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Medical devices range from simple tongue depressors and bedpans to complex programmable pacemakers with micro-chip technology and laser surgical devices. Today, there are over twenty thousand medical equipment companies with over one hundred thousand products.  

What will medical devices look like in 10 to 20 years?  In the future, pharmaceutical and biotechnology drug treatments will likely reduce the market for certain surgical devices. However these innovative solutions will increase the use of the implantable and nanobased targeted drug-delivery devices.

Imaging, like drug delivery, is at two levels—systemic and local (targeting a specific organ or area of the body).  The systemic methods include whole-body computer-aided tomography (CAT), magnetic resonance imaging (MRI), and integrated positron emission tomography (PET) scans. The local imaging is provided by ultrasonic, microoptics, optical coherent tomography (OCT), and other light or energy-based imaging systems, which use catheters and probes to provide discrete images of tissue and structures.  

In the future, micro x-ray and microwave-active and feedback devices will be available. We can imagine combined or integrated devices, where multiple imaging modalities are incorporated on single catheters, so that diagnoses and treatment can be immediately implemented by the surgeon or specialist.  

Infusion ports and implants, pacemakers, and future implantable monitoring devices will not only exclusively deliver a chemical or electrical therapeutic treatment, but also monitor and regulate that treatment regimen. They will also be able to communicate that information to external, wearable telemetry systems, which will, where applicable, feed information to clinical databases via mobile cellular telecommunication devices.

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