It was initially reported the patient was referred to have his device removed; however, the reason was unknown.During investigation it was noted the patient's device had been programmed off for over 5 years and the vns was now " bothering him", which is why he was having the device explanted.The programming history database was reviewed, which provided information from (b)(6) 2008.No anomalies were noted within the data available and the device was working as expected.A battery life calculation was performed which showed the battery would have been depleted approximately 5 years ago.Further investigation showed that " bothering him" meant that when he turned his neck there is discomfort and when he lies on his side, it feel like the generator is shifting.Attempts for additional informational relevant information have been unsuccessful to date.
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