Implanted medical devices in the radiation environment of commercial spaceflight

David P. Reyes, Steven S. McClure, Jeffery C. Chancellor, Rebecca Blue, Tarah L. Castleberry, James M. Vanderploeg

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Some commercial spaceflight participants (SFPs) may have medical conditions that require implanted medical devices (IMDs), such as cardiac pacemakers, defibrillators, insulin pumps, or similar electronic devices. The effect of space radiation on the function of IMDs is unknown. This review will identify known effects of terrestrial and aviation electromagnetic interference (EMI) and radiation on IMDs in order to provide insight into the potential effects of radiation exposures in the space environment. Methods: A systematic literature review was conducted on available literature on human studies involving the effects of EMI as well as diagnostic and therapeutic radiation on IMDs. Results: The literature review identified potential transient effects from EMI and diagnostic radiation levels as low as 10 mGy on IMDs. High-energy, therapeutic, ionizing radiation can cause more permanent device malfunctions at doses as low as 40 mGy. Radiation doses from suborbital flight altitudes and durations are anticipated to be less than those experienced during an average round-trip, cross-country airline flight and are unlikely to result in significant detriment, though longer, orbital flights may expose SFPs to doses potentially harmful to IMD function. Discussion: Individuals with IMDs should experience few, if any, radiation-related device malfunctions during suborbital flight, but could have problems with radiation exposures associated with longer, orbital flights.

Original languageEnglish (US)
Pages (from-to)1106-1113
Number of pages8
JournalAviation Space and Environmental Medicine
Volume85
Issue number11
DOIs
StatePublished - 2014

Fingerprint

Space Flight
Radiation
Equipment and Supplies
Electromagnetic Phenomena
Electromagnetic Radiation
Aviation
Defibrillators
Radiation Effects
Ionizing Radiation
Insulin

Keywords

  • Commercial spaceflight participant
  • Defibrillator
  • Electromagnetic interference
  • Ionizing radiation
  • Neurostimulator
  • Pacemaker

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Reyes, D. P., McClure, S. S., Chancellor, J. C., Blue, R., Castleberry, T. L., & Vanderploeg, J. M. (2014). Implanted medical devices in the radiation environment of commercial spaceflight. Aviation Space and Environmental Medicine, 85(11), 1106-1113. https://doi.org/10.3357/ASEM.4104.2014

Implanted medical devices in the radiation environment of commercial spaceflight. / Reyes, David P.; McClure, Steven S.; Chancellor, Jeffery C.; Blue, Rebecca; Castleberry, Tarah L.; Vanderploeg, James M.

In: Aviation Space and Environmental Medicine, Vol. 85, No. 11, 2014, p. 1106-1113.

Research output: Contribution to journalArticle

Reyes, DP, McClure, SS, Chancellor, JC, Blue, R, Castleberry, TL & Vanderploeg, JM 2014, 'Implanted medical devices in the radiation environment of commercial spaceflight', Aviation Space and Environmental Medicine, vol. 85, no. 11, pp. 1106-1113. https://doi.org/10.3357/ASEM.4104.2014
Reyes, David P. ; McClure, Steven S. ; Chancellor, Jeffery C. ; Blue, Rebecca ; Castleberry, Tarah L. ; Vanderploeg, James M. / Implanted medical devices in the radiation environment of commercial spaceflight. In: Aviation Space and Environmental Medicine. 2014 ; Vol. 85, No. 11. pp. 1106-1113.
@article{05eb614f410e4a22a0f5c3f758cec1b7,
title = "Implanted medical devices in the radiation environment of commercial spaceflight",
abstract = "Introduction: Some commercial spaceflight participants (SFPs) may have medical conditions that require implanted medical devices (IMDs), such as cardiac pacemakers, defibrillators, insulin pumps, or similar electronic devices. The effect of space radiation on the function of IMDs is unknown. This review will identify known effects of terrestrial and aviation electromagnetic interference (EMI) and radiation on IMDs in order to provide insight into the potential effects of radiation exposures in the space environment. Methods: A systematic literature review was conducted on available literature on human studies involving the effects of EMI as well as diagnostic and therapeutic radiation on IMDs. Results: The literature review identified potential transient effects from EMI and diagnostic radiation levels as low as 10 mGy on IMDs. High-energy, therapeutic, ionizing radiation can cause more permanent device malfunctions at doses as low as 40 mGy. Radiation doses from suborbital flight altitudes and durations are anticipated to be less than those experienced during an average round-trip, cross-country airline flight and are unlikely to result in significant detriment, though longer, orbital flights may expose SFPs to doses potentially harmful to IMD function. Discussion: Individuals with IMDs should experience few, if any, radiation-related device malfunctions during suborbital flight, but could have problems with radiation exposures associated with longer, orbital flights.",
keywords = "Commercial spaceflight participant, Defibrillator, Electromagnetic interference, Ionizing radiation, Neurostimulator, Pacemaker",
author = "Reyes, {David P.} and McClure, {Steven S.} and Chancellor, {Jeffery C.} and Rebecca Blue and Castleberry, {Tarah L.} and Vanderploeg, {James M.}",
year = "2014",
doi = "10.3357/ASEM.4104.2014",
language = "English (US)",
volume = "85",
pages = "1106--1113",
journal = "Aerospace medicine and human performance",
issn = "2375-6314",
publisher = "Aerospace Medical Association",
number = "11",

