Assert-IQ (DM5100)

by Abbott (Assert-IQ ICM) / AI Agent (General AI Agent concept)  · Based in United States → — Designed to outperform, built to outlast.
Cardiology Critical Care Hospital Medicine

Overview

The Assert-IQ™ Insertable Cardiac Monitor (ICM) is a medical device developed by Abbott, not a physician directory tool from a company called ‘AI Agent’. It is an innovative, Bluetooth-enabled insertable cardiac monitoring system that combines AI and IQ Insights to optimize patient management across various arrhythmia types. It is designed for continuous monitoring and automatic arrhythmia detection, enabling physicians to make more accurate and informed treatment decisions. The device is implanted subcutaneously in the left pectoral region and continuously monitors heart rhythms, transmitting data to a clinician portal via the myMerlin Mobile App on a patient’s smartphone. The Assert-IQ ICM is intended for patients experiencing unexplained symptoms associated with cardiac conditions such as dizziness, palpitations, chest pain, syncope, and shortness of breath, as well as those at risk for or previously diagnosed with cardiac arrhythmias like atrial fibrillation (AF), bradycardia, tachycardia, and sinus pauses. It offers different battery life options, including three and six years, providing flexibility for both traditional and long-term monitoring. The system also features advanced AI algorithms that reduce false positives while maintaining high sensitivity in detecting AF and pause episodes. Remote programming capabilities allow clinicians to adjust device settings and optimize performance without requiring patient visits.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Advanced AI algorithms to reduce false positives for AF and Pause episodes
  • Longest-lasting Bluetoothu00ae ICM with full functionality (up to 6 years battery life)
  • Clear, crisp electrograms (EGMs) for improved visualization of P-waves
  • Remote programming capabilities for device setting adjustments
  • myMerlin Mobile App for patient-initiated EGM storage and data transmission
  • IQ Insights for data-driven decisions with advanced diagnostics
  • Body position and posture sensors
  • MRI Conditional (1.5 Tesla (T) and 3T)
  • Automated triggering of EGM storage for various arrhythmias
  • Supports over 35 languages in the myMerlin Mobile App

Use Cases

  • Monitoring and diagnostic evaluation of patients with unexplained cardiac symptoms (dizziness, palpitations, chest pain, syncope, shortness of breath)
  • Monitoring patients at risk for cardiac arrhythmias (bradycardia, tachycardia, sinus pause)
  • Long-term monitoring for patients previously diagnosed with atrial fibrillation (AF) or susceptible to developing AF
  • Remote management and treatment of patients with irregular heartbeats
  • Optimizing patient management across various arrhythmia types
  • Reducing false-positive detections in cardiac monitoring

What Physicians Need to Know

ECG/EKG Analysis Capability
The Assert-IQ (DM5100) is an insertable cardiac monitor (ICM) that continuously monitors heart rhythms and provides clear electrograms (EGMs) for improved visualization of P-waves. It automatically checks heart rhythms every 20 seconds.
Arrhythmia Detection Accuracy
The Assert-IQ ICM, with its AI algorithms, demonstrates high accuracy in detecting atrial fibrillation (AF) and reducing false positives. In a post-market study, it showed 100% patient sensitivity and 99.4% episode-based sensitivity for AF detection. The AI algorithm retained all true positive AF detections and reduced false positives by 72.6% (improving PPV from 79.9% to 93.6%). The AI can reduce up to 90% of false Pause episodes and 81% of false AF episodes. It also features a leading premature ventricular contraction (PVC) detection algorithm capable of capturing consecutive events, including couplets and triplets.
Cardiac Monitoring Integration
The Assert-IQ ICM is a Bluetooth-enabled device that wirelessly transmits real-time clinical data to the myMerlinu2122 Mobile App and the Merlin.netu2122 Patient Care Network portal. It offers long-term monitoring with a battery life of at least three or six years, with the DM5100 model specifically having a 4-year battery longevity.
AHA/ACC Guideline Alignment
The Assert-IQ ICM's AF detection performance evaluation involved comparison with core laboratory-annotated Holter recordings, with episode alignment adjusted to match timestamps, a methodology consistent with guideline-driven approaches for arrhythmia assessment.
Real-Time Alert Capability
The device continuously monitors heart rhythms and transmits essential findings in virtually real-time to the clinic's portal, facilitating prompt medical intervention. The AI algorithms filter information to send through only true AFib episodes, helping care teams prioritize important information faster.
Physician Tip

Leverage the Assert-IQ's AI-powered false positive reduction to streamline data review and focus on clinically actionable AF and Pause episodes. Utilize the remote programming capabilities to customize device settings and optimize performance without requiring in-person patient visits. Pay attention to the detailed EGM visualizations and new IQ Insights, including PVC detection and body position/posture at episode onset, for a more holistic understanding of a patient's cardiac health and to inform treatment decisions, especially for patients with unexplained symptoms or those at risk for worsening heart failure.

