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Journal articles on the topic 'Implantable medical devices'

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Author: Grafiati

Published: 4 June 2021

Last updated: 14 September 2024

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1

Sathyabhama, B., and B. Siva Shankari. "An Ultra-Low Power Implantable Medical Devices: An Engineering Perspective." Journal of University of Shanghai for Science and Technology 23, no. 12 (December 6, 2021): 46–59. http://dx.doi.org/10.51201/jusst/21/11920.

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Implantable Medical Devices (IMDs) reside within human bodies either temporarily or permanently, for diagnostic, monitoring, or therapeutic purposes. IMDs have a history of outstanding success in the treatment of many diseases, including heart diseases, neurological disorders, and deafness etc.,With the ever-increasing clinical need for implantable devices comes along with the continuous flow of technical challenges. Comparing with the commercial portable products, implantable devices share the same need to reduce size, weight and power. Thus, the need for device integration becomes very much imperative. There are many challenges faced when creating an implantable medical device. While this paper focuses on various techniques adapted to design a reliable device and also focus on the key electronic features of designing an ultra-low power implantable medical circuits for devices and systems.

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2

Peng, Zhang Zhu, and Bo Yin. "Research on Human Implantable Wireless Energy Transfer System." Applied Mechanics and Materials 624 (August 2014): 405–9. http://dx.doi.org/10.4028/www.scientific.net/amm.624.405.

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Advances in medical technology and promote the human implantable wireless energy transfer devices are widely used. Traditional human implantable wireless energy transfer device have some problems of low charging efficiency, blindly charging and data transmission difficult. On the basis of the conventional electromagnetic induction, in this paper, we proposed the use of magnetically coupled resonant way on human implantable device for charging, this method can greatly improve the efficiency of wireless charging. The system gets the CPU’s unique ID of human implantable devices to identifying the device. We can artificially control human implantable device’s charging device number, so as to solve the problems caused by the blind charge. Meanwhile, the system uses an electromagnetic carrier approach for data transmission, both to simplify the complexity of hardware devices and improve the communication efficiency of the device.

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3

Nour A. Sabra, Mohammed. "Cyberthreats on Implantable Medical Devices." Journal of Information Security and Cybercrimes Research 4, no. 1 (June 1, 2021): 36–42. http://dx.doi.org/10.26735/xvjr7905.

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The significant and rapid technological development in the field of medical care, and Implanted Medical Device, clearly lead to improve the quality of care and effectiveness of treatment for numerous diseases that were previously difficult to be controlled. Technological growth has accompanied by a marked fear of academics and researchers during the past ten years from cyber threats that may lead to breaking the goal of creating these devices. Cyberspace risks and threats would expose many patients who use these devices to health complications and then endanger their lives. The risks and the vulnerability of these devices raised the curiosity to search and audit concerns that were purely theoretical and not associated with practical experience. The rapidity of change in the structure of the implanted medical device works as a barrier and reducing the possibility of their exposure to cyber threats. However, create comprehensive policy parallel with raising the awareness of the health care providers are the proactive steps to stop such threats and will be barriers from the cyber threats, therefore, no complete and comprehensive protection from cyberspace threats without ignoring that the Cyber threats will remain in places.

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4

Meng, E., and R. Sheybani. "Insight: implantable medical devices." Lab on a Chip 14, no. 17 (May 12, 2014): 3233. http://dx.doi.org/10.1039/c4lc00127c.

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5

Wang, Zhenzhen, and Yan Yang. "Application of 3D Printing in Implantable Medical Devices." BioMed Research International 2021 (January 12, 2021): 1–13. http://dx.doi.org/10.1155/2021/6653967.

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3D printing technology is widely used in the field of implantable medical device in recent decades because of its advantages in high precision, complex structure, and high material utilization. Based on the characteristics of 3D printing technology, this paper reviews the manufacturing process, materials, and some typical products of 3D printing implantable medical devices and analyzes and summarizes the development trend of 3D printed implantable medical devices.

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6

Demosthenous, Andreas. "Advances in Microelectronics for Implantable Medical Devices." Advances in Electronics 2014 (April 29, 2014): 1–21. http://dx.doi.org/10.1155/2014/981295.

