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Study on the Efects of Continuous Application of the Taser X26, Penn State, 2007

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Electro-Muscular Disruption (EMD) Bioeffects:
A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine
E.L. Hughes, M.J. Kennett, W.B. Murray, J.R. Werner and D.M. Jenkins
30 November 2007

Executive Summary
Background
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion

TABLE OF CONTENTS
1
5. Conclusions
2
6. Recommendations
3
Acknowledgements
3
Appendix 1 (Blood Chemistry)
4
Appendix 2 (Tidal Volume)
7
Appendix 3 (TASER® Characterization)
17
Appendix 4 (References)

26
27
28
1-1
2-1
3-1
4-1

EXECUTIVE SUMMARY
New applications of non-lethal weapon technologies hold promise in complex urban settings or other hostile
situations, as non-lethal weapons can be employed selectively and proportionally to control adverse
situations with less risk to bystanders and military personnel. It is essential that the physiological effects of
these non-lethal devices be determined via human surrogate testing to identify potential causes of serious
injury or death and determine the associated risks. These studies were reviewed and approved by The
Pennsylvania State University Institutional Animal Care and Use Committee (IACUC). Anesthetized swine
were exposed for up to 30 minutes to TASER®X26 waveforms to identify biological effects and evaluate
the potential risks of such exposures.
In Phase One of the pilot study, two anesthetized pigs expired in less than three minutes of continuous
TASER® stimulation. There were no indications of breathing or respiratory gas exchange throughout.
Since concurrent research with conscious humans indicated that breathing continues during exposure, a
modification was made to mechanically ventilate the pigs to more closely model the human findings.
Accordingly, in Phase Two of the study one pig was continuously exposed to the TASER®X26 waveform
for 3 minutes, and another for 6 minutes. Both animals survived the exposure, were recovered from
anesthesia and monitored for 24 hours, then euthanized for tissue sample collection.
Phase Three involved the exposure of a series of ten animals at increasing durations. Target exposure
times were 10, 15, 20, 25 or 30 minutes. Thirty minutes was selected as the maximum experimental
exposure time since it is an order of magnitude greater than the intended operational use (three minutes). In
all, seven of the ten animals survived long duration exposures. Two pigs died after approximately 4
minutes of exposure, and one died after 10 minutes of exposure. One additional pig “died” (defined as no
cardiac output for 30 seconds) after about 10 minutes of exposure but spontaneously recovered when the
TASER® was stopped. Three of five (60%) of pigs exposed for 30 minutes survived.
DISTRIBUTION C: Distribution authorized to U.S. Government Agencies and their contractors to protect the results of test and evaluation of
commercial products and technical data that describes technology in an area of potentially significant military application, 14 Mar 08. Other
requests for this document shall be referred to the Joint Non-Lethal Weapons Directorate.

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Electro-Muscular Disruption (EMD) Bioeffects:
A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

All pigs showed a marked increase in lactate, and arterial blood gas results showed a mixed respiratorymetabolic acidosis. Subsequent increases in sodium, potassium, and hematocrit can partially be explained
as a response to acidemia. Interestingly, measures of acidosis were not worse in pigs that died as compared
with those that survived, and none of the changes in measured physiological markers were predictive of
death. Although ECG recordings were disrupted during exposure, in those animals where an arterial signal
was visible, the arterial pressure gradually decreased over several seconds. This suggests mechanical
cardiac muscle failure rather than a sudden electrical abnormality such as ventricular fibrillation or asystole.
Furthermore, the decreasing arterial pulse pressure indicated a regular rhythm rather than an arrhythmia.
These trials suggest that swine (based on physiology) will not experience a fatal event when exposed to the
TASER®X26 for three minutes when adequate ventilation is provided and that continuous exposure to
TASER®X26 for up to three minutes is fully recoverable in healthy animals. Conclusions regarding longer
duration exposures are not as certain. However, our data suggests that metabolic acidosis and cardiac
arrhythmias are unlikely causes of death and that there are other, as yet undetermined, factors that influence
mortality. Some possibilities include variations in response to stress, sympathetic state of the animal, and/or
variations in frequency of TASER® stimulus. These studies also demonstrate that there is no “dose effect”
of TASER® exposure – the longest duration exposures were not correlated with increased incidence of
death. Further research is required to identify factors causally associated with morbidity and mortality.
BACKGROUND
Increased interaction between U.S. forces and friendly, neutral or hostile individuals or crowds has become
a common feature of military operations in the contemporary urban landscape. This is increasingly the case
regardless if forces are deployed overseas for stability operations or domestically in support of disaster
recovery and humanitarian relief efforts. Additionally, differentiating between combatants and
noncombatants continues to be one of the significant complexities that our military forces face during
counterinsurgency operations. Military escalation of force (EoF) procedures have been designed to prepare
soldiers to apply necessity, proportionality and reasonableness in the proper use of force. The application of
non-lethal (NL) technologies allows these military forces the means by which they might properly
implement EoF procedures and establish control of situations to achieve positive outcomes for all parties,
particularly innocent bystanders. They provide flexibility by allowing soldiers to apply a measure of force
with reduced risk of serious injury or fatalities, but still in such a manner as to provide protection of the
public and effect compliance.
To ensure these non-lethal devices achieve a repeatable human effect and at the same time do not reach a
threshold of serious injury or death, the Department of Defense conducts a rigorous testing regimen that
includes human surrogate testing to gain insight into these effects and their thresholds. This is an important
component of the formal acquisition process. The technology behind electro-muscular disruption (EMD)
devices in general, and the TASER®X26 specifically, has been examined thoroughly in recent years. The
typical exposure time used in law enforcement is an initial activation of five seconds with subsequent fivesecond applications as deemed necessary to safely place a suspect in custody. Incapacitation of an exposed
individual occurs only as long as the device is engaged. Although useful in many law enforcement
scenarios, these shorter times (5 seconds) of incapacitation are considered to be inadequate for many
military applications by the Department of Defense. There is a military operational requirement for longer
durations of incapacitation for up to three minutes. It is therefore important to examine the effects of such
exposures in order that proper risk assessments can be conducted and safety margins developed which can
influence system design and the development of appropriate protocols, procedures and training for use.
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Electro-Muscular Disruption (EMD) Bioeffects:
A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

ABSTRACT
After considering the findings and recommendations of the pilot study, a new protocol was requested and
granted based on recommendation to study increasing durations of exposure to up to 30 minutes to
determine if any lethality occurs. This part of the study involved the exposure of a series of ten animals at
increasing durations of exposure for up to 30 minutes to determine if and why any lethality might occur. As
previously presented, thirty minutes was selected as it is an order of magnitude greater than the presumed
spontaneously recoverable exposure time of three (3) minutes and one order of magnitude longer than the
intended operational use (also 3 minutes).
The experimental protocol began with an application of 10 minutes. Applications to subsequent animals
followed with doses of 15, 20, 25 and 30 minutes. In order to provide a larger data set for biochemical and
behavioral observations as well as an acceptable level of statistical inference and power, an additional five
animals were then exposed in accordance with the approved protocol. In all, seven of the ten animals
(including one that spontaneously recovered after being declared dead) survived extremely long duration
exposures.
As in the pilot study, these trials continue to suggest that swine (based on physiology) will not experience a
fatal event when exposed to the TASER®X26 for a continuous three minutes. Indeed, there are strong
indicators that continuous exposure to TASER®X26 for three minutes is fully recoverable in healthy
animals. Conclusions regarding longer durations (10-30 minutes) are not as certain, but suggest that
animals will largely survive. However, some will not. It is emphasized that this study used a limited
number of animals and correspondingly yielded limited biochemical and behavioral observations. Further
research is required to study more animals to see what factors determine which animals do not survive.
1. Introduction
Though there has been some human surrogate testing accomplished, it has largely been focused on better
understanding how the technology works, typically using intermittent application. This study is the first
research that has attempted to isolate specific bioeffects associated with long duration exposure that are
indicative of conditions associated with serious injury or death.
This was a study to test the biological effects of continuous long term exposure of swine to the effects of the
TASER®X26 waveform. Previous studies conducted by the Air Force Research Laboratory (AFRL) using
swine included intermittent exposures for up to three minutes duration. This study operated under two
separate protocols. The pilot study exposed two animals for each of the two phases. The long duration
study exposed a total of ten animals at increasing durations up to 30 minutes.
The objectives of this study were to:
•

Identify specific biological effects associated with longer duration exposures that might be indicative
of conditions consistent with serious injury and/or death; and

•

Provide data to allow the sponsor to develop necessary safety margins and risk assessment tools,
influence system design, and develop appropriate protocols, procedures and training for use.

