植込み型心電図記録計（ICM）は、患者さんの心臓リズムを数年間継続的にモニタリングできる小型の植込み型機器です。ICM を使用すると検出困難な不整脈の診断が可能となり、患者さんの日常生活に影響するような外部モニターを多用する必要がなくなります。わたしたちの ICM のテクノロジーは、患者さんの日常生活への干渉を削減するとともに、不整脈に対して明確で信頼性の高い診断ができるように設計されています。

References

*Compared to predicate devices
**Available on DM5300/DM5500
*** Key Episodes is feature of Merlin.net™
† As of 12.31.22. Reveal LINQ‡ User Manual, Lux Dx‡ User Manual, Biomonitor III‡ User Manual, and Biomonitor IIIm‡ User Manual. 

1. Gopinathannair R, Lakkireddy D, Manyam H, et al. Improving the Specificity of Atrial Fibrillation and Tachycardia Detection in an Insertable Cardiac Monitor. Presented at Heart Rhythm Society (HRS); San Francisco, USA; 2022.
2. Afzal MR, Gopinathannair R, Manyam H, et al. Development and Evaluation of a New Algorithm Enhancement to Improve Specificity of Pause Detection in an Insertable Cardiac Monitor. Presented at Heart Rhythm Society (HRS); San Francisco, USA; 2022.
3. Gardner RS, Quartieri F, Betts TR, et al. Reducing the Electrogram Review Burden Imposed by Insertable Cardiac Monitors. J Cardiovascular Electrophysiology. 2022;33(4):741-750. doi:10.1111/jce.15397
   
4. Abbott. Assert-IQ ICM User Manual.
5. Piorkowsi C, Shaik N, Tilz R, et al. Early Real-World Adoption of Mobile Remote Monitoring Using the Confirm Rx Insertable Cardiac Monitor. Poster presented at Asia Pacific Heart Rhythm Society (APHRS); Taipei, Taiwan; 2018.
6. Medtronic. REVEAL LINQ‡ LNQ11 Insertable Cardiac Monitor and Patient Assistant PA96000 Clinician Manual. Updated August 26, 2015. Accessed January 17, 2023. https://www.medtronic.com/content/dam/emanuals/crdm/CONTRIB_215651.pdf
7. Medtronic. LINQ II‡ LNQ22 Insertable Cardiac Monitor Clinician Manual. Updated September 01, 2022. Accessed January 17, 2023. https://www.medtronic.com/content/dam/emanuals/crdm/M032283C001B_view.pdf
8. Boston Scientific. User’s Manual, Lux-Dx‡ Insertable Cardiac Monitor System M301, 2925, 2935. Updated July 2020. Accessed January 17, 2023. https://www.bostonscientific.com/content/dam/Manuals/us/current-rev-en/92216689-002_LUX-Dx_UM_en_S.pdf
9. Biotronik. Technical Manual BioMonitor III‡. Updated December 10, 2020. Accessed January 17, 2023. https://manuals.biotronik.com/emanuals-professionals/?country=US&product=ImplCardMon/BioMonitor3/BioMonitor3_US
10. Biotronik. Technical Manual BioMonitor IIIm‡. Updated December 10, 2020. Accessed January 17, 2023. https://manuals.biotronik.com/emanuals-professionals/?country=US&product=ImplCardMon/BioMonitor3m/BioMonitor3m_US

Additional References

1. EGM Burden Reduction in Jot Dx™ ICM, Technical Development Report System DOC 90805939 Rev A.
2. Ip J, Jaffe B, Castellani M, Sheikh A, Castellani C, Ip R. Accuracy of Arrhythmia Detection in Implantable Cardiac Monitors: A Prospective Randomized Clinical Trial Comparing Reveal LINQ and Confirm Rx. Pacing & Clinical Electrophysiology. 2020;43(11):1344-1350. doi:10.1111/pace.14076
3. Piorkowski C, Manyam H, Lakkireddy D, et al. Effectiveness and Performance of Confirm Rx SharpSense Technology: A Multi-center Retrospective Analysis. Presented at Asia Pacific Heart Rhythm Society (APHRS); Bangkok, Thailand; Oct 27-29, 2019.

™ Indicates a trademark of the Abbott group of companies.

‡ Indicates a third-party trademark, which is property of its respective owner.

Bluetooth and the Bluetooth logo are registered trademarks of Bluetooth SIG, Inc. 

Important Safety Information

Rx Only

Brief Summary: Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use.

Indications for Use: Abbott ICMs are indicated for the monitoring and diagnostic evaluation of patients who experience unexplained symptoms that may be cardiac-related such as: dizziness, palpitations, chest pain, syncope, and shortness of breath, as well as patients who are at risk for cardiac arrhythmias such as bradycardia, tachycardia, and sinus pauses. Abbott ICMs are also indicated for patients who have been previously diagnosed with atrial fibrillation (AF) or who are susceptible to developing AF. Abbott ICMs are intended to be inserted subcutaneously in the left pectoral region, also described as the left anterior chest wall. Abbott ICMs have not been specifically tested for pediatric use.

Intended Use: Abbott ICMs are intended to help physicians and clinicians monitor, diagnose and document the heart rhythm in patients who are susceptible to cardiac arrhythmias and unexplained symptoms by detecting arrhythmias and transmitting data for review.

Contraindications: There are no known contraindications for the insertion of Abbott ICMs. However, the patient’s particular medical condition may dictate whether or not a subcutaneous, chronically inserted device can be tolerated.

Potential Adverse Events:  Possible adverse events (in alphabetical order) associated with the device, include the following: allergic reaction, bleeding, chronic nerve damage, erosion, excessive fibrotic tissue growth, extrusion, formation of hematomas or cysts, infection, keloid formation and migration. 

Refer to the User’s Manual for detailed indications for use, contraindications, warnings, precautions and potential adverse events. 

An Abbott mobile transmitter is available for patients without their own compatible mobile device