5G Service and Pacemakers/Implantable Defibrillators: What Is the Actual Risk?

Author:

Vivarelli Cecilia12,Censi Federica1,Calcagnini Giovanni1,De Ruvo Ermenegildo3,Calò Leonardo3,Mattei Eugenio1ORCID

Affiliation:

1. Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy

2. Department Ingegneria Civile e Ingegneria Informatica (DICII), University of Rome Tor Vergata, 00133 Rome, Italy

3. Policlinico Casilino, 00169 Rome, Italy

Abstract

Rapidly growing worldwide, 5G service is expected to deeply change the way we communicate, connect and share data. It encompasses the whole spectrum of new technology, infrastructure and mobile connectivity, and will touch not only every sector in the industry, but also many aspects of our everyday life. Although the compliance with international regulations provides reasonable protection to public health and safety, there might be specific issues not fully covered by the current technical standards. Among the aspects that shall be carefully considered, there is the potential interference that can be induced on medical devices, and in particular on implantable medical devices that are critical for the patient’s life, such as pacemakers and implantable defibrillators. This study aims to assess the actual risk that 5G communication systems pose to pacemakers and implantable defibrillators. The setup proposed by the ISO 14117 standard was adapted to include 5G characteristic frequencies of 700 MHz and 3.6 GHz. A total number of 384 tests were conducted. Among them, 43 EMI events were observed. Collected results reveal that RF hand-held transmitters operating in these two frequency bands do not pose additional risk compared to pre-5G bands and that the safety distance of 15 cm typically indicted by the PM/ICD manufacturer is still able to guarantee the patient’s safety.

Funder

INAIL

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference14 articles.

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2. (2018, February 07). 3GPP Technical Specification Group Radio Access Network; TS 38.101-1 version 15.3.0 Release 15, NR; User Equipment (UE) Radio Transmission and Reception. Available online: https://www.etsi.org/deliver/etsi_ts/138100_138199/13810101/15.05.00_60/ts_13810101v150500p.pdf.

3. Present Guidelines for Device Implantation. Clinical Considerations and Clinical Challenges From Pacing, Implantable Cardiac Defibrillator, and Cardiac Resynchronization Therapy;Poole;Circulation,2014

4. EHRA expert consensus statement and practical guide on optimal implantation technique for conventional pacemakers and implantable cardioverter-defibrillators: Endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS);Burri;Europace,2021

5. Leadless pacemakers: A contemporary review;Bhatia;J. Geriatr. Cardiol.,2018

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