RFID Tags Can Interfere With Medical Devices
An anonymous reader writes "A new study suggests RFID systems can cause 'potentially hazardous incidents in medical devices.' (Here is the JAMA study's abstract.) Among other things, electrical interference changed breathing machines' ventilation rates and caused syringe pumps to stop. Some hospitals have already begun using RFID tags to track a wide variety of medical devices, but the new finding suggests the systems may have unintended consequences."
The radio frequency identification, or RFID, is an inherently flawed idea. It is a technological solution to a social problem that it created. It is a threat to our security, our privacy, our freedom, and now also our health! And this is not a just conspiracy theory. Some of the most respectable members of our society are protesting against RFID technology, including Bruce Schneier and even Richard Stallman. My only question is, how much more insult to our intelligence can we take as a society before we start actively protesting? Our freedom, our privacy, our health and our dignity is being taken from us and all we can do is complain on the Internet? Where are the protesting groups? Where are the outraged people desperate to change the situation? Where are the angry mobs? What else are we going to let them take away from us before we stop talking and start acting?
Karma: Positive (probably because of superiour intellect)
Interesting -- Slashdot has talked about this kind of thing before and I remember responding:
http://science.slashdot.org/comments.pl?sid=234315&cid=19078365
Every time I read something like this I get a bit frustrated. I can't paste the whole article for copyright reasons, but I am hoping a kind AC will. Either way, the gist of the article is that when very close (some have interference "distances" of 0.1 cm) RFID active readers / transmitters may interfere with some medical equipment.
The interobserver variability in the study was high, and they defined an event very broadly, essentially as any change in the operation of a device. It is a bit aggressive -- and I fear that good technology may inadvertently be stifled for "interference" concerns...
Slashdotter, ID #101. UIDs are in binary, right?
..that people with these devices don't receive any mail via snail.
Electromagnetic compatability is a huge undertaking in the hardware world.
As an example, IEEE EMC society:
http://www.ewh.ieee.org/soc/emcs/
I would be very curious to know if any EMC work was done between all of theses devices? Nothing indicated of substance in the article.
my 20 cents (adjusted for inflation and to account for the energy costs per post) :)
jerry
www.effectiveelectrons.com "chips that work" Analog, RF, Mixed Signal
I dub thee harzardous technology of the week. You can now join the cellphone, TV, radio, power grid, Internet, and so on in the list of hazardous technology. Welcome on board.
alias possession='chmod 666 satan && ls
Interestingly enough, I've been approached 3 times now by people in the health care industry who have expressed a need for some time of asset tracking software and I've always given them my brother's card (his company specializes in RFID based asset tracking). Actually, one person specifically asked me if I was capable of integrating an RFID solution into their environment. I wonder how many companies are currently developing RFID based software geared towards the health care industry only to receive a backlash from the medical community when this type of information becomes common knowledge..
Procrastinators, Unite Tomorrow!!
Lets take these points one by one. First, it is not a flawed idea, it is a flawed implementation. All privacy concerns can be easily mitigated, with or without cooperation from RFID manufacturers. Pop your undies in the microwave for ten seconds and they won't be reporting back to the mothership, don't worry. Second, they are a technological solution to a physical, not social problem: inventory tracking. The fact that they are being used in other ways does not change the fact that this is what they were invented for, and they do a good job keeping costs down and efficiency up.
Bruce was complaining about their use in passports. So, screen the passports so they can't be read unless opened. Besides the passport issue, here is Stallman's fear:
Progress in gel batteries could result in RFIDs readable from 300 feet. If one of them is inserted in something you carry, you could be scanned from a block away! Total monitoring of everyone's movements could be a reality. Gosh, that could never happen with any other kind of technology, oh wait, spies have been doing that for years, and tracking people over a much longer distance. How would protesting RFID change that, exactly? There are much, much scarier things to protest against than RFID tags, get some perspective please.- None can love freedom heartily, but good men; the rest love not freedom, but license. -- John Milton
Electromagnetic Interference From Radio Frequency Identification Inducing Potentially Hazardous Incidents in Critical Care Medical Equipment
Remko van der Togt, MSc; Erik Jan van Lieshout, MD; Reinout Hensbroek, MSc; E. Beinat, PhD; J. M. Binnekade, PhD; P. J. M. Bakker, MD, PhD
JAMA. 2008;299(24):2884-2890.
