1. Which technologies are currently used in health? Medical technology encompasses a wide range of medical devices. Practicing clinical engineers often focus on a few areas of medical device technology, such as defibrillators, electrosurgical units, and physiological monitors. It encloses an entire spectrum of medical devices with which the clinical engineer should be concerned, the medical devices that are required for almost all diagnostic and therapeutic medical interventions. These devices have different lifetimes because they may be disposable, reusable, or implantable. They are made of a range of materials, such as plastics, ceramics, metals, wood, and biologic products, and they rely upon all types of physical principles for their functioning (e.g., electronic, hydraulic, mechanical, chemical, optical, and radiation). People use them to improve patient health. Medical devices, as distinguished from drugs, achieve their action without directly entering metabolic pathways. 2. What are the limitations of the current technologies? Generally, within the current scope of our success in new medical technologies, at the core they are established in a cycle of conception, planning, execution and evaluation before being brought forward into the mainstream. Pragmatism works in tandem with the theorem behind scientific and medical communities with the aim to enhance the field and patient care. Hence, opportunities to further advance technological development ought to be balanced with servicing the greater population over self-interests. The article enthusiastically discusses potential of medical technologies, including challenges in implementation some technologies briefly due to limitations in scientific breakthrough such as “failure of getting cells to differentiate and proliferate into what is required, moving cells where we want which brings a challenge to printing a complex organ such as a kidney”. We feel the article would benefit offering different perspectives on the challenges of implementing these future utilities on a large scale to benefit the population from other standpoints besides scientific limitations. The author discusses use of robotic technology in healthcare, however the National Institute of Clinical Excellence (NICE) has only deemed robotic technologies use in prostatectomies as clinically effective and cost-effective based on Health Technology assessments (HTA) [2]. While it may be of used and be of benefit in other types of surgeries, the implementation of robotic technology has been limited as its use for non cost-effective interventions generates loss to out National Health Service (NHS). Furthermore, the uptake of robotic technology per region and use in robotic prostatectomies has been shown to be erratic in regions and it has been shown not to be meeting cost-effective thresholds nationally [3] which makes this technology challenging to use to benefit the population without disadvantaging the NHS. Furthermore, the prospect of successful widespread applications of virtual (VR) and augmented reality (AR) is dependent on its accessibility in developed versus developing countries, available resources and costs to develop virtual applications for surgeons, and investing in their specialist training requirements. One example, the Microsoft HoloLens [www.microsoft.com/hololens] which first launched in 2016, has pioneered the way augmented reality can be pushed to its potential by incorporating holographic objects within its medium, as opposed to the traditional observational role we are accustomed with in VR [4]. It has already shown success in medical education with digital anatomy teaching becoming a curriculum staple for students at Case Western Reserve University and Cleveland Clinic, USA [4,5]. The elephant in the room, however, lies in the cost of a single device, which is listed at 3500 USD according to the HoloLens web page (as of June. 2020). Time will tell as to the extent the progress in this field reaches via the continuous collaboration between healthcare providers and technology giants, to eventually develop affordable devices for larger scale consumer use (i.e. Surgeons, medical students practicing anatomy, and access by doctors in less developed regions). This will set a precedent for how successful globalised future technologies can become over their lifespan to reach the highest number of users realistically possible. In 2017, the Royal College of Surgeons of England established a commission operating independently to address the various surgical innovations anticipated over the coming years and decades with a report published in 2018, titled “Future of Surgery” [6]. The report goes into great detail on what we can expect to see in 20 years, ranging from robotics in surgical theatre, AI machine learning and nanotechnology, which have been eloquently covered in the original article. The report notably highlights several expected ethical concerns with example technologies and how this may shape public perception in accepting or rejecting these breakthroughs; with gene editing, how do we consider modifying the physical and cognitive features of a being that would be unable to consent to it? Access to organ printing capabilities and body enhancements to prolong life, eliminate multiple ailments [6] and replacement of extremities via prosthetics [7] may be subsequently implicated in healthcare and economic inequalities, depending on the affordability and ease of access to these innovations by wealthier communities as