Implantable Electronic Medical Devices

Book Description :

Implantable Electronic Medical Devices provides a thorough review of the application of implantable devices, illustrating the techniques currently being used together with overviews of the latest commercially available medical devices. This book provides an overview of the design of medical devices and is a reference on existing medical devices. The book groups devices with similar functionality into distinct chapters, looking at the latest design ideas and techniques in each area, including retinal implants, glucose biosensors, cochlear implants, pacemakers, electrical stimulation therapy devices, and much more. Implantable Electronic Medical Devices equips the reader with essential background knowledge on the application of existing medical devices as well as providing an introduction to the latest techniques being used. A catalogue of existing implantable electronic medical devices Up-to-date information on the design of implantable electronic medical devices Background information and reviews on the application and design of up-to-date implantable electronic medical devices

Book Description :

This book is a comprehensive, interdisciplinary resource for the latest information on implantable medical devices, and is intended for graduate students studying electrical engineering, electronic instrumentation, and biomedical engineering. It is also appropriate for academic researchers, professional engineers, practicing doctors, and paramedical staff. Divided into two sections on Basic Concepts and Principles, and Applications, the first section provides an all-embracing perspective of the electronics background necessary for this work. The second section deals with pacing techniques used for the heart, brain, spinal cord, and the network of nerves that interlink the brain and spinal cord with the major organs, including ear and eye prostheses. The four main offshoots of implantable electronics, which this book discusses, are: The insertion of an implantable neural amplifier for accurate recording of neural signals for neuroengineering studies The use of implantable pulse generators for pacing the activities of diseased organs The use of implantable sensors for observing the influence of therapy and monitoring a patient’s biological parameters The use of drug delivery systems to supervise the supply of accurate doses of medicine to affected parts Readers will also find chapters on the essentials of clocking and timing circuits, pulse generator circuits, neural amplifiers, batteries, biomaterials and biocompatibility, and more. Unique to this book is also a chapter on cyber security and confidentiality concerns with implants. End-of-chapter questions and exercises help readers apply the content to practical use, making this an ideal book for anyone wishing to learn more about implantable devices.

Book Description :

Wearable and Implantable Medical Devices: Applications and Challenges, Fourth Edition highlights the new aspects of wearable and implanted sensors technology in the healthcare sector and monitoring systems. The book's contributions include several interdisciplinary domains, such as wearable sensors, implanted sensors devices, Internet-of-Things (IoT), security, real-time medical healthcare monitoring, WIBSN design and data management, encryption, and decision-support systems. Contributions emphasize several topics, including real-world applications and the design and implementation of wearable devices. This book demonstrates that this new field has a brilliant future in applied healthcare research and in healthcare monitoring systems. Includes comprehensive information on wearable and implanted device technology, wearable and implanted sensors design, WIBSN requirements, WIBSN in monitoring systems and security concepts Highlights machine learning and computing in healthcare monitoring systems based on WIBSN Includes a multidisciplinary approach to different healthcare applications and their associated challenges based on wearable and implanted technologies

Book Description :

Each year, more than one million cardiac implantable electronic devices (CIEDs) are implanted worldwide for cardiac rhythm management, and chest x-ray is a common initial diagnostic method for evaluation of cardiac and pulmonary diseases. Radiographic Atlas of Cardiac Implantable Electronic Devices provides comprehensive, step-by-step coverage that is invaluable for cardiac electrophysiologists and other clinicians who encounter patients with these devices. An outstanding editorial team of Drs. Majid Haghjoo, Farzad Kamali, and Amirfarjam Fazelifar, all of the Rajaie Cardiovascular Medical & Research Center in Tehran, Iran, provide expert guidance in recognizing the typical features of these devices and detecting related complications in post-implant patients. Offers a stepwise and user-friendly approach to diagnostic evaluation of chest x-rays in patients with cardiac implantable electronic devices (CIEDs). Includes chest x-rays of common and new CIEDs, including permanent pacemakers, implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy devices (CRT pacemakers and defibrillators, novel CIEDs (SICDs and wireless pacemakers), and implantable cardiac monitors (ICMs). Differentiates among different types of CIEDs, their proper position on x-rays, and common complications. Features 85 high-quality radiographic images.

