• Proceedings of the KSR Conference
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• 2002.10b
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• pp.1001-1006
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• 2002

1 적용범위와 배경 각종 전동차에서 발생하는 자계의 발생을 살펴보고, 객실에서의 시뮬레이션과 측정결과를 바탕으로 인공심장박동기 및 이식형제세동기를 장착한 승객의 안전을 자속밀도에 대한 국제적인 요구사항 및 검토결과와 비교하여 이들 기준치의 안전성여부를 상세히 고찰해 보고자 한다. (중략)

• The Journal of Korean Society for Radiation Therapy
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• v.24 no.2
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• pp.197-203
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• 2012

Purpose: In this study, we considerate our radiation therapy process for the breast cancer patient implanted a pacemaker applying the machine movement surgery, shielding, beam selection. Materials and Methods: We perform radiation therapy to a 54 years old, breast cancer patient implanted a pacemaker. The patient underwent a surgery to move the position of a pacemaker to right side breast after consultation with cardiology department. Prescribed dose was 5,040 cGy and daily dose 180 cGy for 28 fractions. The 10 MV photon energy, field size 0/$9.5{\times}20$ cm, half beam and opposing portal irradiation are used. To find out appropriate thickness of shielding board, we carried out an experiment using a solid water phantom ($30{\times}30{\times}7$ cm), a Farmer-type chamber (TN30013, PTW, Germany) and a shielding board (Pb $28{\times}27{\times}0.1$ cm). We calculated expected absorbed dose to te pacemaker with absorb ratio and shielding ratio. In the PTP system (Eclipse, Varian, USA), we figured out how much radiation would be absorbed to the machine with and without shielding. First day of the radiation therapy, we measured head scatter to the pacemaker with MOSFET Dose Verification System (TN-RD-70-W, Medical Canada Ltd., Canada). Results: In the phantom measurement, we found out appropriate thickness was 2 mm of shielding board. In the RTP, when using 2 mm shielding the pacemaker will be absorbed 11.5~38.2 cGy and DVH is 77.3 cGy. In the first day of the therapy, 4.3 cGy was measured so 120.4 cGy was calculated during total therapy. The patient was free from any side effects, and the machine also normally functioned. Conclusion: As the report of association which have public confidence became superannuated, there is lack of data about new machine. We believe that radiation therapy to thiese kind of patients could be done successfully with co-operation, patient-suitable planning, accurate QA, frequent in-vivo dosimetry and monitoring.

• Journal of Biomedical Engineering Research
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• v.10 no.2
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• pp.139-150
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• 1989

A new motor-driven blood pump for artificial heart was developed. In this blood pump, a small size, high torque brushless DC motor was used as an energy converter and the motor rolls back and forth on a circular track. This movement of the "rolling-cyliner" causes blood ejection by alternately pushing left or right polyurethane blood sacs. This moving-actuator mechanism could be eliminate two potential problems of other motor-driven artificial hearts such as large size and poor anastomosis for the implantation. Theoretical analyses on the pump efficiency, the temperature rise, and the inflow mechanism were also performed. In a series of mock circulation tests, the theoretical analyses were compared to the measured hemodynamic and mechanical values. The pump system was shown to have sufficient cardiac output (upto 9 L/min), sensitivity to preload, and mechanical stability to be tested as an implantable total artificial heart.ial heart.

• Proceedings of the Safety Management and Science Conference
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• 2004.05a
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• pp.233-239
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• 2004

현재 국내 인체 이식용 전자 의료기의 이식건수는 매년 약 1800 여건으로 해마다 증가하고 있으며 그 연령대도 다양한 작업환경에 노출되는 청장년층으로 급속히 확대되어 가고 있다. 이러한 이식용 의료기는 인공 심장 박동기, 이식형 제세동기, 진통억제를 위한 이식형 전기 펄스 발생기, 이식형 약물주입기 등을 포함한다. 그러한 기기들은 미세한 생체 신호에 따라 반응하기 때문에 생체 신호이외의 잡음에 의한 오동작은 절대적으로 피해져야 하며 경우에 따라 생명위협과도 직결된다. 본 논문에서는 현재사용 중인 이식형 전자의료기들의 구조와 동작원리, 다양한 작업 환경 하에서 잡음의 영향을 고찰하고, 잡음에 의한 오동작의 방지 방안을 고찰함으로써 전자의료기 인체 삽입자의 작업환경에 따른 안전문제를 제고하고자 한다.