opposed to the impoverished with mitigating socio-economic factors. Such technologies may be faced with conflicts of interest that may arise from governmental or private funding, and how legislatures such as the General Data Protection Regulation (GDPR) may influence data sharing and collection being utilised in a surgical capacity from country to country [6,8]. Artificial intelligence continues to be a remarkable advancement in the medical space but will undoubtedly raise further questions on who is ultimately responsible for the ownership and/or oversight of these intellectual properties. Conclusively, we have discussed challenges implementing medical technology from a cost-effective, accessibility, healthcare inequalities, ethical and intellectual property standpoints respectively in addition to the author's view on limited scientific evidence for implementation of medical technologies. 3. What are the different proposed technologies available to change the current situation? 4. What futuristic technologies are proposed to change the current situation? 5. How will the future technology benefit an individual/a household/a society/a school? 6. In what way will this new future technology be different from the current technology? 7. Why could these future technologies have a negative impact? The dark side Even as AI is being used to help healthcare, it can be perverted to steal patient and provider identities, divert funds and misuse information by hacking medical computer systems. This can occur via private systems linked to hospital software, or by wireless networks at health facilities, or via the Internet of Things (IoT). Thus, the protection of such systems from AI-driven malware and personalized attacks would perhaps cost more than can be saved by the application of such systems. Meticulous planning, effective training, and ongoing monitoring of healthcare and technical staff as they use data systems, as well as installing data security systems, are essential to prevent, detect and plug data breaches as soon as possible. The future of healthcare holds many possibilities, and medical technology has a large role to play in ensuring that we are able to tackle all of the biggest health issues we face. Often, we consider healthcare jobs to be very human labour intensive; for example, doctors and nurses put in a lot of hours and physical work to look after patients. However, it is new healthcare technologies that allow medical professionals to progress in their field, save more patients and fight new diseases. In this article, we’ll explore global healthcare in the current climate and how the industry has changed in the past decade, before discussing seven promising new healthcare technologies. What is healthcare technology? Before we discuss the current state of the global healthcare industry and how it’s changed over the past decade, we’ll offer a definition of healthcare technology. It’s fairly self-explanatory – any technology that is designed to support healthcare organisations. The World Health Organisation (WHO) offers a more detailed definition of health technology, as the “application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of lives”. What does global healthcare look like in 2021? The healthcare industry has undoubtedly changed in the past couple of years since we’ve been fighting a global pandemic. COVID-19 overwhelmed healthcare systems all over the world, has killed as many as 3 million people worldwide, and forced many other dangerous diseases to be placed on the sidelines. While social distancing and mask-wearing reduced the spread of infectious diseases like the flu, lockdowns and restrictions also meant that fewer people were getting diseases diagnosed and receiving important treatment. However, one good thing that has come out of the pandemic is that more of the world now has access to healthcare through things like digital appointments and online prescriptions. Thinking about the global healthcare outlook outside of COVID19, Deloitte Insights wrote a report detailing six of the biggest factors driving change in the healthcare sector. They suggest that consumers are seeking more on-demand, digital healthcare services, and healthcare organisations are transitioning to health IT systems powered by cloud, data and analytics tools. In addition to this, we’re shifting to view healthcare as something encompassing our total wellbeing rather than just our physical health, and we’re seeing more collaboration between different governments, industries, academia and tech giants than ever before, in the name of healthcare innovation and progression. How has the healthcare industry changed in the last 10 years? Since we’re thinking about what healthcare could look like in the future, it’s worth acknowledging the amount of progress that has been made in the healthcare industry in the past decade. Below we discuss some of the biggest innovations that have changed healthcare for the better. Remote monitoring Remote monitoring allows patients and their progress to be monitored at all times without using clunky technology or a doctor needing to be present. Not only does this mean that doctors and nurses are able to help many patients at once, but patients are able to leave the hospital earlier and be monitored safely from afar. This creates a more comfortable and cheaper experience for everyone involved. Electronic medical records Since the introduction of electronic medical records, it’s been so much easier for doctors to view and seamlessly