{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:39:35Z","timestamp":1792809575056,"version":"4.5.0"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>External magnetic forces can have an impact on programmable valve mechanisms and potentially alter the opening pressure. As wearable technology has begun to permeate mainstream living, there is a clear need to provide information regarding safety of these devices for use near a programmable valve (PV). The aim of this study was to evaluate the magnetic fields of reference devices using smartphone-integrated magnetometers and compare the results with published shunt tolerances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Five smartphones from different manufacturers were used to evaluate the magnetic properties of various commonly used (n = 6) and newer-generation (n = 10) devices using measurements generated from the internal smartphone magnetometers. PV tolerance testing using calibrated magnets of varying field strengths was also performed by smartphone magnetometers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>All tested smartphone-integrated magnetometers had a factory sensor saturation point at around 5000 \u00b5T or 50 Gauss (G). This is well below the threshold at which a magnet can potentially deprogram a shunt, based on manufacturer reports as well as the authors\u2019 experimental data with a threshold of more than 300 G. While many of the devices did saturate the smartphone sensors at the source, the magnetic flux density of the objects decreases significantly at 2 inches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The existence of an upper limit on the magnetometers of all the smartphones used, although well below the published deprogramming threshold for modern programmable valves, does not allow us to give precise recommendations on those devices that saturate the sensor. Based on the authors\u2019 experimental data using smartphone-integrated magnetometers, they concluded that devices that measure &lt; 40 G can be used safely close to a PV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.10.peds20727","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T03:08:46Z","timestamp":1616728126000},"page":"629-636","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of smartphone-integrated magnetometers in detection of safe electromagnetic devices for use near programmable shunt valves: a proof-of-concept study"],"prefix":"10.3171","volume":"27","author":[{"given":"Smruti K.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Cincinnati College of Medicine; and"},{"name":"Division of Pediatric Neurosurgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Zamorano-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlie","family":"McCoy","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Skoch","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Cincinnati College of Medicine; and"},{"name":"Division of Pediatric Neurosurgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.3171\/2017.10.JNS17439","article-title":"Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis","volume":"130","author":"Dewan MC","year":"2019","unstructured":"Dewan MC, Rattani A, Mekary R, . Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. J Neurosurg. 2019;130(4):1065\u20131079.10.3171\/2017.10.JNS17439"},{"issue":"2-3","key":"b2","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s101430050035","article-title":"The scientific history of hydrocephalus and its treatment","volume":"22","author":"Aschoff A","year":"1999","unstructured":"Aschoff A, Kremer P, Hashemi B, Kunze S.. The scientific history of hydrocephalus and its treatment. Neurosurg Rev. 1999;22(2-3):67\u201395.10.1007\/s10143005003510547004"},{"issue":"1","key":"b3","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1159\/000355247","article-title":"Effect of amusement park rides on programmable shunt valve settings","volume":"49","author":"Strahle J","year":"2013","unstructured":"Strahle J, Collins K, Stetler WR Jr, . Effect of amusement park rides on programmable shunt valve settings. Pediatr Neurosurg. 