Most cardiovascular devices with serious safety recalls aren’t tested in patients

When someone’s heart doesn’t beat quite right, an implantable defibrillator can save their life. The devices can jump-start a misbehaving heart, resetting its normal rhythm — unless they malfunction first. In 2022, Medtronic recalled more than 85,000 of the devices after dozens of complaints that a technical glitch could stop them from delivering the right, high-voltage shock. 

That recall is just one of 157 captured in a new analysis of cardiovascular devices in Annals of Internal Medicine by a team of researchers from Harvard, Yale, and the University of California San Francisco. They dug into a decade of documents from the Food and Drug Administration to understand how devices recalled for their risk of serious injury or death were clinically tested before being used on patients. 

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In most cases, they simply weren’t. Among the 157 cardiovascular devices impacted by those serious recalls, only 30 had clear documentation of premarket clinical testing. 

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