Occupational Exposure to Electromagnetic Radiation: Defibrillator Implant Safety and Guidelines
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This session addresses the safety and risks associated with occupational exposure to electromagnetic radiation for individuals with implanted defibrillators, particularly in a laboratory setting. Dr. Bruce Murdoch from Argonne National Laboratory outlines typical ICD device dimensions, exposure limit recommendations, and presents a case study involving an accelerator operator with an ICD. The session emphasizes the importance of understanding electromagnetic vulnerabilities at work and provides insights into effective survey plans and safety protocols.
Occupational Exposure to Electromagnetic Radiation: Defibrillator Implant Safety and Guidelines
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Presentation Transcript
Defibrillator Implants: Occupational Exposure to Electromagnetic Radiation Bruce Murdoch PhD CHP CLSO Argonne National Laboratory Argonne, IL USA btmurdoch@anl.gov AIHce 2011, Portland OR Roundtable Session RT 201
Typical ICD Device Dimensions: 2” X 2.5” X 0.2” AIHce 2011, Portland OR
Implant Placement EM Vulnerabilities Leads Control Unit Failure Modes False Trigger Stopping Source: www.defibrillator-help.com AIHce 2011, Portland OR
CASE STUDYWhere? APS (Advanced Photon Source)Who?Accelerator Operator w/ICDWhy? Work Clearance AIHce 2011, Portland OR
APS Control Room AIHce 2011, Portland OR
Manufacturer Test Standard • ANSI/AAMA PC69 - 2007 AIHce 2011, Portland OR
Typical Manufacturer (Medtronic) Exposure Limit Recommendations • Static B-Field B ≤ 0.5 mT (5G) • 50/60 Hz B ≤ 0.1 mT (1G) E ≤ 6000 V/m • ≥ 10 kHz B ≤ 1.25 mT (12.5 G) • R-F E-Field (≥ 150 kHz) E ≤ 100 V/m AIHce 2011, Portland OR
ACGIH 2010 TLV Book Exposure Limit Recommendations • Static B-Field B ≤ 0.5 mT (5G) • ELF (5 Hz–2kHz) B ≤ 0.1 mT (1G) • VLF (2kHz–400 kHz) No recommendation • R-F (100 kHz–3GHZ) E ≤ 3-10 V/m AIHce 2011, Portland OR
Static B-Fields MetroLab Model ETM-1 3-Axis Magnetometer AIHce 2011, Portland OR
ELF Holaday HI-3627 ELF Magnetic Field Meter w/ HI-3602 Probe 30 Hz – 2 KHz AIHce 2011, Portland OR
VLF Holaday HI-3637 VLF Magnetic Field Meter w/ HI-3091 Probe 2kHz – 400 KHz AIHce 2011, Portland OR
R-F Narda NBM-520 RF Survey Meter w/ EF3091 E-Field Probe 100 kHz – 3 GHz AIHce 2011, Portland OR
Spectrum Coverage RF AIHce 2011, Portland OR
The Instrument Ensemble AIHce 2011, Portland OR
Survey Plan • Daily Control Room work area • Weekly maintenance walkthroughs • ESH Coordinator guidance • 84 specific survey locations plus area sweeps • Full spectrum survey at each location AIHce 2011, Portland OR
Control Room Panels AIHce 2011, Portland OR
Electrical Distribution Room ELF: B ≤ 0.4 G @ 6 inches from transformer RF: E ≤ 4 V/m AIHce 2011, Portland OR
Mezzanine RF System Freq = 325 MHz E(RF) up to 3.5 V/m @ 6 in. AIHce 2011, Portland OR
Power Control Systems AIHce 2011, Portland OR
Pulser Power Transformers AIHce 2011, Portland OR
RF Distribution Waveguides Freq = 325 mHz AIHce 2011, Portland OR
Linac Klystrons Freq = 2.8565 GHz E(RF) = 2 V/m @ 1 ft AIHce 2011, Portland OR
Case Study Results • Employee barred from • Fundamental RF Room: 7 V/m RF • Electrical Distribution Room: 4 V/m RF • Cautions • Some instrument racks: 4 V/m RF @ 12” • Some waveguides: 3.5 V/m RF @ 12” AIHce 2011, Portland OR
Credits • Technical Assistance • Mary Malik • Adam Sauter • Photography • George Joch • Edmund Chang AIHce 2011, Portland OR