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Safety of capsule endoscopy using human body communication in patients with cardiac devices.

 Joo Won Chung  ;  Hye Jin Hwang  ;  Moon Jae Chung  ;  Jeong Youp Park  ;  Hui-Nam Pak  ;  Si Young Song 
 DIGESTIVE DISEASES AND SCIENCES, Vol.57(6) : 1719-1723, 2012 
Journal Title
Issue Date
Aged ; Capsule Endoscopes* ; Capsule Endoscopy/adverse effects* ; Capsule Endoscopy/methods ; Defibrillators, Implantable/adverse effects* ; Equipment Safety ; Female ; Follow-Up Studies ; Humans ; Intestinal Diseases/diagnosis ; Intestine, Small/pathology ; Male ; Middle Aged ; Monitoring, Physiologic ; Nonverbal Communication ; Pacemaker, Artificial/adverse effects* ; Patient Safety ; Prospective Studies ; Republic of Korea ; Risk Assessment ; Sampling Studies
Capsule endoscopy ; Human body communication ; Cardiac pacemaker ; Implantable cardiac defibrillator
BACKGROUND: The MiroCam (IntroMedic, Ltd., Seoul, Korea) is a small-bowel capsule endoscope that uses human body communication to transmit data. The potential interactions between cardiac devices and the capsule endoscope are causes for concern, but no data are available for this matter. AIM: This clinical study was designed to evaluate the potential influence of the MiroCam capsules on cardiac devices. METHODS: Patients with cardiac pacemakers or implantable cardiac defibrillators referred for evaluation of small bowel disease were prospectively enrolled in this study. Before capsule endoscopy, a cardiologist checked baseline electrocardiograms and functions of the cardiac devices. Cardiac rhythms were continuously monitored by 24-h telemetry during capsule endoscopy in the hospital. After completion of procedures, functions of the cardiac devices were checked again for interference. Images from the capsule endoscopy were reviewed and analyzed for technical problems. RESULTS: Six patients, three with pacemakers and three with implantable cardiac defibrillators, were included in the study. We identified no disturbances in the cardiac devices and no arrhythmias detected on telemetry monitoring during capsule endoscopy. No significant changes in the programmed parameters of the cardiac devices were noted after capsule endoscopy. There were no imaging disturbances from the cardiac devices on capsule endoscopy. CONCLUSIONS: Capsule endoscopy using human body communication to transmit data was safely performed in patients with cardiac pacemakers or implantable cardiac defibrillators. Images from the capsule endoscopy were not affected by cardiac devices. A further large-scale study is required to confirm the safety of capsule endoscopy with various types of cardiac devices.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jeong Youp(박정엽) ORCID logo https://orcid.org/0000-0003-0110-8606
Pak, Hui Nam(박희남) ORCID logo https://orcid.org/0000-0002-3256-3620
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Chung, Moon Jae(정문재) ORCID logo https://orcid.org/0000-0002-5920-8549
Chung, Joo Won(정주원)
Hwang, Hye Jin(황혜진)
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