Book Description :

Did you know... Medical interventions have become the third leading cause of death in America. An estimated 10 percent of Americans are implanted with medical devices -- like pacemakers, artificial hips, cardiac stents, etc. The overwhelming majority of high-risk implanted devices have never undergone a single clinical trial. In The Danger Within Us, award-winning journalist Jeanne Lenzer brings these horrifying statistics to life through the story of one working class man who, after his "cure" nearly kills him, ends up in a battle for justice against the medical establishment. His crusade leads Lenzer on a journey through the dark underbelly of the medical device industry, a fascinating and disturbing world that hasn't been written about before. What Lenzer exposes will shock readers: rampant corruption, elaborate cover-ups, shameless profiteering, and astonishing lack of oversight, all of which leads to dangerous devices (from artificial hips to pacemakers) going to market and into our bodies. In the vein of America's Bitter Pill and A Civil Action, The Danger Within Us is a stirring call for reform and a must-read for anyone who cares about the future of American healthcare. "Before you get anything implanted in your body, read this book."-Shannon Brownlee, author of Overtreated

Book Description :

Biofilms and Implantable Medical Devices: Infection and Control explores the increasing use of permanent and semi-permanent implants and indwelling medical devices. As an understanding of the growth and impact of biofilm formation on these medical devices and biomaterials is vital for protecting the health of the human host, this book provides readers with a comprehensive treatise on biofilms and their relationship with medical devices, also reporting on infections and associated strategies for prevention. Provides useful information on the fundamentals of biofilm problems in medical devices Discusses biofilm problems in a range of medical devices Focuses on strategies for prevention of biofilm formation

Book Description :

From exoskeletons to neural implants, biomedical devices are no less than life-changing. Compact and constant power sources are necessary to keep these devices running efficiently. Edwar Romero's Powering Biomedical Devices reviews the background, current technologies, and possible future developments of these power sources, examining not only the types of biomedical power sources available (macro, mini, MEMS, and nano), but also what they power (such as prostheses, insulin pumps, and muscular and neural stimulators), and how they work (covering batteries, biofluids, kinetic and thermal energy, and telemetry). The book also looks at challenges such as energy generation efficiency, energy density, rectification, and energy storage and management. A final section on future trends rounds out the book. By briefly examining these key aspects, this book gives its readers a valuable overview of biomedical devices' power sources. A compact introduction to the vital topic of biomedical devices' power sources Reviews the background, current technologies, and possible future developments of biomedical power sources Short-format text allows for material that is clear, concise, and to-the-point Extensive references provided for further reading

Book Description :

The design of medical electronics is unique because of the background needed by the engineers and scientists involved. Often the designer is a medical or life science professional without any training in electronics or design. Likewise, few engineers are specifically trained in biomedical engineering and have little or no exposure to the specific medical requirements of these devices. Design of Medical Electronic Devices presents all essential topics necessary for basic and advanced design. All aspects of the electronics of medical devices are also covered. This is an essential book for graduate students as well as professionals involved in the design of medical equipment. Covers every stage of the process, from design to manufacturing to implementation Topics covered include analogue/digital conversions, data acquisition, signal processing, optics, and reliability and failure

Book Description :

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Book Description :

