App-connected pacemakers, telehealth among Cleveland Clinic top 2021 innovations

• The Cleveland Clinic has included four medical technology developments on its annual list of top 10 medical innovations.

• In a statement on Tuesday, the University Medical Center identified smartphone-connected cardiac pacemakers, a non-invasive form of continuous positive pressure therapy for newborns, a vacuum uterine tamper, and improved access to telemedicine, its top 10 advances for 2021.

• The Cleveland Clinic has selected medical device products with the belief that in the next year they will be widely available and will have a significant clinical impact.

Medical technology continues to appear in raids at the Cleveland Clinic that primarily involve major drug therapy.

Medtech’s strengths over previous releases of the annual list include the extensive use of minimally invasive mitral valve surgeries, closed-loop spinal cord stimulation, and antibiotic packages to prevent cardiac device infections percutaneous mitral and tricuspid valve devices, replacement, and repair, as well as general innovations in robotic surgery and the advent of AI in healthcare.

Each year, the team behind the Top 10 list examines nearly 100 people at the Cleveland Clinic to create a long list of 150 innovations. A committee then reviews the list to select the 10 products that best meet the selection criteria. It stresses both the evidence that an intervention will benefit patients and the likelihood that it will be widely used by healthcare professionals.

This year, the Cleveland Clinic named pacemakers with smartphone connectivity as their main medical device innovation for 2021.

Medtronic was the first to introduce a mobile app early last year that communicates directly with a pacemaker connected to a smartphone. The MyCareLink Heart app eliminates the need for patients to use a dedicated bedside monitor to transmit data from their pacemakers and allows patients to view their device’s battery information and properly download data.Cleveland Clinic, which quoted data from a Medtronic study in a video to accompany the top 10 list, sees pacemaker mobile apps improving adherence to remote monitoring and giving patients greater insight into their health data.

Bubble CPAP to improve lung function in premature babies is the next medical technology innovation on the list. Clinicians have used continuous positive airway pressure as an alternative to mechanical ventilation in newborns for decades. There is also long experience with the bubble form of CPAP, in which the exhalation tube is placed in water to vary the air pressure.

The selection of the CPAP bladder as the major innovation follows the publication of data on the use of the intervention by physicians from the Cleveland Clinic. The retrospective study linked the use of bladder CPAP in infants with a lower rate of chronic lung disease.

The Cleveland Clinic’s third medical technology option, telemedicine, is another idea that has been around for years. However, the medical center has explicitly called for better access to telemedicine through new practices and policy changes as a turning point for 2021. The selection reflects changes made by state and federal regulators since the beginning of the pandemic to improve access to healthcare Distance.

The latest medical technology product in the top 10 is vacuum-induced uterine tamponade against the excessive bleeding that can occur after delivery. Bleeding known as postpartum bleeding can cause surgeons to perform emergency hysterectomies. The vacuum-induced uterine tamponade device is a minimally invasive and non-surgical procedure to treat diseases caused by the sagging of the uterus, which compresses the inner walls of the blood vessels.

The Cleveland Clinic participated in a study of Alydia Health’s Jada system, details of which were published in the journal Obstetrics & Gynecology last month. The study found that the vacuum-induced bleeding control device generally stopped bleeding within 2 to 5 minutes. The Cleveland Clinic explained why the device is ranked 20th on the list of Best Innovations for 2021, highlighting the low-tech nature of the intervention and the potential for use in developing countries.