ABSTRACT
Context Health care applications of autoidentification technologies, such as radio frequency identification (RFID), have been proposed to improve patient safety and also the tracking and tracing of medical equipment. However, electromagnetic interference (EMI) by RFID on medical devices has never been reported.
Objective To assess and classify incidents of EMI by RFID on critical care equipment.
Design and Setting Without a patient being connected, EMI by 2 RFID systems (active 125 kHz and passive 868 MHz) was assessed under controlled conditions during May 2006, in the proximity of 41 medical devices (in 17 categories, 22 different manufacturers) at the Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands. Assessment took place according to an international test protocol. Incidents of EMI were classified according to a critical care adverse events scale as hazardous, significant, or light.
Results In 123 EMI tests (3 per medical device), RFID induced 34 EMI incidents: 22 were classified as hazardous, 2 as significant, and 10 as light. The passive 868-MHz RFID signal induced a higher number of incidents (26 incidents in 41 EMI tests; 63%) compared with the active 125-kHz RFID signal (8 incidents in 41 EMI tests; 20%); difference 44% (95% confidence interval, 27%-53%; P lessthan .001). The passive 868-MHz RFID signal induced EMI in 26 medical devices, including 8 that were also affected by the active 125-kHz RFID signal (26 in 41 devices; 63%). The median distance between the RFID reader and the medical device in all EMI incidents was 30 cm (range, 0.1-600 cm).
Conclusions In a controlled nonclinical setting, RFID induced potentially hazardous incidents in medical devices. Implementation of RFID in the critical care environment should require on-site EMI tests and updates of international standards.
Applications of autoidentification technologies such as radio frequency identification (RFID) in everyday life include security access cards, electronic toll collection, and antitheft clips in retail clothing.1-2 RFID applications in health care have received increasing attention because of the potentially positive effect on patient safety and also on tracking and tracing of medical equipment and devices.2-11 The current expenditure levels on RFID systems within health care in the United States are estimated to be approximately $90 million per year12 with 10-year growth projections to $2 billion.13
Possible applications of RFID include drug blister packs, which could be intelligently marked to prevent drug counterfeiting; and the quality of blood products being monitored with temperature-sensitive RFID tags.2, 10 The decreasing size and cost of RFID tags also permits incorporation into surgical sponges, endoscopic capsules, and endotracheal tubes, as well as the development of a syringe-implantable glucose-sensing RFID microchip.3, 8-9,14
However, the array of literature that promotes RFID in health care is not accompanied by research on the safety of RFID technology within the health care environment.15 The potential for harmful electromagnetic interference (EMI) by electronic antitheft surveillance systems on implantable pacemakers and defibrillators has already been recognized, but EMI reports on critical care devices are lacking.16-17
The focus of the present study was to assess and classify incidents of EMI by RFID on critical care equipment.
Background
The study was part of a research project entitled "RFID in Health Care" that was initiated by the Dutch Ministry of Health18 in May 2006. The RFID application of interest was the tracking and tracing of blood products and expensive medical suppli
The Slashdot title implies the tags are the problem, but the article says what was tested was tags and readers. It's likely the readers are the problem and it doesn't matter if the tags are even there.
Thanks for adding some sensible information to the discussion. Slashdot editors seem not to be able to know the difference between science and foolish imaginings.
Here is a quote, a comment to the Wall Street Journal story:
"interference changed breathing machines' ventilation rates and caused syringe pumps to stop."
These things are FCC regulated. Should I feel safe knowing that not only are some of the systems in a hospital sensitive to EMF below FCC limits, but also that several life-critical devices FAIL under such radiation levels? For example, WHY should a syringe pump be designed so fragile that some radio waves can cause it to utterly stop?
