電気メスによる植込みペースメーカの受ける障害

水沼 裕光; 池田 晃治; 水野 明; 須藤 憲一; 小石沢 正; 森田 裕; 柳沢 肇; 海野 透理; 林 信成; 田所 雅克; 野口 顕一; 小久保 純; 佐藤 雅子; 吉崎 正人

doi:10.11392/jsao1972.20.1018

HAZARDS IN THE IMPANTABLE GENERATORS BY ELECTROSURGERY

H MIZUNUMA, K IKEDA, A MIZUNO, K SUDO, T KOISIZAWA, H MORITA, H YANAGISAWA, T UNNO, N HAYASHI, M TADOKORO, K NOGUCHI, J KOKUBO, M SATO, M YOSIZAKI

Author information

H MIZUNUMA
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
K IKEDA
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
A MIZUNO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
K SUDO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
T KOISIZAWA
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
H MORITA
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
H YANAGISAWA
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
T UNNO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
N HAYASHI
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
M TADOKORO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
K NOGUCHI
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
J KOKUBO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
M SATO
Department of Thracic and Cardiovascular Surgery Kyorin University, School of Medicine
M YOSIZAKI
[in Japanese]

Keywords: electrosurgery, hardware base pacemaker, software base pacemaker

JOURNAL FREE ACCESS

1991 Volume 20 Issue 3 Pages 1018-1022

DOI https://doi.org/10.11392/jsao1972.20.1018

Details

Abstract

We tested a total of 50 generators (37hardware base pacemakers and 13 software base pacemakers/37 VVI, 3 VVIR and 10 DOD) using electrosurgery unit. We concluded that pacemaker and its electrode should not be located between reference and active electrode of the electrosurgery, active electrode of the electrosurgery should not be touch the pacemaker, electromagnetic interference (EMI) protected monitors should be require all the time the electro-surgery is used, and complete re-examination of the all parameters of the generator should be done postoperatively to confirm the proper function of the pacemaker.

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