Smaller objects such as coins, hairpins and pens have been yanked off the person carrying them. How to minimize risk. In addition mechanical watches will "freeze up" in a strong field, sometimes permanently. MRI Safety Checklist When you make an appointment for an MRI examination, you will be asked a series of safety questions to ensure you do not have any implanted devices that may prevent you from undergoing the procedure. MRI Safety and Operations Training Manual Created on 10/6/2010 3:51:00 PM - 8 - MR Suite Safety Rules Any researcher who uses the research Bays is required to set up and clean up properly. An item may be determined to be MR Safe by providing a scientifically based rationale rather than test data. Based on the country you select, you can choose the device and lead combination (if applicable) to get scan parameters. Many older intracranial aneurysm clips are ferromagnetic and as a result experience a torque (twisting) in a magnetic field. Z. More of an annoyance than a safety problem is the ability of the magnetic field of a MRI machine to erase the information contained on the magnetic strip on ATM and credit cards. Any damage to coils or their cables needs prompt attention. Attention must be paid to keep all ferromagnetic items at an adequate distance from the magnet. ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, Pennsylvania, 2005. In addition their components often had a significant ferromagnetic content. To look up your patient’s system, use the Product Search tool to determine whether your patient’s device and leads are safe for an MRI. SureScan Systems ensure patient safety for MRI scans, under specific conditions. Although MRI safety procedures are in place in all MRI facilities, intended to prevent such incidents, the number of MRI projectile events continues to rise year-on-year. Patients now have MRI access with Medtronic SureScan Systems. Have you had a previous MRI scan? MRI Bioeffects, Safety, and Patient Management is a comprehensive, authoritative textbook on the health and safety concerns of MRI technology that contains contributions from more than forty internationally respected experts in the field. Copper is typically the metal used in an IUD, ho, Adiana Silicone Implantpermanent female contraception devicesiliconeAdiana, Inc.Redwood City, CA, Contraceptive IUDMIRENApolyethylene, barium sulfateBerlex LaboratoriesMontville, NJ, Contraceptive IUDMultiload Cu375 (copper, silver), Intrauterine contraceptive device (IUD), Copper T (copper)Searle PharmaceuticalsChicago, IL, Intrauterine Contraceptive Device (IUD), Flexi-T 300, Flex-T +300, Flexi-T-380 IUDTrimedica, www.trimedic.com, Intrauterine Contraceptive Device (IUD), Intrauterine System (IUS), KyleenaBayer, www.bayer.com, Intrauterine Contraceptive Device (IUD), JaydessBayer, www.bayer.com, Intrauterine Contraceptive Device (IUD)Liletta Intrauterine SystemAllergan, www.liletta.com, Intrauterine Contraceptive Device (IUD)Lippey Loop, Plastic, IUD, LCSUltra Low Dose LevonorgestrelContraceptive SystemBayer Schering Pharma OyTurkuFinland, Paragard Intrauterine Copper Contraceptive Cooper Surgical, Skyla Intrauterine Device, IUDBayer Healthcare, www.Bayer.com. MRI SAFETY CHECKLIST cont... 17 Yes / No What is your weight? This ensures that each tip has been tested, retested, and verified before being added to the list of best practices. MRI Safety » MRI Absolute Contraindications. When you make an appointment for an MRI examination, you will be asked a series of safety questions to ensure you do not have any implanted devices that may prevent you from undergoing the procedure. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. MRI is now more accessible than ever with latest VNS Therapy technology, provided you follow the safety steps before, during and after your MRI. {"url":"/signup-modal-props.json?lang=us\u0026email="}, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":21842,"mcqUrl":"https://radiopaedia.org/articles/mri-safety/questions/1367?lang=us"}. A potential safety risk: retained pacing wire, diffusion tensor imaging and fiber tractography, fluid attenuation inversion recovery (FLAIR), turbo inversion recovery magnitude (TIRM), dynamic susceptibility contrast (DSC) MR perfusion, dynamic contrast enhanced (DCE) MR perfusion, arterial spin labeling (ASL) MR perfusion, intravascular (blood pool) MRI contrast agents, single photon emission computed tomography (SPECT), F-18 2-(1-{6-[(2-[fluorine-18]fluoroethyl)(methyl)amino]-2-naphthyl}-ethylidene)malononitrile. (2018) Call to end the scandal of denying MRI scans to patients with cardiac devices. Some shunts are designed so that they are not effected by the magnetic field of MRI scanners however it is recommended that all programmable shunt settings be checked with a plain radiograph of the head following an MRI