Comment by RH - June 24, 2008 at 5:00 pm
Exactly. That's what I would have said. Here's another comment (my emphasis):
The usual ignorant hysteria. First of all, the test was of the reader, not the tags. "The median distance between the RFID reader and the medical device in all EMI incidents was 30 cm (range, 0.1-600 cm)." Second, and not available in the abstract is the AE classification. OBTW, Berwick is a shill for the trial lawyers, not a serious person.
Comment by jon - June 24, 2008 at 6:06 pm
May or may not Be noticed
Electromagnetic interference can potentially change a medical devices operation in a few ways
1) It can cause it to outright stop working where it will be noticed and corrected
or
2) It can cause it to give false readings continuously or intermittently causing a patient to br potentially killed by unnoticed false readings that causes staff to administer too much or too little medication and the patient dies
3) it can potentsily kill a patent outright when the RF interference stops some device that is in critical life care service
Medical devices are tested for strong Radio frequency fields on commonly used frequencies
However, I'll bet bet Few are tested for mirco-watt low level RF fields on odd RFID tag frequencies leading to a potential disaster
Lawyer will not have evidence or brains to prove that hss happened too soon , so its is a bad thing
Since the Power level of RFID tags are so low ,
tag position changes and wire / sensor wire routing on a patient of mere Millimeters difference can make the difference between life and death/ correct and false readings , making it that much harder to correct and detect tag generated interference issues
The problem is also 2 fold
The problem is not limited to te RFID tag itself , it can be the reader/ which sends out a more powerful transmitted RF signal than the tag itself
Every time I am near one of those RFID readers, my penis pump turns on. Its really embarrassing.
Even if you ignore this article's lack of specifics or detail (which makes it more or less FUD in my view), the title /. gave it is *flatly incorrect*. It's not the tags that are causing the interference; it is the reader/interrogator. These inexpensive passive UHF tags are just that, passive; it's the active (4W) signal that might be able to interfere.
Yes, there are serious concerns with RFID, but there's no point spreading vague FUD. In medical applications, interference obviously a very serious matter. Several groups are working on this problem, so how about we wait until we have solid results before we make up our minds?
Why are these medical devices having problems like that? I thought medical devices were SUPPOSED to be hardened against bad things and fail over nicely.
I guess not.
The interference came from the readers not the tags. The tags are passive.
Warning: this article may contain humor, sarcasm, parody, and perhaps even irony. Read at your own risk.
What is it with medical equipment? Does every piece down to a stethoscope have a radio-activated kill switch?
Remember when they were hypersensitive about cell phones in hospitals for the same reason? They still have the signs up, but no one seems to notice any more.
Sounds to me like the main issue here is how to get a grant to buy some cool stuff for your EM lab and maybe get your name in JAMA, but maybe I'm just a cynic.
my insights may be modded Funny, but at least some of my jokes are modded Insightful
There's no need to panic, politicians don't have a heart to have any side effects from this revelation.
Take Nobody's Word For It.
The field drops off at a square of distance, so a RFID reader at 10cm will have one hundredth the EM field of a reader at 1cm.
A huge % of medical deaths are due to human error (wrong drugs/dosage etc)and the correct use of RFID can go a long way to mitigate that. Clearly that would be offset if the RFID equipment was to interfere with equipment.
Medical devices should be designed to be highly robust to EM interference, but the flip side to that is that often the sensors need to be very sensitive to detect slight electrical signals in the body (pulse, brain activity etc). Still, it should be possible to design equipment that is not degraded by RFID readers.
Engineering is the art of compromise.
The machines that suffered dangerous faults should be recalled and repaired. Keeping them away from RFID readers and other sources of rf will not suffice. The fact that rf interference could cause dangerous faults means that they contain design defects such that component failures or other sorts of damage or interference could also cause dangerous faults.
And yes, I have designed medical life support equipment, though not in this century.
Warning: this article may contain humor, sarcasm, parody, and perhaps even irony. Read at your own risk.
1) The summary of the article was so incomplete that no conclusion can be drawn from the summary. Forget about even repeating the experiment. What does "mean distance" actually mean. Does that mean devices were tried at various distances and the average was 30cm? Were the results repeatable? I think the FCC requires 8" clearance from antenna.
