Magnetic Interference on Cardiac Implantable Electronic Devices From Apple iPhone MagSafe Technology
← Research streamIn this case series with in vivo and ex vivo components, direct placement of an iPhone 12 Pro Max over the CIED pocket produced clinically identifiable magnet interference in 3/3 participants in vivo. In ex vivo testing of packaged CIEDs from major companies,…
Study snapshot
Abstract
Magnetic Interference on Cardiac Implantable Electronic Devices From Apple iPhone MagSafe Technology Fahd Nadeem, Arismendy Nunez Garcia, Cao Thach Tran, and Michael Wu. Magnetic Interference on Cardiac Implantable Electronic Devices From Apple iPhone MagSafe Technology. Journal of the American Heart Association. Jun 2, 2021. doi: 10.1161/JAHA.121.020818. Abstract Background Magnet wireless charging is being utilized increasingly in current generation smartphones. Apple's MagSafe is a proprietary wireless charging technology with an array of magnets that has the capacity to generate magnet fieldstrength >50 gauss (G). We hypothesize that there is clinically significant magnet interference caused by Apple's MagSafe technology on cardiac implantable electronic devices (CIED). Methods and Results This study has an in vivo and an ex vivo component. The in vivo component consists of consecutive patients who presented to the electrophysiology laboratory with previously implanted CIEDs. The iPhone 12 Pro Max was directly placed on the skin over the pocket of these patients and the effect was studied by device interrogation. For the ex vivo component of the study, CIEDs from major device companies were tested for magnetic interference caused by iPhone 12 Pro Max through unopened packages. We found that iPhone 12 Pro Max resulted in clinically identifiable magnet interference in 3/3 (100%) participants in vivo and in 8/11 (72.7%) devices ex vivo. Conclusions Apple's iPhone 12 Pro Max MagSafe technology can cause magnet interference on CIEDs and has the potential to inhibit lifesaving therapy. ahajournals.org Excerpt Magnet mode activation had been shown to occur in CIED's with exposure to a magnetic field as little as 10 G.9 The magnetic field strength of the iPhone 12 Pro Max can be greater than 50 G when in direct contact with the magnetometer. In our ex vivo study, we were able to trigger magnet reversion by placing the iPhone 12 Pro Max at up to 1.5 cm from certain CIED. The difference in magnet response to the iPhone 12 Pro Max among different devices is likely attributed to different hall-sensor magnet sensitivity as all of the devices were susceptible to the standard donut magnet. Boston Scientific Accolade MRI pacemaker for example requires a magnet stronger than 70 G to activate magnet mode.10 Our case series has several clinical implications. People often put their smartphones in a breast pocket over a device which can be in close proximity to CIEDs. This can lead to asynchronous pacing or disabling of anti- tachycardic therapies. Our study adds to the growing literature demonstrating EMI from magnets in several common technological products such as smart tablets, E-cigarettes, fitness watch wristbands, and wireless headphones.11, 12, 13, 14 Our case series has several limitations. Our sample size is small and we tested on selected device types and the results of our study may not be generalizable. A large scale study should be performed to confirm our findings. In conclusion, this report highlights the importance of public awareness regarding an interaction between CIEDs and a recently released smartphone model with magnetic charging capability. Although the Food and Drug Administration website states that cellphones do not pose a significant health risk for patients with these devices, they do acknowledge that certain precautions may be advisable.15 Based on the variability of interactions with respect to different smartphone models, patients are advised to consult with a heart rhythm specialist regarding recommendations specific to their smartphone and CIED.
AI evidence extraction
Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.
Main findings
In this case series with in vivo and ex vivo components, direct placement of an iPhone 12 Pro Max over the CIED pocket produced clinically identifiable magnet interference in 3/3 participants in vivo. In ex vivo testing of packaged CIEDs from major companies, magnet interference occurred in 8/11 devices.