study to ensure that the settings were not altered4. About the MRI Safety programme. Kmietowicz. If you would like to fill out an MRI Safety Checklist prior to your MRI, please complete the online MRI Safety Checklist form. Deaths have occurred from trauma as a result of these effects. It is strong enough to pull heavy-duty floor buffers and mop buckets into the bore of the magnet, move trolleys across the room and turn oxygen bottles into hazardous projectiles (missile effect). Non-clinical testing and MRI simulations were performed to evaluate the entire family (i. RANZCR MRI Safety Guidelines (2017) The Royal Australian and New Zealand College of Radiologists MRI Safety Guidelines; Safety Concerns with Implantable Infusion Pumps in the Magnetic Resonance (MR) Environment: FDA Safety Communication (2017) U.S. Federal Safety Standards, Guidelines and Regulations for MRI Systems: An Overview (2015) Hardbound MRI Textbook. A new implanted sternal device system for pediatric patients is contraindicated for MRI. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use 5/85 1 Introduction 1.1 Background This is the 4th edition of the safety guidelines and aims to provide relevant safety information for users of magnetic resonance imaging (MRI) equipment in clinical use but will have some relevance in academic 4. Some metallic objects that are usually safe near an MRI machine are gold jewelry, shirt cuff-links and eyeglass frames. MRI Safety Information COMPLETE LIST OF PART NUMBERS DESCRIPTION: This MRI Safety Information was developed using non-clinical testing and received marketing clearance by the FDA in August 2015. Wake Radiology MRI Safety Checklist Main Phone 919-232-4700 Chapel Hill 919-942-3196 Pacemaker Reminder - The Medtronic Revo and Advisa MRI Pacing Systems are the only pacemakers safe for use in MRI procedures under specified MRI conditions. (2016) Abdominal radiology (New York). Older pacemakers had a magnetic reed switch which could be disturbed by a strong magnetic field resulting in possible deleterious effects to the patient with one implanted. MRI Safety Information COMPLETE LIST OF PART NUMBERS DESCRIPTION: This MRI Safety Information was developed using non-clinical testing and received marketing clearance by the FDA in August 2015. In partnership with the Society for Magnetic Resonance Technologists (SMRT), the FDA has developed a series of posters addressing MRI safety key aspects for MR technologists and other site personnel. Learn mri safety with free interactive flashcards. MRI Safety » Potential Hazards and Risks. Copyright © 2021 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. Distinguishing between MRI safe and unsafe items is always a challenge for staff. Distinguishing between MRI safe and unsafe items is always a challenge for staff. MRI is now more accessible than ever with latest VNS Therapy technology, provided you follow the safety steps before, during and after your MRI. Also looping of the cable to a coil can result in burns to patients that come into contact with them. Safety Screening Form for Magnetic Resonance (MR) Procedures If uncertain of any answer below, please circle and leave blank to discuss MR Hazard Checklist with the technologist. Non-clinical testing demonstrated that the entire family of these embolization coils is MR Conditional. Below we’ve listed what we believe to be the most shared MRI safety articles on social media so far in 2018*. (2015) Radiographics : a review publication of the Radiological Society of North America, Inc. 35 (6): 1722-37. Here is list of MRI safety resources (textbooks, web sites, MRI videos): TEXTBOOKS: Reference Manual for Magnetic Resonance Safety, Implants, and Devices: Update 2019 (Frank G. Shellock, Biomedical Research Publishing Group, Los Angeles, CA) - Revised and updated with the latest information from the peer-reviewed literature. MRI Safety » MRI Absolute Contraindications. Please verify the device and leads on your pacemaker identification card are SureScan Technology. (2004/40/EC) and MRI; We use cookies to guarantee the best experience on our website. However, the MRI technologist and radiologist must know the exact type that you have in order to follow special procedures to ensure your safety. MRI Safety Guidance It is important to remember when working around a superconducting magnet that the magnetic field is always on. Unable to process the form. Our line of available MRI Safety Products will assist you, the technologist, doctor, and staff to be fully aware of MRI Safety and the dangers the MRI Suite can pose. A steel oxygen tank is never permitted inside of the MRI system room. Very rapidly changing magnetic fields as may be achieved with echo planar imaging can cause nerve stimulation. If the area is untidy when you arrive, or if equipment has not been