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Fetal electrode changesFrom: ainsron@msn.comWed Nov 15 18:32:13 2000
I recently was made aware that the FDA has banned the use of the standard exposed leads we used in the past because of the "danger of electrocution" associated with exposed wires from other medical devices that have become accidently attached directly to AC. Apparently they have caused the death of ~24 patients over the years. Most of the deaths have taken place in the homes, with various monitors used by patients, but a few have occured in hospital settings. I am not aware of any that have occurred directly due to scalp electrodes, however they are also swept out by the FDA ruling. I have used the new style electrodes several times now, and they seemed to work OK. Today when I had to monitor a patient internally, I tried four different electrodes. Eventually I clipped the wires off of the protective end and attached them directly to the old style leg plate in order to get a tracing, it was perfect. It seems to me that there is more potentially for fetal morbidity with multiple attachements of electrodes than there could possibly be due to electrocution risk with internal fetal monitoring!! Is anyone else having problems establishing a connection with the new electrodes? We are going to have our technicians look at the connections and contact the manufacturer.
-- Ronald E. Ainsworth, MD
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