Interview guides · LivaNova

LivaNova Software Engineer Interview Guide

LivaNova Software Engineer interview guide: reported rounds, questions and how candidates describe the process.

The 60-second brief

As a Software Engineer at LivaNova, you are at the intersection of high-stakes medical technology and sophisticated software architecture. LivaNova is a global leader in cardiovascular and neuromodulation solutions, meaning your code directly impacts the lives of patients undergoing complex surgeries or managing chronic conditions. You are not just building software; you are ensuring the reliability, safety, and precision of critical medical devices. The role demands a rigorous approach to engineering. You will work within cross-functional teams, collaborating with hardware engineers, clinical specialists, and regulatory experts to navigate the unique constraints of the medical device industry. Whether you are focusing on backend integration, design verification, or system-level architecture, your work must adhere to stringent quality standards.

This guide is scoped to a Software Engineer candidate at LivaNova.

Focus areas

Case studies / pre-interview assignments
Regulatory / compliance guidelines (FDA guidelines)
Electrical / electronics fundamentals

The LivaNova interview process

LivaNova candidates report 4 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.

Recruiter Screen

Initial assessment to evaluate baseline fit and expectations.

What to demonstrate

Initial assessment to evaluate baseline fit and expectations
Depth in Case studies / pre-interview assignments

How to prepare

Be able to walk your CV end to end in two minutes, and say why this company specifically.
Have your salary expectations, notice period and location constraints ready, and ask for the rest of the loop in writing.

Technical Interviews

Series of interviews with hiring managers and peers focusing on technical skills.

What to demonstrate

Series of interviews with hiring managers and peers focusing on technical skills
Depth in Case studies / pre-interview assignments

How to prepare

Answer aloud and timed: How do you handle edge cases when designing for high-reliability systems?
Answer aloud and timed: What is your experience with software development lifecycles in regulated environments?

Case Study/Homework

Completion of a case study or assignment to demonstrate application of technical concepts.

What to demonstrate

Completion of a case study or assignment to demonstrate application of technical concepts
Depth in Case studies / pre-interview assignments

How to prepare

Answer aloud and timed: Can you explain the logic behind a specific technical solution you implemented in a previous project?
Answer aloud and timed: Walk me through how you would troubleshoot a system failure in a real-time environment.

Panel Interview

Final interview with multiple team members to assess overall fit and competencies.

What to demonstrate

Final interview with multiple team members to assess overall fit and competencies
Depth in Case studies / pre-interview assignments

How to prepare

Answer aloud and timed: How would you design a test suite for a product that requires 99.999% uptime?
Answer aloud and timed: Given a specific functional requirement, what steps would you take to translate it into a robust software architecture?

Where candidates lose points

Know the products

Research LivaNova's primary product lines in cardiovascular and neuromodulation. Understanding the "why" behind the company's mission will help you answer behavioral questions with more conviction.

Be prepared for technical deep dives

Do not just list your skills on your resume; be ready to explain the most difficult technical challenge you have faced and how you overcame it.

Practice your communication

In a regulated industry, the ability to clearly explain your technical reasoning to a multi-disciplinary team is as important as your coding ability.

Ask meaningful questions

Use your time at the end of the interview to ask about the team's current challenges or the development culture. It demonstrates genuine interest and engagement.

Questions & practice

Diff a projection against the primary without per-row point reads

Hard · reconciliation · range hashing · throttling

The listing projection has drifted and some rows show a stale version. The primary holds 40,000,000 resource rows across 12,000 tenants while serving 1,200 writes and 14,000 reads per second. The obvious repair, reading each resource row and comparing its version against the projection, is correct and would eventually finish. Explain precisely why it is unacceptable here, then give a diff that finds the differing rows, state its complexity, and make it safe to run against a live primary. Replication lag is usually under 100 ms and is not bounded.

