THIS IS NOT MEDICAL ADVICE - JUST MY EXPERIENCE. I recently had a pacemaker implanted due to a serious A/V block. Concerned with Nikon's warning I scheduled test time in a medical cardiac lab. Appointment was today. We tested for implant interference hand holding, tripod mounting, carrying on a Cotton Carrier chest rig and in a backpack. We tried with the camera off, on and actively focusing. In the end we even tried holding the lens directly over the implant. With my specific device and functions, the 400 TC 2.8 lens caused no reset or sensing errors. Very relieved I can keep using the lens. I'm headed to the Pacific Coast in Washington for four days this week to catch the shorebird migration back to Alaska and Canada, me and the lens.