Evolution of Medical Technology: Key Drivers

The innovations in medical technology are evolving at a very rapid pace driven by both scientific and economic interests. 
In the current scenario, most developments in medical technologies have been limited to secondary and tertiary domains of healthcare where the complexity of technology has increased exponentially.
On the other hand, governments of various countries and international agencies like WHO are backing the development of medical technology in the realm of public health.
Strong economic growth, increased burden of disease, higher public spending and private investments in healthcare, increased penetration of health insurance and emergence of new models of healthcare delivery are the key drivers of the  Indian Medical technology industry which is expected to grow from US$ 2.75 billion in 2008 to US$ 14 billion in 2020, says a FICCI-PwC report.
The  FICCI-PwC report on ‘Medical Technology in India: Enhancing Access to Healthcare through Innovation’ notes that success in medical technology innovation would be dependent on five pillars viz, powerful financial incentives, creating capacity for quality research, supportive regulatory system, demand and supply of  health services and a supportive investment community.
For the markets like India it will be wise to consider developing low cost solutions in coordination with local governments; in addition to high end medical technology and diagnostics.

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Evolution of Medical Technology: Glimpse into the history of Medical Technology

Today the medical technology has come a long way from eliciting of physical signs and symptoms to evidence based medicine which allows us to extend our vision to deepest of viscera and the most complex of genes and molecules. 
There has been continuous change in our understanding of the human body and disease which has progressed from early and sacred theories of disease to contemporary modern theories.
The first medical diagnoses made by humans were based on what ancient physicians could observe with their eyes and ears, which sometimes also included the examination of human specimens. 
With the discovery of microscopy and the science of the small, the doctors were able to get the understanding of what eyes cannot see. This lead to renunciation of ancient theories of disease, thus paving way for the germ theory. 
This helped in developing treatments for some of the most dreaded diseases to humanity. More sophisticated diagnostic tools and techniques such as the thermometer for measuring temperature and the stethoscope for measuring heart rate were not in widespread use until the end of the 19th century. The clinical laboratory gained popularity only at the beginning of the 20th century.
Following is the timeline for the inventions of some of the path breaking technologies:
·         1816 – Rene Laennec invents the stethoscope
·         1895 – Wilhelm Conrad Röntgen discovers medical use of X-rays in medical imaging
·         1903 – Willem Einthoven discovers electrocardiography (ECG/EKG)
·         1910 – Hans Christian Jacobeus performs the first laparoscopy on humans
·         1927 –  First modern practical respirator
·         1943 – Willem Kolff build the first dialysis machine
·         1957 – William Grey Walter invents the brain EEG topography (toposcope)
·         1960 – Invention of Cardiopulmonary resuscitation (CPR)
·         1963 –  Laser treatments to prevent blindness
·         1965 – Frank Pantridge installs the first portable defibrillator
·         1965 – First commercial ultrasound
·         1971 – Sir Godfrey Hounsfield invents the first commercial CT scanner
·         1970s (Late) – Arthroscope introduced
·         1980 – Raymond Damadian builds first commercial MRI scanner
·         1980s – Controlled drug delivery technology developed
·         1982 –  First permanent artificial heart implant
·         1987 –  First laser surgery on a human cornea
·         1990 –  Human Genome Project

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