2013;49(1):21\u201323.2419258410.1159\/000355247"},{"issue":"2","key":"b4","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"198","DOI":"10.3171\/2012.10.PEDS12239","article-title":"Hydrodynamic properties of the Certas hydrocephalus shunt","volume":"11","author":"Czosnyka Z","year":"2013","unstructured":"Czosnyka Z, Pickard JD, Czosnyka M.. Hydrodynamic properties of the Certas hydrocephalus shunt. J Neurosurg Pediatr. 2013;11(2):198\u2013204.2321581810.3171\/2012.10.PEDS12239"},{"issue":"2","key":"b5","series-title":"J Neurosurg","first-page":"163","article-title":"Effect of 3-tesla magnetic resonance imaging on various pressure programmable shunt valves","volume":"103","author":"Inoue T","year":"2005","unstructured":"Inoue T, Kuzu Y, Ogasawara K, Ogawa A.. Effect of 3-tesla magnetic resonance imaging on various pressure programmable shunt valves. J Neurosurg. 2005;103(2)(suppl):163\u2013165.16370283"},{"issue":"3","key":"b6","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"222","DOI":"10.3171\/PED\/2008\/2\/9\/222","article-title":"Magnetic field interactions in adjustable hydrocephalus shunts","volume":"2","author":"Lavinio A","year":"2008","unstructured":"Lavinio A, Harding S, Van Der Boogaard F, . Magnetic field interactions in adjustable hydrocephalus shunts. J Neurosurg Pediatr. 2008;2(3):222\u2013228.1875960710.3171\/PED\/2008\/2\/9\/222"},{"key":"b7","series-title":"Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.mri.2017.07.018","article-title":"Assessment of MRI issues for a new cerebral spinal fluid shunt, gravitational valve (GV)","volume":"44","author":"Moghtader D","year":"2017","unstructured":"Moghtader D, Crawack HJ, Miethke C, . Assessment of MRI issues for a new cerebral spinal fluid shunt, gravitational valve (GV). Magn Reson Imaging. 2017;44:8\u201314.10.1016\/j.mri.2017.07.01828735732"},{"issue":"2","key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"331","DOI":"10.3171\/jns.2002.96.2.0331","article-title":"Electromagnetic field hazards involving adjustable shunt valves in hydrocephalus","volume":"96","author":"Schneider T","year":"2002","unstructured":"Schneider T, Knauff U, Nitsch J, Firsching R.. Electromagnetic field hazards involving adjustable shunt valves in hydrocephalus. J Neurosurg. 2002;96(2):331\u2013334.10.3171\/jns.2002.96.2.033111838808"},{"issue":"3","key":"b9","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1227\/01.NEU.0000134387.75251.47","article-title":"Effect of vagus nerve stimulator magnet on programmable shunt settings","volume":"55","author":"Jandial R","year":"2004","unstructured":"Jandial R, Aryan HE, Hughes SA, Levy ML.. Effect of vagus nerve stimulator magnet on programmable shunt settings. Neurosurgery. 2004;55(3):627\u2013630.1533542910.1227\/01.NEU.0000134387.75251.47"},{"issue":"4","key":"b10","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1007\/s00701-009-0564-2","article-title":"Effect of transcranial magnetic stimulation on four types of pressure-programmable valves","volume":"152","author":"Lefranc M","year":"2010","unstructured":"Lefranc M, Ko JY, Peltier J, . Effect of transcranial magnetic stimulation on four types of pressure-programmable valves. Acta Neurochir (Wien). 2010;152(4):689\u2013697.10.1007\/s00701-009-0564-219957091"},{"issue":"2","key":"b11","series-title":"Case report. J Neurosurg","first-page":"222","article-title":"Adjustment and malfunction of a programmable valve after exposure to toy magnets","volume":"101","author":"Anderson RC","year":"2004","unstructured":"Anderson RC, Walker ML, Viner JM, Kestle JR.. Adjustment and malfunction of a programmable valve after exposure to toy magnets. Case report. J Neurosurg. 