1. bookVolume 13 (2013): Issue 5 (October 2013)
Journal Details
License
Format
Journal
eISSN
1335-8871
First Published
07 Mar 2008
Publication timeframe
6 times per year
Languages
English
access type Open Access

Influence of Mobile Phones on the Quality of ECG Signal Acquired by Medical Devices

Published Online: 02 Nov 2013
Volume & Issue: Volume 13 (2013) - Issue 5 (October 2013)
Page range: 231 - 236
Journal Details
License
Format
Journal
eISSN
1335-8871
First Published
07 Mar 2008
Publication timeframe
6 times per year
Languages
English
Abstract

Health aspects of the use of radiating devices, like mobile phones, are still a public concern. Stand-alone electrocardiographic systems and those built-in, more sophisticated, medical devices have become a standard tool used in everyday medical practice. GSM mobile phones might be a potential source of electromagnetic interference (EMI) which may affect reliability of medical appliances. Risk of such event is particularly high in places remote from GSM base stations in which the signal received by GSM mobile phone is weak. In such locations an increase in power of transmitted radio signal is necessary to enhance quality of the communication. In consequence, the risk of interference of electronic devices increases because of the high level of EMI.

In the present paper the spatial, temporal, and spectral characteristics of the interference have been examined. The influence of GSM mobile phone on multilead ECG recordings was studied. It was observed that the electrocardiographic system was vulnerable to the interference generated by the GSM mobile phone working with maximum transmit power and in DTX mode when the device was placed in a distance shorter than 7.5 cm from the ECG electrode located on the surface of the chest. Negligible EMI was encountered at any longer distance.

Keywords

[1] Ministry of Internal Affairs and Communications - MIC. (2007). Study report on the effect of radio waveson medical devices.Search in Google Scholar

[2] Baranchuk, A., Kang, J., Shaw, C., Campbell, D., Ribas, S., Hopman, W.M. et al. (2009). Electromagnetic interference of communication devices on ECG machines. Clinical Cardiology, 32 (10), 588-592.10.1002/clc.20459665293019824066Search in Google Scholar

[3] van Lieshout, E.J., van der Veer, S.N., Hensbroek, R., Korevaar, J.C., Vroom, M.B., Schultz, M.J. (2007). Interference by new-generation mobile phones on critical care medical equipment. Critical Care, 11 (5), R98.10.1186/cc6115255674117822524Search in Google Scholar

[4] Wallin, M.K., Marve, T., Hakansson, P.K. (2005).Modern wireless telecommunication technologies and their electromagnetic compatibility with lifesupporting equipment. Anesthesia and Analgesia, 101 (5), 1393-1400.10.1213/01.ANE.0000180216.83554.0016244000Search in Google Scholar

[5] Periyasam, M., Dhanasekaran, R. (2013).Electromagnetic interference on critical medical equipments by RF devices. In InternationalConference on Communications and SignalProcessing (ICCSP), 3-5 April 2013. IEEE, 78-82.10.1109/iccsp.2013.6577019Search in Google Scholar

[6] Luca, C., Salceanu, A. (2012). Study upon electromagnetic interferences inside an intensive care unit. In International Conference and Exposition onElectrical and Power Engineering (EPE 2012), 25-27 October 2012. IEEE.10.1109/ICEPE.2012.6463878Search in Google Scholar

[7] Nakai, K., Takahashi, S., Suzuki, A., Hagiwara, N., Futagawa, K., Shoda, M. et al. (2011). Novel algorithm for identifying T-wave current density alternans using synthesized 187-channel vectorprojected body surface mapping. Heart and Vessels, 26 (2), 160-167.10.1007/s00380-010-0042-z21052691Search in Google Scholar

[8] Calcagnini, G., Censi, F., Bartolini, P. (2007).Electromagnetic immunity of medical devices: The European regulatory framework. Annali - IstitutoSuperiore di Sanita, 43 (3), 268-276.Search in Google Scholar

[9] Fernández-Chimeno, M., Silva, F. (2010). Mobile phones electromagnetic interference in medical environments: A review. In IEEE InternationalSymposium on Electromagnetic Compatibility (EMC), 25-30 July 2010. IEEE, 311-316.Search in Google Scholar

[10] Bit-Babik, G., Morrissey, J.J., Faraone, A., Balzano, Q. (2007). Electromagnetic compatibility management of wireless transceivers in electromagneticinterference- sensitive medical environments. Annali -Istituto Superiore di Sanita, 43 (3), 218-224.Search in Google Scholar

[11] Lawrentschuk, N., Bolton, D.M. (2004). Mobile phone interference with medical equipment and its clinical relevance: A systematic review. Medical Journal ofAustralia, 181 (3), 145-149.10.5694/j.1326-5377.2004.tb06205.x15287832Search in Google Scholar