share medical history. This means that records are less likely to be lost and patient care is improved because the doctor has complete access to the patient’s health background, prescriptions and previous care. Electronic records also allow patients themselves to keep track of their medical data. Telemedicine Telemedicine consists of remote clinical services where the healthcare provider or doctor communicates virtually with the patient. Examples of this include appointments with a GP over video call, therapy over the phone, and text messages that reveal medical test results. The positive consequences of this are undeniable – access to healthcare has been improved for those who are in remote areas or who face difficulties attending physical appointments. University of BathAn Introduction to Innovation in Healthcare University of TwenteeHealth: Combining Psychology, Technology and Health St George's, University of LondonThe Genomics Era: the Future of Genetics in Medicine Advantages and disadvantages of medical technologies Before we dive into the seven new healthcare technologies of the future, it’s worth considering the advantages and disadvantages of medical technology. While the benefits outweigh the costs, there are still some drawbacks to be aware of. Advantages of medical technology More efficient healthcare systems More accessible healthcare Earlier predictions of diseases Faster surgery and recovery times Better analysis of healthcare data Faster development of drugs and vaccines Increased legibility of medical documents Disadvantages of medical technology Forces reliance on internet connection – it’s harder for rural healthcare providers to communicate with each other and with patients Bigger risk of serious security breaches due to data sharing Higher chance of miscommunication in virtual appointments Lack of empathy due to it being more impersonal or relying on AI More expensive for healthcare providers and patients High chance of frustration if technology fails 7 promising new healthcare technologies There are so many exciting new medical technologies being used in the healthcare industry, but these are some of the most prominent. Some of them have been around for a little while now, but they are becoming more technologically advanced as time goes on. AI & robots Artificial intelligence (AI) has so many exciting applications in healthcare. One of the most important applications is in diagnosis, as there have been several situations in which AI has been able to identify diseases like skin cancer and diabetic blindness better than experts in the field. You can find out more about this in our What are the Possibilities of AI in Healthcare? open step by Taipei Medical University. Other than diagnosis, AI can be used to perform routine tasks, manage data, design treatments, manage medication, monitor health and more. AI can even be used on robots, and then these robots can act as medical assistants, take lab samples, assist in surgeries, and disinfect hospital rooms. Clearly, there’s a lot of room for further development in the field of AI in healthcare, and AI holds plenty of challenges, but we could see some really life-changing results. To learn more, you could try our MedTech: AI and Medical Robots course by the University of Leeds or our AI for Healthcare: Equipping the Workforce for Digital Transformation course by the University of Manchester and the NHS. Nanotechnology for diagnosis Another innovative technology in the medical field is nanotechnology for diagnosis. You may not have heard of nanotechnology before, but it’s concerned with objects that have at least one dimension under 100 nanometres (nm) in size. One nanometre is one-billionth of a metre. You can learn more about nanotechnology in our open step. So what does this have to do with diagnosis? Essentially, nanotechnology can be used to recognise unique cells and identify genetic content that might signify disease. This then allows drugs to reach specific damaged cells whilst avoiding healthy ones. Numerous technological breakthroughs that seemed like science fiction a decade ago have already become mainstream in healthcare. Apart from saving lives and improving the quality of life, technological advancements have reduced medical costs, made healthcare available in remote locations, and completely changed processes as they pertain to research, innovation, and education. Corporate Giants Lead Innovation Tech giants such as Amazon, Apple, and Google have ventured into the healthcare sector. The areas of interest for these companies are new digital technologies for electronic health records (EHRs) new software technology from websites like https://www.sterlingcheck.com/industries/healthcare/ , the Rise of EHR, machine learning for EHR analytics, telemedicine (allowing remote communication between patients and physicians), and even robotic surgery. Amazon has also announced a collaboration with Berkshire Hathaway and JPMorgan called Haven. This independent healthcare company aims to deploy technology to lower medical costs, simplify medical procedures, and make healthcare more accessible. Several tech leaders are focusing on healthcare analytics. Patient data are already available from a number of sources including from diagnostics tests, medical devices, and wearables. Companies are focusing on overcoming the challenge of bringing all this data into a common format and integrating it into a single platform, enabling healthcare professionals to better assess patient risk and personalize treatment. These tech innovators would need to address data privacy issues and the highly-regulatory nature of the healthcare sector for the rapid and widespread adoption of such systems. Revolutionary Technologies “Health 2.0” is expected to be spearheaded by the relatively new kids on the block: virtual reality (VR) and artificial intelligence (AI). VR technologies are focusing on counseling, pain management, telemedicine, surgical training, occupational therapy, and several other applications. AI is focused on diagnostics, EHR analytics, synthesizing information from a range of sources (scientific papers, journals, and patient medical records), and remote monitoring of patients using wearable devices. 