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Implantable medical devices provide therapy to treat numerous health conditions as well as monitoring and diagnosis. Over the years, the development of these devices has seen remarkable progress thanks to tremendous advances in microelectronics, electrode technology, packaging and signal processing techniques. Many of today’s implantable devices use wireless technology to supply power and provide communication. There are many challenges when creating an implantable device. Issues such as reliable and fast bidirectional data communication, efficient power delivery to the implantable circuits, low noise and low power for the recording part of the system, and delivery of safe stimulation to avoid tissue and electrode damage are some of the challenges faced by the microelectronics circuit designer. This paper provides a review of advances in microelectronics over the last decade or so for implantable medical devices and systems. The focus is on neural recording and stimulation circuits suitable for fabrication in modern silicon process technologies and biotelemetry methods for power and data transfer, with particular emphasis on methods employing radio frequency inductive coupling. The paper concludes by highlighting some of the issues that will drive future research in the field.

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7

Newaskar, Deepali, and B. P. Patil. "Rechargeable Active Implantable Medical Devices (AIMDs)." International Journal of Online and Biomedical Engineering (iJOE) 19, no. 13 (September 18, 2023): 108–19. http://dx.doi.org/10.3991/ijoe.v19i13.41197.

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Active Implantable Medical Devices (AIMDs) act as lifesaving devices. They provide electrical signals to tissues as well as perform data-logging operations. To perform these operations, they need power. The battery is the only source for such devices, as they are placed invasively inside the human body. Once the battery drains out, the patient wearing the device has to undergo medical surgery for the second time, where there are many chances of infections, and it could be life-threatening too. If the AIMDs, e.g., pacemakers are designed using rechargeable batteries, then the devices can be recharged regularly, which can increase the life of the device as well as reduce its size. Wireless charging of AIMDs such as ICDs or pacemakers is proposed in this paper using magnetic resonant coupling. The selection of frequency for power transfer is the most crucial part, as the basic restriction (BR) criteria proposed by ICNIRP guidelines and the IEEEC95.1 standard need to be followed, which ensures the safety of the patient. This is suggested by considering some basic restriction parameters, such as specific absorption rate (SAR) and current density, as suggested by guidelines. In this paper, experimentation using two frequencies is shown, i.e., 1.47 MHz (the high frequency) and 62 KHz (the low frequency). For experimentation, goat flesh and saline solution are used. Secondary coil and flesh are dipped in the saline solution. Battery recharging performed at a lower frequency took less time than with a frequency in the MHz range. All BR criteria are fulfilled for both frequencies, so the proposed methodology is safe to use.

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8

Arsiwala, Ammar M., Ankur J. Raval, and Vandana B. Patravale. "Nanocoatings on implantable medical devices." Pharmaceutical Patent Analyst 2, no. 4 (July 2013): 499–512. http://dx.doi.org/10.4155/ppa.13.30.

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9

Owida, Hamza Abu, Jamal I. Al-Nabulsi, Nidal M. Turab, Feras Alnaimat, Hana Rababah, and Murad Y. Shakour. "Autocharging Techniques for Implantable Medical Applications." International Journal of Biomaterials 2021 (October 19, 2021): 1–7. http://dx.doi.org/10.1155/2021/6074657.

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Implantable devices have successfully proven their reliability and efficiency in the medical field due to their immense support in a variety of aspects concerning the monitoring of patients and treatment in many ways. Moreover, they assist the medical field in disease diagnosis and prevention. However, the devices’ power sources rely on batteries, and with this reliance, comes certain complications. For example, their depletion may lead to surgical interference or leakage into the human body. Implicit studies have found ways to reduce the battery size or in some cases to eliminate its use entirely; these studies suggest the use of biocompatible harvesters that can support the device consumption by generating power. Harvesting mechanisms can be executed using a variety of biocompatible materials, namely, piezoelectric and triboelectric nanogenerators, biofuel cells, and environmental sources. As with all methods for implementing biocompatible harvesters, some of them are low in terms of power consumption and some are dependent on the device and the place of implantation. In this review, we discuss the application of harvesters into implantable devices and evaluate the different materials and methods and examine how new and improved circuits will help in assisting the generators to sustain the function of medical devices.

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10

Eiselstein, Lawrence E., and Robert D. Caligiuri. "Ion Leaching from Implantable Medical Devices." Materials Science Forum 638-642 (January 2010): 754–59. http://dx.doi.org/10.4028/www.scientific.net/msf.638-642.754.

