A failure rate of 1% for a PACEMAKER! We wouldn't let our TVs fail at this rate, much less our automobiles! And it costs as much as a luxury sedan. I see two causes for Guidant being able to get away with this for as long as they did: 1. Insurance covers the cost, so patients don't know (and don't much care) how much the unit costs. 2. A defective unit fails to prevent something (a heart attack) from happening, and we humans don't pay much attention to such secondary activity levels. All the same, if 1 in 100 toasters caught fire, they'd be recalled. Disgusting.
NY Times"Guidant engineers projected in one analysis that 1 out of every 100 Contak Renewals could short-circuit, a failure rate considered high by experts. Guidant also suspected by late 2004 that the Renewal models would become increasingly prone to failure as the devices aged, documents indicate.
Other Guidant devices did not have the same problem, including later versions of the Renewal.
At least seven patients are known to have died in episodes in which Guidant defibrillators failed to work because of the electrical defect, five involving Contak Renewals. But many experts believe that the number is probably higher because an implanted heart device is rarely examined after a patient's death to determine if it was working properly.
A defibrillator is a life-saving device intended to sense and electrically disrupt potentially fatal heart rhythms. The Contak Renewal combines a pacemaker and a defibrillator, a type of unit that is often referred to as a cardiac resynchronization therapy device, or CRT-D. Such units cost about $35,000 each."