}

TY - JOUR

T1 - Implanted medical devices in the radiation environment of commercial spaceflight

AU - Reyes, David P.

AU - McClure, Steven S.

AU - Chancellor, Jeffery C.

AU - Blue, Rebecca

AU - Castleberry, Tarah L.

AU - Vanderploeg, James M.

PY - 2014

Y1 - 2014

N2 - Introduction: Some commercial spaceflight participants (SFPs) may have medical conditions that require implanted medical devices (IMDs), such as cardiac pacemakers, defibrillators, insulin pumps, or similar electronic devices. The effect of space radiation on the function of IMDs is unknown. This review will identify known effects of terrestrial and aviation electromagnetic interference (EMI) and radiation on IMDs in order to provide insight into the potential effects of radiation exposures in the space environment. Methods: A systematic literature review was conducted on available literature on human studies involving the effects of EMI as well as diagnostic and therapeutic radiation on IMDs. Results: The literature review identified potential transient effects from EMI and diagnostic radiation levels as low as 10 mGy on IMDs. High-energy, therapeutic, ionizing radiation can cause more permanent device malfunctions at doses as low as 40 mGy. Radiation doses from suborbital flight altitudes and durations are anticipated to be less than those experienced during an average round-trip, cross-country airline flight and are unlikely to result in significant detriment, though longer, orbital flights may expose SFPs to doses potentially harmful to IMD function. Discussion: Individuals with IMDs should experience few, if any, radiation-related device malfunctions during suborbital flight, but could have problems with radiation exposures associated with longer, orbital flights.

AB - Introduction: Some commercial spaceflight participants (SFPs) may have medical conditions that require implanted medical devices (IMDs), such as cardiac pacemakers, defibrillators, insulin pumps, or similar electronic devices. The effect of space radiation on the function of IMDs is unknown. This review will identify known effects of terrestrial and aviation electromagnetic interference (EMI) and radiation on IMDs in order to provide insight into the potential effects of radiation exposures in the space environment. Methods: A systematic literature review was conducted on available literature on human studies involving the effects of EMI as well as diagnostic and therapeutic radiation on IMDs. Results: The literature review identified potential transient effects from EMI and diagnostic radiation levels as low as 10 mGy on IMDs. High-energy, therapeutic, ionizing radiation can cause more permanent device malfunctions at doses as low as 40 mGy. Radiation doses from suborbital flight altitudes and durations are anticipated to be less than those experienced during an average round-trip, cross-country airline flight and are unlikely to result in significant detriment, though longer, orbital flights may expose SFPs to doses potentially harmful to IMD function. Discussion: Individuals with IMDs should experience few, if any, radiation-related device malfunctions during suborbital flight, but could have problems with radiation exposures associated with longer, orbital flights.

KW - Commercial spaceflight participant

KW - Defibrillator

KW - Electromagnetic interference

KW - Ionizing radiation

KW - Neurostimulator

KW - Pacemaker

UR - http://www.scopus.com/inward/record.url?scp=84910079484&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84910079484&partnerID=8YFLogxK

U2 - 10.3357/ASEM.4104.2014

DO - 10.3357/ASEM.4104.2014

M3 - Article

C2 - 25329943

AN - SCOPUS:84910079484

VL - 85

SP - 1106

EP - 1113

JO - Aerospace medicine and human performance

JF - Aerospace medicine and human performance

SN - 2375-6314

IS - 11

ER -