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Implant Procedure

Implant Procedure

S-ICD Procedure Overview

Surgically inserting the S-ICD generally takes about one hour. The 6-step procedure is described in more detail below¹:

  1. An incision is made on the left side of the chest, next to the rib cage.
  2. A pocket or pouch is formed under the skin, where the S-ICD pulse generator will be inserted.
  3. Two small incisions are made slightly to the left of the breastbone to allow the electrode to be placed under the skin.
  4. The electrode is then attached to the S-ICD pulse generator.
  5. Once the S-ICD has been implanted, most doctors will test the device. You will be asleep during this part of the procedure, during which the doctor induces an arrhythmia (irregular heartbeat) and the S-ICD is allowed to detect and stop your abnormal heart rhythm automatically. Some settings will be adjusted to work best for your heart using a separate programmer tablet.
  6. Finally, your doctor will close the incisions to complete the procedure.
Find a Doctor

Find a doctor.

An S-ICD is a defibrillator implanted subcutaneously without leads touching the heart. Use the hospital locator tool to find S-ICD follow up centres and physicians trained in the S-ICD technology.

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Patient Stories

Meet real patients as they share their stories about living with an S-ICD.


1. Downloadable S-ICD Information Brochure from 20-21


The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device. Information for the use only in countries with applicable health authority product registrations.Content of this website is for Information Purposes only and not meant for product promotion or medical diagnostic. This information does not constitute medical or legal advice, and Boston Scientific makes no representation or warranty regarding this information or its completeness, accuracy or timeliness.
Accordingly, Boston Scientific strongly recommends that you consult with your physician on all matters pertaining to your health or to address any questions.