returned to it's proper position or default Floor polishers are poor MRI system cleaners! MRI Safety Information. As a result there is the presence of heating effects from the RF, known as the specific absorption rate. It is best to avoid all contact with the RF coil cables. MRI SAFETY CHECKLIST cont... 17 Yes / No What is your weight? If you continue to use the cookies, we will consider that you accept their use. If you continue to use the cookies, we will consider that you accept their use. MRI Safety Along Every Dimension . MRI Safety is a web-based learning resource suitable for a range of staff working in the MRI unit, including radiographers, radiologists, physicists, clinical scientists, trainees and any associated relevant staff, for their own or others’ MRI safety. Magnetic Field Risk The static magnetic field of the MRI system is exceptionally strong. MRI scanners, although free from potentially cancer-inducing ionizing radiation found in plain radiography and CT, have a host of safety issues which must be taken very seriously. Being readily accessible and available to the operators of the MRI system at all times while the MR facility is accessible. This is why we recommend patients review the MRI Safety Checklist with their referring provider or on their own as soon as possible. MRI Absolute Contraindications. Potential Hazards and Risks. Sammet S. Magnetic resonance safety. MRI Bioeffects, Safety, and Patient Management is a comprehensive, authoritative textbook on the health and safety concerns of MRI technology that contains contributions from more than forty internationally respected experts in the field. I confirm that that the information I have provided is correct to the best of my knowledge. How to minimize risk. MR Safe - an item that poses no known hazards in all MRI environments. The main issues affecting the safety of passive implants (medical devices that serve their function without the supply of power) in the MR environment involve magnetically induced displacement force and torque and radio frequency (RF) induced heating. MRI Safety is a web-based learning resource suitable for a range of staff working in the MRI unit, including radiographers, radiologists, physicists, clinical scientists, trainees and any associated relevant staff, for their own or others’ MRI safety. Persons entering the scanning room must complete a safety questionnaire prior to being escorted in by trained MRI staff. Ferrous metallic objects can become projectile and cause serious injury or death to patients or staff. The main issues affecting the safety of passive implants (medical devices that serve their function without the supply of power) in the MR environment involve magnetically induced displacement force and torque and radio frequency (RF) induced heating. Choose from 356 different sets of mri safety flashcards on Quizlet. Unfortunately, the rates of reported MRI accidents are nearly five times what they were just five years ago, according to data from the U.S. Food and Drug Administration (FDA)[1] — an apparent indication that we, as an industry, aren’t following best practices. Have you had a previous MRI scan? Tsai LL, Grant AK, Mortele KJ, Kung JW, Smith MP. • Documentation of implants and/or consents MUST be entered into radiology assessment before patient is brought into MRI The programmable valve settings are changed by a device with a strong magnetic field supplied by the manufacturer which changes the opening pressure of the ventricular system in the brain. MRI Safety Information. Therefore in the past, having a pacemaker was an absolute contraindication to undergoing an MRI. The strong field can affect cardiac pacemakers. The radiofrequency (RF) power that is capable of being produced matches that of many small radio stations (15-20 kW). _____ List current medications: None _____ _____ List … This information is being provided as guidance for physicians, radiologists and MRI technologists with patients using only 1. In patients with metal in their body, the potential exists for electrical currents being induced in the metal with subsequent heating. Being readily accessible and available to the operators of the MRI system at all times while the MR facility is accessible. Under usual working conditions the field is never turned off. Smaller objects such as coins, hairpins and pens have been yanked off the person carrying them. RANZCR MRI Safety Guidelines (2017) The Royal Australian and New Zealand College of Radiologists MRI Safety Guidelines; Safety Concerns with Implantable Infusion Pumps in the Magnetic Resonance (MR) Environment: FDA Safety Communication (2017) U.S. Federal Safety Standards, Guidelines and Regulations for MRI Systems: An Overview (2015) 31 (7) 1342-1346. http://www.ajnr.org/content/ajnr/early/2010/02/11/ajnr.A1997.full.pdf, Fourier transform and Nyquist sampling theorem. 