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Implantable medical devices must be able to withstand the corrosive environment of the human body for 10 or more years without adverse consequences. Most reported research and development has been on developing materials and devices that are biocompatible and resistant to corrosion-fatigue, pitting, and crevice corrosion. However, little has been directly reported regarding implantable materials with respect to the rate at which they generate soluble ions in-vivo. Most of the biocompatibility studies have been done by examining animal implants and cell cultures rather than examining the rate at which these materials leach ions into the body. This paper will discuss what is currently known about the rate at which common implant materials (such as stainless steels, cobalt-chromium alloys, and nitinol) elute ions under in vitro conditions, what the limitations are of such data, and how this data can be used in medical device development.

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11

V, Nishaa, Spoorthi B V, Soumya B T, Ujwal Shreenag Meda, and Vishwesh S. Desai. "Powering Implantable Medical Devices with Biological Fuel Cells." ECS Transactions 107, no. 1 (April 24, 2022): 19197–215. http://dx.doi.org/10.1149/10701.19197ecst.

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With the quick progress in technology and microengineering, point-of-care and personalized care, supported wearable and implantable medicine are changing into a reality. Both microbial fuel cells and enzymatic fuel cells hold a very good potential to power such devices using biochemical fluids as fuel. For a long time, the path to implant safe and efficient medical devices has been around but it still has a long way to go, although there is a certain amount of progress in technologies and scientific fields. One of the aspects of implantable medical devices that required attention is the power supply. The use of biofuel cells can become an alternative to supplying power to certain implantable medical devices instead of using batteries. Biofuel cells, their understanding, design, and compatibility are gaining importance as batteries are required to be charged and some batteries are even nonchargeable. The major issue associated with the implementation of biofuel cells is the integration of the implantable devices with the biofuel cells, adequate power supply, and biocompatibility. This review paper summarizes the working principle of enzymatic/microbial fuel cells, their applications, and provides an insight into the advances in their use in powering wearable and implantable devices. It highlights the various stages involved in the development of implantable fuel cells capable of generating power to run different implantable medical devices.

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12

Jensen, Maria Lund, and Jayme Coates. "Planning Human Factors Engineering for Development of Implantable Medical Devices." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 7, no. 1 (June 2018): 156–60. http://dx.doi.org/10.1177/2327857918071037.

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Development of implantable medical devices is becoming increasingly interesting for manufacturers, but identifying the right Human Factors Engineering (HFE) approach to ensure safe use and effectiveness is challenging. Most active implantable devices are highly complex; they are built on extremely advanced, compact technology, often comprise systems of several device elements and accessories, and they span various types of user interfaces which must facilitate diverse interaction performed by several different user groups throughout the lifetime of the device. Furthermore, since treatment with implantable devices is often vital and by definition involves surgical procedures, potential risks related to use error can be severe. A systematic mapping of Product System Elements and Life Cycle Stages can help early identification of Use Cases, and for example user groups and high-level use risks, to be accounted for via HFE throughout development to optimize Human Factors processes and patient outcomes. This paper presents a concrete matrix tool which can facilitate an early systematic approach to planning and frontloading of Human Factors Engineering activities in complex medical device development.

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13

Amar, Achraf, Ammar Kouki, and Hung Cao. "Power Approaches for Implantable Medical Devices." Sensors 15, no. 11 (November 13, 2015): 28889–914. http://dx.doi.org/10.3390/s151128889.

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14

Yu, Shu-yang, Fu-Yao Li, and Hong-Man Wang. "Regenerative implantable medical devices: an overview." Health Information & Libraries Journal 33, no. 2 (May 11, 2016): 92–99. http://dx.doi.org/10.1111/hir.12146.

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15

SHIBA, Kenji. "Energy Problems of Implantable Medical Devices." Journal of the Society of Mechanical Engineers 110, no. 1058 (2007): 30–33. http://dx.doi.org/10.1299/jsmemag.110.1058_30.

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16

Sawan, Mohamad, and Shuenn-Yuh Lee. "Guest Editors' Introduction: Implantable Medical Devices." IEEE Design & Test 33, no. 4 (August 2016): 6–7. http://dx.doi.org/10.1109/mdat.2016.2571692.

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17

Henkel, Jorg. "Designing and Testing Implantable Medical Devices." IEEE Design & Test 33, no. 4 (August 2016): 4–5. http://dx.doi.org/10.1109/mdat.2016.2571698.

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18

Castelo‐Porta, Antonio. "Photonic technologies for implantable medical devices." PhotonicsViews 21, no. 3 (May 29, 2024): 18–21. http://dx.doi.org/10.1002/phvs.202400019.