2004;101(2)(suppl):222\u2013225.15835112"},{"key":"b12","series-title":"Surg Neurol Int","doi-asserted-by":"publisher","first-page":"51","DOI":"10.4103\/sni.sni_444_17","article-title":"Maladjustment of programmable ventricular shunt valves by inadvertent exposure to a common hospital device","volume":"9","author":"Fujimura R","year":"2018","unstructured":"Fujimura R, Lober R, Kamian K, Kleiner L.. Maladjustment of programmable ventricular shunt valves by inadvertent exposure to a common hospital device. Surg Neurol Int. 2018;9:51.10.4103\/sni.sni_444_1729576902"},{"issue":"4","key":"b13","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1007\/s00381-013-2053-4","article-title":"Interactions between programmable shunt valves and the iPad 3 with Smart Cover","volume":"29","author":"He Y","year":"2013","unstructured":"He Y, Murphy RK, Roland JL, Limbrick DD Jr.. Interactions between programmable shunt valves and the iPad 3 with Smart Cover. Childs Nerv Syst. 2013;29(4):531\u2013533.2342365910.1007\/s00381-013-2053-4"},{"issue":"9","key":"b14","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"635","DOI":"10.2176\/nmc.51.635","article-title":"Programmable shunt valves: in vitro assessment of safety of the magnetic field generated by a portable game machine","volume":"51","author":"Nakashima K","year":"2011","unstructured":"Nakashima K, Nakajo T, Kawamo M, . Programmable shunt valves: in vitro assessment of safety of the magnetic field generated by a portable game machine. Neurol Med Chir (Tokyo). 2011;51(9):635\u2013638.10.2176\/nmc.51.63521946726"},{"key":"b15","first-page":"518","article-title":"Smartphones and programmable shunts: are these indispensable phones safe and smart? World Neurosurg","volume":"102","author":"Ozturk S","year":"2017","unstructured":"Ozturk S, Cakin H, Kurtuldu H, . Smartphones and programmable shunts: are these indispensable phones safe and smart? World Neurosurg. 2017;102:518\u2013525.28342922"},{"issue":"2","key":"b16","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"118","DOI":"10.3171\/2012.3.PEDS1211","article-title":"Programmable shunt valve affected by exposure to a tablet computer","volume":"10","author":"Strahle J","year":"2012","unstructured":"Strahle J, Selzer BJ, Muraszko KM, . Programmable shunt valve affected by exposure to a tablet computer. J Neurosurg Pediatr. 2012;10(2):118\u2013120.10.3171\/2012.3.PEDS121122734456"},{"issue":"8","key":"b17","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"405","DOI":"10.2176\/nmc.46.405","article-title":"Alteration of the pressure setting of a Codman-Hakim programmable valve by a television","volume":"46","author":"Utsuki S","year":"2006","unstructured":"Utsuki S, Shimizu S, Oka H, . Alteration of the pressure setting of a Codman-Hakim programmable valve by a television. Neurol Med Chir (Tokyo). 2006;46(8):405\u2013407.10.2176\/nmc.46.40516936463"},{"issue":"5","key":"b18","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.surneu.2004.06.022","article-title":"Effect of cell phone magnetic fields on adjustable cerebrospinal fluid shunt valves","volume":"63","author":"Nomura S","year":"2005","unstructured":"Nomura S, Fujisawa H, Suzuki M.. Effect of cell phone magnetic fields on adjustable cerebrospinal fluid shunt valves. Surg Neurol. 2005;63(5):467\u2013468.1588307610.1016\/j.surneu.2004.06.022"},{"issue":"4","key":"b19","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"384","DOI":"10.3171\/2016.11.PEDS16501","article-title":"Programmable shunt valve interactions with osseointegrated hearing devices","volume":"19","author":"Pierson MJ","year":"2017","unstructured":"Pierson MJ, Wehrmann D, Albers JA, . Programmable shunt valve interactions with osseointegrated hearing devices. J Neurosurg Pediatr. 2017;19(4):384\u2013390.10.3171\/2016.11.PEDS16501"},{"issue":"4","key":"b20","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"402","DOI":"10.3171\/2015.1.PEDS14400","article-title":"Programmable shunts and headphones: are they safe together?","volume":"16","author":"Spader HS","year":"2015","unstructured":"Spader HS, Ratanaprasatporn L, Morrison JF, . Programmable shunts and headphones: are they safe together?. J Neurosurg Pediatr. 