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Electro-Muscular Disruption (EMD) Bioeffects:
A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

2. Materials and Methods
2.1 Animal Model
Ten healthy swine (Sus scrofa) 3-5 months in age and weighing between 30-40 kilograms (66-88 pounds)
were used for this study. Swine are commonly used as models for a variety of human diseases and
conditions and have previously been used in TASER® studies. Swine were selected due to relevant
similarities in size, cardiovascular and epithelial systems, and general mammalian physiology. This study
was refined and perhaps limited by the use of anesthesia to prevent pain and suffering of the animals.
Although we believe that the presence of anesthesia did not directly affect the study in Phase 1, it may have
contributed to the apparent inability of the animals to ventilate under muscular stress (by maintaining the
animal in an unconscious state). Since concurrent research with conscious humans indicated that breathing
continues during exposure, a modification was made to mechanically ventilate the pigs to more closely
model the human findings. No animal model is ever a perfect or ideal model of the human anatomy and/or
physiology. For instance, the swine model involves a thicker skin than the human. We addressed this issue
by imbedding the TASER® connectors at a constant depth into the skin. This is consistent with previous
studies and with protocols developed for ongoing EMD research being conducted by the government on
human electro-muscular incapacitation (HEMI). The cardiovascular system of the swine model closely
resembles that of a human, and is therefore used extensively for testing involving the cardio-vascular
system. The size of the swine model is also in the range of the human sizes so that scaling problems, for
instance voltage and amperage, of the TASER®, are minimized.
2.2 Anesthesia and Experimental Setup
Swine were anesthetized using 1mg/kg xylazine + 6-10 mg/kg ketamine (intramuscular – IM), intubated
and placed on 100% oxygen plus isoflurane until the animal was completely instrumented. Isoflurane was
turned off and the pig was mechanically ventilated with 100% oxygen during TASER® application.
Anesthesia was maintained by intravenous (IV) injections of 100mg xylazine mixed in equal parts with
100mg ketamine in a syringe administered to effect. Veterinarians were on-hand for the entire study and
administered anesthesia.
The animals were mechanically ventilated after intubation with an endotracheal tube. For this mechanical
ventilation, the tidal volume was set at fifty percent (50%) above the resting tidal volume (i.e., set at 15
ml/kg) to compensate for the more inefficient breathing due to the ventilator compared to spontaneous
breathing. We were aiming to maintain a normal (or low normal) CO2 tension before the stimulation. As
with the second phase of the Pilot Study, we did not intend to achieve "full physiological" respiratory
compensation for metabolic acidosis as this requires exquisite balancing. We used fixed ventilation which
did not vary as muscle exercise increased due to the TASER® exposure.
A pulse oximeter with a plethysmogram was attached to the animal’s ear lobe and linked to a computerized
unit to monitor pulse rate and oxygenation (SPO2). A capnograph measured end tidal CO2. Data were
displayed continuously. The swine were fitted with electro-cardiogram (ECG) monitoring equipment.
Intravenous catheters were placed in the lateral or medial auricular veins. Direct arterial blood pressure was
measured by placing an auricular arterial catheter to ensure that a reliable monitor of regular heart beat was
available and to enable arterial blood gases to be sampled and analyzed. If this was not possible, a branch
of the femoral artery overlying the inner thigh was cannulated. While the ECG (see 2.3 below) proved
unreliable during the TASER® activity, the pulse oximeter signal, which was initially disturbed due to
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Electro-Muscular Disruption (EMD) Bioeffects:
A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

muscle movement, showed a clear signal after the animal reached muscle fatigue. The ECG monitor was
emplaced primarily for monitoring pre- and post- TASER®X26 application. In addition to these monitoring
devices, arterial blood was drawn at baseline and periodically throughout the exposure. The operating room
layout is shown in Figure 1 (Experimental Layout).
2.3 Applications, Measurements and Sampling
The TASER®X26 Circuit was continuously
activated with target application durations of 10,
15, 20, 25 and 30 minutes. For purposes of the
experiment, we defined death as cardiac arrest plus
30 seconds to ensure no spontaneous return of
cardiac action. Cardiac arrest was defined as no
effective output from the heart as detected by zero
pulse oximeter waveform, zero arterial pressure
waveform, and zero heart sounds. This ensured
that electro-mechanical dissociation (also called
pulseless electrical activity or PEA) was included in
the definition of cardiac arrest. We monitored the
pulse, heart rate and arterial blood pressure to
indicate when cardiac arrest occurred. Pulse and
heart rate were monitored using both electronic and
non-electronic means (such as heart sounds).
Arterial blood pressure was also monitored
electronically. As expected, the electrical monitors
did not function normally during the first minutes
of the TASER® application because of the high
intensity of muscle movements (electrical current
was present throughout and was actually not found
to be a major cause of ECG interference, as Figure 1 - Experimental Layout
anticipated).
Subsequent blood samples were drawn at one minute intervals for the first five minutes, then every five
minutes throughout the duration of exposure and periodically during recovery.
2.4 TASER® Monitoring
As with the Pilot Study, the voltage and current characteristics of the TASER®X26 Circuit were monitored
before and after exposure across a 250Ω resistive load (Ohmite: 250Ω, 225 Watt Resistor). Voltage was
measured using a high voltage divider (Ross Engineering: VD90-4.1-A-LB-A-F). This voltage divider
placed 360MΩ across the TASER®X26 circuit probes. For comparison purposes, the maximum expected
resistance during exposure is 1000Ω. The parallel combination of these two resistance values drops the
resistance seen by the TASER®X26 circuit to 999.7Ω. Current was measured using a current probe
(Pierson: Model 101) surrounding the TASER®X26 circuit leads. The current probe has a flat frequency
response to 4 MHz and the voltage probe has a flat frequency response to 1 MHz.