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AbstractMedical implants have benefited in the last years from established photonics manufacturing processes such as laser cutting and marking, but also from emerging ones such as additive manufacturing and surface structuring. The orthopedic sector has been using them for many years to improve the efficiency of the manufacturing processes and as a way to provide traceability and quality control for each part. Their use has been extended to a large number of new implants. We will review in this article some novel photonics technologies applied to the manufacturing and post‐processing of medical implants.

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19

Nelson, Bradley D., Salil Sidharthan Karipott, Yvonne Wang, and Keat Ghee Ong. "Wireless Technologies for Implantable Devices." Sensors 20, no. 16 (August 16, 2020): 4604. http://dx.doi.org/10.3390/s20164604.

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Wireless technologies are incorporated in implantable devices since at least the 1950s. With remote data collection and control of implantable devices, these wireless technologies help researchers and clinicians to better understand diseases and to improve medical treatments. Today, wireless technologies are still more commonly used for research, with limited applications in a number of clinical implantable devices. Recent development and standardization of wireless technologies present a good opportunity for their wider use in other types of implantable devices, which will significantly improve the outcomes of many diseases or injuries. This review briefly describes some common wireless technologies and modern advancements, as well as their strengths and suitability for use in implantable medical devices. The applications of these wireless technologies in treatments of orthopedic and cardiovascular injuries and disorders are described. This review then concludes with a discussion on the technical challenges and potential solutions of implementing wireless technologies in implantable devices.

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20

Alcaraz, Jean-Pierre, Gauthier Menassol, Géraldine Penven, Jacques Thélu, Sarra El Ichi, Abdelkader Zebda, Philippe Cinquin, and Donald K. Martin. "Challenges for the Implantation of Symbiotic Nanostructured Medical Devices." Applied Sciences 10, no. 8 (April 23, 2020): 2923. http://dx.doi.org/10.3390/app10082923.

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We discuss the perspectives of designing implantable medical devices that have the criterion of being symbiotic. Our starting point was whether the implanted device is intended to have any two-way (“duplex”) communication of energy or materials with the body. Such duplex communication extends the existing concepts of a biomaterial and biocompatibility to include the notion that it is important to consider the intended functional use of the implanted medical device. This demands a biomimetic approach to design functional symbiotic implantable medical devices that can be more efficient in mimicking what is happening at the molecular and cellular levels to create stable interfaces that allow for the unfettered exchanges of molecules between an implanted device and a body. Such a duplex level of communication is considered to be a necessary characteristic of symbiotic implanted medical devices that are designed to function for long periods of time inside the body to restore and assist the function of the body. We illustrate these perspectives with experience gained from implanting functional enzymatic biofuel cells.

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21

Tran, Hoai My, Hien Tran, Marsilea A. Booth, Kate E. Fox, Thi Hiep Nguyen, Nhiem Tran, and Phong A. Tran. "Nanomaterials for Treating Bacterial Biofilms on Implantable Medical Devices." Nanomaterials 10, no. 11 (November 13, 2020): 2253. http://dx.doi.org/10.3390/nano10112253.

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Bacterial biofilms are involved in most device-associated infections and remain a challenge for modern medicine. One major approach to addressing this problem is to prevent the formation of biofilms using novel antimicrobial materials, device surface modification or local drug delivery; however, successful preventive measures are still extremely limited. The other approach is concerned with treating biofilms that have already formed on the devices; this approach is the focus of our manuscript. Treating biofilms associated with medical devices has unique challenges due to the biofilm’s extracellular polymer substance (EPS) and the biofilm bacteria’s resistance to most conventional antimicrobial agents. The treatment is further complicated by the fact that the treatment must be suitable for applying on devices surrounded by host tissue in many cases. Nanomaterials have been extensively investigated for preventing biofilm formation on medical devices, yet their applications in treating bacterial biofilm remains to be further investigated due to the fact that treating the biofilm bacteria and destroying the EPS are much more challenging than preventing adhesion of planktonic bacteria or inhibiting their surface colonization. In this highly focused review, we examined only studies that demonstrated successful EPS destruction and biofilm bacteria killing and provided in-depth description of the nanomaterials and the biofilm eradication efficacy, followed by discussion of key issues in this topic and suggestion for future development.

