Michael Childers1, Roya Hashemi Rad1, Richard Williamson1, and Shiloh Sison1
1St. Jude Medical, Sylmar, CA, United States
Synopsis
This abstract presents magnetically induced force
measurements per ASTM F2052 of materials commonly used in implantable leads.
Implantable leads which are constructed solely from
tested materials which pass the magnetically induced force testing acceptance
criteria (i.e. gravity force),
may not require magnetically induced force testing per
ASTM F2052 for MR conditionality with 3 T MR scanners.Purpose
The assessment of MR safety or MR conditional
safety of medical device implants rely on a number of standard test
methods. ASTM F2052, the magnetically
induced force test method, is one of these methods required as part
of MR safety testing. The purpose of
this study was to determine the maximum magnetically induced force of individual
materials typically comprising implantable leads. For leads seeking MR
conditional labeling that are constructed solely from materials that pass the magnetically
induced force testing acceptance criteria (i.e. gravity force), the results of this
study may eliminate the need to measure these leads’ magnetic force per ASTM F2052.
Methods
The maximum magnetically induced force was
measured per ASTM F2052 using a Siemens Magnetom Prisma scanner for each of the
commonly used lead materials shown in Table 1.
Each material under test was suspended from a test fixture by a string along
the center axis of the scanner bore at the location where the magnetic field produced
the greatest magnetically induced deflection (Figure 1). Individual material test samples were
prepared for testing by laser welding lead components together such that the testing
suspension string was <1% of the test sample weight (Figure 2). The angular
deflection ($$$\alpha_{L}$$$), magnetic field strength ($$$B_{0,L}$$$),
and magnetic spatial
gradient ($$$\triangledown
B_{0,L}$$$) were then measured and recorded.
For materials that deflect
less than 45°,
the magnetically induced deflection force is less than the force on the material
due to gravity. In this condition, the risk imposed by the magnetically induced
force is no greater than the risk imposed by normal daily activity in the
Earth’s gravitational field. However, a deflection of less than 45°
at the location of the maximum static magnetic field gradient in one MR scanner
does not preclude a deflection exceeding 45° in a scanner with a
higher field strength or larger static field gradients1. Therefore, the measurement results were
scaled to a maximum magnetic field strength ($$$B_{0,C}$$$) of 3 T and a
maximum spatial gradient ($$$\triangledown B_{0,C}$$$) of 19 T/m (in which 19 T/m
is greater than or equal to the maximum spatial gradient of the commercially
available 3 T cylindrical bores as of 20141). The scaled deflection angle
($$$\alpha_{C}$$$) was calculated using the following equation, as specified per
ASTM F2052:
$$\triangledown B_{0,C}=\triangledown B_{0,L} \left[\frac{B_{0,L}}{B_{0,C}}\frac{tan(\alpha_{C})}{tan(\alpha_{L})}\right]$$
Results
As shown in Table 2, all
seven (7) of the commonly used lead materials tested at a magnetic field
strength of 2.3 T and spatial gradient of 4 T/m, exhibited a measured
deflection angle that was lower than 45° (i.e. gravity force). Additionally, when these deflection results
were scaled to a conservative maximum magnetic field strength of 3 T along with
a maximum spatial gradient of 19 T/m, all seven (7) of the materials had a
scaled deflection angle that was lower than 45°.
Discussion
Our results demonstrate that the commonly used
lead materials tested, when exposed to a 3 T MR scanner, exhibit a maximum
magnetically induced force that is less than gravity force.
Conclusion
Implantable leads that are
constructed solely from the materials passing the magnetically induced force testing
acceptance criteria (i.e. gravity force) may not require magnetically induced
force testing per ASTM F2052 for MR conditionality with 3 T MR scanners.
Acknowledgements
No acknowledgement found.References
1. ASTM Standard F2052, 2014,
"Standard Test Method for Measurement of Magnetically Induced Displacement
Force on Medical Devices on the Magnetic Resonance Environment," ASTM
International, West Conshohocken, PA, 2014, www.astm.org.