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A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

Time series data were recorded direct current (DC)
coupled on a digital data recorder (Nicolet: 8 Channel
Odyssey) at a sample rate of 500 kHz (Figure 2).
During preliminary testing, it was observed that
alternating current (AC) coupling distorts the
TASER®X26 Circuit waveform. The TASER®X26
circuit waveform was expected to have a fast initial
rise time and a minimum of a 100 kHz oscillation.
2.5 Tidal Volume
In addition to observation of the mechanical
ventilator, tidal volume was objectively measured
through the Nicolet Odyssey using a flow sensor
(heated wire anemometer, TSI: Model 40211).
Because this technology is based on heated wire Figure 2 - Nicolet Odyssey 8 Channel Digital Data Recorder.
technology, this flow sensor does not distinguish flow
direction.
Flow velocity was measured at a one MHz sample rate and decimated to 100 samples per second. This
process eliminated the electromagnetic interference from the TASER® test set. Tidal flow magnitude was
integrated over a two second window (which corresponded to a nominal ventilator breath) and divided by
two (to take into consideration integrating the flow magnitude). In addition, the time between ventilator
breaths over the same two second time window was integrated to get an estimate of the spontaneous
breathing volume. The ventilator integration was over "one" breath, but the integration in between may be
more than one breath. However, this still was a valid indication of the volume of spontaneous breathing.
Corroborating the visual observations, the flow velocity decreased after 60-90 seconds after the start of
experiment.
2.6 Statistical Methods
The data were entered into a Microsoft Excel spreadsheet and data entry checked. Accuracy was further
confirmed by ensuring maximum and minimum data points were within physiological acceptable ranges.
Averages, standard deviations, standard errors, counts, maximums and minimums were calculated by
programming the spreadsheet.
Due to the large number of data points (measured at multiple time points), and the ensuing risk of finding
spurious statistically significant different values between the animals that survived and those that died,
graphic representations of the data were produced to examine for possible consistent changes. Furthermore,
the spreadsheet was used to calculate the percentage differences of values (between survivors and nonsurvivors) at each time point. Minor differences (less than 10%) were considered not clinically significant.
Major differences (>30%) were considered clinically significant, and selected for further analysis. Due to
the lack of power of non-parametric statistical techniques, in such small groups (especially in the time
points after some animals expired), we elected to use parametric statistics for an initial assessment of the
data (i.e., Student’s t-test for non-related samples). A p-value of less than 10% was considered to be of
interest to mention for future studies. A p-value of < 5% was considered to be significant for this study.

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A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

3. Results
3.1 General results.
Generally, animals were noted to experience less muscle stiffness after 60 to 90 seconds of exposure. At
this same time point, diaphragmatic breathing was also observed. The clinical impression of spontaneous
breathing was corroborated by the heated wire measurements (see Table 1, below).
Pig Number/Sex

Table 1 – Summary of TASER® exposure results and clinical impressions.
Target
Outcome
Comments/Significant Clinical Impressions
Time of
Exposure

1 – Female

10

Survived

2 – Castrated Male

15

Death 4:30

This pig was excitable and aggressive prior to anesthesia, and required
additional pre-anesthetic medication. The pig was stable while under
anesthesia prior to TASER® application. TASER® test set failed at 3:30
and after approximately 2 second delay the TASER®X26 (backup) was
activated. Also the ventilator tube became disconnected and the pig was
off the respirator for ~ 1 minute.

3 – Female

20

Death *10:15

* Heart stopped at 10:15. As per protocol definition of death, TASER®
application was discontinued 30 seconds after the heart failed. The pig
spontaneously recovered.

4 – Castrated Male

20

Survived

5 – Castrated Male

25

Survived

6 – Female

30

Death 10 min

7 – Castrated Male

30

Survived

8 – Female

30

Death 4 min

9 – Female

30

Survived

10 – Female

30

Survived

No clear cause. Little breathing between ventilator breaths.

No clear cause. Little breathing between ventilator breaths.

The pig recovered after TASER® application and was bright, alert and
responsive. After recovery from anesthesia, the pig was unable to stand
with or without assistance and was humanely euthanized.

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A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

3.2 Clinical Pathology.
Pigs exposed to continuous TASER® application experienced mixed metabolic and respiratory. Lactate
increased within one minute of TASER® application in all pigs (Figure 3). The pH decreased from baseline
during TASER® application in all pigs over the first 1-4 minutes (Figure 4). PaCO2 increased during
TASER® application in all pigs with the greatest increase within the first 2-4 minutes (Figure 5).
Bicarbonate decreased over the first 4 minutes of TASER® application in all pigs (Figure 6). Base excess
decreased in all pigs during TASER® application (Figure 7). The pigs that died had a decreasing base
excess up until the time of death. The pigs that survived had a decrease in base excess over the course of
TASER® application with a relative stabilization toward termination of the stimulus. Sodium initially
increased in all pigs and continued to increase until the time of death in pigs that died (Figure 8). The pigs
that survived TASER® application had a gradual leveling-off of sodium values toward the end of
application. There was a rapid rise in potassium in all pigs over the first 1-2 minutes of TASER®
application (Figure 9). There was a gradual increase in hematocrit during TASER® application for all pigs
(Figure 10).
25

Lactate (mmol/L)

20

Pig 1
Pig 2
Pig 3
Pig 4
Pig 5
Pig 6
Pig 7
Pig 8
Pig 9
Pig 10

15

10

5

0
0

5

10

15

20

25

30

35

Time (min)

Figure 3 – Measured lactate (mmol/L) as a function of exposure duration. Blue indicates
animals that survived and red indicates animals that did not survive.

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A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine

7.6
7.5
7.4
Pig 1

7.3

Pig 2
Pig 3

7.2
pH

Pig 4
Pig 5

7.1

Pig 6
Pig 7

7

Pig 8
Pig 9

6.9

Pig 10

6.8
6.7
6.6
0

5

10

15

20

25

30

35

Time (min)

Figure 4 - Measured pH level as a function of exposure duration. Blue indicates
animals that survived and red indicates animals that did not survive.

140

120

100

Pig 1

PaCO2 (mm Hg)

Pig 2
Pig 3
80

Pig 4
Pig 5
Pig 6
Pig 7

60

Pig 8
Pig 9
Pig 10

40

20

0
0

5

10

15

20

25

30

35

Time (min)

Figure 5 - Measured PaCO2 (mm Hg) as a function of exposure duration. Blue
indicates animals that survived and red indicates animals that did not survive.

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A Study on the Effects of Continuous Application of the TASER® X26 Waveform on Swine
35

30

25

Pig 1

HCO3 (mmol/L)

Pig 2
Pig 3
20

Pig 4
Pig 5
Pig 6
Pig 7

15

Pig 8
Pig 9
Pig 10

10

5

0
0

5

10

15

20

25

30

35

Time (min)

Figure 6 – Measured bicarbonate/HCO3 (mmol/L) as a function of exposure duration.
Blue indicates animals that survived and red indicates animals that did not survive.

10

5

0

BE (mmol/L)

0

5

10

15

20

25

30

-5

-10

-15

35

Pig 1
Pig 2
Pig 3
Pig 4
Pig 5
Pig 6
Pig 7
Pig 8
Pig 9
Pig 10

-20

-25

-30
Time (min)

Figure 7 - Measured base excess/BE (mmol/L) as a function of exposure duration. Blue
indicates animals that survived and red indicates animals that did not survive.

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Multiple other biochemical parameters were measured including chloride. Chloride levels remained
relatively constant and within normal parameters throughout TASER® application (see Appendix 1). Urine
was negative for myoglobin 24 hours post TASER® application for pigs that survived and at the time of
death for those pigs that died during TASER® application (data not shown). Oxygen saturation remained at
or near 100% throughout TASER® application.
180

170
Pig 1
Pig 2
Pig 3
Pig 4
Pig 5
Pig 6
Pig 7
Pig 8
Pig 9
Pig 10

Na (mmol/L)

160

150

140

130

120

110

100
0

5

10

15

20

25

30

35

Time (min)

Figure 8 - Measured sodium/Na (mmol/L) as a function of exposure duration. Blue
indicates animals that survived and red indicates animals that did not survive.

6

5

Pig 1
Pig 2

K (mmol/L)

Pig 3
4

Pig 4
Pig 5
Pig 6
Pig 7

3

Pig 8
Pig 9
Pig 10

2

1

0
0

5

10

15

20

25

30

35

Time (min)

Figure 9 - Measured potassium/K (mmol/L) as a function of exposure duration. Blue
indicates animals that survived and red indicates animals that did not survive.

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50

45

40

Pig 1

35

Pig 2
Pig 3

HCT (%PCV)

30

Pig 4
Pig 5

25

Pig 6
Pig 7

20

Pig 8
Pig 9
Pig 10

15

10

5

0
0

5

10

15

20

25

30

35

Time (min)

Figure 10 - Measured hematocrit/HCT (%PCV) as a function of exposure duration. Blue
indicates animals that survived and red indicates animals that did not survive.