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22

Siddiqi, Muhammad Ali, Robert H. S. H. Beurskens, Pieter Kruizinga, Chris I. De Zeeuw, and Christos Strydis. "Securing Implantable Medical Devices Using Ultrasound Waves." IEEE Access 9 (2021): 80170–82. http://dx.doi.org/10.1109/access.2021.3083576.

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23

Nathan, M. "Microbattery Technologies for Miniaturized Implantable Medical Devices." Current Pharmaceutical Biotechnology 11, no. 4 (June 1, 2010): 404–10. http://dx.doi.org/10.2174/138920110791233334.

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24

Roberts, James R. "Implantable Medical Devices: Basics about the ICD." Emergency Medicine News 30, no. 8 (August 2008): 6–9. http://dx.doi.org/10.1097/01.eem.0000337979.29127.2a.

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25

Wittig, Tilmann. "Comment on "Implantable RF Medical Devices" [Backscatter]." IEEE Microwave Magazine 14, no. 6 (September 2013): 20. http://dx.doi.org/10.1109/mmm.2013.2270043.

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26

Cinquin, P., S. Cosnier, N. Belgacem, M. L. Cosnier, R. Dal Molin, and D. K. Martin. "Implantable Glucose BioFuel Cells for Medical Devices." Journal of Physics: Conference Series 476 (December 4, 2013): 012063. http://dx.doi.org/10.1088/1742-6596/476/1/012063.

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27

Halperin, Daniel, Thomas S. Heydt-Benjamin, Kevin Fu, Tadayoshi Kohno, and William H. Maisel. "Security and Privacy for Implantable Medical Devices." IEEE Pervasive Computing 7, no. 1 (January 2008): 30–39. http://dx.doi.org/10.1109/mprv.2008.16.

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28

Bu, Lake, Mark G. Karpovsky, and Michel A. Kinsy. "Bulwark: Securing implantable medical devices communication channels." Computers & Security 86 (September 2019): 498–511. http://dx.doi.org/10.1016/j.cose.2018.10.011.

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29

Niederländer, Charlotte, Philip Wahlster, Christine Kriza, and Peter Kolominsky-Rabas. "Registries of implantable medical devices in Europe." Health Policy 113, no. 1-2 (November 2013): 20–37. http://dx.doi.org/10.1016/j.healthpol.2013.08.008.

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30

Fu, Kevin. "Inside risksReducing risks of implantable medical devices." Communications of the ACM 52, no. 6 (June 2009): 25–27. http://dx.doi.org/10.1145/1516046.1516055.

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31

Sheinman, Victor, Arkady Rudnitsky, Rakhmanbek Toichuev, Abdyrakhman Eshiev, Svetlana Abdullaeva, Talantbek Egemkulov, and Zeev Zalevsky. "Implantable photonic devices for improved medical treatments." Journal of Biomedical Optics 19, no. 10 (October 3, 2014): 108001. http://dx.doi.org/10.1117/1.jbo.19.10.108001.

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32

Bourgeois, I., MC Morin, and E. Civade. "OHP-009 Implantable medical devices: which indications?" European Journal of Hospital Pharmacy 21, Suppl 1 (February 24, 2014): A188.1—A188. http://dx.doi.org/10.1136/ejhpharm-2013-000436.461.

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33

Randall, Hazel, and Rodney J. Croft. "The CE mark for implantable medical devices." Hospital Medicine 62, no. 6 (June 2001): 332–34. http://dx.doi.org/10.12968/hosp.2001.62.6.1586.

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34

Liebowitz, Jay, and Robert Schaller. "Biological Warfare: Tampering with Implantable Medical Devices." IT Professional 17, no. 5 (September 2015): 70–72. http://dx.doi.org/10.1109/mitp.2015.82.

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35

Kod, Muayad, Jiafeng Zhou, Yi Huang, Muaad Hussein, Abed P. Sohrab, and Chaoyun Song. "An Approach to Improve the Misalignment and Wireless Power Transfer into Biomedical Implants Using Meandered Wearable Loop Antenna." Wireless Power Transfer 2021 (February 20, 2021): 1–12. http://dx.doi.org/10.1155/2021/6621899.

