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The Micra AV is the latest technology offered by Medtronic in pacemaker systems. Approved by the FDA in 2016, the device is the "World’s smallest pacemaker
– 93% smaller than conventional pacemakers
– 63% fewer major complications than traditional pacemakers." (Medtronic, 2019)
This minimally invasive procedure allows the device to be implanted percutaneously utilizing a transcatheter via the femoral vein. It has the longevity of a traditional device with multiple modes offered. A patient, who is needing venticular pacing, can opt for this implantation and reduce risks seen in traditional device implants.

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Medtronic. (2019, February) Micra: Transcatheter Pacing Systems, Retrieved from https://www.medtronic.com/us-en/healthcare-professionals/products/cardiac-rhythm/pacemakers/micra-pacing-system.html?cmpid=PPC_Bing_Leadless_us_Q2_H1_NewLeadlessPcmkr_H2_WatchVideo_H3_FutureIsHere_CVG_CRHF_MicraAV_FY21&s_kwcid=AL!5660!10!82463613322470!82463916146032&ef_id=XwC--wAAAHaw9JZF:20201006213603:s

Webb, Sherrie (2019, June 19). The Leadless Pacemaker. American College of Cardiology. Retrieved from https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/06/10/13/49/the-leadless-pacemaker

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Current innovation for the Leadless Pacemaker System is the American College of Cardiology, the FDA (Food and Drug Administration) and Medtronic. The device was approved by the U.S. FDA in 2016.

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Decreased
* surgical infection
* lead dislodgement
* lead fracture
* insulation breach
* tissue trauma associated with lead implantation
* erosion
* thrombosis
* hematoma

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* single chamber pacing
* retrieving device is less common
* new device must be placed at currrents end of battery life
* no defibrillation capabilities
* not recommended for patients with low EF

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A specialized team will provide a high quality and safe patient experience. They will continue to advance this procedure and it's effectiveness. This team includes:
Alice-Achiever- Alice will be the team lead. She has stong communication skills, self driven and wants to excel. This procedure will be consistently evaluated for its' success.
Abraham - Arranger- Abraham is a constant in this procedure. He is able to quickly adapt to any changes that come along when utilizing a new device. He is strong in working though any complications.
Daisy- Developer- Daisy will help grow the team and using her teaching skills to recruit and train new employees.
Izzy-Input-  Izzy will be our data collector. She will keep up with all the numbers from patients to finances. She will maintain all statistical data needed.
Rose-Relator- Rose will help to not
only be a peer to rely on when needed, but she will work as a patient advocate. She will form that bridge from patient to team to physician.

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In my opinion, this is an excellent option for qualified candidates. Healthcare continues to find new ways to make procedures less invasive, cost effective and increase patient satisfaction. This device delivers in all aspects. Patients have less surgical risks and less irritations device leads can generate. This new type of innovation opens the doors for advancements in cardiac syncronization and patient compliance.

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* easier and quicker recovery
* less restriction
* no obvious chest incisional scar
* MRI safe

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https://youtu.be/nO6-Oj8i2do