3.3 Cardiovascular Results.
There was an initial increase in blood pressure for all animals. Blood pressures were variable throughout
TASER® application with no discernable pattern that could be associated with survival or death. There
were neither gradual increases nor decreases in blood pressure or “pulse volume” (also known as “pulse
pressure,” i.e., the difference between systolic and diastolic pressures). When death occurred, there was no
observation of extrasystoles or arrhythmias based on the arterial pulse monitor.
3.4 Respiratory Data.
In general, the tidal flow (volume) dropped immediately after the start of TASER® application for all
animals. By around 60-90 seconds, clinical observation indicated that the muscles were not quite as stiff
and abdominal breathing started. The tidal volume was directly proportional to the compliance (inversely
proportional to the elastance) of the chest cavity.
The lower trace of Figure 11 reflects the spontaneous breathing efforts by the animal. However, it is
possible that (especially early on), the muscle contractions caused by the TASER® stimulus were
interpreted by the software analysis as spontaneous respiratory efforts. Therefore, this automated
interpretation of the early phase should be approached with caution and any region of concern can be traced
to the original tidal flow measurement. Some animals had an increase of spontaneous tidal volume after
three minutes corroborating visual observations.

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600
Max Volume (Ventilator)
Min Volume (Spontaneous)

Tidal Volume [cc]

500
400
300
200
100
0
0

2
4
6
8
Time from start of application [min]

10

Figure 11 - Tidal volume estimates for Animal 1 during the course of
application.

3.5 TASER Electrical Characteristics.
The TASER test set performed continuously for Animals 1 and 3 through 10. The test set failed for Animal
number 2 at 3:36 after the start of TASER® application. During Animal 2, the TASER® test set was
replaced with a field unit (TASER®X26). This replacement caused the stimulus to be paused twice for
several seconds in order to switch field issue TASER®X26s, and the stimulus was paused four times for
approximately two seconds to reactivate the trigger of the field issue TASER®X26.
The TASER® voltage and current waveforms were measured into a known resistive load before and after
each test to insure that the output did not change over the course of the application. No appreciable
variation of the current waveform was observed before, during, and after TASER® stimulus. Representative
current waveforms before, during, and after TASER® application are shown in Figure 12 for Animal 1. In
addition, the variation of current during the course of exposure is shown in Figure 13 for Animal 1.
As shown, the instantaneous current waveforms did not appreciably change during the course of the
application, however, it was observed (by audible tone) during testing that the pulse rate varied with time.
For this reason, the time between pulses was estimated as a function of time for the duration of TASER®
application for all animals. An example pulse rate is shown in Figure 14 for Animal 1 and Figure 15 for
Animal 2. Pulse rates graphs for all animals are presented in Appendix 3. The average and confidence
intervals of these data are also shown for reference. The descriptive statistics (average and spread), of the
pulse rate are tabularized in Table 2.
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4

4

Before Testing
Test 1
After Testing

3

2
Current [A]

1
0
-1

1
0
-1

-2

-2

-3

-3

-4
0

0.05

0.1
Time [ms]

0.15

Figure 12 - Taser X26 test set pulse waveform mean
before, during and after testing

0.2

-4
0

0.05

0.1
Time [ms]

0.15

Animal 1
Mean µ
µ±2σ

35
30
25
20
15
10
5
0
0

0.2

Figure 13 - Taser X26 test set pulse mean, µ, measured
during application along with confidence intervals +/- two
times the measured standard deviation σ.

40

Taser Pulse Rate [pps]

Current [A]

2

Mean µ
µ +/- 2 σ

3

2
4
6
8
Time from start of application [min]

10

Figure 14 - Taser X26 test set pulse rate mean, µ, along with confidence intervals +/- two
times the measured standard deviation σ.

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40
Animal 2
Mean µ
µ±2σ

Taser Pulse Rate [pps]

35
30
25
20
15
10
5

TASER Test Set

0
0

X26 #1

X26 #2

2
4
6
8
Time from start of application [min]

10

Figure 15 - Taser X26 test set pulse rate mean, µ, along with confidence intervals
+/- two times the measured standard deviation σ for Animal 2.

Animal 1
Animal 2
Animal 3
Animal 4
Animal 5
Animal 6
Animal 7
Animal 8
Animal 9
Animal 10

Mean
Root Mean
TASER
Square Taser
Pulse Rate Pulse Rate
23.2
18.6
20.5
21.4
20.5
21.2
20.8
20.8
21.0
21.0

2.2
1.6
1.8
1.8
1.8
1.7
1.9
1.8
2.3
2.6

Maximum
Minimum
TASER Pulse
TASER Pulse
Rate
Rate
34.3
15.0
28.1
0.2
26.8
9.2
30.7
8.2
31.7
9.5
35.2
14.4
31.2
10.2
29.1
14.0
28.7
10.5
34.1
9.2

Table 2 - Statistics of the TASER pulse rate for all exposures

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3.6 Statistical Results.
There were no mortalities in the first 3 minutes of continuous TASER® stimulation (i.e., 10 of 10 animals
survived for the first 3 minutes – the operationally significant exposure time defined by the sponsor). This
is statistically significant at the 0.05 level compared to a random happenstance of a 50% mortality. Using a
two-tailed Fisher Exact Probability Test, the p-value is 0.0325. The 95% confidence interval for zero
deaths at 3 minutes, given zero out of 10 deaths in the study group, is 0 to 30%, and the 99% confidence
interval is 0 to 45%. The wide range of the confidence intervals are due to the small sample size.
LACTATE
Time
(min)
0
1
2
3
4
5

Avg
1.27
5.46
12.64
16.38
17.57
18.79

STD
0.665
2.373
2.597
3.201
2.587
2.054

Survived
min
0.42
2.27
10.87
14.34
15.65
17.14

Died
max
1.96
7.91
17.11
20
20
20

n
6
6
5
5
5
5

Avg
1.23
3.46
10.25
11.27
10.81
12.25

STD
1.310
2.120
3.073
4.057
4.936
4.264

min
0.39
1.57
7.08
7.04
7.32
9.23

max
3.18
5.73
14.45
15.92
14.3
15.26

pvalue
0.9
0.2
0.2
0.07
0.052
0.03

n
4
4
4
4
2
2

Table 3. The animals that died tended to have less of an increase in lactate values.

PCO2
Time
(min)
0
1
2
3
4
5

Survived
Avg
STD
min
36.85 2.137
33
66.85 12.659
49.1
95.94 12.142
82.6
109.08 21.425
92.2
111.80 20.576
85.2
115.46 8.386
106

Died
max
38.9
80
114.3
135
135
127

n
6
6
5
5
5
5

Avg
38.55
50.95
72.60
81.43
72.00
75.85

STD
10.495
9.718
13.983
18.476
4.525
1.909

min
31.3
37.7
54.1
56.6
68.8
74.5

max
54.1
60.5
84.8
98.8
75.2
77.2

n
4
4
4
4
2
2

pvalue
0.7
0.06
0.03
0.08
0.05
0.001

n
4
4
4
4
2
2

pvalue
0.8
0.1
0.1
0.1
0.4
0.2

Table 4. The animals that died tended to have less of an increase in PCO2

PO2
Time
(min)
0
1
2
3
4
5

Avg
439.33
377.50
323.60
323.00
307.00
336.80

Survived
STD
min
34.110
385
32.098
336
29.678
299
56.732
253
35.214
266
54.897
278

Died
max
481
426
373
345
345
416

n
6
6
5
5
5
5

Avg
436.00
270.00
192.75
233.00
245.00
217.10

STD
16.693
108.277
130.185
108.034
166.877
197.848

min
411
179
62
94
127
77.2

max
445
393
321
342
363
357

Table 5. The differences in PO2 values between the survivors and non-survivors seem to be large, However,
expressed as a percentage, the differences are not that large, and statistically, the differences are not significantly
different (only a trend at a p-value of 0.10).