2. Mumbai Man Dies in Tragic MRI Accident. Level 2: MRI Safety for Technologists, Radiographers, and MR Operators Coming Soon! Working alone with MRI examinations and equipment should never be an option, and all members of the scanning team must have a high level of MRI safety skills. Let us know if you think we’ve missed something. At Magmedix MRI Safety is your Top Priority and assisting you is our primary focus. Other Items for Safety in the Magnetic Resonance Environment. Thermal burns top FDA list of MRI adverse event reports By Wayne Forrest, AuntMinnie.com contributing writer August 13, 2020 Ten years of MRI adverse event reports show burns from coils and electrocardiography (ECG) leads during scans are among the most common -- and preventable -- causes for patient injuries, according to a study presented Thursday at the International … Intrauterine contraceptive devices (IUD) may be made from nonmetallic materials (e.g., plastic) or a combination of nonmetallic and metallic materials. Non-clinical testing and MRI simulations were performed to evaluate the entire family (i.e., available diameters and lengths) of the TrelliX Embolic Coil System. Get in touch. Ensuring that proper policies and procedures for day-to-day MRI safety are enforced. Implantable Pediatric Sternum Device. Non-clinical testing demonstrated that the Denali ... MRI Safety. Level 1: MRI Safety for ALL staff, with narration – Includes downloadable certificate of participation – Greek translation of the Basic MRI Safety Level 1 video. MRI safety can be divided into: The main magnetic field (B0) of a 1.5 T magnet is about 30,000 times the strength of the earth's magnetic field. The main magnetic field (B0) of a 1.5 T magnet is about 30,000 times the strength of the earth's magnetic field. This information is being provided as guidance for physicians, radiologists and MRI technologists with patients using only At Magmedix MRI Safety is your Top Priority and assisting you is our primary focus. The strong field can affect cardiac pacemakers. Ensuring that proper policies and procedures for day-to-day MRI safety are enforced. MRSTS has access to MR systems operating from 0.2-Tesla to 7.0-Tesla, including dedicated-extremity and interventional MR systems. Here is list of MRI safety resources (textbooks, web sites, MRI videos): TEXTBOOKS: Reference Manual for Magnetic Resonance Safety, Implants, and Devices: Update 2019 (Frank G. Shellock, Biomedical Research Publishing Group, Los Angeles, CA) - Revised and updated with the latest information from the peer-reviewed literature. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Site development supported by Unrestricted Educational Grant from Bracco: Intrauterine Contraceptive Devices (IUDs) and Other Contraceptive Devices. MRI safety handbook by level II personnel. It does not universally occur and some patients with hip prostheses, for example, may be scanned without harm. MRI safety issues apply to the scanning room. If you searching for special discount you will need to searching when special time come or holidays. Signature of patient: Date: THE List - MRI Safety Mrisafety.com Safety Topic / Subject Article Text 188: Ocular Implants, Lens Implants, and Devices: Of the different ocular implants, lens implants, and devices that have undergone MRI testing, the Fatio eyelid spring, the retinal tack made from … Our line of available MRI Safety Products will assist you, the technologist, doctor, and staff to be fully aware of MRI Safety and the dangers the MRI Suite can pose. Signature of patient: Date: Potential for electrical shock exists with RF coils so proper grounding and insulation of coils is necessary. It is often safe to perform MRI on an individual that has an orthopaedic implant device. Shape Memory Medical, Inc., www.shapemem.com. Working alone with MRI examinations and equipment should never be an option, and all members of the scanning team must have a high level of MRI safety skills. Safety policies and procedures are evaluated on a monthly basis by the MRI Safety Committee, and updated online for reference. If there is no documentation, a radiologist will have to decide on whether the patient can be scanned or not. Instead, MRI uses a powerful magnetic field, radio waves, rapidly changing magnetic fields, and a computer to create images that show whether or not there is an injury, disease process, or abnormal condition present. We’ll be updating the list towards the end of the year. There are several ways to improve MRI safety besides sufficient safety training and education and installing helpful devices. Patients now have MRI access with Medtronic SureScan Systems. MRI Safety Guidance It is important to remember when working around a superconducting magnet that the magnetic field is always on. It is strong enough to pull heavy-duty floor buffers and mop buckets into the bore of the magnet, move trolleys across the room and turn oxygen bottles into hazardous projectiles. Introduction Magnetic resonance (MR) imaging, introduced in the 1970s, is now commonplace in modern medicine, with more than 60 million examinations performed worldwide in 2012 ( 1 ). 