Insertable cardiac monitors

LINQ II™ insertable cardiac monitor

<p>The LINQ II™ insertable cardiac monitor (ICM) with AccuRhythm™ AI algorithms is used for long-term heart monitoring.</p>

Features

Advanced algorithms enabling optimal outcomes

Learn more about AccuRhythm™ AI algorithms. (03:27)

Clinically meaningful and actionable alerts

AccuRhythm™ AI algorithms for atrial fibrillation (AF) and pause further enhance the accuracy of LINQ II™ ICM data.3–5 The cloud-based AI system reduces false alerts while retaining true alerts, so clinicians can maintain diagnostic yield and spend more time on the human side of care.

AccuRhythm™ AI algorithms can seamlessly and remotely apply deep learning algorithms to new and already implanted LINQ II™ ICM devices. They were rigorously trained and were developed based on over one million professionally adjudicated ECGs for smarter, more accurate insight without data bias.3–6

This is a graphic showing how the AccuRhythm™ AI platform applies deep learning algorithms to LINQ II™ insertable cardiac monitor data flowing into the CareLink™ network.

Improving accuracy while maintaining sensitivity

AccuRhythm™ AI algorithms further address the two most common sources of these ICM false alerts — AF and pause.3,4,7

Validation on data from real-world LINQ II™ ICM patients demonstrated3,4:

97.4% reduction in false pause alerts
88.2% reduction in false AF alerts

Preserved true alerts3,4:

99% true AF alerts preserved 
100% true pause alerts preserved

Reduce false alerts3,4

View false pause and AF alert reduction data for the LINQ II™ insertable cardiac monitor (ICM).

91% reduction in LINQ II™ ICM false alerts3

Discover how this impacts a clinic’s time. The AccuRhythm™ AI algorithms can save clinicians approximately 401 hours of false alert review yearly for every 200 LINQ II™ ICM patients.‡,§,3

Innovative PVC algorithm

The innovative PVC detector may help identify high-risk patients.8,9

Increased connectivity. Seamless experience. 

BlueSync™ technology within the LINQ II™ ICM enables secure, wireless communication via Bluetooth®* Low Energy without compromising device longevity.1

  1. Reveal LINQ™ mobile manager 
  2. LINQ II™ ICM
  3. MyCareLink Heart™ mobile app on patient’s smartphone or tablet, or 
  4. MyCareLink Relay™ home communicator for bedside use 
  5. CareLink™ network 
  6. Medtronic Stay Connected service
This is a graphic representing the CareLink™ network, Medtronic Stay Connected™ and Get Connected™ services.

Effortless connectivity

  • Portable Bluetooth®* monitoring
  • Monitor automatically detects if new data is available
  • Event notification triggers an actionable alert

No manual transmissions

  • Remote access to full ECGs eliminates the need for manual transmissions1
  • Decreases patient action and confusion

Enhanced patient compliance

  • Automatic smartphone notifications help patients stay connected
  • Reduces clinic time spent on patient follow-up

MRI conditions for use: LINQ II™ ICM system

Conditionally safe MRI access SureScan™ technology
The LINQ II™ ICM is MR Conditional at ≤3T with no post-insertion waiting required.1

This is an image of a healthcare professional smiling down at a patient who is about to enter a magnetic resonance imaging (MRI) scanner surrounded by decorative blue dots and particles.

A patient with a LINQ II™ ICM can be safely scanned in an MR system that meets the following conditions with no post-insertion waiting required. Failure to follow these conditions for use may result in a hazard to the patient during an MRI scan1:

  • Open or closed clinical MRI systems with a static magnetic field of ≤3T must be used.
  • Hydrogen proton MRI equipment must be used.
  • Maximum spatial gradient of the static magnetic field specification must be ≤ 25 T/m (2500 gauss/cm).
  • Whole body gradient systems with gradient slew rate specification must be ≤ 200 T/m/s per axis.
  • The Whole Body Specific Absorption Rate (WB-SAR) as reported by the MRI equipment must be ≤ 4.0 W/kg; the head SAR as reported by the MRI equipment must be ≤ 3.2 W/kg.
  • Do not use local transmit coils on the chest, trunk, or shoulder region
  • There are no restrictions on the placement of receive-only coils, and there are no restrictions on the use of local transmit or receive coils for imaging of the head or extremities.