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4. Discussion.
As indicated in Figures 3 through 10 in the results, regardless of whether a pig died during continuous
TASER® application or survived, there were general trends noted across the values measured for all pigs.
All pigs showed a marked increase in lactate and arterial blood gas results showed a mixed respiratorymetabolic acidosis. During TASER® application, the pigs were initially stiff and went into full body muscle
contraction. This initial “total body” full muscle contraction was not maintained and some of the muscles
appeared to relax somewhat after 60 to 90 seconds.
After this initial period, there were occasional episodes of muscle contraction followed by muscle relaxation
that allowed periods of perfusion or ischemia (during titanic contractions). The muscle undergoing work
(contraction) with no perfusion would cause anaerobic metabolism followed by muscle relaxation and
perfusion. This caused lactate production and release thereof into the general circulation. The rapid rise of
lactic acid and consequent decrease in pH, was buffered by bicarbonate. This buffering was seen by the
decrease in bicarbonate over time and the increase in PaCO2. Likewise, in the first 60-90 seconds there was
an initial inhibition of spontaneous respiration due to strong muscle contraction of “all” muscles. In the
initial pilot study, both pigs died in less than three minutes with no ventilation. Following the addition of
ventilation to the protocol, most animals survived even though ventilation was inadequate to fully
compensate for acidosis and PCO2 levels were greatly elevated suggesting that mechanical ventilation is
both vital and appropriate in this model. Yet despite mechanical ventilation, the pigs were not ventilating
enough to “breathe off” the increase in CO2 which added a respiratory component to the acidosis. The
subsequent increase in sodium, potassium, and hematocrit can partially be explained as a response to
acidemia.
In spite of the seemingly large differences in the PO2 (Table 5), these differences are not statistically
significant. This is partly due to the small group size, and partly due the very large standard deviations (see
Section 4.3.2 for further discussion).
An important point from this study is the safety of long duration TASER® stimulus in terms of the electrical
function of the heart. In those animals where an arterial signal was visible, the arterial pressure gradually
decreased over several seconds, indicating a mechanical muscle failure, rather than an electrical abnormality
such as a sudden cardiac arrest caused by a ventricular fibrillation or asystole. Furthermore, the decreasing
arterial pulse pressure indicated a regular rhythm rather than an arrhythmia.
4.1 Comparison of Pilot Study and Main Study.
In general, the same physiological trends were observed in both studies. Elevated sodium and hematocrit
are believed to be caused by splenic contraction. For all physiologic variables measured, there were no
direct correlations that would lead to causation of death.
4.2 Discussion of Methods.
There was some early concern that the deaths in the animals during the pilot study might be attributed to
xylazine. Of note is that we administered the xylazine in divided doses, and did not note a consistent
decrease in blood pressure following the top-up dosages. In a discussion on the dosage of xylazine, Plumb
gives the dosage of xylazine in swine as 2-3 mg/kg IV.1 The amount we gave to maintain anesthesia was
around 100-150 mg, which was 3.3-4.4 mg/kg. This was given slowly and apnea was not seen during
1

Plumb, Donald C., Plumb’s Veterinary Drug Handbook, 5th Edition, PharmaVet, Inc., 2005, pp 1156-1160.
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administration. Administration of xylazine at ten times the dose to cause deep sedation in cattle would
cause slight to moderate sedation in swine.2 The dose for cattle is 0.10-0.33 mg/kg. Ten times that dose is
1-3.3 mg/kg which according to the above reference would only cause marginal sedation in swine. The
amount administered in this study was within this range.
Given the continuous and severe nature of the muscle contractions, it was postulated that the muscle would
be ischemic during the contraction similar to the heart muscle which has very little perfusion from the
coronary arteries during systole. Most perfusion occurs during diastole. Furthermore, once the
Hemoglobin is saturated with oxygen, there is only a very small increment in oxygen content of blood due
to the solubility of oxygen in blood plasma. Therefore the animals were ventilated with oxygen rather than
with air, to minimize the effects of anesthesia on pulmonary shunting (VA/Q mismatch due to the effects of
anesthesia on the hypoxic vaso-constrictor reflex.). This also eliminated unintended hypoxia as a cause of
death.
4.3 Discussion of Results.
4.3.1 – Clinical Observations. After TASER stimulus was initiated, all of the animals started out with
severe stiffness of “all” muscles. The muscles between the electrodes seemed to continue to undergo major
contractions. We noted that muscles “outside” the electrodes seemed to be less stiff after the initial period.
For instance, the neck muscles and buttock (hind leg) muscles became much softer to the touch. The
animals started spontaneous breathing after 60-90 seconds. This clinical observation of spontaneous
breathing was corroborated by objective heated wire measurements. It would be useful to perform objective
measurements of these clinical observations in future studies.
4.3.2 – Clinical Pathology (blood chemistry, urine myoglobin). The respiratory response to CO2 typically is
linear up to a maximal response to CO2 levels between 60-70mmHg. After this point, the auto-regulatory
mechanisms are swamped and maximal stimulus to breathe is expected.
Elevated potassium levels indicate ischemia and acidosis. There are not any discernable differences in the
biochemistries measured between survivors and non-survivors.
The rapid decrease in PO2 might have several causes. First, oxygen consumption would reduce the mixed
venous oxygen saturation and any pulmonary shunt would be greatly magnified as causing an enlarged
shunt effect. Second, the muscle and chest stiffness would alter the VA/Q ratios (shunt and dead space) in
the lungs and cause further/more shunting (with further decreased oxygen tension). Finally, hypoventilation
(due to decreased compliance of stiff lungs) would also decrease the alveolar oxygen concentration.
Another point of relevance relates to the issue of decreased saturation and rapid decrease in PO2. During
most exercise, the red cell spends sufficient time in the alveolo-capillary unit to fully equilibrate with
oxygen (normally spends one second while it is fully equilibrated with oxygen in 0.3 seconds). The vast
majority of even strenuous exercise is insufficient to increase the cardiac output to such an extent that the
red cells flow through the lungs too fast to pick up oxygen. Some very elite athletes, performing upper and
lower body exercise (e.g. Olympic rowers) have been found to be able to “exercise into de-saturation.”3 It
might be possible that the animals are forced to perform so much muscle activity (by the TASER®) that the
cardiac output does increase to such an extent that there is insufficient time for full equilibration with
oxygen from the alveolus to the pulmonary capillary.
2
3

