Medical Devices & Technology Archive

The Watchman, a tiny, basket-like device placed in the heart's left atrial appendage, is designed to prevent blood clots traveling from the heart to the brain and causing stroke. People with atrial fibrillation who face a high risk of bleeding from anti-clotting drugs may be good candidates for the device.

A gene editing technique that permanently shuts down a cholesterol-raising protein called PCSK9 is being tested in heart attack survivors with an inherited form of high cholesterol. The one-time infusion contains tiny particles that contain the editing tools, which travel through the blood to the liver and changes the cells that produce the protein. If early data show the treatment to be safe and effective, the therapy potentially could be used in people who have "garden variety" high cholesterol.

Over-the-counter hearing aids are now available in stores and online. They're regulated by the FDA, they don't require a prescription from a doctor, and they're cheaper than prescription hearing aids. But over-the-counter devices are not right for everyone. They're meant only for adults with perceived mild to moderate hearing loss. Before buying a pair, a person should do some homework to find devices with the right fit and features, including a trial period that allows the buyer to return them if they aren't working out.

A majority of people in the United States need a large or extra-large blood pressure cuff. To ensure an accurate reading, people should check their arm circumference to make sure they're using the correct cuff size.

The likelihood of someone needing a pacemaker increases with age. This tiny battery-powered device, implanted into the chest, improves abnormal heart rhythms and improves blood flow if the heart does not pump effectively. By helping the heart maintain more normal function, pacemakers enable many individuals with certain heart conditions to resume their normal lifestyle and stay active longer.

The miniaturization of electronics is leading to the development of next-generation devices to monitor health. People today are using various devices (typically smart watches) to measure their heart rate, the regularity of their heart rhythm, the quality of their sleep, their body temperature, and the levels of oxygen and sugar in their blood. And scientists are working on other devices—such as a thin strip of material that is pasted onto the skin—to constantly measure blood pressure, organ function, or certain body chemicals.

In August 2022, the FDA approved a new category of safe, regulated hearing aids to be sold over the counter. The devices are meant only for people with perceived mild-to-moderate hearing loss who need to amplify the volume of sounds around them.

Activity trackers appear to motivate people to walk 40 more minutes per day, resulting in about two pounds of weight loss per person over time, according to an analysis published in the August 2022 issue of Lancet Digital Health.

Many apps support activities that promote emotional well-being. Happiness apps feature affirmations, meditations, or gratitude journals. Exercise apps track daily physical activity or provide workouts. Meditation apps guide users through various kinds of meditation, such as mindfulness or guided imagery. Sleep apps help people track how long they sleep, and offer instruction to improve sleep hygiene—such as going to sleep and waking up at the same time each day, and avoiding food and drinks at certain times.

Machine learning, a key aspect of artificial intelligence (AI), may improve the diagnosis of heart disease by analyzing large amounts of data from chest CT scans, echocardiograms, and electrocardiograms. By recognizing patterns, the machine "learns" and becomes more accurate over time. Current projects include diagnosing coronary artery disease with stress echocardiography and detecting multiple heart rhythm disorders from electrocardiograms in different formats and layouts.