2015;16(4):402\u2013405.10.3171\/2015.1.PEDS1440026149436"},{"issue":"6","key":"b21","series-title":"Eur J Phys","doi-asserted-by":"publisher","first-page":"065002","DOI":"10.1088\/0143-0807\/36\/6\/065002","article-title":"Measurement of the magnetic field of small magnets with a smartphone: a very economical laboratory practice for introductory physics courses","volume":"36","author":"Arribas E","year":"2015","unstructured":"Arribas E, Escobar I, Suarez CP, . Measurement of the magnetic field of small magnets with a smartphone: a very economical laboratory practice for introductory physics courses. Eur J Phys. 2015;36(6):065002.10.1088\/0143-0807\/36\/6\/065002"},{"key":"b22","series-title":"phyphox: physical phone experiments","article-title":"Talk at the Chaos Communication Congress","author":"Staacks S.","unstructured":"Staacks S.. Talk at the Chaos Communication Congress. phyphox: physical phone experiments. December 28, 2019. Accessed December 9, 2020.https:\/\/phyphox.org\/2019\/12\/"},{"issue":"4","key":"b23","series-title":"Phys Educ","doi-asserted-by":"publisher","first-page":"045009","DOI":"10.1088\/1361-6552\/aac05e","article-title":"Advanced tools for smartphone-based experiments: phyphox","volume":"53","author":"Staacks S","year":"2018","unstructured":"Staacks S, H\u00fctz S, Heinke H, Stampfer C.. Advanced tools for smartphone-based experiments: phyphox. Phys Educ. 2018;53(4):045009.10.1088\/1361-6552\/aac05e"},{"key":"b24","article-title":"Break Through the Uncertainty Brochure","unstructured":"Break Through the Uncertainty Brochure. Codman 1236217-3-EN Certas Plus; 2019. Accessed December 7, 2020.https:\/\/www.integralife.com\/file\/general\/1551213408.pdf"},{"key":"b25","article-title":"Magnetic Field Influences and Your Strata TM Valve","unstructured":"Magnetic Field Influences and Your Strata TM Valve. Medtronic EN UC201504957A; Accessed December 7, 2020.http:\/\/www.medtronic.me\/content\/dam\/medtronic-com\/products\/neurological\/shunts\/ns-stratamagnetic_rev-e.pdf"},{"key":"b26","series-title":"FDA.gov","article-title":"Magnetic field interference with programmable CSF shunts","unstructured":"Magnetic field interference with programmable CSF shunts. FDA.gov. July 16, 2019. Accessed December 7, 2020.https:\/\/www.fda.gov\/medical-devices\/cerebral-spinal-fluid-csf-shunt-systems\/magnetic-field-interference-programmable-csf-shunts"},{"key":"b27","article-title":"\u201cKronos\u201d Valve Resistance to Spontaneous PL Setting changes","year":"1998","unstructured":"\u201cKronos\u201d Valve Resistance to Spontaneous PL Setting changes. MNS Report RD9310-04. Medtronic; 1998."},{"key":"b28","article-title":"Non-homogeneous Dynamic Magnetic Influence Characterization of the Strata NSC Valve and Codman Hakim Programmable Valve","author":"Magnetic Inadvertent Switching.","year":"2004","unstructured":"Magnetic Inadvertent Switching.. Non-homogeneous Dynamic Magnetic Influence Characterization of the Strata NSC Valve and Codman Hakim Programmable Valve. MNS Technical Document TD-02864. Medtronic;2004."},{"key":"b29","series-title":"MNS Technical Document TD-02843","article-title":"Strata II Valve Design Verification Report: Resistance to Inadvertent Switching","year":"2004","unstructured":"Strata II Valve Design Verification Report: Resistance to Inadvertent Switching. MNS Technical Document TD-02843.Medtronic;2004."},{"issue":"4","key":"b30","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"359","DOI":"10.3171\/2017.9.PEDS17253","article-title":"Parent\/guardian knowledge regarding implanted shunt type, setting, and symptoms of malfunction\/infection","volume":"21","author":"Ackerman LL","year":"2018","unstructured":"Ackerman LL, Fulkerson DH, Jea A, Smith JL.. Parent\/guardian knowledge regarding implanted shunt type, setting, and symptoms of malfunction\/infection. J Neurosurg Pediatr. 2018;21(4):359\u2013366.10.3171\/2017.9.PEDS1725329328006"},{"key":"b31","article-title":"HydroAssist\u00ae Mobile Application. Hydrocephalus Association","unstructured":"HydroAssist\u00ae Mobile Application. Hydrocephalus Association. Accessed December 7, 2020.https:\/\/www.hydroassoc.org\/hydroassist-mobile-application\/"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/6\/article-p629.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/6\/article-p629.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/6\/article-p629.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:54:20Z","timestamp":1792806860000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/6\/article-p629.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":31,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2020.10.peds20727","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}