EMBLEM™ MRI S-ICD System

Subcutaneous Implantable Defibrillator

Key Features and Specifications

Explore product specifications and reimbursement information for EMBLEM MRI S-ICD. Plus, find out how S-ICD technology has evolved and improved over time.

Key Resources

Directions for Use Patient Information Indications, Safety and Warnings

Education & Training

The Evolution of S-ICD Technology

Next-Generation Technology: Key Features and Benefits

The EMBLEM MRI S-ICD is the second device in the EMBLEM S-ICD family and builds on previous enhancements in size, longevity and remote patient management. Like transvenous ICDs (TV-ICDs), the EMBLEM MRI S-ICD System uses a pulse generator capable of delivering life-saving therapy. Unlike TV-ICDs, the EMBLEM MRI S-ICD System leaves the heart and vasculature untouched, avoiding the risks and complications associated with transvenous leads.

Device Longevity

Real-world LATITUDE data projects average implanted EMBLEM S-ICD longevity of 8.7 years.¹

SMART Pass

The SMART Pass filter is designed to reduce cardiac over-sensing and data has demonstrated that the inappropriate shock rate for S-ICD is now lower than TV-ICDs. Learn More About The UNTOUCHED Study.

AF Monitor

Designed to assist in the detection of silent, new onset or the progression of atrial fibrillation.² AF Monitor will notify a clinician when at least six minutes of atrial fibrillation have been detected within a day.

LATITUDE™ NXT Remote Patient Management System

Remote patient management has been shown to decrease mortality, hospitalizations and in-clinic evaluations.³ The EMBLEM MRI S-ICD System leverages LATITUDE NXT remote monitoring technology to help improve patient outcomes and enhance clinic efficiencies.

EMBLEM MRI S-ICD Pulse Generator

Mechanical Specifications
Model Number	A219
Size (W x H x D)	83.1 x 69.1 x 12.7 mm
Mass	130 g
Volume	59.5 cc (cm³)
Projected Longevity	8.7 years*
Battery Chemistry	Boston Scientific Li/MnO2
Warranty	6 years**
Remote Patient Monitoring Capability	Enabled for LATITUDE™ NXT Remote Patient Management
Reimbursement Information	S-ICD electrode C-Code:C1896 S-ICD pulse generator C-Code: C1722

*Based on 3 annual full energy charges
**For full warranty terms and conditions go to www.bostonscientific.com/en-US/pprc/warranty-info-forms.html

Automatic Functions
Sensing Configuration	Primary (ring to can), Secondary (tip to can), Alternate (tip to ring) Optimal sensing configuration automatically selected during Auto Setup (manual programming optional)
Gain Selection	x1, x2 Optimal gain selection automatically selected during Auto Setup (manual programming optional)
Rhythm Discrimination	INSIGHT™ algorithm automatically activated when the Conditional Shock Zone is programmed
Shock Polarity	Standard (coil to can), reverse (can to coil) Automatically selects and stores last successful shock polarity
Adaptive Shock Polarity	Shock polarity alters automatically after failed shock
SMART Charge	Automatically extends initial detection time to allow self termination of non-sustained tachyarrhythmias
SMART Pass	High-pass filter designed to reduce oversensing while maintaining an appropriate sensing margin
Internal Warning System	Audible tone alerts patient to elective replacement indicator, electrode impedance out of range, prolonged charge times, failed device integrity check. NOTE: Exposure to MRI scanning can cause a permanent loss of the Beeper volume. The physician and patient should weigh the benefit of the MR procedure against the risk of losing the Beeper.

Programmable Parameters
Shock Zone	170 bpm - 250 bpm (steps of 10 bpm)
Conditional Shock Zone	Off, On 170 bpm - 240 bpm (minimum 10 bpm less than Shock Zone)
S-ICD System Therapy	Off, On
Post-Shock Pacing	Off, On (50 ppm, max 30 sec, demand-based)
Induction Capability	1-10 sec (50 Hz/200 mA)
Delivered Energy	80J biphasic (only programmable during manual shock and induction test: 10J - 80J, steps of 5J)
AF Monitor	Off, On (model A219 only)
MRI Protection	Time-out (hours): 6, 9, 12, 24

Diagnostics
Episode Storage	S-ECG storage for over 40 arrhythmic events (treated & untreated)
AF Episodes	7 stored (model A219 only)
Other Data	Electrode impedance System status (remaining battery life, patient alerts, etc.) Date and time stamp

EMBLEM™ S-ICD Electrode Model 3501

Electrode Specifications
Model Number	3501
Type	Tripolar
Length	45 cm
Distal Type Size (Diameter)	11.5 Fr / 3.84 mm
Coil Size (Diameter)	9 Fr / 3 mm
Electrode Shaft Size (Diameter)	7 Fr / 2.33 mm
Sensing Surface Area	Distal: 36 mm² Proximal: 46 mm²
Sensing Location	Distal: At tip Proximal: 120 mm from tip
Defibrillation Surface Area	750 mm²
Defibrillation Location	20 - 100 mm from tip
Materials	Insulation: Polycarbonate, Polyurethane Electrodes: MP35N Conductors: MP35N Connector Pin: MP35N Integrated Suture Sleeve: Radiopaque White Silicone Slit Suture Sleeve: Silicone
Electrode C-Code	C1896

Training & Education

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

Visit EDUCARE

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.

Patient Selection

Learn why all ICD-indicated patients without a pacing need should be screened and strongly considered for S-ICD.

Clinical Data

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

Top