Short, C.E., Principles and Practice of Veterinary Anesthesia, Williams & Wilkins, 1987, p315 & p318.
Steinacker, J.M., Physiological Aspects of Training in Rowing, Intl Journal of Sports Medicine, Sept 1993, 14 Suppl 1:S3-10.
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The animals that died tended to have a lower PCO2 increase and also a lower increase in lactate values.
These differences did not reach statistical significance, but the observation is of interest for future research.
A possible explanation is that these animals might have been “stiffer,” with more production of metabolites,
and with less perfusion of the muscles. Due to “less perfusion” of muscles, the metabolites did not exit
from the muscles (place of production) and was therefore not “seen or detected” in the central circulation
(arterial blood sampling). This intra-cellular accumulation of acid products might have been a contributing
factor to the mortality in the animals showing this phenomenon. Another explanation for the decreased
PCO2 is that these animals had a better minute ventilation, and could therefore excrete the CO2 better from
the lungs. However, this does not explain the lower lactate levels in the animals that expired. Our study
was not specifically designed to study these phenomena. A future study might be useful to elucidate some
of these physiological events.
Acid base buffering is virtually instantaneous (a few milliseconds), therefore CO2 and pH changes can be
expected to change very rapidly (e.g., within one minute in a case of cardiac arrest). So called "anaerobic"
metabolism is found in certain high performance athletes (specifically the 100 meter athletes). Some of
them do not actually breathe during the 10 seconds or so of the race. At somewhere between the 200 and
400 meter races metabolism changes from "anaerobic" to aerobic exercise. Aerobic means that oxygenation
and ventilation can keep up with oxygen requirements. Weight lifters also perform anaerobic exercise.
Breath hold divers are sometimes considered as performing anaerobic exercise, but many of them survive
due to the FRC (functional residual capacity) of the lungs. They take a vital capacity breath (4 to 5 liters)
and then dive. However, the very competitive divers use up all of the oxygen, and also black out
(“anaerobic metabolism). After swimming two lengths of an Olympic pool underwater (1 min 15 sec or
so), after taking the first breath, there is an extraordinary tiredness noted, especially of the muscles that were
working (legs kicking with flippers). This is attributed to anaerobic metabolism, and oxygen debt. All
these athletes have an "oxygen debt" at the end of the exercise. It might be useful in future studies to
elucidate the changes in muscle perfusion, as well as the acid-base changes in muscle to determine if there
are any clues for the unexpected mortalities in our study.
In our experiments, it was initially thought that the muscle went into anaerobic exercise due to lack of
perfusion from being so stiff. However, clinical observation showed that the initial extreme stiffness is not
sustained and the muscles are actually perfused after a variable initial period. Due to the contractions
"coming and going" (fluctuating, not constant), there are periods of massive work (anaerobic), interspersed
with periods of perfusion (presumable aerobic). Therefore, we have an explanation for lactate metabolism
and a mechanism for the lactate to be released from the hard working muscle. The lactate can therefore rise
very early on (within the first minute). The lactate is generated in the form of hydrogen lactate. The
hydrogen ion leads to the rapid onset of acidosis. The hydrogen ion is buffered by the HCO3 buffer. This
explains in part the rapid rise in CO2, the decrease in HCO3, and the rapid alteration in base excess (BE).
4.3.3 – Cardiovascular Activity. In the pigs that died, there was a gradual pre-terminal decrease in blood
pressure and pulse volume, i.e. not a sudden cessation of heart function, such as with an arrhythmia. There
appears to be no relationship between the observation of extrasystoles/arrhythmia to death. There was a
gradual decrease in blood pressure and pulse volume, not sudden death. An important point from this study
is the safety of long duration TASER® stimulus in terms of the electrical function of the heart. In those
animals where an arterial signal was visible, the arterial pressure gradually decreased over several seconds,
indicating a mechanical muscle failure, rather than an electrical abnormality such as a sudden cardiac arrest

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caused by a ventricular fibrillation or asystole. Furthermore, the decreasing arterial pulse pressure was
noted to consist of a regular rhythm rather than an arrhythmia.
4.3.4 – Respiration. The ventilator (pressure setting) was set to produce a tidal volume of between 400 and
500ml. The pressure setting was kept constant throughout the stimulus phase. The tidal volume was
therefore directly proportional to the compliance (inversely proportional to the elastance). We can then use
the tidal volume as an indicator of the “stiffness” of the muscles of the animal. This “stiffness” does not
differentiate between chest muscles (rib cage and inter-costal muscles) and the abdominal breathing muscles
(including the diaphragm). However, given that there were clear indications that the animals were breathing
(mostly abdominal or diaphragmatic), we conclude that the stiffness was due to “truncal” (or superficial)

Figure 16 – Sample tidal volume measurement over time.

muscles. This also supports the hypothesis that the electrical stimulus does not penetrate deep into the body
tissues, but tends to stay on the outside of the conductor. We deduce from this phenomenon that the
muscles distant from the applied stimulus are therefore stimulated by nerve conduction, rather than by direct
electrical stimulation.
Figure 16 shows tidal volume measurements over time for one of the animals in our experiment. The
recording started 30 seconds before the TASER® stimulus was applied. Immediately after the stimulus
started, there was an immediate and rapid decrease in measured tidal volume. This corresponds to the
period of almost total “stiffness” of the animal (all four limbs, the abdominal muscles, the neck, etc.). At
around 60-90 seconds, clinical observation indicated that the muscles were not quite as stiff and abdominal
breathing had begun. The lowest tidal volume (stiffest period) is from the start of the stimulus to 1 minute
mark. This is seen clinically as a “tonic” contraction (all muscles remain tightly contracted). Thereafter,
the tidal volume increases over the next 2 minutes. This is the period when the neck muscles become less
stiff, and the breathing starts. Clinically, at this stage, the muscle contractions can be classified as “clonic”
contractions or periods of contraction and relaxation. The “clonic” contractions can be identified as
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variations (fluctuations) in the tidal volume (minutes 3-6 in the top/red line). At the 10 minute mark, the
TASER® stimulus is discontinued. There is an immediate increase in tidal volume. We interpret this as the
TASER® still having some residual (continued) muscle stiffness in some of the muscle affecting chest wall
compliance even after 10 minutes. After discontinuing the TASER® stimulus, the constant inspiratory
pressure from the ventilator now suddenly achieves a larger tidal volume in a more compliant lung-chest
wall unit.
We consider the lower trace (blue) in the figure to reflect the spontaneous breathing efforts by the animal.
However, it is possible that (especially early on), that the muscle contractions caused by the TASER®
stimulus were interpreted by the software analysis as spontaneous respiratory efforts. Therefore, this
automated interpretation of the early phase should be approached with caution. There is an initial
“increase” (upwards deflection) in tidal volume. This may reflect an initial inspiratory effort as reported by
other researchers. The spontaneous tidal volume efforts then gradually increase. Clinically, these were
clearly noted by 2-3 minutes. This clear clinical picture (or spontaneous breathing) might be due to a
decrease in muscle movements caused by the TASER®, rather than an increase in tidal volumes. In other
words, we are not ruling out spontaneous movements during the very early phases of TASER® stimulation.
At the 10 minute mark, the TASER® stimulus is discontinued. There is a return to pre-stimulus sized tidal
volumes. The tidal volumes continue to become larger than pre-stimulus. We interpret this as respiratory
compensation for the acidosis and oxygen debt that built up during the stimulus.
The ventilator creates a pressure surrounding the ventilator concertina-bellows to push the air into the lungs
(not much different from a human "squeezing the bag" to pump air into the lungs). Once all air flow has
ceased (i.e., inspiratory flow period has ended), there can be a plateau pressure which reflects compliance
only (stiffness). The plateau pressure will increase if the lungs become water-logged and/or pulmonary
edema develops.
There can be only measurement of a peak pressure (which is typical of some ventilators). Peak pressure is
influenced by resistance (e.g., asthma) as well as by compliance. We have assumed that there is no asthma
(or other causes for the increased airways resistance) in our animals, and therefore we equate the peak
pressure with lung stiffness (in our case caused by chest muscle contractions during the TASER® stimulus).
Given the heated wire technology, we can therefore further equate the peak flows with lung stiffness.
As noted in the heated wire flow diagrams, there is a marked decrease in peak flow (and therefore a marked
increase in stiffness) of the lung/chest wall immediately after the onset of the TASER® stimulus. This is
noted to decrease over the first 60 – 90 seconds, which we interpret as “less muscle stiffness.” This
objectively corroborates the clinical impression that the stiffness (severe muscle contractions) tend to
decrease over the first 60 to 90 seconds.
Animal 2 could have died due to complications from the disconnected ventilator tube ~1 minute off the
respirator. Animals 6 and 8 had little to no breathing in between ventilator breaths. Animal 1 started with
little to no breathing in between ventilator breaths, but started shortly after additional ketamine was
administered. Animal 2 was also an outlier in that the breathing appeared fine until the heart stopped. Pigs
exposed to continuous TASER® at all time points experienced acidosis.
4.3.5 – Clinical Pathology. In Phase I of this study, it was noted that there were increases in the sodium and
hemoglobin (as well as in the hematocrit, which is actually derived from the Hb and is the measured
parameter in our instrumentation). At the HEMI PI meeting in San Antonio in 2007, the most likely
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explanation of this phenomenon was given as a function of the spleen of the animal. The spleen stores
significant amounts of red cells and platelets, and from the data, it seems that this is stored in a concentrated
(high osmotic, high Na concentration) fluid milieu. This is not expected to occur in humans, as the human
spleen does not have a storage capability to this extent.
4.3.6 – TASER® Electrical Characteristics. The fundamental TASER® pulse waveform was consistent
throughout the animal tests, but the frequency of the fundamental waveform varied with time. A range of
expected or allowable pulse rate distributions are not listed on the TASER®X26 datasheet.4 In certain cases,
there was no repeatable pattern of variation, and in other cases the TASER® pulse rate followed an
oscillatory pattern. These variations could be caused by electronic device heating and the associated
changes in the electronic component resistance, capacitance, and inductance values. Returning to Figure
15, the TASER® test set had a wide variation, in contrast to the first field issue X26 that had a rather tight
pulse rate distribution. Finally, the second/ last field issue X26 had a pulse rate distribution between the
TASER® test set and the first X26.
4.3.7 – Statistics. There is no relationship of mortality with time, i.e. the deaths occurred early on (at 4 min
and 10 min.) with no further mortalities, even as the TASER® stimulus continued for up to 30 min. If the
deaths were due to a physiological (or patho-physiological) mechanism, based on an increasing harmful
(noxious) effect, one would expect mortalities to occur (bunched up) towards the end (i.e. in the later phases
of the long duration TASER® stimulation.) As this is not occurring, we can deduce that there is no gradual
build-up of a noxious effect.
Figure 17 shows the percentage of animals surviving as a function of time. Note the mortalities occurred
relatively early (4 and 10 min) in the process.
120

