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Subcutaneous Implantable Defibrillator

EMBLEM MRI S-ICD Implant Procedure

Designed to be implanted using only anatomical landmarks, the EMBLEM MRI S-ICD System reduces the need for fluoroscopy during implant and ensures a simple, predictable and consistent implant procedure. Advancements in the implant technique, including the 2-incision technique and intermuscular technique, result in optimal placement and positioning to improve patient outcomes.
implant procedure

Intermuscular Technique

SICD intermuscular image

How it Works

With the intermuscular technique, a pocket is created between the serratus anterior and latissimus dorsi muscles, with the majority of the pulse generator placed behind the latissimus dorsi.1

The Intermuscular Technique Has Many Benefits1-6

  • Optimal position for DFT and impedance measurements
  • Reduced risk of pocket complications (erosion and infection)
  • Reduced device migration
  • Consistency in implant technique
  • Enhanced patient comfort as the device is protected by the muscle layer
  • Excellent cosmetic outcomes
  • Intermuscular placement can be particularly beneficial in low and high BMI patients

Excellent Cosmetic Outcomes

Emblem MRI S-ICD Cosmetic Outcomes

Optimal S-ICD Placement

Optimal Front View S-ICD Placement

Optimal S-ICD Placement

Optimal S-ICD Side View Placement
Implant technique

Intermuscular Implant Technique for S-ICD

In this video, Professor Joachim Winter, MD, PhD describes the intermuscular technique for implanting the S-ICD and discusses patient considerations and the clinical and cosmetic benefits of the technique.

2-Incision Implant Technique

Implant technique

Procedure Animation

By eliminating the superior parasternal incision used in the three-incision technique, the two-incision implant technique reduces procedure time and improves cosmetic outcomes.7,8

Training & Education

Explore continuing education courses, best practices modules and other training and resources for S-ICD.


why sicd

Why S-ICD?

See how S-ICD helps protect patients at risk for sudden cardiac death while also eliminating the risk of TV-ICD lead complications.

Clinical Data

Clinical Data

Explore clinical outcomes and learn about the first prospective, randomized, non-inferiority clinical trial comparing S-ICD to TV-ICD


Videos & Resources

Hear physician perspectives about S-ICD, find media information, and download product images, patient videos and more.



1. Winter, J. et al. Submuscular is Superior to Subcutaneous Implantation for Subcutaneous Implantable Cardioverter Defibrillator. Circulation. 2013;128:A14688.

2. Winter, J. et al. Intermuscular technique for implantation of the subcutaneous implantable cardioverter defibrillator: long-term performance and complications. Europace. 2016

3. Ferrari, P. et al. Intermuscular pocket for subcutaneous implantable cardioverter defibrillator: single-centre experience. Journal of Arrhythmia. 2016; 32, 223–226.

4. Droghetti, A. et al. Totally submuscular implantation of subcutaneous implantable cardioverter defibrillator: a safe and effective solution for obese or oversized patients. Clinical Case Reports. 2016

5. Kondo, Y. et al. Successful intermuscular implantation of subcutaneous implantable cardioverter defibrillator in a Japanese patient with pectus excavatum. Journal of Arrhythmia. 2016

6. Migliore, F. et al. Intermuscular Two-Incision Technique for Subcutaneous Implantable Cardioverter Defibrillator Implantation: Results from a Multicenter Registry. Pace. 2016

7. Brouwer TF, Miller MA, Quast ABE, Palaniswamy C, Dukkipati SR, Reddy V, Wilde AA, Willner JM, Knops RE. Implantation of the subcutaneous implantable cardioverter-defibrillator: an evaluation of 4 implantation techniques. Circ Arrhythm Electrophysiol. 2017; 10:e004663. doi: 10.1161/CIRCEP.116.004663.

8. Knops RE, Olde Nordkamp LR, de Groot JR, Wilde AA. Two-incision technique for implantation of the subcutaneous implantable cardio-verter-defibrillator. Heart Rhythm. 2013; 10:1240-1243. doi: 10.1016/j.hrthm.2013.05.016.