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.


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


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

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

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.
2 & 3. The electrode is positioned through two subcutaneous tunnels from the pocket to the xiphoid incision and from the xiphoid to the superior incision.
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 S-ICD™ System in a patient. Device location recommendations do not change from the S-ICD System to the EMBLEM MRI S-ICD.

S-ICD chest x-ray post-implant

Excellent Cosmetic Outcome

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

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