MICROELECTRONIC MEDICAL IMPLANTS The first and still best-known type of microelectronic medical implant (MMI) is the pacemaker, introduced some 50 years ago. Assisting people with weak or failing hearts to live longer, fuller lives has continued to be a major focus of medical implant research and development (R&D). The pacemaker has been followed by a variety of other implantable cardiac devices, including defibrillators, loop recorders, heart assists and even heart replacements. Neurostimulatorsimplantable devices that employ the same principles as pacemakers for the purposes of neural stimulationhave also been introduced. Neurostimulators were used initially for pain relief but are now being used for other eurological indications ranging from the treatment of urge incontinence to preventing epileptic seizures. Other therapeutic implantable devices have followed, including bone growth stimulators, drug infusion weblink pumps, ear implants that provide a semblance of hearing for the deaf and new middle ear implants. Eye implants that can restore limited vision to people with certain types of blindness were recently approved for use in some markets. STUDY BACKGROUND The microelectronic implant industry has come a long way since the first heart pacemakers appeared on the market in the 1970s. Some products, such as neurostimulators, have evolved directly from the pacemaker. Other devices, such as implantable drug infusion pumps, would have been impossible without the development of increasingly sophisticated sensors-on-a-chip and the miniaturization of mechanical parts and circuitry. Despite these advances, the product cycle in this industry lags considerably behind the available technology due to the lengthy nature of the clinical testing and approval process for new medical devices.
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