Implant Procedure


The S-ICD System is the world’s first and only subcutaneous ICD that provides protection from SCA while leaving the heart and vasculature untouched.


Entirely Subcutaneous ICD

The S-ICD System may be implanted using only anatomical landmarks, thereby eliminating the need for fluoroscopy during implant:

  • Highly Predictable: 1-hour average procedure time1
  • No fluoroscopy1: reduction in radiation exposure both for patients and physicians, no lead apron
S-ICD in torso - human







Implant Technique

Watch a live S-ICD System implant with Dr. Martin Burke of the University of Chicago.



Watch a brief animation of the S-ICD System implant






Before implant, record a 3-lead surface ECG to assess the appropriateness of surface signals that correlate with device detection.

Implant Procedure - Step 1

Once the patient has been properly prepped and draped, an incision is made to place the pulse generator at the mid-axillary line between the 5th and 6th intercostal spaces.

Implant Procedure - Step 2 and 3

The electrode is positioned through two subcutaneous tunnels from the pocket to the xiphoid incision and from the xiphoid to the superior incision.

Implant Procedure - Step 4 and 5


Optimal Placement

The following X-Rays show optimal placement of the S-ICD System.

X-Ray 1 X-Ray 2


Excellent Cosmetic Outcome

cosmetic outcome post-op #1 cosmetic outcome post-op #2 cosmetic outcome post-op #3


The pulse generator’s discreet pocket placement offers excellent aesthetic results, even in slender patients. Once implanted, the S-ICD System is designed to not limit range of motion and most patients are able to resume normal daily activity shortly after the procedure.


1. Weiss, et al. The safety and efficacy of a totally subcutaneous implantable defibrillator. Circulation 2013




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Prior to use, please review the complete device directions for use, including operational instructions.


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