Overview
MRI can put pacemaker patients at risk. We believe patient MRI safety must be proven by rigorous scientific testing and regulatory review. Micra AV2 and Micra VR2 leadless pacemakers are Health Canada approved for ≤ 3T, including low-field, MRI scans. Micra AV and Micra VR leadless pacemakers are Health Canada approved for 1.5T and 3T MRI scans.
The information on this page relates to Micra VR, Micra AV, Micra VR2 and Micra AV2.
Unintended cardiac stimulation
The gradient and radiofrequency fields will induce voltages in pacemaker leads that will be applied to the pacing lead electrodes. If these voltage pulses are large enough, they may directly stimulate the heart.
Impact: Cardiac stimulation may lead to a single or intermittent stimulation, or sustained tachycardia.
Device interactions
The gradient, radiofrequency, and static fields may adversely affect the electrical operation of the pacemaker system if its operation is not protected from the effects of those fields.
Impact: Pacemaker malfunction or failure may affect pacing therapy.
Case heating
Electrical currents may be induced on the conductive surface of the pacemaker case.
Impact: Thermal tissue damage near the case may lead to patient discomfort.
Force and torque
The static magnetic field will act on any ferromagnetic material in a pacemaker or lead, producing a translation or rotation of the device or lead.
Impact: Pacemaker or lead movement may lead to patient discomfort or may affect therapy.
Vibration
Gradient magnetic field induces electrical currents on the conductive surfaces of pacemaker components. Interaction of these currents with the static magnetic field causes the components to vibrate.
Impact: Pacemaker malfunction may affect pacing therapy.
Medtronic manual library
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- Micra™ leadless pacemakers, Licensed as MICRA VR2/MICRA AV2 TRANSCATHETER PACING SYSTEM