1. Artificial Intelligence Artificial Intelligence (AI) is a powerful tool that is set to revolutionize healthcare entirely. With the ability to mine medical records, AI algorithms can design treatment plans, develop drugs quicker than any current doctor, and even diagnose cancerous and noncancerous tissue samples. Using supercomputers, Atomwise unearths therapies from a database of molecular structures. The start-up, launched in 2015, created a virtual search for safe, existing medicines that could be reengineered to treat the Ebola virus. Two drugs were found which were predicted by the company’s AI technology that may reduce the infectivity of Ebola. Google’s DeerMind more recently developed an AI for breast cancer analysis. The new algorithm exceeded human radiologists’ performance by 11.5% on pre-cleared sets of data to distinguish breast cancer. These two companies are only two of the vast number of companies using AI technology to bring healthcare into the future. From disrupting medical imagine, designing new drugs to mining medical records, these companies are real-life examples of what we should expect on the horizon if we open ourselves up to AI in healthcare. 2. Virtual Reality Virtual Reality (VR) is changing the lives of physicians and patients alike. Looking into the future, you could travel to Spain or home while you are in a hospital bed, or you may watch operations as if you are holding the scalpel! The use of VR is used in many situations, from training future surgeons and for qualified surgeons to practice operations. Those developing these software programs are companies like Osso VR and ImmersiveTouch, and so far, the results are promising. A recent study has revealed that VR-trained surgeons had a 230% increase in their overall performance than traditionally-trained colleagues. Patients are also benefitting from these advancements in technology, with pain management shown as one area of improvement. During labour pain, women are being equipped with VR headsets to allow them to visualize a soothing landscape. Patients diagnosed with cardiac, neurological, gastrointestinal, and post-surgical pain have shown a decrease in their pain levels when using VR as a stimuli. A pilot study from 2019 showed that patients receiving surgery decreased their anxiety and pain levels and improved in their overall healthcare experience. 3. Augmented Reality Differing from VR, Augmented Reality (AR) is where users do not lose touch with reality, and information is put into eyesight as fast as possible. AR is becoming the driving force in the future of healthcare because of these distinctive features, both on the receivers’ and the medical providers’ side. For medical professionals, it could aid medical students to better prepare for real-life operations, as well as allowing existing surgeons to improve their capabilities. Students use the Microsoft HoloLens to gain knowledge on anatomy by using the HoloAnatomy app. Medical students gain access to accurate and detailed, although digital, representations of human anatomy so they can study without the need for actual humans. Magic Leap, another promising company, is also developing something a little different with their mixed reality headset. Magic Leap has collaborated with XRHealth to develop the therapeutic platform, SyncThink for brain health, and Brainlab, a German technology company that will bring its technology to healthcare. No commercial products have yet been brought to market; however, we are bound to see these partnerships populating the healthcare market in the future. 4. Healthcare trackers, wearables, and sensors Closely connected with the future of healthcare and medicine, patients’ and individuals’ empowerment is taking better care of their health using technologies like wearables, health trackers, and sensors. These are excellent devices that allow us to know more about our health and give us more control over our own lives. With devices like the Fitbit Ionic, which monitors sleep and tracks workouts, the Polar H10 can finetune a workout routine, and the Muse headband, which assists with meditation. There are many health trackers and apps on the market today. Whether you are looking to manage your stress level, weight, or cognitive capabilities better, maybe you want to feel more energetic and healthy overall, there is a device for all requirements. These tech-fuelled gems really make patients the point-of-care. Patients have the ability to track their health at home and share the results remotely with their doctor. The devices empower the individual to make more informed decisions and take control of their health. 