For more information or to check MRI compatibility, visit the website below.

Learn more about the LINQ II™ ICM.  (03:56)

The first ICM with remote programming¶,1 

The LINQ II™ ICM enables remote programming capability for all device parameters post-insertion from the clinic, which may reduce patient office visits and scheduling hassles. 

This is an image of a male looking at his mobile phone next to icons of a lock, Bluetooth®, and Wi-Fi beneath a dotted arrow pointing to the right.

Patient data transmitted to the CareLink™ network via MyCareLink™ Relay or MyCareLink Heart™ app

This is an image of a female healthcare professional wearing scrubs and typing on a computer next to icons of a lock, Bluetooth®, and Wi-Fi beneath a dotted arrow pointing to the right.

Clinician-initiated reprogramming
via the CareLink™ network
 

This is an image of MyCareLink Relay™ home communicator and MyCareLink Heart™ mobile app as a part of remote programming next to a lock and Bluetooth® icon and a dotted arrow pointing to the right.

Monitors act as a
pass-through

This is an image of an older man in a denim shirt looking at his mobile phone outside with trees in the background.

Device settings automatically update
without the need for an office visit

Ordering information

Item number Mass (g) Volume (mL) Size — height × width × depth (mm) Surface area of device electrode (mm)2 Distance between electrodes (mm) Battery
LNQ22 3.4 1.4 45.1 × 8.0 × 4.2 16.0 40 Lithium/silver vanadium oxide (SVO) and fluorinated carbon (CFx) cathode

®* The Bluetooth®* word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Medtronic is under license.

Nominal settings.

‡ The validation study performance and time study results were projected onto 16,301 LINQ II™ patients to calculate the time saved per year in 200 LINQ II™ ICM patients.

§ Estimated time savings was calculated based on 11.3 minutes per non-actionable ICM transmission.

¶ First European-approved (TÜV-notified body) remote programmable device. 

  1. LINQ II LNQ22 ICM clinician manual. M974764A001D
  2. Ortega MM, Castrejon CS, Carton SA, et al. Miniaturized implantable loop recorders in a pediatric cohort. Europace. 2019;21(Supplement 2):¡563.

  1.  Singh J, Radtke A, Rosemas S et al. Impact of enhanced artificial intelligence on clinic burden from false alerts of insertable cardiac monitors. Circulation 2023;148(Suppl 1):18672.doi: 10.1161/circ.148.suppl_1.18672.
  2. Cheng YJ, Ousdigian KT, Koehler J, Cho YK, Kloosterman M. Innovative artificial intelligence application reduces false pause alerts while maintaining perfect true pause sensitivity for insertable cardiac monitors. Heart Rhythm 2021;18(8) Suppl:S293-S294. doi: 10.1016/j.hrthm.2021.06.732.
  3. AccuRhythm™ AI clinical manual supplements. Medtronic.
  4. Radtke AP, Ousdigian KT, Haddad TD, Koehler JL, Colombowala IK. Artificial intelligence enables dramatic reduction of false atrial fibrillation alerts from insertable cardiac monitors. Heart Rhythm. 2021;18(S8) Suppl:S47. doi: 10.1016/j.hrthm.2021.06.137
  5. O’Shea CJ, Middeldorp ME, Hendriks JM, et al. Remote Monitoring of Implantable Loop Recorders: False-Positive Alert Episode Burden. Circ Arrhythm Electrophysiol. November 2021;14(11):e009635.
  6. Penela D, Fernández-Armenta J, Aguinaga L, et al. Clinical recognition of pure premature ventricular complex-induced cardiomyopathy at presentation. Heart Rhythm. 2017;14(12):1864–1870. doi: 10.1016/j.hrthm.2017.07.025.
  7. Penela D, Van Huls Van Taxis C, Aguinaga L, et al. Neurohormonal, structural, and functional recovery pattern after premature ventricular complex ablation is independent of structural heart disease status in patients with depressed left ventricular ejection fraction: a prospective multicenter study. J Am Coll Cardiol. 2013;62(13):1195–1202. doi: 10.1016/j.jacc.2013.06.012.