World’s Smallest Pacemaker Implanted In A 92-Year-Old At Medanta

Medanta - The Medicity is the first hospital in the country to successfully implant world’s smallest pacemaker in a 92-year old man. The Medtronic Micra TPS pacemaker was invented for patients with bradycardia, a condition characterised by a slow or irregular heart rhythm, usually fewer than 60 beats per minute. Medanta is one of the first hospitals in the country to offer such a heart device. What kind Of device has been used?

A pacemaker is a small device that's placed in the chest or abdomen to help in controlling abnormal heart rhythms. This device uses low-energy electrical pulses to prompt the heart to beat at a normal rate. Recently approved by the US Food and Drug Administration (FDA), the Micra Transcatheter Pacing System (TPS) is a new type of heart device that provides patients with the most advanced pacing technology at one-tenth the size of a traditional pacemaker. 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 or prongs, providing a safe alternative to conventional pacemakers without the complications associated with leads and at the same time it is cosmetically invisible. The Micra TPS is also designed to automatically adjust pacing therapy based on a patient's activity levels. Innovation in Pacemaker Technology

The pacemaker, comparable to the size of a vitamin capsule, was inserted in the patient’s body in a surgery that lasted only 30 minutes at Medanta - The Medicity. The new pacemaker is merely 2 grams compared to the 25 grams instrument used conventionally.

Dr. Balbir Singh, Chairman of Cardiac Electrophysiology and Pacing Section and also a Senior Interventional Cardiologist at Medanta - The Medicity performed the first procedure. He said, "Latest innovation in pacemaker technology coupled with minimally invasive procedure increases the benefit to patient manifold. Not only is Micra TPS device MRI compatible, it also does not have wires like other traditional pacemakers which reduces the risks of infections caused due to wires. It's a keyhole procedure which makes it cosmetically viable and leaves no visible sign of a medical device under the skin." About Dr. Balbir Singh Dr. Balbir Singh is the Chairman of Cardiac Electrophysiology and Pacing Section and also a Senior Interventional Cardiologist at Medanta - The Medicity. He is nationally and internationally renowned Cardiologist and has received several international and national awards including the prestigious Padma Shree award. He pioneered several new techniques in invasive cardiology and has a faculty status at all major conferences, both, in Europe and America. He is a specialist in coronary angioplasty, electrophysiology, radiofrequency ablation for arrhythmias, pacemakers, the devices to treat heart failure and is on the advisory panel of several international societies. He is also the fellow of American College of Cardiology.