The Optimizer® Smart implantation is performed in a minimally-invasive procedure under local anesthesia.

The IPG is generally implanted in the right pectoral region. Two right ventricular leads are placed for delivery of Cardiac Contractility Modulation signals. An optional atrial lead may be placed in the right atrial appendage (RAA) or the atrial lateral wall for additional sensing.

Insertion of the Optimizer® IPG

The Optimizer® IPG is placed into a subcutaneous pocket in the right pectoral region. The recommended maximal depth of implant, for proper device interrogation and charging, is 2.5cm. The leads should form a gentle curve and not be under stress/tension. The IPG should be secured to the fascia using a non-absorbable ligature. The pocket is then closed.

Post implantation device interrogation is performed to assure proper device programming and to rule-out lead dislodgement. Thereafter, the patient receives standard post-operative care prior to discharge.