Approach

Quantify the naive cost rather than calling it slow: 40,000,000 point reads at even 0.5 ms each is over five hours serialised, and the only lever is concurrency, which is exactly what you cannot spend. The primary's pool is sized for the write path, and 40,000,000 random reads evict the buffer cache that sustains the 85 percent cache hit rate, so the audit degrades the system it is auditing.
Replace random access with one ordered pass per side. Both sides can be read in (tenant_id, resource_id) order, which is a sequential scan on each and a merge join in O(n) time and O(1) memory. For a dense diff that is the whole answer, and it reads the primary once instead of 40,000,000 times.
For the expected sparse case, compare range hashes instead of rows: partition the key space, compute per range an order-independent aggregate over hash(resource_id, version), compare aggregates, and descend only into ranges that differ. With d differing rows and branching factor B, at most d ranges mismatch per level, so the drill-down examines O(d log_B(n/d)) ranges and reads full rows only in mismatching leaves.
Aggregate with a sum modulo 2^64 or a multiset hash, never XOR. XOR is order-independent but self-cancelling, so two rows wrong in the same way, or a row duplicated on one side, leave the range aggregate matching and the range is declared clean.

Follow-up

The diff reports 900 stale rows. How do you decide between patching those rows and rebuilding the projection from resource_revision?
Same job, but the projection lives in a search index that cannot be scanned in key order. What changes?

Find overlapping job attempts and peak concurrency from lease records

Medium · sweep line · intervals · leases

A day of job_run history yields about 50,000,000 attempt records: (job_run_id, job_type, attempt, started_at, finished_at which is NULL when the worker died, lease_expires_at). Leases expire on a clock, so a job that outran its lease ran twice. Produce (a) every job_run_id whose attempts overlapped in wall-clock time and (b) the peak number of simultaneously running attempts per job_type with the minute it occurred. Target O(n log n). State how you treat a NULL finished_at and what clock skew does to your answer.

Approach

Define the interval before sorting anything: an attempt occupies [started_at, COALESCE(finished_at, lease_expires_at)). finished_at is observed and lease_expires_at is only a promise, so every attempt without a finish contributes an estimate and the whole result is a lower bound on overlap rather than an exact count.
For peak concurrency, sweep: emit 2n endpoints, sort by (timestamp, kind) with ends ordered before starts at equal timestamps, then walk the sequence maintaining a counter per job_type and record each type's maximum with its timestamp. O(n log n) dominated by the sort, O(n) space, or O(1) extra if the sort is external and the walk streams.
For overlap detection, do not compare attempts pairwise. A single global sort by (job_run_id, started_at) gives both the grouping and the order; within a group, keep the maximum end seen so far and report an overlap exactly when the next start is less than that running maximum, which is one linear pass after the sort.
Half-open intervals matter and are easy to get wrong: with closed intervals an attempt ending at the same millisecond another begins reads as concurrency two, and across 50,000,000 records that artefact swamps the real signal.

Follow-up

A handler is not idempotent and you have found 400 overlapping jobs. Which of them actually caused damage, and what would you query to find out?
Peak concurrency for one job_type is 4 against a configured cap of 4. Is the cap working, or is the data hiding attempts that never started?

Track a rolling failure rate per destination for circuit decisions

Easy · sliding window · ring buffer · circuit breaker

The egress service delivers about 1,500 webhooks per second across roughly 40,000 destinations, each call bounded by a 10 second timeout. Maintain, per destination, the failure rate over the trailing 60 seconds so a caller can ask before dispatch whether the circuit should open. Attempts arrive as (destination_id, finished_at_ms, outcome). Requirement: amortised O(1) per attempt, with total memory bounded by the destination count rather than by traffic. Give the structure, its exact memory, and the rule that stops a destination with three attempts from opening a circuit.

