Diagnostic Active-Implantable Cardiac Devices are specialized medical instruments surgically placed inside the body that rely on an internal power source (usually a lithium-ion battery) to continuously monitor and record heart activity. While many active-implantable medical devices (AIMDs) like pacemakers also provide therapy, their diagnostic capabilities allow clinicians to detect asymptomatic arrhythmias and assess the progression of heart disease over long periods.
Insertable Cardiac Monitors (ICMs)
These devices are primarily used for long-term diagnostic monitoring of heart rhythms to help diagnose conditions like unexplained syncope or atrial fibrillation (AFib).
Medtronic LINQ II Cardiac Monitor – Features AccuRhythm AI algorithms designed for long-term heart monitoring, which helps to reduce false positives and the clinical data burden.
Device Cost & Purchasing Options
- List Price (MSRP): The median list price for the LINQ II device and implantation encounter is approximately $27,000 in high-cost areas like California.
- Average Cash Price (No Insurance): For patients paying out-of-pocket, the average cash price for the device and insertion procedure is roughly $11,419, though it can range from $3,050 to $15,949 depending on the facility.
- International Pricing: In the UK, the device cost alone (excluding implantation) has historically been approximately £1,800.
Abbott Assert IQ Insertable Cardiac Monitor – Uses a five-step AI-based discrimination system that analyzes R-R interval patterns and P-waves to verify events and reduce false pauses and T-wave oversensing.
Device Prices
- Specific pricing for the Abbott Assert IQ insertable cardiac monitor varies, but generally, the total cost for the device and implantation can range widely, with the out-of-pocket price averaging around $11,419 for uninsured individuals in the US.
BIOTRONIK BioMonitor IV cardiac monitor – Launched with SmartECG technology and integrated artificial intelligence to deliver high efficiency in detecting and diagnosing cardiac irregularities.
Pricing
- As of 2025, pricing for the BIOTRONIK BioMonitor IV is consistent with other high-end insertable cardiac monitors (ICMs), generally ranging from $3,050 to $15,949 for the total procedure including the device.
Boston Scientific RESONATE EL ICD – These implantable cardioverter defibrillators (ICDs) feature the exclusive HeartLogic Heart Failure Diagnostic, a tool that provides valuable insights into the patient’s heart failure status.
Estimated Costs
- List Price (MSRP): The list price for the RESONATE EL generator alone ranges from $37,104 (VR single-chamber model D432) to $39,739 (DR dual-chamber model D433).
- Total Implantation Procedure: For patients without insurance, the total “bundled” cost of the device, hospital stay, and surgical fees generally ranges between $30,000 and $50,000 depending on the facility and case complexity.
Free References
Implantable Biosensors for Vascular Diseases: Directions for the Next Generation of Active Diagnostic and Therapeutic Medical Device Technologies
Active learning and margin strategies for arrhythmia classification in implantable devices
A 61-Year-Old Man with Perforation of the Left Ventricle and Pericardium 3 Days After Insertion of a Cardiac Pacemaker Lead
Long-Term Detection of Subclinical Atrial Fibrillation in Cryptogenic Stroke Patients With Insertable Cardiac Monitors
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