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FDA: Danger for Those with Deep Brain Stimulator
Fri December 20, 2002 05:31 PM ET

NEW YORK (Reuters Health) - The US Food and Drug Administration (FDA)
issued an alert on Friday stating that it has received reports of
deaths of patients with implanted deep brain stimulators who received
diathermy therapy.

Diathermy therapy uses shortwave, microwave or therapeutic ultrasound
to deliver "deep heat" to body structures. It is used by physical
therapists, chiropractors, nurses, dentists and others to promote
wound healing after surgery or to relieve swelling, pain and
stiffness in muscles or joints.

This treatment can be hazardous to patients with deep brain
stimulators, which involve the implantation of electrodes into the
brain to treat neurological ailments such as Parkinson's disease.
Diathermy may cause implanted electrodes to heat up excessively,
damaging brain tissue.

"Laboratory testing has shown that patients with any sort of
implanted metallic lead are at risk of serious injury when exposed to
shortwave or microwave diathermy therapy," the agency cautioned.
"This is true even if the implanted device is not turned on, and even
if the lead is no longer connected to an implanted system."

The FDA urged doctors who implant or monitor the leads or systems
with leads to caution their patients against receiving shortwave or
microwave diathermy therapy. The agency also stressed that healthcare
professionals who use such therapy should ask patients about whether
they have implants.

SOURCE: Reuters Health UK
http://reuters.com/newsArticle.jhtml?type=healthNews&storyID=1945531

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