Nashville, Tenn. — Tennessee executed an inmate Tuesday without deactivating his implanted defibrillator, despite uncertainty about whether the device would shock his heart when the lethal chemicals took effect.

The Tennessee Supreme Court ruled on July 31 that Byron Black could be executed without deactivating his implanted defibrillator, with the high court noting that requiring that the device be deactivated "amounted to a stay of execution, which is not within the lower court’s power," according to the Associated Press.

Tennessee executed Byron Black, a 69-year-old man with an intellectual disability and a live heart implant, despite widespread ethical concerns and objections from medical experts and advocates.