• Journal of Biomedical Engineering Research
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• v.36 no.1
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• pp.31-36
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• 2015

In this study, we evaluated the effects of static magnetic fields of earphones and headphones on pacemakers and implantable cardioverter defibrillators(ICDs). Five pacemakers and three ICDs were subjected to in-vitro test with three headphones which were an in-ear earphone, clip-on headphone, and closed-back headphone. Each implantable device was placed in close proximity(within 3 mm) to the ear-pad of each of the earphone and headphones for 3 min. As a result, no effects were observed on the pacemakers for the earphone and headphones during the test, but an effect was observed on one ICD for the clip-on and closed-back headphone during the test. When the ICD was placed in close proximity to the headphones, the ICD temporarily suspended functions of tachyarrhythmia detection and therapy. The effect was not observed in this study when the headphones were at least 2 cm from the ICD. Based on these findings, patients with ICDs should be advised to keep earphones and headphones at least 2 cm apart from their ICDs.

• Journal of the Korean Society of Radiology
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• v.18 no.3
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• pp.257-265
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• 2024

In this study, we applied AEC(Auto Exposure Control), which is used in many chest examinations, to evaluate whether medical devices inserted into the body affect the dose and image quality of chest images. After attaching three HIMD(Human implantable medical devices) to the ion chamber, the Monte Carlo methodology-based program PCXMC(PC Program for X-ray Monte Carlo) 2.0 was applied to measure the effective dose by inputting the DAP(Dose Ares Product) value derived from the Pacemaker and CRT and Chemoport Additionally, to evaluate image quality, we set three regions of interest and one noise region on the chest and measured SNR and CNR. The final study results showed significant differences in DAP and Effective dose. There was a significant difference between Pacemaker and CRT when AEC was applied and not applied. (p<0.05) When applied, the dose increased by 37% for Pacemaekr and 52% for CRT. Chemoport showed a 10% increase in effective dose depending on whether AEC was applied, but there was no significant difference. (p>0.05) In the image quality evaluation, there was no significant difference in image quality between all HIMD insertions and AEC applied or not. (p>0.05) Therefore, when the HIMD was inserted into the chest during a chest x ray and overlapped with the ion chamber sensor, the effective dose increased, and there was no difference in image quality even at a low dose without AEC. Therefore, when performing a chest X-ray examination of a patient with a HIMD inserted, it is considered that performing the examination without applying AEC is a method that can be considered to reduce the patient's radiation exposure.

• Journal of the Institute of Electronics and Information Engineers
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• v.52 no.1
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• pp.148-154
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• 2015

Reports show that global system for mobile communication (GSM) mobile phones, or two-generation (2G) mobile phones, could affect functions of pacemakers and implantable cardioverter defibrillators (ICDs). In this study, we evaluated the effects of radio frequency electromagnetic fields (RF-EMFs) emitted by wideband code division multiple access (WCDMA) mobile phones, which were third-generation (3G) mobile phones, on pacemakers and ICDs. Five pacemakers and three ICDs were subjected to in-vitro test using a ECG simulator. We used a WCDMA module (average power : 0.25 W, frequency band : 1950 MHz) instead of a real WCDMA mobile phone. To assess the effects of the WCDMA module on pacemakers and ICDs, each implantable device was placed in close proximity (within 3 mm) to the WCDMA module for 5 min. As a result, no effects were observed on the five pacemakers and three ICDs for the RF-EMFs emitted by the WCDMA module. Because WCDMA mobile phones have the higher frequency band (1800-2200 MHz) and lower power output (0.01-0.25 W) than GSM moboile phone, the RF-EMFs emitted by WCDMA mobile phones do not affect patients with pacemaker or ICD.