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General| Device Type | Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) |
|---|---|
| Manufacturer | Boston Scientific |
| Model | EMBLEM S-ICD |
| Therapy | Defibrillation |
| Lead Type | Subcutaneous lead |
| Battery Life | Approximately 5-7 years |
| Programmability | Yes |
| MRI Compatibility | MRI conditional |
| Indication | Patients at risk of sudden cardiac arrest due to ventricular tachyarrhythmias |
| Remote Monitoring | Compatible with LATITUDE™ Remote Patient Management system |
| Longevity | Approximately 5-7 years |
Instructions for connecting the electrode and implanting replacement devices.
Lists events related to device function, connection, and physical integrity.
Lists events related to patient's physiological response or systemic issues.
Lists events like inappropriate shocks, infections, and device failures.
Covers psychological disorders and systemic issues like emphysema.
Describes the three operational modes of the device.
Explains automatic selection of sensing vectors and gain settings.
Details programmable therapy zones and their criteria.
Explains analysis of rate and morphology for discriminating arrhythmias.
Details charge confirmation and therapy delivery processes.
Describes post-shock pacing and manual/rescue shock commands.
Describes tests for electrode impedance and device integrity.
Details the system for monitoring battery status and depletion.
Step-by-step instructions for suspending therapy using a magnet.
Procedures for checking pulse generator sterility and parameters.
Details on making the incision for the device pocket.
Describes the surgical approach and the xiphoid incision for electrode implantation.
Details tunneling and connecting the electrode to the EIT.
Procedures for attaching the suture sleeve and making a second incision.
Guidance on fascial sutures and ensuring adequate tissue fixation.
Steps for pulling the EIT and securing the suture loop.
Provides guidance on anchoring techniques and ensuring suture security.
Emphasizes using Shelf mode and correct tools to prevent damage.
Step-by-step instructions for inserting the electrode into the port and dealing with the seal plug.
Details on inserting the torque wrench into the setscrew cavity.
Illustrates connector block and setscrew positions and warnings.
Instructions for securing the setscrew and anchoring the device to the fascia.
Outlines the brief initial setup process for the programmer.
Lists the automated functions performed during programmer setup.
Steps to initiate automatic and manual setup processes.
Procedures for setting up and conducting an induction test.
Describes test functions, outcomes, and post-test evaluation steps.
Recommends periodic testing for device performance review.
Advises verifying device status and physician discretion in management.