The Assert-IQ (DM5100) seamlessly integrates with the myMerlinu2122 Mobile App and the Merlin.netu2122 Patient Care Network portal for wireless data transmission and remote patient management. The AI algorithms operate in the cloud, requiring no in-person clinical adjustments to the device itself. Remote programming capabilities allow clinicians to adjust device settings and optimize performance remotely.

Details

Category Cardiology AI, Wearables & Remote Monitoring (RPM)
Pricing Unknown — unknown
DeploymentSubcutaneously inserted device, connected to a mobile app and clinician portal.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Unknown AI-estimated

The Assert-IQ ICM received US FDA clearance in May 2023 for diagnostic evaluation and long-term monitoring of irregular heartbeats. In September 2025, it received 510(k) clearance for the integration of two AI algorithms based on machine learning techniques.

Integrations
EHR Not specified
Specialties Cardiology, Critical Care, Hospital Medicine

What the Web Says

The Assert-IQ (DM5100) is an insertable cardiac monitor (ICM) manufactured by Abbott Medical, designed for long-term ECG event monitoring. It received FDA 510(k) clearance in 2025 and is considered substantially equivalent to previous models (DM5500 and DM5000) with some modifications. The device offers automated triggering of EGM storage for various arrhythmias and allows for remote programming and patient-identified symptom logging for physician review.

Overall: Mixed

Strengths

  • Automated EGM storage for AF, tachycardia, bradycardia, and pauses with physician-programmable values.
  • Ability to inhibit EGM storage due to noise and resume detection after noise exit.
  • Remote programming capability.
  • Patient can identify symptoms, which are stored with the EGM for physician review.
  • 4-year battery longevity, positioned between the DM5500 (6 years) and DM5000 (3 years).
  • MRI Ready Manual updated to include DM5100 with no changes to scan conditions.

Limitations

  • No specific cons were found in the provided search results.
  • Information regarding physician, healthcare IT, tech reviewer, Reddit, G2, and Capterra reviews is limited, with most results being regulatory documents or product listings.

Based on reviews from: Abbott Medical (FDA 510(k) Premarket Notification), PW Consulting, BEUDAMED

Last updated: 2026-07-28

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Videos

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Frequently Asked Questions

Assert-IQ (DM5100) utilizes cloud-based AI algorithms, specifically neural networks trained on thousands of electrograms, to classify arrhythmia episodes. This AI significantly reduces false positives for AF and Pause episodes (by 81% and 91% respectively), allowing physicians to focus on true events and reducing data burden and clinic workflow.
The Assert-IQ ICM received U.S. FDA clearance in May 2023, with subsequent 510(k) clearance in September 2025 for the integration of its AI algorithms. It also secured CE Mark approval in Europe in March 2024 and Australian Therapeutic Goods Administration approval in June 2024 for certain models. The device's cybersecurity maintenance plan and Software Bill of Materials (SBOM) are compliant with FDA Section 524B(b)(1) and 524B(b)(3).
Alternatives to Assert-IQ include other insertable cardiac monitors from companies like Medtronic (e.g., LINQ II), Boston Scientific, and Biotronik. Assert-IQ differentiates itself with its AI algorithms for enhanced accuracy and its battery life options of three or six years, with some models offering the world's longest battery life for a Bluetooth-enabled ICM.
While specific pricing for Assert-IQ (DM5100) is not publicly detailed, other models like the DM5300 have been listed for sale at approximately $3,500 USD. Reimbursement and coding information would typically be available through Abbott's resources for healthcare providers.
The Assert-IQ ICM has not been specifically tested for pediatric use. While there are no known contraindications for insertion, a patient's particular medical condition may influence whether a subcutaneously inserted device can be tolerated. Additionally, while AI improves accuracy, long-term detection performance over the entire device lifespan may not be fully evaluated in shorter post-market studies.
The Assert-IQ ICM uses Bluetooth technology to connect to a patient's mobile phone, transmitting real-time heart rhythm data to a clinic's portal. Certain models also allow for remote programming, enabling clinicians to adjust device settings and optimize performance without requiring an in-person clinic visit, thereby improving workflow and reducing unnecessary alerts.
The Assert-IQ ICM is indicated for monitoring and diagnostic evaluation of patients experiencing unexplained cardiac-related symptoms such as dizziness, palpitations, chest pain, syncope, and shortness of breath. It's also used for patients at risk for or previously diagnosed with cardiac arrhythmias like bradycardia, tachycardia, sinus pauses, and atrial fibrillation (AF).

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Suggest an Edit → | Last Verified: 2026-07-28 | First Added: 2026-07-28
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