It was reported that this cardiac resynchronization therapy defibrillator (crt-d) switched into safety mode, due to an error.After the device went into safety mode, the programming automatically switched to unipolar pacing.This appears to have resulted in noise oversensing with pacing inhibition and subsequent inappropriate therapy.The crt-d was removed and replaced.No additional adverse patient effects were reported.At this time, the product has not been returned.If the product is returned, analysis will be performed and this report would be updated at that time.
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Upon receipt at our post market quality assurance laboratory, this device was thoroughly inspected and analyzed.Interrogation of the device confirmed it was operating in safety core and that both brady and tachy therapy remained available.Review of device memory identified an error.The error resulted in software resets performed in an attempt to correct an identified memory inconsistency.The corrupted memory was corrected in the laboratory and the device reverted to normal operation.The cause of the memory inconsistency was not able to be determined through laboratory testing but was likely the result of exposure to radiation, either therapeutic or environmental.
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