Patient Screening

Level Up with AST 2.0

The EMBLEM™ MRI S-ICD Automated Screening Tool (AST) takes patient screening to the next level by incorporating your feedback to increase efficiency and usability.

  • Integration with the Heart Connect™ System
  • on-Screen Instructions
  • progress Indicator During Capture of ECG
  • drop-Down List for Optional Postures
  • multiple Sternal Lead Positions Within a Single Session
  • reasons for Vector Failure
  • filtered Signal Can Now Be Included on Report
  • selectively Export Sessions

Directions for use Patient Selection Tool S-ICD Patient Website Indications, Safety & Warnings
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AST 2.0 Now Available through the LATITUDE™ Programming System, Model 3300

Applies the Vector Select algorithm that is used by the S-ICD to sense the cardiac signal designed to more closely represent
S-ICD device performance.1

EMBLEM MRI S-ICD System and LATITUDE Programming System, Model 3300 showing an AST 2.0 screen.

 

 

How to Do a Successful Screening

With the EMBLEM MRI S-ICD Automated Screening Tool, you can screen patients in 5 simple steps.2

Illustration of a ribcage showing the placement of the electrodes during S-ICD patient screening.
Place electrodes.
First screen of the Automated Screening Tool.
Click EMBLEM S-ICD Automated Screening Tool.
ECG screen of the Automated Screening Tool.
Verify a clean ECG.
Screen showing the various tests performed by the Automated Screening Tool.
Run the Test: Supine & Standing. Save, then print and/or export test data.
Report generated by the LATITUDE Programming System, Model 3300.
Review and determine acceptable vectors.
 

The Evolution of S-ICD Screening

Screening for S-ICD has continued to evolve to remove subjectivity while increasing efficiency and usability.  

Manual Screening Tool introduced in 2012.
First Automated Screening Tool introduced in 2017.
Second Automated Screening Tool introduced in 2020.
 

Which Patients Should Be Screened for an S-ICD?

All ICD-indicated patients without a pacing need should be considered for an S-ICD.

 

 

Patient Comorbidities

S-ICD
Considered3,4

TV-ICD Required3,4

TV-ICD Considered3,4
Evaluating Need for Brady Pacing5-7

Brady pacing indication at implant

 

 

No current pacing indication, but has 1 or more of the following:

  • H/O CABG surgery
  • H/O atrial fibrillation
  • Age > 80
  • PR interval > 200 ms
  

 

No pacing indication at implant and age < 80

 

 
High Risk for TV Lead Failure8

Life expectancy > 8 years

 

 
High Risk for Infection9 H/O device infection

 

 
Prosthetic heart valve

 

  
On dialysis or renal insufficiency

 

  
Diabetes

 

  

Other risk factors:

  • COPD
  • Corticosteroid use
  • Oral anticoagulation
  • Class II-IV heart failure
  • Chronic skin disorder
  • Malignancy

 

  
High or Low Risk for ATP10,11

Ischemic or non-ischemic heart failure or ICD-indicated patient with NO history of recurrent sustained monomorphic VT

   

ICD-indicated patient WITH a history of recurrent sustained monomorphic VT amenable to ATP therapy

  

 

 

 
Education & Training

Education & Training

Our easily accessible educational platform, EDUCARE, offers you a personalised suite to support your medical education requirements.
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