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Implantable Cardioverter Defibrillator Clinic Casualties: Inadvertent Reprogramming During Routine Implantable Cardioverter Defibrillator Follow‐Up
Author(s) -
OZAHOWSKI TOMAS P.,
GREENBERG MARK L.,
MOCK PATRICIA,
HOLZBERGER PETER T.,
GERLING BARBARA,
ZALINGER CAROL,
PERRY CATHRINE
Publication year - 1996
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1996.tb03171.x
Subject(s) - medicine , programmer , implantable cardioverter defibrillator , reprogramming , medical emergency , embedded system , computer science , genetics , biology , cell
On one occasion during a busy ICD follow‐up clinic, the preceding patient's parameters for rate, PDF, and delay were inadvertently programmed into the subsequent patient's generator using the CPIProgrammer Model 2035. This occurred after capacitor reformation, without pressing the “Program” button. The source of this reprogramming error was failure to clear the programmer memory of the previous patient's data, usually achieved by turning the programmer off between patients (or selecting “New Patient” from the menu). At our next ICD follow‐up clinic, we purposely did not turn off the programmer between two sets of patients. On both occasions the above finding was repeated and confirmed. These observations indicate the potential for serious reprogramming errors that can occur simply by not clearing the programmer's memory between clinic patients.