When the Food and Drug Administration (FDA) approved the MedtronicSprint Fidelis implantable cardioverter–defibrillator(ICD) lead in 2004 on the basis of bench testing but no humanclinical data, there was no public outcry. Physicians rapidlyincorporated the new electrode into their practice, welcomingits small diameter and ease of implantation. During the ensuing3 years, 90% of Medtronic ICDs were implanted with this lead(see diagram). But in October 2007, after 38 months on the U.S.market and 268,000 implantations worldwide, the Fidelis wasvoluntarily recalled by Medtronic because of its propensityto fracture. The large number of . . . [Full Text of this Article]
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Dr. Maisel is the director of the Medical Device Safety Institute, Department of Medicine, Beth Israel Deaconess Medical Center, Boston.
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