Modern cardiac pacemakers are complex and heterogenous devices. The po
tential effect of electrically powered instruments on a patient's pace
maker function must be carefully evaluated before treatment, Interfere
nce with the pacemaker's function by the instrument depends on the spe
cific type of pacemaker placed and the patient's dependence on it, A c
ase is presented in which an electronic apex locator was used on a pat
ient with a pacemaker, despite the manufacturer's written warning to t
he contrary, The patient's cardiologist was consulted before treatment
.