For typical implantation:
• ECG Electrode LL should be placed in a lateral location, at the
5th intercostal space along the midaxillary line to represent the
intended location of the implanted pulse generator.
• ECG Electrode LA should be placed 1 cm left lateral of the xiphoid
midline to represent the intended location of the proximal sensing
electrode of the implanted subcutaneous electrode.
• ECG Electrode RA should be placed 14 cm superior to the ECG
Electrode LA, to represent the intended position of the distal
sensing tip of the implanted subcutaneous electrode.
▪ Measure 14 cm using Model 4744 Patient Screening Tool or
other measuring tool.
• ECG Electrode RL is recommended at the desired location to
serve as the patient reference electrode.
1
1 - Alternate (LEAD I); 2 - Secondary (LEAD II); 3 - Primary (LEAD III)
RA - Right Arm; LA - Left Arm; LL - Left Leg
Figure 1 - Typical Placement of Surface ECG Electrodes for Patient
Screening
RA
LA
3
2
LL
11