[12] Morrissey, J.J., Swicord, M., Balzano, Q. (2002).Characterization of electromagnetic interference of medical devices in the hospital due to cell phones.Health Physics, 82 (1), 45-51.10.1097/00004032-200201000-0000611768798Search in Google Scholar

[13] Tri, J.L., Severson, R.P., Firl, A.R., Hayes, D.L., Abenstein, J.P. (2005). Cellular telephone interference with medical equipment. Mayo Clinic Proceedings, 80 (10), 1286-1290.10.4065/80.10.128616212140Search in Google Scholar

[14] Hietanen, M., Sibakov, V., Hällfors, S., von Nandelstadh, P. (2000). Safe use of mobile phones in hospitals. Health Physics, 79 (5 Suppl), S77-S84.10.1097/00004032-200011001-0001011045516Search in Google Scholar

[15] Barbaro, V., Bartolini, P., Bellocci, F., Caruso, F., Donato, A., Gabrielli, D. et al. (1999). Electromagnetic interference of digital and analog cellular telephones with implantable cardioverter defibrillators: In vitro and in vivo studies. PACE, 22 (4 Pt 1), 626-634.10.1111/j.1540-8159.1999.tb00504.xSearch in Google Scholar

[16] Bassen, H.I., Moore, H.J., Ruggera, P.S. (1998).Cellular phone interference testing of implantable cardiac defibrillators in vitro. PACE, 21 (9), 1709-1715.10.1111/j.1540-8159.1998.tb00268.xSearch in Google Scholar

[17] Karczmarewicz, S., Janusek, D., Buczkowski, T., Gutkowski, R., Kulakowski, P. (2001). Influence of mobile phones on accuracy of ECG interpretation algorithm in automated external defibrillator.Resuscitation, 51 (2), 173-177.10.1016/S0300-9572(01)00406-3Search in Google Scholar

[18] Censi, F., Calcagnini, G., Triventi, M., Mattei, E., Bartolini, P. (2007). Interference between mobile phones and pacemakers: A look inside. Annali -Istituto Superiore di Sanita, 43 (3), 254-259.Search in Google Scholar

[19] Gwechenberger, M., Rauscha, F., Stix, G., Schmid, G., Strametz-Juranek, J. (2006). Interference of programmed electromagnetic stimulation with pacemakers and automatic implantable cardioverter defibrillators. Bioelectromagnetics, 27 (5), 365-377.10.1002/bem.2021716607622Search in Google Scholar

[20] Hekmat, K., Salemink, B., Lauterbach, G., Schwinger, R.H., Sudkamp, M., Weber, H.J. et al. (2004).Interference by cellular phones with permanent implanted pacemakers: An update. Europace, 6 (4), 363-369.10.1016/j.eupc.2004.03.01015172661Search in Google Scholar

[21] Tri, J.L., Hayes, D.L., Smith, T.T., Severson, R.P. (2001). Cellular phone interference with external cardiopulmonary monitoring devices. Mayo ClinicProceedings, 76 (1), 11-15.10.4065/76.1.1111155403Search in Google Scholar

[22] Ming, H., Zhang, Y., Pan, W. (2006). Evaluation and removal of EMI between ECG monitor and GSM mobile phones. In IET International Conference onWireless, Mobile and Multimedia Networks, 6-9November 2006. IEEE, 1-4.10.1049/cp:20061606Search in Google Scholar

[23] Calcagnini, G., Floris, M., Censi, F., Cianfanelli, P., Scavino, G., Bartolini, P. (2007). Electromagnetic interference with infusion pumps from GSM mobile phones. Health Physics, 90, 357-360.10.1097/01.HP.0000183559.25124.5d16538140Search in Google Scholar

[24] Calcagnini, G., Censi, F., Triventi, M., Mattei, E., LoSterzo, R., Marchetta, E., Bartolini, P. (2008).Electromagnetic interference to infusion pumps.Update2008 from GSM mobile phones. In Engineering in Medicine and Biology Society (EMBS2008) : 30th Annual International Conference of theIEEE, 20-25 August 2008. IEEE, 4503-4506.Search in Google Scholar

[25] Shaw, C.I., Kacmarek, R.M., Hampton, R.L., Riggi, V., El Masry, A., Cooper, J.B. et al. (2004). Cellular phone interference with the operation of mechanical ventilators. Critical Care Medicine, 32 (4), 928-931.10.1097/01.CCM.0000120061.01431.DBSearch in Google Scholar

[26] Barbaro, V., Bartolini, P., Benassi, M., Di Nallo, A.M., Reali, L., Valsecchi, S. (2000). Electromagnetic interference by GSM cellular phones and UHF radios with intensive-care and operating-room ventilators.Biomedical Instrumentation & Technology, 34 (5), 361-369.Search in Google Scholar

