EMBLEM™ MRI S-ICD System

Subcutaneous Implantable Defibrillator

Implant Procedure

The EMBLEM MRI S-ICD has been built upon the excellent clinical performance of the world’s first subcutaneous ICD; providing protection for patients at risk for sudden cardiac death (SCD) while leaving the heart and vasculature untouched.

Entirely SUBCUTANEOUS ICD

The EMBLEM MRI S-ICD System may be implanted using only anatomical landmarks, thereby reducing the need for fluoroscopy during implant.

Entirely SUBCUTANEOUS ICD

NOTE:  During prep and drape and prior to first incision, it is recommended to use fluoroscopy to ensure proper location of the device and electrode relative to the heart.

Implant Technique

Implant Procedure Steps

(Please see EMBLEM/EMBLEM MRI Manual for full implant instructions)

The 3-incision technique is described below.  It is recommended that physicians are familiar with the 3-incision technique before performing the 2-incision technique.1 Regardless of technique used it is important the that device and electrode are on the fascial plane, below adipose tissue.1,2

S-ICD implant incision
 
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.
S-ICD electrode postioning
 
S-ICD electrode postioning
  
2 & 3. The electrode is positioned through two subcutaneous tunnels from the pocket to the xiphoid incision and from the xiphoid incision to the superior site.
Connecting pulse generator to subcutaneous electrode
   
Connecting pulse generator to subcutaneous electrode
4 & 5. The pulse generator is then connected to the subcutaneous electrode and secured in the pocket.
Indications, contraindications, warnings and complete implant instructions for use can be found in the product labeling supplied with each device.

Optimal S-ICD Placement

Post-implant X-rays show optimal placement of the pulse generator and subcutaneous electrode.

Note: This image shows the placement of the EMBLEM™ S-ICD System in a patient.

S-ICD chest x-ray post-implant

Excellent Cosmetic Outcome

14
DAYS
Post-Op

The pulse generator’s discrete pocket placement offers excellent aesthetic results. Once implanted, the EMBLEM MRI 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.

Results from cases studies are not necessarily predictive of results in other cases.  Results in other cases may vary

14
DAYS
Post-Op
S-ICD patient photos
6
WEEKS
Post-Op
6
WEEKS
Post-Op
S-ICD patient photos
6
WEEKS
Post-Op
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