Abstract
A growing number of children are being implanted with magnetically controlled growing rods. Some also have baclofen pumps, a device that delivers a neuromodulating medication using a magnet. There has been no previous testing to determine if the External Remote Controller (ERC) would stall the baclofen pump during magnetic rod lengthening, a potentially life-threatening event.
Two baclofen pumps, 20 mL and 40 mL, were placed in varying proximity to the ERC while the magnetic field was generated. The speed (dose) of the baclofen pump, the distance from the ERC, the length of time the ERC was run, the position of the pump in relationship to the magnetic field, and the presence or absence of a stall were recorded.
To stall a baclofen pump, the ERC needed to be running continuously for at least 30 mm of lengthening (about 3 minutes). The pump would not stall if it was more than 1 cm away from the ERC, even if the ERC generated a field for 3 minutes. The speed of the pump did not affect the instance of a motor stall. The pump was more likely to stall if it was positioned in front of or behind the magnetic field, as opposed to the center of the field.
Baclofen pumps are always more than 1 cm away from the magnetic rods when both are implanted in a child. The typical lengthening interval is under 10 mm, much less than what was required to stall a baclofen pump. The ERC is highly unlikely to stall a baclofen pump during a magnetic rod lengthening, making a life-threatening event almost impossible.