20 Are you breast-feeding? Under usual working conditions the field is never turned off. To ensure patient safety relative to the use of this technology, a pre-MRI screening procedure is performed to identify, among other things, the presence of metallic objects that can pose hazards or others issues for the patient. If yes, when was the most recent? A new implanted sternal device system for pediatric patients is contraindicated for MRI. ≥7 T). However echo planar imaging (EPI) and some spectroscopy localization techniques are capable of exceeding FDA guidelines. This may occur with metal foreign bodies or some surgical implants. In most pulse sequences, the heating is insignificant and does not exceed FDA guidelines. THE List - MRI Safety Mrisafety.com Safety Topic / Subject Article Text 188: Ocular Implants, Lens Implants, and Devices: Of the different ocular implants, lens implants, and devices that have undergone MRI testing, the Fatio eyelid spring, the retinal tack made from … Programmable ventriculoperitoneal shunts are adjustable shunts to treat hydrocephalus by diverting cerebrospinal fluid to the peritoneum. I confirm that that the information I have provided is correct to the best of my knowledge. This adoption came about in an effort to clarify the terminology and, more important, because misuse of old terminology could result in serious accidents for patients and other individuals. The List; Safety Topics; Info & Terminology; Screening Form; Product Testing; Lectures; Disclaimer; About Dr. Shellock; Priority Email; Accidents. It is intended to assist healthcare professionals in determining if an implanted system is MR Conditional. Due to this technical innovation, radiological societies in both North America and Europe have issued revised guidelines stating that having an implanted cardiac device is now only a relative contraindication 1. MRI Absolute Contraindications. Developing, documenting, and introducing safe working procedures for the MR environment. MRI Safety and Operations Training Manual Created on 10/6/2010 3:51:00 PM - 8 - MR Suite Safety Rules Any researcher who uses the research Bays is required to set up and clean up properly. Lollis SS, Mamourian AC, Vaccaro TJ, Duhaime AC. MRI safety guidelines are established by the MRI Safety Committee and apply to all clinical and research MRI systems operated at UCSF and SFVAHCS. If you would like to fill out an MRI Safety Checklist prior to your MRI, please complete the online MRI Safety Checklist form. About the MRI Safety programme. MRI Safety Checklist. An office chair was in the wrong place - at ANY time! MRI Safety and precautions; European directive on magnetic fields. MRI Safety Checklist Please complete this checklist before attending for your MRI appointment. MRI Safety Along Every Dimension . MRI BIOEFFECTS, SAFETY, AND PATIENT MANAGEMENT is a comprehensive, authoritative textbook on the health and safety concerns of MRI technology that contains contributions from more than forty internationally respected experts in the field. 1. 3. Therefore heart valves are usually only a relative contraindication for MRI. Completing the safety checklist online will help streamline your appointment. This may occur a short distance inside of the scanner room of a MRI machine. MRI Safety. There are several ways to improve MRI safety besides sufficient safety training and education and installing helpful devices. Monitoring of the power deposition in patients is a requirement for FDA approval of clinical MRI scanners. Varying magnetic fields are necessary in order to obtain images from MRI scanners. To ensure patient safety relative to the use of this technology, a pre-MRI screening procedure is performed to identify, among other things, the presence of metallic objects that can pose hazards or others issues for the patient. Therefore, in order to help with the pre-MRI screening procedure, it is important for you to obtain information about any implant that you may have and to provide it to the MRI technologist. A 1.5 T magnet generates a magnetic that is approximately 21,000 greater than the earth's natural field. Using the terminology, "MR Safe" items are non-conducting, non-metallic, and non-magnetic items such as a plastic Petri dish. MRI Safety and precautions; European directive on magnetic fields. A Practical Guide to MR Imaging Safety: What Radiologists Need to Know. 41 (3): 444-51. MR Safety for Nurses and Technologists (podcast) (member