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An approach to improve wireless power transfer (WPT) to implantable medical devices using loop antennas is presented. The antenna exhibits strong magnetic field and dense flux line distribution along two orthogonal axes by insetting the port inside the antenna area. This design shows excellent performance against misalignment in the y-direction and higher WPT as compared with a traditional square loop antenna. Two antennas were optimized based on this approach, one wearable and the other implantable. Both antennas work at both the ISM (Industrial, Scientific, and Medical) band of 433 MHz for WPT and the MedRadio (Medical Device Radiocommunications Service) band of 401–406 MHz for communications. To test the WPT for implantable medical devices, a miniaturized rectifier with a size of 10 mm × 5 mm was designed to integrate with the antenna to form an implantable rectenna. The power delivered to a load of 4.7 kΩ can be up to 1150 μW when 230 mW power is transmitted which is still under the safety limit. This design can be used to directly power a pacemaker, a nerve stimulation device, or a glucose measurement system which requires 70 μW, 100 μW, and 48 μW DC power, respectively.

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Amsel, Avigail D., Arkady Rudnitsky, and Zeev Zalevsky. "A Self-Powered Medical Device for Blood Irradiation Therapy." Journal of Atomic, Molecular, and Optical Physics 2012 (June 27, 2012): 1–5. http://dx.doi.org/10.1155/2012/963187.

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Implantable wireless devices may allow localized real-time biomedical treating and monitoring. However, such devices require a power source, which ideally, should be self-powered and not battery dependent. In this paper, we present a novel self-powered light therapeutic device which is designed to implement blood irradiation therapy. This device is self-powered by a miniaturized turbine-based generator which uses hydraulic flow energy as its power source. The research presented in this paper may become the first step towards a new type of biomedical self-operational micromechanical devices deployed for biomedical applications.

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37

Pierce, Hudson, Muhammad Danyal Ahsan, Susana Martinez Diaz, Ahra Cho, Tirsit Asfaw, Jialin Mao, Jennifer Anger, and Bilal Chughtai. "Adverse Event Reporting of Commonly Used Gender-Specific Implantable Medical Devices in the United States." Journal of Patient Safety 19, no. 7 (October 2023): 465–68. http://dx.doi.org/10.1097/pts.0000000000001158.

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Background Evidence suggests that more women are harmed by implantable medical devices than men. It is unknown whether this difference includes gender-specific devices. Methods In this study, we examine the differences in reported adverse events between 6 female- and 5 male-specific implantable devices from the Manufacturer and User Facility Device Experience (MAUDE) database from 1993 to 2018. Primary endpoints were injury type (life-threatening, disability, death) and the rate of device evaluation by the manufacturer. Proportions of valid entries across these variables were compared using either the Fisher exact test or χ2 test. Results Female-specific devices had higher rates of life-threatening outcomes (1.6% versus 0.3%, P < 0.001), disabilities (5.0% versus 4.3%, P < 0.001), and deaths (0.6% versus 0.1%, P < 0.001) compared with the male-specific devices. Of the 8159 devices that were evaluated by the manufacturer, 56% were female specific while 44% were male specific. Female-specific devices were evaluated far less frequently by the manufacturer (4.5% versus 38.2%, P < 0.001). Conclusions Increased adverse events reports for female-specific devices and associated high-grade complications necessitates improved postmarket surveillance.

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Rehorn, Michael R., Rahul S. Loungani, Eric Black-Maier, Amanda C. Coniglio, Ravi Karra, Sean D. Pokorney, and Michel G. Khouri. "Cardiac Implantable Electronic Devices." JACC: Clinical Electrophysiology 6, no. 9 (September 2020): 1144–54. http://dx.doi.org/10.1016/j.jacep.2020.04.020.

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Forrey, Christopher, David M. Saylor, Joshua S. Silverstein, Jack F. Douglas, Eric M. Davis, and Yossef A. Elabd. "Prediction and validation of diffusion coefficients in a model drug delivery system using microsecond atomistic molecular dynamics simulation and vapour sorption analysis." Soft Matter 10, no. 38 (2014): 7480–94. http://dx.doi.org/10.1039/c4sm01297f.

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Diffusion of small to medium sized molecules in polymeric medical device materials underlies a broad range of public health concerns related to unintended leaching from or uptake into implantable medical devices.

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40

Prothe, Jessica, Brenda Kozak, Paul Rozovics, Robyn Sykes, and Michael Taccona. "Increasing the Safety of Patients Undergoing Breast Implant Surgery Using an Electronic Health Record Enhancement." Plastic and Aesthetic Nursing 43, no. 4 (October 2023): 198–202. http://dx.doi.org/10.1097/psn.0000000000000522.

