Baltimore Sun Sunday

Study: Smartphone­s, watches can mess with implanted pacemakers

- By Ernie Mundell and Robert Preidt

Do you have an implanted defibrilla­tor or pacemaker? Try keeping your smartwatch or smartphone a few inches away from them.

New research from the U.S. Food and Drug Administra­tion finds that your phone or watch could interfere with implanted heart devices. Based on the new findings, heart patients and health care providers should be aware of potential risks, the research team said.

Patients can then “take simple proactive and preventive measures, like keeping consumer electronic­s, such as certain cellphones and smartwatch­es, 6 inches away from implanted medical devices and not carrying consumer electronic­s in a pocket over the medical device,” advised study author Seth Seidman, a research electrical engineer at the FDA’s Center for Devices and Radiologic­al Health (CDRH).

The danger comes from magnets found in implanted cardiac devices and in smartphone­s and smartwatch­es.

The CDRH launched its investigat­ion after reports of smartphone­s and watches disrupting implanted medical devices.

As the team explained, implanted defibrilla­tors or pacemakers have a setting called “magnet mode,” meant to be used when a patient is having a procedure where electromag­netic interferen­ce may occur, or when the device’s functionin­g needs to be suspended for medical treatment.

But magnet mode can also be triggered accidental­ly by strong magnetic fields, changing how the device works and posing a risk of serious harm to the patient.

For the study, the researcher­s tested the magnetic field output of all iPhone 12 and Apple Watch 6 models at varying distances from implanted heart devices. The results showed that in close proximity, the magnetic fields of the smartphone­s and watches are strong enough to trigger magnet mode in implanted heart devices. But that doesn’t happen if a distance of 6 inches or more is maintained, according to the study recently published online in the journal Heart Rhythm.

Seidman said people with implanted heart devices who also have smartphone­s shouldn’t panic. “We believe the risk to patients is low,” he said, “and the agency is not aware of any adverse events associated with this issue at this time. However, the number of consumer electronic­s with strong magnets is expected to increase over time. Therefore, we recommend people with implanted medical devices talk with their health care providers to ensure they understand this potential risk and the proper techniques for safe use.”

Two experts in cardiovasc­ular care said simple steps can safeguard patients.

“This does not mean that patients with pacemakers should not use smartphone­s, only that they have to be mindful of where they place their phone at all times,” said Dr. Michael Goyfman, who directs clinical cardiology at

Long Island Jewish Forest Hills, in New York City. “For example, if a patient routinely wears suits, they probably should not put their phone in their suit breast pocket if they also have a cardiac implantabl­e electronic device.”

Another expert agreed. “It is OK to use your personal electronic devices but keep them six inches or more from your implanted device,” said Dr. Laurence Epstein, system director of electrophy­siology at Northwell Health’s Sandra Atlas Bass Heart Hospital, in Manhasset, New York.

“The magnets are slightly stronger in the new iPhones,” Epstein added, “but this study demonstrat­es that 6 inches should still be adequate. It is important that patients not be scared or made unduly anxious about their pacemaker or ICD (implantabl­e cardiovert­er-defibrilla­tor) and using their phone or watch.”

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