In the event of a device failure, what is the recommended escalation pathway?

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When a device shows signs of failure, take a safety‑driven, staged approach. Start with a clinical evaluation to assess the patient’s symptoms and how the device is functioning, and perform a device interrogation if available to gather objective data. Next, bring in manufacturer support to apply device‑specific troubleshooting, review software/firmware status, and check for known failure modes or recalls. If the failure is confirmed and cannot be resolved safely through troubleshooting, consider device replacement after weighing risks, benefits, and patient preferences. This sequence protects the patient and uses the right expertise, rather than attempting fixes without clinical input or bypassing proper evaluation.