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Several heart device experts said that the St . Judeincident represented a troubling repeat performance.
However, usage of such hybrid systems has been limited largely to device experts due to significantly increased application design complexity.
The group of device experts, which plans to urge doctors to collect more data about defibrillator cables, has not released a list of hospitals experienced in extractions.
He also said that his remarks about the Minneapolis meeting reflected his view that the safety issues surrounding the Riata had already been addressed by a professional group representing heart device experts.
For example, in comments to Wall Street analysts in January, he described as a "nonevent" a recent meeting of leading device experts in Minneapolis who had gathered to better understand the safety problems posed by the Riata and how to address the lead's risks in patients.
Google Device Experts is being run within Google but with contractors from an external company called Milestone Technologies.
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"There should have been more warning," said Dr. Lau, who is a heart device expert at Royal Victoria Hospital.
"They have at multiple steps underplayed the gravity of the situation," said Dr. Kenneth Ellenbogen, a device expert in Richmond who has consulted for St . Judeand its competitors.
Earlier this year, St . Judes chief executive, Daniel J. Starks, also publicly criticized a heart device expert, Dr. Robert G. Hauser, after he raised questions about the safety of the Riata and the Durata.
Dr. Laurence M. Epstein, a heart device expert at Brigham and Women's Hospital in Boston, questioned the value of Dr. Hauser's findings because he said the F.D.A. data used in the study was notoriously prone to inaccuracies.
"A patient does not know whether they are a doctor's third implant or their 300th," said Dr. Charles E. Swerdlow, a heart device expert in Los Angeles who advocates rigorous training standards.
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