5. Medical tricorder Every healthcare professional’s dream is to have only one all-powerful and supreme device. It should be able to analyse and diagnose every disease. With the rapid growth in healthcare technologies, we now live in a world where these kinds of devices exist! One such gadget is the palm-sized Viatom CheckMe Pro, which can measure heart rate, temperature, blood pressure, ECG, oxygen saturation, and more. Other companies are also working on developing similar devices like the MedWand, which comes with a camera for telemedical purposes, as well as all of the measurement capabilities. Another device is the BioSticker from BioIntelliSense, it is FDA-cleared, and despite being thin and small, it can measure many parameters like heart rate, skin temperature, activity levels, respiratory rate, body position, sleep status, gait, and more. These products may be a little far from the sci-fi tricorder, but we will advance there soon enough. Expect to see high-powered microscopes with smartphones that analyse images and swab samples of skin lesions. It could have sensors that notice DNA abnormalities or find specific proteins and antibodies. An ultrasonic probe, an electronic nose, or anything else that could be paired with a smartphone and enhance its features. 6. Genome sequencing Costing the US government $2.7 billion, the entire Human Genome Project costs a crazy amount of money. Particularly when you think that in January 2017, DNA sequencing company Illumina revealed a new machine that the giant says is “expected one day” to order an entire genome for cheaper than $100. The CEO confirmed that the company is still working towards that idea. If this were to happen, it would mean that cheaper genetic testing would be available, costing between $10$150 only. A test like this has a lot of potentials. One can learn valuable information about drug sensitivities, monogenic or multifactorial medical conditions, and even family history. Furthermore, many fields are using the advantages of genome sequencing, such as nutrigenomics, the field that merges dietetics, nutrition, and genomics. Companies like Habit, a California-based start-up, offer personalized diets using genetic coding. Atlas Biomed’s genetic test is also insightful. Although it can be hard to understand, it analyses to give practical, actionable results. It evaluates conditions one may be at risk to and records vitamin levels and intolerances. The information can be used to take preventative actions. 7. Revolutionizing drug development The current process of creating new drugs is costly and time-consuming. Nevertheless, there are new ways to improve the development of drugs using methods like AI. These new approaches and technologies are set to shape the pharmaceutical landscape in the coming years. Companies such as Recursion Pharmaceuticals, Deep Genomics, and Turbine are using the strength of AI to create new drug candidates and therapeutic solutions at a fraction of the normal cost and in record time. Another up and coming medicine technology is in silico drug trials. These personalized computer simulations are used in the regulatory evaluation or development of healthcare products, devices, or interventions. This company is already breaking down barriers with its organs-on-a-chip development; with current biological and technology understanding disallowing simulated clinical trials, this development in silico is already in use. Their technology, HumMod is being used in many research projects, and virtual models have been developed by the Virtual Physiological Human (VPH) Institute who is using them to study osteoporosis and heart disease. 8. Nanotechnology We could see nanoparticles and nanodevices operating as accurate drug delivery systems, tiny surgeons, or cancer treatment tools in the near future. Some researchers from the Max Planck Institute, back in 2014, designed small scallop-shaped microbots that physically swim through bodily fluids. These smart pills, such as PillCam are being used for colon exams in a patient-friendly noninvasive way. MIT researchers in late 2018 developed an electronic pill that is wirelessly controlled and can relay analysis information or release drugs in reply to smartphone orders. Nanotechnology is becoming a bigger player in the market in the form of smart patches. Grapheal, a France-based company, showcased its smart patch at CES 2020. It allows for continual monitoring of wounds, and its graphene core can even help with healing the wound faster. With evolving technology, there will be far more physical examples of nanotechnology in healthcare. The PillCams of the future may even be able to take biopsy samples, and remote-controlled capsules could take nano-surgery into the future. 9. Robotics Robotics is one of the fastest-growing and most exciting fields of medicine. Robot developments range from disinfectant robots or exoskeletons right through to surgical robots and pharmabotics. Exoskeletons did extraordinary well in the year 2019. The very first exoskeletonaided surgery was performed, and a tetraplegic man became capable of controlling an exoskeleton using only his brain. There are many applications for these robots, from lifting elderly patients and aided nursing to assist patients with spinal cord injury. Loneliness is also alleviated by using robots as companions; they are also used in healthcare to help children with chronic illness and treat mental health issues. Existing examples of robots are the Jibo, Buddy, Paro, and Pepper robots. Some allow their owners to control them using microphones, cameras, and touch sensors. 10. 