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Breast implant surgery is a popular plastic surgery procedure performed worldwide. Despite its global popularity, patients undergoing breast implant surgery are at risk for systemic illness and more than one form of cancer. We conducted a nursing workflow analysis at our facility and determined that it is not standard practice to screen patients for the presence or absence of breast implant devices at every health care encounter. This lack of screening for breast implant devices may adversely affect patient safety by hindering the rapid identification of systemic illness or cancer related to breast implant devices and delaying effective medical intervention. Based on the results of the workflow analysis, we initiated a formal call for nursing action. We identified a nursing workflow process to increase patient safety and developed a universal screening tool for implantable devices. We defined universal screening for implantable devices as assessing all patients for the presence or absence of an implantable device, specifically breast implant devices, at every health care encounter. Implementing a universal process for screening patients for implantable devices at every health care encounter can be easily formulated into a policy and procedure and/or an electronic health record (EHR) update or enhancement. This article discusses how we utilized a workflow process map to translate universal screening for implantable devices into an EHR enhancement.

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41

Valiev, Ruslan Z., Egor A. Prokofiev, Nikita A. Kazarinov, Georgy I. Raab, Timur B. Minasov, and Josef Stráský. "Developing Nanostructured Ti Alloys for Innovative Implantable Medical Devices." Materials 13, no. 4 (February 21, 2020): 967. http://dx.doi.org/10.3390/ma13040967.

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Recent years have witnessed much progress in medical device manufacturing and the needs of the medical industry urges modern nanomaterials science to develop novel approaches for improving the properties of existing biomaterials. One of the ways to enhance the material properties is their nanostructuring by using severe plastic deformation (SPD) techniques. For medical devices, such properties include increased strength and fatigue life, and this determines nanostructured Ti and Ti alloys to be an excellent choice for the engineering of implants with improved design for orthopedics and dentistry. Various reported studies conducted in this field enable the fabrication of medical devices with enhanced functionality. This paper reviews recent development in the field of nanostructured Ti-based materials and provides examples of the use of ultra-fine grained Ti alloys in medicine.

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Cao, Huiliang, Shichong Qiao, Hui Qin, and Klaus D. Jandt. "Antibacterial Designs for Implantable Medical Devices: Evolutions and Challenges." Journal of Functional Biomaterials 13, no. 3 (June 21, 2022): 86. http://dx.doi.org/10.3390/jfb13030086.

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The uses of implantable medical devices are safer and more common since sterilization methods and techniques were established a century ago; however, device-associated infections (DAIs) are still frequent and becoming a leading complication as the number of medical device implantations keeps increasing. This urges the world to develop instructive prevention and treatment strategies for DAIs, boosting the studies on the design of antibacterial surfaces. Every year, studies associated with DAIs yield thousands of publications, which here are categorized into four groups, i.e., antibacterial surfaces with long-term efficacy, cell-selective capability, tailored responsiveness, and immune-instructive actions. These innovations are promising in advancing the solution to DAIs; whereas most of these are normally quite preliminary “proof of concept” studies lacking exact clinical scopes. To help identify the flaws of our current antibacterial designs, clinical features of DAIs are highlighted. These include unpredictable onset, site-specific incidence, and possibly involving multiple and resistant pathogenic strains. The key point we delivered is antibacterial designs should meet the specific requirements of the primary functions defined by the “intended use” of an implantable medical device. This review intends to help comprehend the complex relationship between the device, pathogens, and the host, and figure out future directions for improving the quality of antibacterial designs and promoting clinical translations.

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Kossovsky, Nir, and Ram Kossowsky. "Medical Devices and Biomaterials Parhology." International Journal of Technology Assessment in Health Care 4, no. 2 (April 1988): 319–23. http://dx.doi.org/10.1017/s0266462300004128.

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AbstractThrough the postmortem examination, pathologists offer the ultimate clinico-pathologic assessment of the efficacy of medical care. Similarly, pathologists can offer a clinico-pathologic assessment of the efficacy of health care technology. Assessment by pathologists has diagnostic authority because it draws on the resources of the laboratories of surgical and necropsy pathology. In this essay we argue for enhancing the accuracy of medical device and biomaterials technology assessment by systematically collecting pathology-oriented data. We recommend the establishment of a pathology-based medical device registry to assess implantable medical device technology by accumulating reports routinely issued by pathology departments throughout the country. We further suggest the establishment of a university-based, industry-supported Medical Device and Biomaterials Pathology Institute to operate the registry, collect recovered, used health care devices, and generate definitive, pathology-based, primary data for he lth care technology assessment

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Rouzaud, A., M. Cartier, J.-C. Souriau, G. Simon, J. Brun, and G. Pares. "Packaging for medical and wellness applications." International Symposium on Microelectronics 2016, no. 1 (October 1, 2016): 000139–43. http://dx.doi.org/10.4071/isom-2016-wa11.