login required) Safety Info ID# Safety Topic / Subject Article Text 181: Intrauterine Contraceptive Devices (IUDs) and Other Contraceptive Devices: Intrauterine contraceptive devices (IUD) may be made from nonmetallic materials (e.g., plastic) or a combination of nonmetallic and metallic materials. Not everyone with an aneurysm clip experiences a fatal hemorrhage when placed in a magnet, but several cases have been reported. Some types of heart valves (e.g. Developing, documenting, and introducing safe working procedures for the MR environment. (Stones) (Kilograms) 18 19 Could you be pregnant? (Stones) (Kilograms) 18 19 Could you be pregnant? It is often safe to perform MRI on an individual that has an orthopaedic implant device. If the area is untidy when you arrive, or if equipment has not been returned to it's proper position or default TrelliX Embolic Coil System, All Versions. BMJ 362:k3623. If a device is not shown in the list, it is not MR Conditional. Magnetic resonance imaging (MRI) is safe, profoundly safe, provided we follow industry best practices. All staff must abide by MRI department safety rules. Although MRI safety procedures are in place in all MRI facilities, intended to prevent such incidents, the number of MRI projectile events continues to rise year-on-year. This stimulation can affect motor nerves with resulting muscle contraction as well as the retina with resulting flickering lights called magnetophosphenes. Modern pacemakers often have solid-state switches which are much less likely to be affected and much reduced ferromagnetic material. This webpage is a global product listing of Medtronic, MR-conditional implantable cardiac devices, including pacemakers, ICDs, CRTs, and ICMs. (2010) American Journal of Neuroradiology. Indications. If yes, when was the most recent? These safety rules come courtesy of the U.S. Food and Drug Administration and the Section for Magnetic Resonance Technologists. Why are you having this examination (medical problem)? Dr. Michael Harrison (pediatric surgery UCSF) is currently running a phase 2 research procedure, The Magnetic Mini-Mover procedure. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use 5/85 1 Introduction 1.1 Background This is the 4th edition of the safety guidelines and aims to provide relevant safety information for users of magnetic resonance imaging (MRI) equipment in clinical use but will have some relevance in academic This ensures that each tip has been tested, retested, and verified before being added to the list of best practices. Implantable Pediatric Sternum Device. Attention must be paid to keep all ferromagnetic items at an adequate distance from the magnet. 1) Confirm MRI readiness. Check for errors and try again. Shellock R & D Services, Inc. email: Frank.ShellockREMOVE@MRIsafety.com. 20 Are you breast-feeding? Changing magnetic field induce electrical currents in conductors (this is how an electrical generator works). Magnetic resonance imaging, or MRI, is a way of obtaining detailed images of organs and tissues throughout the body without the need for x-rays or \"ionizing\" radiation. If the answer to any of the questions on the MRI Safety Checklist is YES, please call 919-782-7666 so we can appropriately schedule the appointment. In partnership with the Society for Magnetic Resonance Technologists (SMRT), the FDA has developed a series of posters addressing MRI safety key aspects for MR technologists and other site personnel. MAGNETIC RESONANCE SAFETY TESTING SERVICES (MRSTS) is the World’s most experienced MR-safety testing company that conducts comprehensive evaluations of implants, devices, objects, and materials. Dr. Michael Harrison (pediatric surgery UCSF) is currently running a phase 2 research procedure, The Magnetic Mini-Mover procedure. This is particularly an issue with ultra high field magnets (i.e. (2004/40/EC) and MRI; We use cookies to guarantee the best experience on our website. List the different MR imaging safety zones and describe their restrictions. MRI Med practices the system of MRI terminology developed in 2005 by the American Society for Testing and Materials (ASTM). Starr-Edwards) are torqued in a magnetic field: however, this torque is less than the stresses that occur normally as a result of blood flow. Programmable CSF shunt valves: Radiographic identification and interpretation. Older pacemaker… SureScan Systems ensure patient safety for MRI scans, under specific conditions. These safety rules come courtesy of the U.S. Food and Drug Administration and the Section for Magnetic Resonance Technologists. Deaths have occurred from trauma as a result of these effects. The Azure™ DR MRI and Azure SR MRI SureScan ™ systems are indicated for rate-adaptive pacing in patients who may benefit from increased pacing rates concurrent with increases in activity.