3D-printing Bringing a world of wonders in all aspects of healthcare is 3D-printing. The list is growing with printing available for blood vessels, artificial limbs, bio tissues, and pills, and will likely continue to grow. Researchers from the Rensselaer Polytechnic Institute in Troy, New York, in November 2019, created a method of printing living skin along with blood vessels using 3D-printing. This was a critical development for burn victims and skin grafts. NGOs like Not Impossible and Refugee Open Ware are helping patients in need by using 3D-printing to make prosthetics for refugees in war-torn locations. The pharmaceutical industry is also a benefiter of these changing technologies. 3Dprinted drugs have been FDA-approved and have been in circulation since 2015. Researchers are now developing 3D-printing “polypills.” These will have layers of drugs so patients can stick to their therapeutic plan. Artificial intelligence Artificial Intelligence (AI) technology is being used in the diagnosis of diseases, as well as to offer customized solutions. For instance, it is being used to drive systems that process computed tomography scans by the thousands, in a mass detection scenario, as in COVID-19. This spares radiographers and physicians to attend to patients, besides providing supplementary information and thus improving the accuracy of diagnosis and monitoring. Machine learning is being exploited in the pharmaceutical industry to identify new drug candidates without the long and expensive traditional method of sifting through chemical libraries while also replacing actual experiments with simulations, varying multiple parameters. The whole process is not only much less expensive but also much faster. Robotic systems are being developed using AI and machine learning to replace humans in the performance of routine unskilled tasks now being done by skilled healthcare practitioners. This will free them to treat more patients with less time pressure, promoting a favorable outcome. The rise of mHealth To handle these needs, mobile health information and sensing technologies, termed mHealth, has gained prominence. These tools seem to offer the ability to provide healthcare at lower costs with improved outcomes. They can allow a limited number of providers to monitor more people, individually and at the population level. Applications of mHealth can promote healthy behaviors for primary or secondary disease prevention, help with the self-management of chronic illnesses, improve provider training, and cut down on visits to the doctor. At the same time, they can help personalize interventions to an unprecedented level. Today, mHealth can be utilized in the form of mobile devices, wearables, and other devices that allow people to carry on with their routine activities, while the device sends invaluable data on a host of parameters back to the server. This data can be used both in the present and the future to provide information on all kinds of trends and predictive factors to help research-driven efforts to promote and improve patient health. Multiple platforms are now available, backed by top-class information technology (IT) firms like Apple, to facilitate the development of healthcare apps. Telemedicine Telemedicine is an important innovation now practiced in many countries worldwide due to pandemic restrictions on public travel. With this technology, clinical practitioners see patients virtually, avoiding personal contact, while still being able to diagnose and treat patients for a host of illnesses. The saving of time and money has made this an attractive option for both patient and practitioner, and this trend seems unlikely to die down soon. Virtual reality Augmented and virtual reality is being used in novel ways to distract nervous patients from surgical procedures or help train medical students outside the hospital and without the risk of harm to actual patients. A hands-free mode of operation is also enabled, allowing providers to access patient records or other information without leaving the patient or stopping the procedure they are engaged in. The internet of medical things The Internet of Medical Things (IoMT) comprises a network of devices and mobile phone apps that track and prevent serious events in the course of chronic illness, linking patients and doctors for better monitoring and management of such conditions. For instance, wearable electrocardiography (ECG) monitors can allow patients with troublesome changes to be identified early enough to abort heart attacks. Other wearables may help monitor fever, blood sugar levels, or pulse. It is estimated that almost a third of the IoT (Internet of Things) market worldwide will henceforth come from the IoMT. Digital twins The ability to pair objects in a computer-generated virtual world can help to manipulate both objects at the same time – digital twins. This is important in the plethora of medical devices being marketed today, which are designed virtually in the confidence that the real-life object will be exactly like it in every way. Moreover, models can be created for testing, with the results being quite reliable. Remote surgery is also based on this technology, saving time and expenses. Blockchain The use of blockchain technology is still controversial, but its potential to improve the secure, convenient, and rapid sharing of healthcare information between authorized providers and patients is becoming clearer by the day. The design of this tool allows for large numbers of users without compromising the safety of using a single ledger. This poses a formidable