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when we implanted pacemaker we see them kind of every six months we are going to be able to manage them when they are at home you know check them remotely by the same time if youamp;#39;re gonna change the pacemaker which needs to be changed the second procedure is going to be even much easier it is we just make it a small incision on the prior incision remove the pacemaker put a new pacemaker we donamp;#39;t need to put the leads there because the leads are already there so we just remove the pacemaker put a new pacemaker and again the new pacemaker course goes for another perhaps eight to ten years