[27] Medical Devices Agency. (1997). Electromagneticcompatibility of medical devices with mobilecommunications. London, UK: Department of Health.Search in Google Scholar

[28] Hahn, I.H., Schnadower, D., Dakin, R.J., Nelson, L.S. (2005). Cellular phone interference as a cause of acute epinephrine poisoning. Annals of EmergencyMedicine, 46 (3), 298-299.10.1016/j.annemergmed.2005.03.02616126144Search in Google Scholar

[29] Aziz, O., Sheikh, A., Paraskeva, P., Darzi, A. (2003).Use of mobile phones in hospital: Time to lift the ban? The Lancet, 361 (9359), 788.10.1016/S0140-6736(03)12652-9Search in Google Scholar

[30] Soto, R.G., Chu, L.F., Goldman, J.M., Rampil, I.J., Ruskin, K.J. (2006). Communication in critical care environments: Mobile phones improve patient care.Anesthesia and Analgesia, 102 (2), 535-541.10.1213/01.ane.0000194506.79408.7916428557Search in Google Scholar

[31] Morrissey, J.J. (2004). Mobile phones in the hospital: Improved mobile communication and mitigation of EMI concerns can lead to an overall benefit to healthcare. Health Physics, 87, 82-88.10.1097/00004032-200407000-0001115194927Search in Google Scholar

[32] Lota, A.S. (2011). ECG interference from the iPhone.Emergency Medicine Journal, 28 (10), 906-907.10.1136/emermed-2011-20007821622919Search in Google Scholar

[33] Knight, B.P., Pelosi, F., Michaud, G.F., Strickberger, S.A., Morady, F. (1999). Clinical consequences of electrocardiographic artifact mimicking ventricular tachycardia. New England Journal of Medicine, 341 (17), 1270-1274.10.1056/NEJM19991021341170410528037Search in Google Scholar

[34] Colak, Z.A., Helhel, S., Basyigit, I., Ozen, S. (2010).Safety distance for medical equipments based on 2G and 3G mobile systems. In 15th National BiomedicalEngineering Meeting (BIYOMUT), 21-24 April 2010.IEEE, 1-3.10.1109/BIYOMUT.2010.5479764Search in Google Scholar

[35] European Telecommunications Standards Institute. (1996). Digital cellular telecommunications system;Full rate speech; Discontinuous Transmission (DTX)for full rate speech traffic channels (GSM 06.31version 5.0.0). ETS 300 964.Search in Google Scholar

[36] European Telecommunications Standards Institute. (1997). Digital cellular telecommunications system;Half rate speech; Discontinuous Transmission (DTX)for half rate speech traffic channels (GSM 06.41version 5.0.1). ETS 300 972.Search in Google Scholar

[37] European Telecommunications Standards Institute. (1997). Digital cellular telecommunications system(Phase 2); Discontinuous Transmission (DTX) forEnhanced Full Rate (EFR) speech traffic channels(GSM 06.81 version 4.0.1). ETS EN 301 248 V4.0.1.Search in Google Scholar

[38] European Telecommunications Standards Institute. (2001). Digital cellular telecommunications system(Phase 2+); Discontinuous Transmission (DTX) forAdaptive Multi-Rate (AMR) speech traffic channels(GSM 06.93 version 7.2.1 Release 1998). ETS EN 301 707 V7.1.1.Search in Google Scholar

[39] Fereniec, M., Kania, M., Maniewski, R. (2007).Optimal leads selection for repolarization phase analysis. Measurement Science Review, 2 (1), 1-4.Search in Google Scholar

[40] Fereniec, M., Stix, G., Kania, M., Mroczka, T., Janusek, D., Maniewski, R. (2011). Risk assessment of ventricular arrhythmia using new parameters based on high resolution body surface potential mapping.Medical Science Monitor, 17 (3), MT26-MT33.10.12659/MSM.881436352472521358612Search in Google Scholar

[41] SippensGroenewegen, A., Spekhorst, H., van Hemel, N.M., Kingma, J.H., Hauer, R.N., de Bakker, J.M. et al. (1993). Localization of the site of origin of postinfarction ventricular tachycardia by endocardial pace mapping. Body surface mapping compared with the 12-lead electrocardiogram. Circulation, 88 (5 Pt 1), 2290-2306.Search in Google Scholar

[42] Clifford, G.D. (2006). ECG statistics, noise, artifacts, and missing data. In Advanced Methods and Tools forECG Data Analysis. Artech House.Search in Google Scholar

[43] Sandwell, D.T. (1987). Biharmonic spline interpolation of GEOS-3 and SEASAT altimeter data.Geophysical Research Letters, 2, 139-142. 10.1029/GL014i002p00139Search in Google Scholar

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