EMBLEM™ MRI S-ICD System

Subcutaneous Implantable Defibrillator

Who Should You Be Screening for an S-ICD?

Discover the Clinical Advantages When Choosing S-ICD

S-ICDs are appropriate for a wide range of indicated patients. Based on the patient characterization in the Poole and Gold editorial article, the S-ICD System is preferred for those who have1:

  • No venous access
  • High risk of complications for TV-ICD
  • High risk of infections
  • Channelopathies (LQT, Brugada, HCM)
  • History of endocarditis

Based on the Poole and Gold Editorial Article:

S-ICD System is the preferred device1
  • No venous access (occluded or congenital)
  • High risk of complications for TV-ICD (dialysis, pediatric immunocompromised)
  • Channelopathies (LQT, Brugada, HCM)
  • Previous device infections or lead failures
  • H/O endocarditis
S-ICD System should be strongly considered1
  • Young patients
  • Life expectancy > 10 yr
  • Primary prevention with ischemic/non-ischemic heart failure
  • Prosthetic valves
  • Women (preferred generator placement)
  • Selected secondary prevention (survivors of out of hospital VF, no evidence of MVT)
S-ICD System should be avoided1
  • Systolic HF and LBBB --> CRT
  • Symptomatic bradycardia requiring pacing
  • Recurrent sustained MVT for whom ATP is deemed appropriate

Hear Dr. Steven Kutalek share his experiences when choosing patients for the S-ICD

How Should You Screen Your S-ICD Patients?

EMBLEM S-ICD Automated Screening Tool

Automated Screening Tool applies the Vector Select algorithm that is used by the S-ICD to sense the cardiac signal, and is designed to more closely represent S-ICD device performance.2 *
 

Learn How to Screen Your Patients

Automated Selection Tool
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*The AST is an alternative to the Model 4744 Patient Screening Tool. The two screening tools serve the same purpose, and may be used independently or together.

Sources:

  1. Weiss, et al. The safety and efficacy of a totally subcutaneous implantable defibrillator. Circulation 2013 
  2. Data on file at Boston Scientific, System Algorithm Validation Report 1132474 
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