It was reported that the patient had a procedure for a double valve replacement.At the procedure, a defibrillation pad was placed directly over the device.During the procedure, the patient was shocked six times.The local representative interrogated the device afterwards and it appears to be functioning as programmed.There were no faults or out-of-range measurements.Technical services advised that defibrillation pad placement directly over the device goes against labeling.There were no additional adverse patient effects.The device remains implanted.
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