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EMBLEM™ MRI S-ICD System

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 for EMBLEM MRI S-ICD.

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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

Watch Procedure Animation

The Intermuscular Technique Has Many Benefits1-6

Intermuscular technique image 1.
Intermuscular technique image 2.
Intermuscular technique image 3.
  • 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; person showing skin on torso.

Optimal S-ICD Placement

X-ray of optimal front view S-ICD placement.

Optimal S-ICD Placement

X-ray of optimal side view S-ICD placement.
 
Video: 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.

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2-Incision Implant Technique

Video: Incision implant technique procedure animation.

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

Watch Video

Training & Education

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

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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.

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Clinical Data

Clinical Data

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

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Videos & Resources

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

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References

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.

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