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Abstract Wellness and medical area are today identified among the next big markets, and the associated roadmaps show a global trend from the benchtop to portable devices then to longer term wearable and implantable devices. For these last devices new packaging technologies need to be developed in order to satisfy both size reduction, important reliability constraints, and moderate/low costs. Two divergent identified markets have been identified:-Consumerist healthcare market associated to high volume and low cost manufacturing,-Professional healthcare market associated to low volume and high cost manufacturing. Based on these findings, we will present in this paper the main new packaging technologies developed at Léti to fit with the constraints of these markets:-In the field of wearable devices: an innovative package designed to be integrated in textiles offering low interaction with material structure and compatible with standard textile tooling and package-winding machines. A specific example of RFID tags will be presented.-In the field of implantable devices: an advanced implantable low profile silicon box for SiP including a MEMS chip and its ASIC. The emphasis will be put on the tests needed to satisfy the different constraints linked to implantability (biostability, biocompatibility).-Lastly, some generic building blocks for soft packaging will be presented, as well as the main trends in their use.

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Patil, Kasturi Sudam, and Elizabeth Rufus. "A review on antennas for biomedical implants used for IoT based health care." Sensor Review 40, no. 2 (August 19, 2019): 273–80. http://dx.doi.org/10.1108/sr-01-2019-0020.

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Purpose The paper aims to focus on implantable antenna sensors used for biomedical applications. Communication in implantable medical devices (IMDs) is beneficial for continuous monitoring of health. The ability to communicate with exterior equipment is an important aspect of IMD. Thus, the design of an implantable antenna for integration into IMD is important. Design/methodology/approach In this review, recent developments in IMDs, three types of antenna sensors, which are recommended by researchers for biomedical implants are considered. In this review, design requirements, different types of their antenna, parameters and characteristics in medical implants communication system (MICS) and industrial, scientific and medical (ISM) bands are summarized here. Also, overall current progress in development of implantable antenna sensor, its challenges and the importance of human body characteristics are described. Findings This article give information about the requirements of implantable antenna sensor designs, types of antennas useful to design implantable devices and their characteristics in MICS and ISM bands. Recent advancement in implantable devices has led to an improvement in human health. Originality/value The paper provides useful information on implantable antennas design for biomedical application. The designing of such antennas needs to meet requirements such as compact size, patients’ safety, communication ability and biocompatibility.

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Chua, Corrine Ying Xuan, Hsuan-Chen Liu, Nicola Di Trani, Antonia Susnjar, Jeremy Ho, Giovanni Scorrano, Jessica Rhudy, et al. "Carbon fiber reinforced polymers for implantable medical devices." Biomaterials 271 (April 2021): 120719. http://dx.doi.org/10.1016/j.biomaterials.2021.120719.

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Auciello, Orlando, Pablo Gurman, Maria B. Guglielmotti, Daniel G. Olmedo, Alejandro Berra, and Mario J. Saravia. "Biocompatible ultrananocrystalline diamond coatings for implantable medical devices." MRS Bulletin 39, no. 7 (July 2014): 621–29. http://dx.doi.org/10.1557/mrs.2014.134.

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Au, SunnyChi Lik, and ChristinePui Sum Ho. "Cardiac implantable therapeutic medical devices: A narrative review." Journal of Acute Disease 10, no. 3 (2021): 93. http://dx.doi.org/10.4103/2221-6189.316672.

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Yakusheva, D., T. Karpunina, A. Godovalov, S. Astafeva, and A. Slobodinyuk. "Implantable polyurethaneurea medical devices: synthesis, surface modification,bioсompatibility." Perm Scientific Center Journal 14, no. 1 (2021): 19–36. http://dx.doi.org/10.7242/2658-705x/2021.1.2.

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Roberts, James R. "Implantable Medical Devices: Evaluation of an ICD Shock." Emergency Medicine News 30, no. 9 (September 2008): 16–18. http://dx.doi.org/10.1097/01.eem.0000338053.45484.42.

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