Approach

Name the exact-deque version and then reject it as the default. Holding timestamps and advancing a tail pointer past anything older than now minus 60 seconds is a correct two-pointer window at amortised O(1) per attempt, but its memory tracks in-window traffic, so one destination in a retry storm holds hundreds of thousands of entries while thousands of quiet destinations hold none.
Use a ring of 60 one-second buckets per destination, each bucket a pair of counters for attempts and failures. On an attempt, advance the ring by the elapsed whole seconds, zeroing at most min(elapsed, 60) buckets, then increment the head. That is amortised O(1) with a fixed footprint per destination.
State the footprint: 60 buckets times two 4-byte counters is 480 bytes of payload per destination, so 40,000 destinations is roughly 20 to 25 MB with per-entry overhead, bounded by the catalogue rather than by the rate. The cost is granularity, since the oldest bucket ages out in whole seconds, which is far tighter than the decision needs.
Require a minimum sample before the circuit may open. A destination with three attempts and three failures reads as 100 percent and is not evidence; a floor of roughly 20 attempts in the window makes the ratio meaningful, and below that floor use a run of consecutive failures as the trigger instead.

Follow-up

The fleet is 30 instances and each sees roughly a thirtieth of a destination's traffic. Where does the rate actually live, and what does a per-instance answer get wrong?
A destination answers in 9.5 seconds and succeeds. It is not failing but it is consuming your per-destination concurrency. What signal should open the circuit here?

Keep soft-deleted accounts from blocking re-registration

Easy · soft delete · unique constraints · engine differences

app_user holds user_id, tenant_id, email CITEXT, password_hash (NULL for SSO principals), email_verified_at, auth_version, status ('invited','active','suspended','deactivated'), created_at, updated_at, deleted_at. Two live accounts for one address inside a tenant must be impossible, but an address freed by a soft delete must be reusable, and the same tenant may delete and re-register it repeatedly. Write the uniqueness DDL for PostgreSQL 16, then the equivalent for MySQL 8 where partial indexes do not exist, and say what each permits once three deleted rows already hold that address.

Approach

Start from what is actually unique: not (tenant_id, email), but (tenant_id, email) among live rows. PostgreSQL says that directly — CREATE UNIQUE INDEX app_user_live_email ON app_user (tenant_id, email) WHERE deleted_at IS NULL. A full constraint over the same two columns burns the address permanently the first time someone deletes an account.
Keep case-insensitivity in the type or the index, never in the application: CITEXT as given, or UNIQUE (tenant_id, lower(email)) as an expression index where the extension is unavailable. A case-sensitive unique column is exactly how two accounts for one human appear.
For MySQL 8 the predicate has to move inside the key: add a discriminator column that is a constant 0 while the row is live and is set to user_id on delete, with UNIQUE (tenant_id, email, deleted_marker). Live rows share the constant and still collide; deleted rows differ from each other and stop colliding.
State the NULL variant and its dependency: leaving the marker NULL for deleted rows also works, because a unique index treats NULLs as distinct — true in MySQL, and true in PostgreSQL only under the default NULLS DISTINCT, which PostgreSQL 15 lets you reverse. Check the polarity against the three existing deleted rows: constant-on-live is what preserves the collision you want, and reversing it silently admits duplicate live accounts.

Follow-up

A deleted account re-registers with the same address the next day. Do the old resource rows follow the new user_id, and how does the API keep the two principals apart?
How do you honour an erasure request while resource_revision.actor_user_id still references this table?

Find version gaps and relay lag with window functions

Medium · window functions · event tables · frame semantics

outbox_event holds event_id, aggregate_type, aggregate_id, aggregate_version, event_type, payload, status ('pending','published','dead'), attempts, created_at, published_at. A projection is missing rows and you must decide whether the relay skipped events or the consumer dropped them. Write three queries over the last seven days: one listing every aggregate_id whose published aggregate_version sequence has a hole, one giving per-day counts with a running total, and one returning the newest published event per aggregate. For each, say where the window function is evaluated relative to WHERE and LIMIT. PostgreSQL 16.

