Medical Devices & Technology Archive

A small randomized trial in 2024 found that both self-adjustment and in-situ audiometry were effective strategies to match self-fitting hearing aids to personal hearing needs. However, self-adjustment devices had the best satisfaction rates and consistent use.

Implanted heart devices include pacemakers and implantable cardioverter defibrillators (ICDs), which monitor and correct abnormal heart rhythms. While very reliable, they are not perfect, and recalls of these devices affect thousands of people each year, according to a 2024 study. Testing the effectiveness and safety of cardiac devices is far more complicated than testing drugs. But efforts are under way to improve postmarket tracking of device complications by using electronic health records, Medicare databases, and registries developed in partnership with device manufacturers.

Smart rings can do many of the same things a smart watch can, including heart rate monitoring, blood oxygen level measurement, and activity and sleep tracking.

People with atrial fibrillation (afib) who own a smart watch capable of detecting the heart rhythm disorder may use it to track the frequency and duration of their bouts of afib. The information might help inform their physician's advice. However, afib notifications may cause people to become anxious and preoccupied with tracking their condition. For them, disabling the notifications may be a good idea.

In 2024, the FDA approved two catheter-based devices for treating a leaky tricuspid valve. Both relieve symptoms and improve quality of life for people with moderate to severe tricuspid regurgitation, which affects about 4% of people ages 75 and older. One device is a modification of a system to treat mitral valve regurgitation that works by bringing the valve leaflets together at the areas of most severe leakage. The other device delivers a new valve made of cow heart tissue, which is commonly used in surgical valve replacements.

Leadless pacemakers, which are no bigger than a multivitamin pill, are far less prone to complications that traditional pacemakers, which have long leads (wires). These wires may become infected, dislodged, frayed, or broken. Scar tissue or blood clots can form around the leads, which may hinder blood flow and cause pain and swelling. Thanks to recent advances, most people who need pacemakers may now be candidates for leadless devices. However, doctors have less experience with what happens with leadless pacemakers over the long term—and they cost two to three times as much as a traditional pacemaker.

Mobile ECG devices are small, handheld devices that people can use to record a simple ECG at home. They are designed to detect heart rhythm disorders such as atrial fibrillation.

Some people with diabetes use a device that continuously monitors the level of blood sugar. The monitor sends the information wirelessly to another device, such as a smartphone, so the person can easily see the blood sugar level. As of 2024, there is no solid evidence that these monitors can help people who do not have diabetes. However, the monitors may one day prove to be useful in people with diabetes risk factors, such as obesity, prediabetes, or a family history of diabetes.

Using a Web-based app, most people can correctly assess their need for a cholesterol-lowering statin and take the drug appropriately with good results, according to a 2024 study. If approved, the app could facilitate statin use without a doctor's prescription.

Cardiac rehabilitation, a personalized program of supervised exercise and heart-healthy lifestyle coaching, helps people recover from heart-related problems, including stable angina, heart attack, heart surgery, and stable heart failure. A 12-week program helps people regain their stamina, enabling them to resume their favorite activities, and may also lessen stress and depression. Cardiac rehab is also proven to lower the risk of future heart-related illness and hospitalization and may help people live longer.