Outcomes measured
- Clinically identifiable magnet interference / magnet mode activation in CIEDs
- Potential inhibition of lifesaving therapy (as described by authors)
Limitations
- Small sample size
- Selected device types tested; results may not be generalizable
- Case series design
View raw extracted JSON
{
"publication_year": 2021,
"study_type": "other",
"exposure": {
"band": null,
"source": "mobile phone (Apple iPhone 12 Pro Max MagSafe magnets/wireless charging)",
"frequency_mhz": null,
"sar_wkg": null,
"duration": null
},
"population": "Consecutive patients with previously implanted cardiac implantable electronic devices (CIEDs) presenting to an electrophysiology laboratory",
"sample_size": 3,
"outcomes": [
"Clinically identifiable magnet interference / magnet mode activation in CIEDs",
"Potential inhibition of lifesaving therapy (as described by authors)"
],
"main_findings": "In this case series with in vivo and ex vivo components, direct placement of an iPhone 12 Pro Max over the CIED pocket produced clinically identifiable magnet interference in 3/3 participants in vivo. In ex vivo testing of packaged CIEDs from major companies, magnet interference occurred in 8/11 devices.",
"effect_direction": "harm",
"limitations": [
"Small sample size",
"Selected device types tested; results may not be generalizable",
"Case series design"
],
"evidence_strength": "low",
"confidence": 0.78,
"peer_reviewed_likely": "yes",
"stance": "concern",
"stance_confidence": 0.86,
"summary": "This report evaluated whether Apple iPhone 12 Pro Max MagSafe magnets can interfere with cardiac implantable electronic devices (CIEDs) using in vivo testing in patients and ex vivo testing of devices in unopened packages. The authors report clinically identifiable magnet interference in all 3 in vivo participants and in 8 of 11 devices ex vivo. They conclude MagSafe technology can cause magnet interference and may inhibit lifesaving therapy, while noting the small sample and limited generalizability.",
"key_points": [
"The study included both in vivo testing in patients with implanted CIEDs and ex vivo testing of packaged CIEDs.",
"An iPhone 12 Pro Max placed directly over the CIED pocket triggered magnet interference in 3/3 participants.",
"Ex vivo, 8/11 CIEDs showed magnetic interference when exposed to the iPhone 12 Pro Max.",
"The authors note magnet mode activation can occur with relatively low magnetic field exposure and that the phone’s field can exceed 50 gauss in direct contact.",
"They report magnet reversion could be triggered up to 1.5 cm from certain CIEDs in ex vivo testing.",
"The paper highlights a practical scenario where phones carried in a breast pocket could be close to a CIED.",
"Limitations include small sample size and testing only selected device types."
],
"categories": [
"Medical Devices",
"Consumer Electronics",
"Electromagnetic Interference"
],
"tags": [
"Cardiac Implantable Electronic Devices",
"Pacemakers",
"Implantable Cardioverter-Defibrillators",
"MagSafe",
"Wireless Charging",
"Smartphones",
"Magnetic Interference",
"Magnet Mode Activation",
"Electrophysiology Lab",
"Case Series"
],
"keywords": [
"iPhone 12 Pro Max",
"MagSafe",
"magnet interference",
"CIED",
"pacemaker",
"ICD",
"magnet mode",
"wireless charging",
"gauss"
],
"suggested_hubs": [
{
"slug": "cell-phones",
"weight": 0.9,
"reason": "Study evaluates interference from an iPhone model on implanted cardiac devices."
}
],
"social": {
"tweet": "Case series: iPhone 12 Pro Max MagSafe magnets triggered clinically identifiable magnet interference in cardiac implantable electronic devices (3/3 in vivo; 8/11 ex vivo). Small sample; authors note potential to inhibit therapy when phone is very close to the device.",
"facebook": "A small report tested Apple iPhone 12 Pro Max MagSafe magnets against cardiac implantable electronic devices (CIEDs). The authors observed magnet interference in all 3 patients tested and in 8 of 11 devices ex vivo, highlighting potential issues when a phone is placed very close to a CIED.",
"linkedin": "Journal report (case series) on Apple iPhone 12 Pro Max MagSafe: direct proximity to cardiac implantable electronic devices produced magnet interference in 3/3 patients and 8/11 devices ex vivo. Authors emphasize proximity risk and note limited generalizability due to small sample size."
}
}AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.
Identifiers and source
DOI: 10.1161/jaha.121.020818
PubMed: Not supplied
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