Approach

Gaps: compute lead(aggregate_version) OVER (PARTITION BY aggregate_id ORDER BY aggregate_version) in a subquery, then filter next_version <> aggregate_version + 1 in the outer query. Window functions are evaluated after WHERE, GROUP BY and HAVING and before the outer ORDER BY and LIMIT, so the predicate cannot sit in the same WHERE clause and PostgreSQL 16 has no QUALIFY.
Say what the seven-day filter does to the answer: it truncates every partition, so the first row per aggregate has no predecessor inside the window and a hole spanning the boundary is invisible. Widen the window, or join to resource.version as the authority for the true maximum.
Running total: SELECT date_trunc('day', created_at) AS d, count() AS n, sum(count()) OVER (ORDER BY date_trunc('day', created_at) ROWS UNBOUNDED PRECEDING). An aggregate inside a window call is legal because grouping runs before windowing. The grouping key is unique per row here so ROWS and RANGE agree, but write the frame anyway — over ungrouped rows with tied timestamps the default RANGE frame pulls in every peer row and the total jumps.
Newest per aggregate: DISTINCT ON (aggregate_id) ... ORDER BY aggregate_id, aggregate_version DESC is the cheap PostgreSQL-only form when an index matches that order; row_number() OVER (PARTITION BY aggregate_id ORDER BY aggregate_version DESC) = 1 is the portable form and needs a subquery for the same evaluation-order reason as the gap query.

Follow-up

Relay failover redelivers events. Does a duplicate break the gap query, and how would you detect one from this table alone?
Turn the gap check into a continuous monitor rather than a query someone runs after an incident. What does it watch?

How would you approach testing a software component for a life-critical medical product?

Medium · Technical and Domain Knowledge

Approach

Clarify what is being asked and what a complete answer contains.
State your assumptions explicitly before working the problem.
Say what you would check first and why it is the highest-information step.
Work from the requirement backwards to the design.

Follow-up

What assumption would you test first?
How would you know your answer was wrong?

Can you explain the difference between your approach to firmware versus application-level software design?

Medium · Technical and Domain Knowledge

Approach

Clarify what is being asked and what a complete answer contains.
State your assumptions explicitly before working the problem.
Say what you would check first and why it is the highest-information step.
Work from the requirement backwards to the design.

Follow-up

What assumption would you test first?
How would you know your answer was wrong?

Can you explain the logic behind a specific technical solution you implemented in a previous project?

Medium · Technical and Domain Knowledge

Approach

Clarify what is being asked and what a complete answer contains.
State your assumptions explicitly before working the problem.
Say what you would check first and why it is the highest-information step.
Work from the requirement backwards to the design.

Follow-up

What assumption would you test first?
How would you know your answer was wrong?

How would you design a test suite for a product that requires 99.999% uptime?

Medium · Problem-Solving and Case Studies

Approach

Fix the scope first: who calls this, how often, and what they do when it fails.
Name the read and write paths separately; they rarely have the same bottleneck.
Choose a partition key and say what query it makes expensive.
State the consistency you need, and where you are willing to be stale.

Follow-up

What breaks first when traffic grows ten times?
How does this behave when that dependency is down for an hour?

Given a specific functional requirement, what steps would you take to translate it into a robust software arch

Medium · Problem-Solving and Case Studies

Given a specific functional requirement, what steps would you take to translate it into a robust software architecture?

Approach

Fix the scope first: who calls this, how often, and what they do when it fails.
Name the read and write paths separately; they rarely have the same bottleneck.
Choose a partition key and say what query it makes expensive.
State the consistency you need, and where you are willing to be stale.

Follow-up

What breaks first when traffic grows ten times?
How does this behave when that dependency is down for an hour?

How do you prioritize technical debt against new feature development?

Medium · Problem-Solving and Case Studies

Approach

Clarify what is being asked and what a complete answer contains.
State your assumptions explicitly before working the problem.
Say what you would check first and why it is the highest-information step.
Work from the requirement backwards to the design.

Follow-up

What assumption would you test first?
How would you know your answer was wrong?

