score: 5, Interesting
    I am a cardiologist (a lot of electrophysiologists are interested in devices, electronics, and are quite computer-savvy!)

    msuave: Yes, a pacemaker or defibrillator is essentially inside a faraday cage already. They are generally titanium or steel encased, and designed to resist most radiation fields that are encountered in everyday life. However, faraday cages are not perfect, and the pacemaker has to have leads come out to thread into the heart. Just as you can use your cellphone inside a metal plane (also a faraday cage), some degree of radiation will be seen by the pacemaker electronics. In general, these devices are programmed by placing a wand over the device which essentially communicates by RF to the internal device -- if it was a perfect cage, it couldn't even be reprogrammed except by physically accessing the device (e.g. minor surgery.)

    AC: Agreed regarding the sensationalism. Our practice tells EVERY pacemaker and defib recipient a list of things they should and shouldn't do. We counsel patients to hold their cellphone in their RIGHT hand and only crunch it between their right shoulder and ear, as almost all pacemakers are implanted on the left side. In general microwaves are ok, and patients are given a letter and card for the airport, where they can be wanded. Quite clearly, if somebody puts another RF emitting device RIGHT ON TOP of the implant, it could cause some interference. No, this is not unique to ipods. Again, if you actually talk to grandpa, I'm sure he knows this, especially if he was implanted by us. :) This "research" is quite ridiculous.

    Finally, agreed regarding the description of the findings -- if it is just interrupting transmission of data to the programmer, this is a lot less dangerous than scrambling the internal signal seen by the pacemaker. The pacemakers are designed to recognize noise, again for the expected interference as noted above, and can handle this using many filters (e.g. something at 60 Hz is probably NOT coming from your body.)

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    1. Re:Regarding sensationalism... by Anonymous Coward · · Score: 3, Insightful
      I saw you were already modded +5. so I will comment instead of modding you up.

      I am an engineer, and share your suspicion this is groundless news sensationalism.

      The IPod is NOT a transmitting device. Yes, it does have a processor. And WILL emit *some* EMI. But not that much. If it did, we would have already heard scores of complaints from radio and television owners.

      My own observations ( from spectral analysis of existing problems ) is that an ordinary switcher flourescent tube ballast or CRT-based TV set radiates orders of magnitude more EMI than an IPod could ever muster.

      Those things are handling powers in the order of tens of watts. The IPod is only working with milliwatts. It has to. Or the batteries would not last very long.

      And if the IPod was radiating much EMI, good luck to the analog engineers who had to make its audio innards work.

      My own take is this claim is as overblown as the claim that power lines cause cancer.

      If the EMF fields of power lines could cause cancer, I suggest all radio amateurs should have died a long time ago, same with CB operators. I have been around fields generating 1KW of power - which is way, way, way more than most people ever get exposed to - quite a bit. If ANYONE gets leukemia from exposure to high energy electronic fields, *I* SHOULD have been FIRST IN LINE!.

      The WWII radar operators got exposed to radar beams so strong they melted chocolate bars in their pocket ( which is how we discovered Microwaves made a good cooking appliance... the original Litton RadarRange ). Now, they DID get a glaucoma like problem if the microwaves cooked their eyes, much like the cooking of an egg, as the eyes do not have a mechanism for dissipating heat, and the transparent vitreous humor within the eye will congeal like the white of an egg if heated, but other than that, I have seen nothing.

      News senastionalism sells papers, and panics the public. But its just selling FEAR.

      Before I get too worked up over it, I want to see the data, and make my decision based on that.

      If anyone has been affected by an IPod, I would love to see the pacemaker itself and the spectral analysis of anything the IPod could have emitted which could have possibly affected it.

      Until I find supporting evidence ( which I can not imagine there could possibly be any ), I would hold this as a scare story sans merit.

      My own EMI analyses show simple lamp dimmers and motor speed controls emit way, way, way more EMI than I could ever see from an IPod. My simple power drill emits EMI so nasty it completely screws up TV all over the house.

      I can show you old-style cars whose ignition circuit can screw up the entire neighborhood!

      And a lightning bolt? For me, off the scale. But I do design my stuff to take it. I know the biomed engineers are far more into this than I, and my stuff keeps going through thunderstorms.

      If one feels insecure, by all means, consult your cardioligist. For me, personally, its not something I would lose sleep, or ditch my IPod, over. My own feeling is that its like blaming a car crash on the inertia of a fly which landed on your car.

  20. lol by Dunbal · · Score: 4, Funny

    While there do not appear to be any long term effects, iPods disrupt the operation of the pacemaker.

    I don't understand this sentence. Oh wait, this is slashdot.

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  21. Re:No way in heck by Fred+Ferrigno · · Score: 2, Insightful

    First off, the various standards only set a maximum limit for interference. It is practically impossible to eliminate it entire and the iPod certainly emits its fair share. Secondly, since the heart's electrical signals do not generate very much current, the pacemaker's sensing leads are necessarily very sensitive. They are so sensitive that they will pick up interference from nearby EMI sources. It's a known problem with the fundamental concept of a pacemaker. The manufacturers do their best to protect against it, but mostly the only thing you can do is maintain physical distance.

  22. Re:iPods and pacemakers don't mix?! by heinousjay · · Score: 2, Funny

    I think the problem here is simple: joke - funny = stupid statement. You got caught in the whirlwind is all.

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