2) Its a logical fallacy to state that because so-and-so says its bad, it must be bad.
3) Passive RFID uses open frequencies the same ones your wireless phone uses (or used to use). To say RFID is dangerous is to say wireless phones are dangerous.
And yes, I know hospitals and airplanes make you turn your cell phones (different frequencies) off - but the real risk even there is small.
Computer World
As for those afraid of being spied on. A microwave oven will toast a chip in about 2 seconds. A chip buried in your body won't work at all (you are after all "ugly bags of mostly salt water" wikipedia
As for Schneier's comments. Passive RFID is not by itself secure. It was never intended to be. There is not enough computational horsepower to do any real encryption. The tags must get their power over the air - beamed to them...
However, RFID is still subject to laws of physics. You can easily prevent someone, even with an over-powered RFID reader from reading your passport - or even knowing your passport has an RFID chip in it. A thin piece of aluminum foil would do it.
The real tough part is that with RFID + facial recognition there is no need for the customs official anymore. Who is going to tell them they are out of a job. Their lives would be reduced to random spot checks. I could just walk straight in to the country. Once inside, cover the passport in foil and back to anonymous.
In the coming years most of the containers for drugs could have RFID tags. California is pushing through a new law (E-Pedigree Law http://www.pharmacy.ca.gov/about/e_pedigree_laws.shtml) that creates a chain of custody for any drug. RFID has been one of the recommended technologies to help manufactures and everyone else in the supply-chain to deal with this law.
Having boxes with hundreds of RFID tags rolling down the hallways of a hospital doesn't seem so safe now!
I'm still trying to find the way to determine just how much power to use in a given microwave oven to fry the RFID in a new US passport, without damaging the rest of the passport (like a burn mark, or discolored ink).
--
make install -not war
A new study suggests RFID systems can cause 'potentially hazardous incidents in medical devices.
Seriously--who the f*ck designs this 'medical' equipment. I have RFID tags and readers that are near tons of computer equipment every day. Switches, routers, servers, workstations...none of them have 'potentially hazardous' incidents.
When you buy medical grade equipment, you are paying *TONS* more money, simply to make sure the electronics aren't going to fail and cause a loss of human life. How the hell does my ordinary desktop PC survive the hellish fury of the RFID scanner sitting next to it? Why can't that be duplicated in medical devices.
Am I the moron here?
There's no place like
Wild stab in the dark? Hospitals are tracking inventory better. Big medical industries aren't selling replacements as often nor as many spares. Big name medical journal uses flawed methods to find a minimal risk and then uses FUD to get the message across. Just a guess and likely I need a tinfoil beany after that one but, well, it seemed logical after my midwife g/f showed me the conflicting information put out by this same journal and then went on to try to get midwifery outlawed. (A tad bit silly an effort in many areas as a lot of areas actually recognize that the midwife, as a profession, probably came into being just after hooker and lawyer did.)
"So long and thanks for all the fish."
Just reinforce medical equipment against EM radiation. PRevent them from receiving and emitting unwanted radio waves. If an equipment can be disrupted by the faint field of an RFID, then it is probably very vulnerable to cellphones as well.
The Wise adapts himself to the world. The Fool adapts the world to himself. Therefore, all progress depends on the Fool.
Did anyone else misread the headline as "RFID Tags Can Interfere With Medical Devices" ??
life is a tragedy to those who feel, and a comedy to those who think
I am an EE and RFID developer. The susceptible equipment should be treated as 'in need of repair' in my opinion. Even back in the 70s cardiac care units used 5 watt UHF radios for telemetry, which is more than a typical RFID reader radiates. This may be a case where no one has studied it before.
And before I become a lightning rod for the tin-foil-hat crowd, let me say I agree that privacy should be a top issue for RFID systems development and deployment. But it has the potential of being a very useful supply chain tool as well.
See here:
http://www.freepatentsonline.com/y2007/0132593.html
And so the cat and mouse game begins...