Walk me through how you would troubleshoot a system failure in a real-time environment.

Medium · Problem-Solving and Case Studies

Approach

Establish what changed and when, before forming any theory.
Pick a bisection that eliminates candidates whichever way it turns out.
Check the instrumentation before believing the symptom.
Separate the trigger from the cause; the deploy is rarely the bug.

Follow-up

What would you look at first, and what would it rule out?
How would you tell a cause from a coincidence here?

Suggested practice checklist

Built from the rounds and topics LivaNova candidates report.

Day 1 — Map the LivaNova loop

Write out the reported sequence: Recruiter Screen, Technical Interviews, Case Study/Homework, Panel Interview.
For each round, write one sentence on what it is judging, from the description above, and mark the one you are least ready for.

Deliverable: A one-page map of the 4 reported rounds, with the weakest marked.

Day 2 — Work Case studies / pre-interview assignments

Spend the session on Case studies / pre-interview assignments, which LivaNova candidates report being tested on.
Write one worked example in Case studies / pre-interview assignments and time yourself on it.

Deliverable: One timed worked example in Case studies / pre-interview assignments.

Day 3 — Work Regulatory / compliance guidelines (FDA guidelines)

Spend the session on Regulatory / compliance guidelines (FDA guidelines), which LivaNova candidates report being tested on.
Write one worked example in Regulatory / compliance guidelines (FDA guidelines) and time yourself on it.

Deliverable: One timed worked example in Regulatory / compliance guidelines (FDA guidelines).

Day 4 — Work Electrical / electronics fundamentals

Spend the session on Electrical / electronics fundamentals, which LivaNova candidates report being tested on.
Write one worked example in Electrical / electronics fundamentals and time yourself on it.

Deliverable: One timed worked example in Electrical / electronics fundamentals.

Day 5 — Answer out loud: Technical and Domain Knowledge

Answer aloud, timed: How would you approach testing a software component for a life-critical medical product?
Answer aloud, timed: Can you explain the difference between your approach to firmware versus application-level software design?

Deliverable: Spoken answers to 2 reported Technical and Domain Knowledge question(s), under time.

Day 6 — Answer out loud: Problem-Solving and Case Studies

Answer aloud, timed: Walk me through how you would troubleshoot a system failure in a real-time environment.
Answer aloud, timed: How would you design a test suite for a product that requires 99.999% uptime?

Deliverable: Spoken answers to 2 reported Problem-Solving and Case Studies question(s), under time.

Day 7 — Answer out loud: Behavioral and Leadership

Answer aloud, timed: Tell me about a time you had to explain a complex technical issue to a non-technical stakeholder.
Answer aloud, timed: How do you handle situations where there is a disagreement on technical direction?

Deliverable: Spoken answers to 2 reported Behavioral and Leadership question(s), under time.

Behavioural preparation

Behavioural rounds judge the decision you made and what it cost.

How do you handle edge cases when designing for high-reliability systems?

Medium · Technical and Domain Knowledge

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

What is your experience with software development lifecycles in regulated environments?

Medium · Technical and Domain Knowledge

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

Describe a time you had to pivot your technical strategy due to a hardware limitation.

Medium · Problem-Solving and Case Studies

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

Tell me about a time you had to explain a complex technical issue to a non-technical stakeholder.

Medium · Behavioral and Leadership

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

How do you handle situations where there is a disagreement on technical direction?

Medium · Behavioral and Leadership

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

Describe your experience working in a cross-functional team with hardware or clinical engineers.

Medium · Behavioral and Leadership

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

What do you do when you realize a deadline is at risk due to a technical hurdle?

Medium · Behavioral and Leadership

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?

How do you ensure your work meets both quality and regulatory requirements?

Medium · Behavioral and Leadership

Approach

Pick a story where you made the decision, not one where you watched it.
State the situation in two sentences and spend the rest on the reasoning.
Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.

Follow-up

What would you do differently if you ran that again?
How did you know your change caused the improvement?