{
  "id": "medical/pacemaker-mri-safety-check-failure",
  "signature": "AI incorrectly approves MRI for a patient with a non-MRI-conditional pacemaker, ignoring lead and device compatibility",
  "signature_zh": "AI错误批准对非MRI兼容起搏器患者进行MRI检查，忽略导线和设备兼容性",
  "regex": "(?:pacemaker|PM|cardiac device)\\s*(?:MRI|magnetic resonance)\\s*(?:safe|compatible|approve|clear|check)",
  "domain": "medical",
  "category": "config_error",
  "subcategory": null,
  "root_cause": "Only MRI-conditional pacemakers (e.g., Medtronic SureScan, Abbott Tendril) are safe for MRI; older or non-conditional devices can cause lead heating, dislodgement, or device reset. AI fails to check device model and lead compatibility against the MR conditional database.",
  "root_cause_type": "generic",
  "root_cause_zh": "只有MRI兼容起搏器（如美敦力SureScan、雅培Tendril）适合MRI；较旧或非兼容设备可能导致导线加热、移位或设备重置。AI未能检查设备型号和导线兼容性与MR兼容数据库。",
  "versions": [
    {
      "version": "Medtronic Advisa DR v2.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "Abbott Accent MRI v1.5",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "Boston Scientific Ingevity v3.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Many devices implanted after 2010 are still non-conditional; only specific models with MRI-safe labeling are compatible; leads also need to be conditional",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Even if generator is conditional, older leads (e.g., Medtronic CapSureFix) may not be MRI-safe; lead heating can occur at the tip",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Generic registries may be outdated or incomplete; manufacturer database is authoritative and includes firmware versions",
      "fail_rate": 0.55,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Query the manufacturer's MRI conditional database (e.g., Medtronic MRI SureScan website) using device serial number and lead model; if incompatible, reschedule MRI with alternative imaging (CT or ultrasound)",
      "success_rate": 0.82,
      "how": "Query the manufacturer's MRI conditional database (e.g., Medtronic MRI SureScan website) using device serial number and lead model; if incompatible, reschedule MRI with alternative imaging (CT or ultrasound)",
      "condition": "",
      "sources": []
    },
    {
      "action": "Implement a pre-MRI checklist in EHR that automatically checks device model against a curated list of conditional devices and leads; flag any mismatch",
      "success_rate": 0.85,
      "how": "Implement a pre-MRI checklist in EHR that automatically checks device model against a curated list of conditional devices and leads; flag any mismatch",
      "condition": "",
      "sources": []
    },
    {
      "action": "If device is non-conditional but MRI is medically necessary, consult cardiology to reprogram device to MRI-safe mode (e.g., pacing threshold increase, rate response off) and have a technician monitor during scan",
      "success_rate": 0.78,
      "how": "If device is non-conditional but MRI is medically necessary, consult cardiology to reprogram device to MRI-safe mode (e.g., pacing threshold increase, rate response off) and have a technician monitor during scan",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Query the manufacturer's MRI conditional database (e.g., Medtronic MRI SureScan website) using device serial number and lead model; if incompatible, reschedule MRI with alternative imaging (CT or ultrasound)",
    "Implement a pre-MRI checklist in EHR that automatically checks device model against a curated list of conditional devices and leads; flag any mismatch",
    "If device is non-conditional but MRI is medically necessary, consult cardiology to reprogram device to MRI-safe mode (e.g., pacing threshold increase, rate response off) and have a technician monitor during scan"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.medtronic.com/us-en/healthcare-professionals/products/cardiac-rhythm/pacemakers/mri-surescan.html",
  "official_doc_section": null,
  "error_code": "PM-MRI-INCOMPAT-ERR",
  "verification_tier": "ai_generated",
  "confidence": 0.83,
  "fix_success_rate": 0.82,
  "resolvable": "partial",
  "first_seen": "2024-06-01",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}