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The symptom most indicative of device failure was the periodic disruption of the signal. The CAP score averaged 517 before the reimplantation procedure. One year later, the average score increased to 554, and it further increased to 581 after three years. Prior to device failure, the symptom most suggestive of malfunction was intermittent signal loss. In patients experiencing this symptom, an evaluation of electrical function is crucial for determining if a device