100

%

80

60

40

20

0
0

5

10

15

20

25

30

Time in minutes

Figure 17 – Percentage of animals surviving as a function of time of exposure.
4

TASER®X26E Series Electronic Control Device Specification, available at:

http://www.taser.com/SiteCollectionDocuments/Controlled%20Documents/Spec%20Sheets/Law%20Enforcement/RD-SPEC-X26E-001_J.pdf .

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The figure shows that animals tended to expire early on in the process (i.e., at 4-5 minutes, and again at 10
minutes). Note also that there is not a continuous increase in mortality as time progresses. There were no
mortalities in the first 3 minutes of continuous TASER® stimulation, (i.e., 10 out of 10 animals survived for
the first 3 minutes (the target operational application time indicated by DoD). This is statistically significant
at the 0.05 level compared to a random happenstance of a 50% mortality. Using a two-tailed Fisher exact
Probability Test, the p-value is 0.0325. The 95% confidence interval for zero deaths at 3 minutes, given
zero out of 10 deaths in the study group, is 0 to 30%, and the 99% confidence interval is 0 to 45%. The
wide range of the confidence intervals are due to the small sample size.
Although there was no requirement or intent to attempt to determine a lethal dose to fifty percent of the
population (LD50), this was in fact an initial goal of the government sponsor. It is, there fore, important to
point out that the data does not support the calculation of LD50 nor do they support the hypothesis that
there is any relationship between duration of exposure to TASER® and mortality. If there were a uniform
LD50 proportional to duration of exposure, then the longer duration exposures would have had more
fatalities. In other words, statistically there would be significantly more fatalities in the last periods (20 to
30 minutes) compared to the first few minutes (0 to 10 minutes) with an intermediate number of deaths
occurring in the middle portion of durations of exposure. As noted, there is no statistically significant
differences in late versus early mortality, thus supporting this point.
The mortalities were further analyzed for any statistically significant differences. We analyzed the first
three minutes (the period of interest to the sponsor) compared to the rest of the time period (27 minutes).
Additionally, the first ten minutes (where all the mortalities occurred) were compared to the remaining 20
minutes of the study (where zero mortalities occurred).
•

A comparison of mortalities in the first three minutes compared to the following 27 minutes shows the
following: Animals expiring within 3 min = 2 out of 10; animals expiring after 3 min = 2 out of 10
(i.e., no difference). We can state that there are no statistically or clinically significant differences in
the early versus the later mortalities.

•

A comparison of mortalities in the first 10 minutes compared to the last 20 minutes shows the
following: Animals expiring within 10 minutes = 4 out of 10; animals expiring from 10 to 20 minutes =
0 out of 8. Using a two tailed Fisher Exact Probability Test, this difference showed a p value of 0.13,
which is not considered significant.5 It is close to a p value of 0.10, which can be considered a “trend”
and worthy of further study. The interpretation of a non-significant test is that there is either no
significant difference or there is not sufficient evidence. Due to the small group size, the latter
conclusion (“not enough evidence”) is probably more correct.

4.4 Mechanisms of Death.
The initial concern for long duration TASER® exposure was the expectation that the continual (nonintermittent) stimulus would lead to increasingly severe acidosis. The acidosis was thought to possibly be
of two types: metabolic and respiratory.

5

Note: the animal expiring at 10 minutes, 15 seconds was diagnosed as dead at 10 minutes 15 seconds, but actually
expired 30 seconds before that time. We therefore considered this animal as expiring within the first 10 minutes.
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Metabolic acidosis would develop as a result of poor perfusion of muscle during continuous contraction of
the muscle. This is an ischemic problem (lack of perfusion) rather than a hypoxic problem (lack of
adequate oxygenation) and the metabolic acidosis would occur due to ischemia and be classified as “lactic
acidosis.”
Respiratory acidosis would develop due to a lack of adequate excretion of carbon dioxide as a result of
inadequate respiration from continued muscle contraction induced by the TASER® stimulus. Due to the
potential for respiratory acidosis developing, it was thought that respiratory compensation for the metabolic
acidosis would not occur. Lack of availability of the HCO3 (bicarbonate ion and buffer) typically causes a
much more severe acidosis (uncompensated), which as postulated, could rapidly become fatal.
The long duration TASER® stimulus experiments demonstrated (elucidated) new information which would
greatly decrease the potentiality for becoming fatal. Probably the most important factor that indicates that
long term TASER® stimulus would not be fatal, is the appearance of "fatigue" of the muscles. It was
consistently noted that the very stiff muscles tended to become less stiff after 60 to 90 seconds. This
included muscles outside of the pathway between the electrodes (e.g., the neck muscles, the buttocks and
hind leg muscles became much less stiff). The respiratory muscles were clearly seen to be moving in a
rhythmic respiratory pattern after 60 to 90 seconds. Objective measurement of this movement was
discerned on the heated wire anemometer airway monitor. Further objective evidence of less muscle
activity and decreased muscle contractions were noted on the pulse oximeter and arterial line wave forms.
The wave forms became clearly visible with minimal movement artifact (in contrast to the first 30 seconds)
where no signal was discernible due to the widespread major muscle vibrations and muscle artifacts.
The observations of the long duration TASER® study indicates that skeletal muscle undergoes "fatigue"
(i.e., it does not maintain the initial very tight/strong/stiff contractions). This can be seen as a protective
mechanism that enables perfusion to be re-established in the muscles thereby limiting the amount of
metabolic acidosis that occurs. This can also be seen as a safety factor. The biochemical data also supports
this observation. For instance, the end-tidal CO2 reached 100mm Hg (the upper limit of the read-out on the
capnograph) early on, and then decreased again to below 100mm Hg. Similarly, the lactate and BE reached
a peak and plateau, while the HCO3- reached a nadir, and did not continue to decrease. These limits are
interpreted as indicating a certain safety factor, as mentioned.
We would like to suggest further points that could be used as an “indicator of death” which can be quite
challenging in the electrically and mechanically noisy environments during TASER® stimulation:
•

Lack of spontaneous vigorous ventilation;

•

Lack of CO2 production noted by end tidal CO2 (ETCO2).

