The Micra Transcatheter Pacing System is a new type of heart device, approved for Medicare reimbursement. It provides patients with the most advanced pacing technology available, at only one-tenth the size of a traditional pacemaker. Comparable in size to a large vitamin, cardiologists at MRMC have elected to use Medtronic’s Micra device because unlike traditional pacemakers, it does not require cardiac wires (leads) or a surgical “pocket” under the skin to deliver a pacing therapy. Instead, the device is small enough to be delivered through a catheter and implanted directly into the heart with small tines, providing a safe alternative to conventional pacemakers without the complications associated with leads – all while being cosmetically invisible. The Micra is also designed to automatically adjust pacing therapy based on a patient’s activity levels.