Medical devices play an important role in the field of medical and health technology, and encompass a wide range of health care products. Directive 2007/47/EC defines a medical device as any instrument, apparatus, appliance, software, material or other article, whether used alone or in combination, including the software intended by its manufacturer to be used specifically for diagnostic and/or therapeutic purposes and necessary for its proper application, intended by the manufacturer to be used for human beings. The design and manufacture of medical devices brings together a range of articles and case studies dealing with medical device R&D. Chapters in the book cover materials used in medical implants, such as Titanium Oxide, polyurethane, and advanced polymers; devices for specific applications such as spinal and craniofacial implants, and other issues related to medical devices, such as precision machining and integrated telemedicine systems. Contains articles on a diverse range of subjects within the field, with internationally renowned specialists discussing each medical device Offers a practical approach to recent developments in the design and manufacture of medical devices Presents a topic that is the focus of research in many important universities and centres of research worldwide

Book Description :

As medical devices become more intricate, with an increasing number of components made from a wide range of materials, it is important that they meet stringent requirements to ensure that they are safe to be implanted and will not be rejected by the human body. Joining and assembly of medical materials and devices provides a comprehensive overview of joining techniques for a range of medical materials and applications. Part one provides an introduction to medical devices and joining methods with further specific chapters on microwelding methods in medical components and the effects of sterilization on medical materials and welded devices. Part two focuses on medical metals and includes chapters on the joining of shape memory alloys, platinum (Pt) alloys and stainless steel wires for implantable medical devices and evaluating the corrosion performance of metal medical device welds. Part three moves on to highlight the joining and assembly of medical plastics and discusses techniques including ultrasonic welding, transmission laser welding and radio frequency (RF)/dielectric welding. Finally, part four discusses the joining and assembly of biomaterial and tissue implants including metal-ceramic joining techniques for orthopaedic applications and tissue adhesives and sealants for surgical applications. Joining and assembly of medical materials and devices is a technical guide for engineers and researchers within the medical industry, professionals requiring an understanding of joining and assembly techniques in a medical setting, and academics interested in this field. Introduces joining methods in medical applications including microwelding and considers the effects of sterilization on the resulting joints and devices Considers the joining, assembly and corrosion performance of medical metals including shape memory alloys, platinum alloys and stainless steel wires Considers the joining and assembly of medical plastics including multiple welding methods, bonding strategies and adhesives

Book Description :

Design and Development of Medical Electronic Instrumentation fills a gap in the existing medical electronic devices literature by providing background and examples of how medical instrumentation is actually designed and tested. The book includes practical examples and projects, including working schematics, ranging in difficulty from simple biopotential amplifiers to computer-controlled defibrillators. Covering every stage of the development process, the book provides complete coverage of the practical aspects of amplifying, processing, simulating and evoking biopotentials. In addition, two chapters address the issue of safety in the development of electronic medical devices, and providing valuable insider advice.

Book Description :

This classic, field-defining textbook, now in its sixth edition, provides the most comprehensive guidance available for anyone needing up-to-date information in pharmacoepidemiology. This edition has been fully revised and updated throughout and continues to provide a rounded view on all perspectives from academia, industry and regulatory bodies, addressing data sources, applications and methodologies with great clarity.

Book Description :

The 41st Annual International Conference of the IEEE EMBS, took place between July 23 and 27, 2019, in Berlin, Germany. The focus was on "Biomedical engineering ranging from wellness to intensive care." This conference provided an opportunity for researchers from academia and industry to discuss a variety of topics relevant to EMBS and hosted the 4th Annual Invited Session on Computational Human Models. At this session, a bevy of research related to the development of human phantoms was presented, together with a substantial variety of practical applications explored through simulation.

Book Description :

Rare diseases collectively affect millions of Americans of all ages, but developing drugs and medical devices to prevent, diagnose, and treat these conditions is challenging. The Institute of Medicine (IOM) recommends implementing an integrated national strategy to promote rare diseases research and product development.

