News for hackers. Stuff that matters.
Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by ctdonath on Thursday May 09, 2013 @05:07PM (#5682951)
Having a pacemaker, I've been quietly paranoid about any magnets coming anywhere close to it. That includes keeping the iPad away from the area, both because of magnets and the radio transmitter.

One of the first warnings I got about having one was to not dangle earbuds around my neck where they would hang in front of my left shoulder. Other warnings about keeping distance from generators, magnets, shoulder-pressed cell phones, store theft-deterrent sensors, and even chainsaws (cardiologist & I got a kick out of wondering which would kill me first: the alternator's fields knocking out the pacer, or my passed-out fall into the still-spinning blade). MRIs...just don't even go there.

The problem with magnets is more complex than perhaps obvious. There's bad input, and then there's damage. What the girl is referring to is quite legitimate: defibrillators and pacemakers typically allow proximity of a magnet as a "master override" function. When I suffered an unrelated instance of atrial flutter (heart decided to run at 350bpm, pacemaker hit the brakes at 150...for 12 hours), the ER doc not having a diagnostic system handy forced the pacemaker to reduce to a much more humane rate by placing a good-sized magnet over the pacemaker; this allowed a more relaxed 2-hour wait for a technician to arrive and better diagnose & manage the problem (the subsequent drive-thru heart surgery is another story). She's raising awareness that sometimes this "master override" function can be induced improperly and even unknowingly, leaving the patient in a high-risk condition without knowing until periodic diagnostics or medical failure. A related issue she may tangentially raise awareness of is outright damage, with induced currents overstimulating the patient or frying the electronics (see aforementioned chainsaw issue).

She's raising a good issue. With the proliferation of tiny super-magnets, an enduring technical problem must be revisited: how to provide a low/no-impact way to essentially "hit the reset button" on an implanted medical device when there is no visible/external contacts? Not long ago, using a strong magnet to activate a magnetic switch was a sensible solution. Today, stronger magnetic fields are coming closer more often, risking activating a "safe/master mode", and there's not much way to alert anyone to the condition.

To address a few other points: Yes, any small but strong magnets like the magsafe plug are a possible problem. It's not an EMI problem so much as false input to a magnetic sensor. Defibrillators and pacemakers face the same basic problem, but the former moreso because the "master override" function needed is a function shutdown (need a way to turn it off and keep it off), while the latter responds in a more benign manner.

Glad to hear someone raising awareness of the issue. Amused that it's a child figuring it out and publicizing it. Thanks, kid!

Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by DigitalJack on Thursday May 09, 2013 @05:49PM (#5683197)
Very informative post!

One comment, the magnet for magsafe power supplies is actually in the laptop, not the plug.

Have you heard about people implanting a tiny magnet in their pinky finger? I think they've been mentioned on HN before... could give you insight about magnetic fields around you (assuming it was weak enough not to be a cause for concern itself).

EDIT: past story on the implants.

http://www.iamdann.com/2012/03/21/my-magnet-implant-body-mod...

https://news.ycombinator.com/item?id=3734130

Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by ctdonath on Thursday May 09, 2013 @08:50PM (#5683885)
Glad to know that magnet isn't where I thought it is.

Yeah, I've heard of the magnetic finger modification. I promptly was concerned about it, not quite sure why but favor caution; sure wouldn't want one given the possible consequences. Since earbud magnets are enough to warrant concern, I'll avoid what is likely more powerful.

Woolrich has a line of shirts I want which feature magnetic "button". Can't convince myself they wouldn't be a problem.

Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by revelation on Thursday May 09, 2013 @07:27PM (#5683615)
This seems like a terrible design decision. I always thought magnets were interfering with the function of the pacemaker, but to use them as a crude communication protocol is rather.. disconcerting.
Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by vacri on Thursday May 09, 2013 @07:57PM (#5683711)
If you needed to turn off the implant right here and now, how are you going to do it? Carve into their chest and flick a switch? Magnets are common and can be found in most locations.
Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by ctdonath on Thursday May 09, 2013 @08:53PM (#5683898)
That's it. Disconcerting, yes, but no better option - and I lived thru "needed to reset the implant right here and now" (150 BPM for 12 hours sucks; didn't want another 2+ waiting for a better protocol to arrive).
Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by gonzo on Thursday May 09, 2013 @10:20PM (#5684171)
I survived the other end of the scale. I managed to live with a heart rate between 25 and 45 bpm for 7 hours. My aorta was 6.5cm in diameter before they found the ascending dissection, which started about 1mm from the aortic root, and terminates in my left iliac.

I had a pacer wire for about 5 days post-surgery. Shocked me once. That sucked.

Re:Heart Patient Risk From iPad2 Found by 14-Year-Old by ctdonath on Friday May 10, 2013 @12:22AM (#5684610)
Before the implant I had an external pacemaker for 3 days. No shocks, but someone brought a bunch of med students by and started fiddling with the BPM knob for no good reason. "Please stop that." And be very, very careful with that wire.

Post implant, setup process caused several convulsions. Harmless, but gave me a giggling fit. Thanks to one wire too close to my diaphragm I couldn't sleep on my left side (compressed them together) for two years until they figured out how to reprogram it to stop making me twitch each beat.

Diagnostics is always amusing when they drop the heart rate to 40, and do it as if I won't notice.