Inappropriate shock delivery by an implantable cardioverter-defibrillator due to electrical interference with a refrigerator in a 4-year-old child

We report a patient with long QT syndrome who received an inappropriate implantable cardioverter-defibrillator shock due to electrical interference from a refrigerator. This electrical interference was mistakenly detected as an episode of ventricular fibrillation and ended with an inappropriate delivery of shock without any warning symptoms before.

A Tripolar Electromyography Device With Active Electrode-Skin Impedance Imbalance Compensation

This paper discusses the development of a tripolar EMG device featuring electrode impedance compensation circuitry. The device also includes circuitry to test the effectiveness of these features at improving EMG signal quality. Due to various factors, the electrode-skin impedance of different electrodes is typically imbalanced. This imbalance increases EMG susceptibility to electrical noise. These issues can be mitigated by applying impedance compensation. This was done for a tripolar configuration specifically to also reduce interference due to crosstalk. The development process and design choices behind the device features are discussed, with particular focus on the impedance compensation circuit. This includes key components used, and the justification behind their selection. Testing found the tripolar electrode configuration had limited effect on crosstalk interference. Fortunately, the impedance compensation circuit could successfully correct for impedance imbalance. This led to a marked reduction in noise due to electrical interference, such as from 50Hz mains hum.

Simulation-Based Clarification of Appropriate Factors for Presenting Phosphene in Two Directions Avoiding Electrical Interference

Walking support systems are essential for blind people. In this study, the presentation of phosphene position is focused on as a method to detect obstacles for blind people. When the phosphene is used in a walking support system, it is necessary to accurately present the phosphene in at least three directions of the visual field. Controlling the presentation of phosphene position has been reported in several previous studies. However, methodologies to present phosphene in multiple directions without any electric interference have not as yet been investigated. In this study, therefore, appropriate stimulation factors are clarified by the simulation of electric field on the eyeball surface which is strongly related to the presentation of phosphene position in the visual field. As a result of the simulation, it was revealed that the distance of each electrode does not give a significant effect to the eyeball surface. However, the phase of alternating current significantly changed the electric field on the eyeball surface. From investigation of the simulation results, it was clarified that the transition of the electric field on the eyeball surface can be controlled using anti-phase stimulation. In addition, the methodology to present the phosphene at least in two directions was verified.

Investigation of Electrical Interference towards Phosphene-Based Walking Support System

A walking support system with phosphenes for blind people has been investigated. Phosphene is a phenomenon where a flash of light is recognized in the brain by giving an electrical stimulus to human’s visual pathway. Phosphenes can be perceived even if their eyes are closed or they are blind. It has been clarified that phosphenes can be induced to several directions if electrodes placements are precisely selected. When phosphenes are presented to two directions for recognizing two obstacles, two pairs of electrodes must be applied. In such a case, however, the electrical interference occurs due to the short distance between electrodes. In the practical use of the phosphene-based walking support system, the avoidance of electrical interference is significant in order to present the phosphenes precisely. Therefore, in this paper, we first practically investigate the electrical interference by considering the difference in phosphene induction generated by a single pair of electrodes and by two pairs of electrodes. Then, the solutions to avoid the electrical interference are discussed.

Design & Analysis of Dynamic Response in Hydrolic Equipment Working with Heavy Loads

Hydraulic system has benefits over pneumatic or electric systems, especially when heavy loads are involved, or when very smooth and precise position or pressure control is required. Hydraulic actuators have several advantages including the fact that they produce less heat and electrical interference at the machine than do electric actuators. A simulation model of the support was established to determine the dynamic responses of the hydraulic support under dual impacts from its roof and shield beams, and the column and balance jack were replaced using a spring-damper system. Analysis of poses was performed and dynamic support responses were obtained.

Electrically compensated, tattoo-like electrodes for epidermal electrophysiology at scale

Epidermal electrophysiology is widely carried out for disease diagnosis, performance monitoring, human-machine interaction, etc. Compared with thick, stiff, and irritating gel electrodes, emerging tattoo-like epidermal electrodes offer much better wearability and versatility. However, state-of-the-art tattoo-like electrodes are limited in size (e.g., centimeters) to perform electrophysiology at scale due to challenges including large-area fabrication, skin lamination, and electrical interference from long interconnects. Therefore, we report large-area, soft, breathable, substrate- and encapsulation-free electrodes designed into transformable filamentary serpentines that can be rapidly fabricated by cut-and-paste method. We propose a Cartan curve–inspired transfer process to minimize strain in the electrodes when laminated on nondevelopable skin surfaces. Unwanted signals picked up by the unencapsulated interconnects can be eliminated through a previously unexplored electrical compensation strategy. These tattoo-like electrodes can comfortably cover the whole chest, forearm, or neck for applications such as multichannel electrocardiography, sign language recognition, prosthetic control or mapping of neck activities.

Pseudoatrial Flutter: When the Problem Lies Outside the Heart

Electrocardiogram (ECG) artifacts are a common problem in emergency medicine. Generally these artifacts are induced by movement disorders, which generate electrical interference with the ECG recording. If these disorders are not promptly recognized, consequences can lead to hospitalization and execution of unnecessary diagnostic tests, thereby increasing the costs and clinical risks such as nosocomial infections and thromboembolism. We present a pseudoatrial flutter generated by a Parkinson’s-like movement.

HRV

The most important factor involved in heart rate variability (HRV) analysis is cardiac input signal, which is achieved in the form of electrocardiogram (ECG). The ECG signal is used for identifying many electrical defects associated with the heart. In this chapter, many issues involved while ECG recording such as type of the recording instrument, various sources of noise, artifacts, and electrical interference from surroundings is presented. Most importantly, this chapter comprises the details about the experimental protocols followed while ECG recording. Also, the brief overview of medical tourism as well as various interpolation methods used for pre-processing of RR intervals are presented in this chapter.

Arced Multi-Nozzle Electrospinning Spinneret for High-Throughput Production of Nanofibers

The stable and continuous ejection of multiple jets with high densities is the key to the application of electrospinning technology. An arced multi-nozzle spinneret was designed to increase the production efficiency of electrospinning. The distribution of the electrical field was simulated to optimize the nozzles’ distribution of the spinneret. When the nozzles were arranged in an arc array, a relatively uniform electrical field could be obtained, which was beneficial for the weakening of electrical interference among the nozzles. Under the optimized electrical field, multiple jets from each nozzle could be ejected in a stable and continuous way. With the increase of the applied voltage, the electrical stretching force became larger, and there were fewer bonding structures. The average diameter of the electrospun nanofibers decreased with the increase of the applied voltage. When the distance between the inner nozzle and the collector increased, the charged jets suffered a larger stretching effect, resulting in the decrease of the average diameter of the electrospun nanofibers. The electrospinning current increased with the applied voltage and decreased with the distance between the inner nozzle and the collector, which is an important aspect for the monitoring of electrospinning jets. This work provides an effective way to promote the production efficiency of electrospun nanofibrous membranes.