Book Description :

In the past six decades, implantable electronic devices and systems have undergone a significant advance. Numerous engineering and activities have appeared for substantial innovation in the implantable medical devices since the first pacemaker implant in 1958. As a technical development, patients who have an implanted device expect that recording or stimulating process be accomplished unconsciously. However, they have expressed their feeling of discomfort temporarily or permanently, and thus we have still faced challenges. For instance, we are able to resolve these issues of improving patient's physical comfort and avoiding artifact derived from materials of devices in medical images. Also, miniaturization of the implantable device is key to easily deliver the device and avoid complications such as infection, bleeding, and etc. At the same time, there still remains a lack of knowledge about the mechanism of action by which nerve stimulation modulates the central and peripheral nervous system to therapeutic effect. In this dissertation report, three approaches are presented to resolve the problem. In order to improve patient comfort, flexible material was used as a substrate and superstrate. A radiolucent flexible electrocardiogram device uses graphene sheets and Parylene substrate which allows bypassing of electromagnetic radiation through the implanted device. Also, a novel injectable delivery method which is designed with conventional needle and miniaturized size of the device was shown. Finally, the development and validation of a novel neural interface for the infraorbital branch of the trigeminal nerve utilizing the thin film nerve cuff.

Book Description :

The realization of signal sampling and quantization at high sample rates with low power dissipation is an important goal in many applications, includ ing portable video devices such as camcorders, personal communication devices such as wireless LAN transceivers, in the read channels of magnetic storage devices using digital data detection, and many others. This paper describes architecture and circuit approaches for the design of high-speed, low-power pipeline analog-to-digital converters in CMOS. Here the term high speed is taken to imply sampling rates above 1 Mhz. In the first section the dif ferent conversion techniques applicable in this range of sample rates is dis cussed. Following that the particular problems associated with power minimization in video-rate pipeline ADCs is discussed. These include optimi zation of capacitor sizes, design of low-voltage transmission gates, and opti mization of switched capacitor gain blocks and operational amplifiers for minimum power dissipation. As an example of the application of these tech niques, the design of a power-optimized lO-bit pipeline AID converter (ADC) that achieves =1. 67 mW per MS/s of sampling rate from 1 MS/s to 20 MS/s is described. 2. Techniques for CMOS Video-Rate AID Conversion Analog-to-digital conversion techniques can be categorized in many ways. One convenient means of comparing techniques is to examine the number of "analog clock cycles" required to produce one effective output sample of the signal being quantized.

Book Description :

The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.

Book Description :

Over the past several decades, wirelessly-powered implantable electronics such as cochlear implant and retinal implant have became important medical devices for restoring hearing and vision to those who have severe-to-profound sensation lost. The transcutaneous power transmission system and the signal processing and stimulation system are two main blocks in a typical wirelessly-powered implantable electronics.

Book Description :

Bioelectronics and Medical Devices: From Materials to Devices-Fabrication, Applications and Reliability reviews the latest research on electronic devices used in the healthcare sector, from materials, to applications, including biosensors, rehabilitation devices, drug delivery devices, and devices based on wireless technology. This information is presented from the unique interdisciplinary perspective of the editors and contributors, all with materials science, biomedical engineering, physics, and chemistry backgrounds. Each applicable chapter includes a discussion of these devices, from materials and fabrication, to reliability and technology applications. Case studies, future research directions and recommendations for additional readings are also included. The book addresses hot topics, such as the latest, state-of the-art biosensing devices that have the ability for early detection of life-threatening diseases, such as tuberculosis, HIV and cancer. It covers rehabilitation devices and advancements, such as the devices that could be utilized by advanced-stage ALS patients to improve their interactions with the environment. In addition, electronic controlled delivery systems are reviewed, including those that are based on artificial intelligences. Presents the latest topics, including MEMS-based fabrication of biomedical sensors, Internet of Things, certification of medical and drug delivery devices, and electrical safety considerations Presents the interdisciplinary perspective of materials scientists, biomedical engineers, physicists and chemists on biomedical electronic devices Features systematic coverage in each chapter, including recent advancements in the field, case studies, future research directions, and recommendations for additional readings