A doctor holds a mock-up of the world's first cardiac re-synchronisation therapy defibrillator device "Consulta CRT-D", made by U.S. company Medtronic Inc., implanted to German patient Monique Pachalek at the German Heart Institute Berlin (DHZB) in Berlin, April 29, 2008. Pachalek is the first patient worldwide to have the device implanted on April 23. The product makes it possible to the hospital to communicate with the patient's pacemaker over a phone line.