Lead repair with the original generator

Device problem

Synthetic hospital operative record, September 9, 2026. An adult with a permanent pacemaker has a documented insulation defect in one transvenous ventricular lead. The generator remains functional, and the plan is lead repair while retaining that generator.

Signed repair note

The surgeon opens the existing pocket and temporarily removes the generator to reach the affected lead segment. The lead insulation is repaired, connections are secured and lead function is checked. The original generator is then returned to the same pocket.

Completion and inventory

The device identity before and after repair matches. No new generator or lead is implanted, and no separate pocket relocation is performed. The pocket is closed after the completed lead repair. The record describes one repaired transvenous lead.

Procedure worksheet

A draft separately lists lead repair, generator removal, generator insertion and pocket revision. Review the routine components included in lead repair. Temporary handling of the original generator does not establish replacement with a new device.

Your coding worksheet

1. Identify the component repaired.
2. Verify whether the generator is original or new.
3. Evaluate the separate generator lines.
4. Explain what changed fact would require a replacement review.

In your notebook, record the supported facts, your index route, the instructions you checked, and any missing detail that limits your answer.