4.5 Implications.
The cause of death seems to be based upon unidentified and complex mechanisms, and not based on
exercise physiology and/or acidosis in ventilated, well-oxygenated animals. Some of those complicating
mechanisms might include:
•

Electrical abnormality of heart (e.g., VF – ventricular fibrillation). These experiments did not include a
specific method to test for abnormalities. There were no extra-systoles as a lead-up to electrical
abnormalities. Extra-systoles could lead to an R-on-T phenomenon, which means that the next QRS
complex occurs on the previous T-wave (i.e., during cardiac muscle re-polarization (low probability);
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An important point from this study is the safety of long duration TASER® stimulus in terms of the
electrical function of the heart. In those animals where an arterial signal was visible, the arterial
pressure gradually decreased over several seconds, indicating a mechanical muscle failure, rather than
an electrical abnormality such as a sudden cardiac arrest caused by a ventricular fibrillation or asystole.
Furthermore, the decreasing arterial pulse pressure indicated a regular rhythm rather than an arrhythmia.
•

Continued muscle stiffness possibly leading to excessive use of oxygen (hypoxia), excessive
accumulation of acidic products (severe lactic acidosis), excessive production of other unmeasured
noxious products (unknown probability of being the cause of death);

•

Sympathetic activity. Plumb states that xylazine is contra-indicated in animals receiving epinephrine.6
We therefore include high sympathetic tone, such as the aggression observed in pig 2, as a possible
mechanism of death under TASER®. Conversely, while we did observe some signals in the heated wire
signals that we interpreted as extra-sytoles in some animals, this was neither consistent in animals that
expired, nor unique to animals that expired. Other variations in sympathetic activity that might be of
interest include:
9 High Sympathetic Tone.

Animals with elevated sympathetic response may experience

exaggerated muscle stiffness.
9 Low Sympathetic Tone. Animals with a depressed sympathetic response may insufficiently

compensate to maintain physiological integrity (i.e., sympathetic system is exhausted).
9 Correlation of Sympathetic Response to Blood Pressure. Epinephrine tends to cause a wide

pulse pressure, while norepinephrine tends to cause a narrow blood pressure. Further work is
necessary to elucidate possible correlations between these catecholamines and mortality.
9 It is suggested that acute phase proteins, cortisol and other measures of stress be monitored in

future studies to determine possible correlations between sympathetic activity, stress and
mortality.
•

Biochemical abnormalities (acid-base, PaO2, PaCO2, electrolytes, hypoglycemia, etc). There was no
indication in measured parameters (low probability of being the cause of death);

•

Variations in animals’ physiology, disease, muscle make-up (stiffness), or other genetic factors
(unknown probability of being the cause of death);

•

Variations in frequency of TASER® stimulus. Twenty pulses per second (PPS or Hertz) is at the
borderline of being able to sustain a tetanic contraction (less than 20 Hz), versus an inability to sustain a
tetanic contraction (higher than 20 Hz). The inability to maintain the contraction would enable
perfusion of muscle and tissues to occur during periods of relaxation. There might be a variation in an
individual animal’s responses to maintain tetanic contraction with the cut-off just about around these
frequencies (unknown probability of being the cause of death);

•

Interactions of two or more of the above. For instance xylazine and epinephrine. The second animal
had a very high sympathetic tone (very aggressive). He also required much more I/M agent to be calm
enough to place the IV (unknown probability).

6

Plumb, 2005.
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•

Role of asphyxia. Asphyxia is defined as low oxygen and high CO2 (hypoxia and hypercarbia). We
know that two animals in the pilot study expired rather rapidly (1 minute or so) with asphyxia and
continuous TASER® stimulation. We believe that humans continue to vocalize (and therefore continue
to breathe), but we do not know how much the hypoxia and hypercarbia each contribute to any possible
mechanisms of death (unknown probability);

5. Conclusions.
As noted in Objectives in the Introduction, we set out to identify specific biological effects associated with
longer duration exposures that might be indicative of conditions consistent with serious injury and/or death.
Additionally, we endeavored to provide data to allow the sponsor to develop necessary safety margins and
risk assessment tools, influence system design, and develop appropriate protocols, procedures and training
for use. We are providing data that will assist in the latter, however, due to the complexity of mammalian
physiology, the lack of a clear cause and/or explanation of the deaths and the limited number of animals
used, it is not possible to draw definitive conclusions regarding biological effects from this study.
Nevertheless, we can conclude that:
5.3.1 “Standard” concepts do not explain the deaths of the animals in our study.
There is no simple relationship between duration of TASER® stimulus and mortality (complications). The
majority of animals survived long durations of TASER® stimulus. All animals survived for 3 minutes,
indicating that 3 minutes (sponsor objective) might be safe. The animals that expired did so after extremely
variable durations of stimuli (4 minutes; 10 minutes). The deaths were not sudden (i.e., no indication of
electrical causes such as ventricular fibrillation – VF). There are no physiological reasons for animals to
expire at such variable durations of exposure that can be determined within the context of this study.
5.3.2 Deaths are not cumulative.
The dose does not seem to be cumulative. We did not observe an accumulation of the TASER® effect to a
“toxic” level. There was no increased mortality with longer durations of TASER® exposure.
5.3.3 Animals do not remain stiff and do breathe during long duration TASER® stimulation.
It might be possible to build on these safety factors by varying the TASER® pulse rate and possibly using an
intermittent application.

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6. Recommendations.
At present, these results do not support use of extended duration TASER® stimuli mainly because some
animals inexplicably die. Future studies should look to examine:
6.1 Sympathetic activity.
Studies should examine the contribution of high or low sympathetic tone, the correlation of sympathetic
response to blood pressure and possible correlations between sympathetic activity and stress to mortality.
6.2 Variations in animal physiology.
Studies should examine the contribution of genetic and physiological variability, muscle make-up
(stiffness), and disease which might all be factors associated with mortality.
6.3 Continued muscle stiffness.
Sustained muscle contraction might possibly lead to excessive use of oxygen (hypoxia), accumulation of
acidic products (acidosis), and production of other (and as of yet unmeasured) noxious products. Studies
should examine the cause (or causes) of death in this regard including studies on tetanus and mechanisms of
death. The periods of relative relaxation might be a safety factor. Future developments might be built on
the inherent physiological inability to maintain continuous titanic muscle contraction or the instrumentation
(stimulus) might be varied to capitalize on this phenomenon.
6.4 Variations in frequency of TASER stimulus.
There might be an opportunity to vary the rate of the TASER® stimulus to maximize the diaphragmatic
breathing noted in the animals. The inability to maintain the contractions would enable perfusion of muscle
and tissues to occur (during the brief periods of relaxation). Studies should examine associations with
frequency extremes of TASER® stimuli around (above and below) 20 Hertz, determine what tetanic
frequency animals (and humans) are able to sustain and whether these frequencies vary with long duration
stimuli.

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ACKNOWLEDGEMENTS
We would like to thank Matt Carver of TASER® International for his assistance in obtaining and using the
TASER®X26 test set for the experiment. We would also like to thank our veterinary technician, David
Bienus for his invaluable assistance during all phases of the actual experiment and Brian Kline for his
assistance with the electronic monitoring equipment.

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