challenge to the current use of electronic health records, putting it alongside the IoMT and cloud computing as a worthy colleague. Cloud computing With patient data being a dynamic thing, it is essential that healthcare providers have a safe and smooth method to share and store this data on which their clinical decisions are based. Cloud computing offers an excellent way out whereby data collection, storage, and management can be achieved using a single point. The resulting improvement inpatient care, with the saving of time, is among the benefits of this approach. Nanotechnology The development of nanotechnology has given rise to many innovative systems of treatment. Xenobots, or self-replicating tiny organic robots, were reported by the end of 2021. A wide range of applications lies open to nanotechnology in medicine, including nanobots for the detection of disease by traversing microscopic blood vessels and nanoparticle drug delivery systems to accurately deliver toxic drugs to the cells that are their targets avoiding or reducing off-target effects. 3D printing The ability to build body parts such as artificial veins, implants, bionic prostheses, customized surgical instruments, and produce pills is just part of the future with 3-D printing. Many medications are using this technology for faster, cheaper production. Is this the future of health? | The Economist Primary prevention of disease Using all modern medical expertise and equipment, including lifestyle advice, it is estimated that patient outcomes change by up to 20% only, the rest being the product of social determinants of health (SDOH). When these are taken into account, doctors will soon be able to predict the course of the person’s health and prescribe preventive measures to arrest the deterioration of health in a timely manner, rather than deferring the recognition of such events to a later stage, when sophisticated and costly interventions will become necessary. Neural chips Companies are vying to bring out microelectrodes that can be implanted safely into the brain to restore some degree of functionality to people who have lost sight, for instance, or voluntary muscle activity. Big data analysis The storage of data in huge volumes in secure data siloes will help analysts to mine it for useful information that could help drive new research using AI and machine learning. Both of these identify and interpret patterns in the data that could be invisible to humans but could offer a chance to intervene for the patient’s benefit. Data sharing and interoperability norms will also be enforced to benefit patients. Conclusion “For medical technology, standards and regulations are needed to ensure safety, protect the public, and guarantee that products are fit for purpose. However, in the context of novel and personal medical technologies, the current approach to regulation is not only infeasible and difficult to enforce, but also work against health care innovation.” At the same time, with the realization that human nature remains the same and that the real aim of technology has always been profitability, it is obvious that newer health technologies need to be vigilantly monitored via new regulatory frameworks so that patients continue to be benefited and kept at the center of healthcare. “Health 2.0” is expected to be spearheaded by the relatively new kids on the block: virtual reality (VR) and artificial intelligence (AI). VR technologies are focusing on counseling, pain management, telemedicine, surgical training, occupational therapy, and several other applications. AI is focused on diagnostics, EHR analytics, synthesizing information from a range of sources (scientific papers, journals, and patient medical records), and remote monitoring of patients using wearable devices. Gene Technology Genomics is an interdisciplinary field of biology that focuses on the understanding and manipulation of DNA and genomes of living organisms. Gene editing is a group of technologies that enables genetic engineering in order to change the DNA and genetic structure of living organisms. Biotechnology is advancing to the point where it's viable to alter the DNA encoded within a cell; this will influence the characteristics or traits that its descendants will have. In plants, this could affect the number of leaves or their coloring, while in humans, it could affect their height, eye color, or their likelihood of developing diseases. This opens up a range of possibilities that are almost unlimited, as it means that any characteristic of a living organism that is inherited can theoretically be changed. Much of the work being done with gene editing is in the field of healthcare. Among the most exciting current projects is the correction of DNA mutations which can lead to serious illnesses such as cancer or heart disease. But, perhaps more than with any other technology, there are a huge number of ethical and legal concerns as well as "what if" questions when it comes to genetic manipulation and editing. Genome editing in humans is currently banned in many countries, including much of Europe, as its long-term results are not understood. With anything as potentially transformative to society as genomics, it can be easy to get carried away thinking about possibilities such as wiping out cancer or even indefinitely prolonging human life. In reality, such huge advances are likely to be a long way away, if they are ever possible at all. Focusing on solving smaller problems that will have an immediate realworld impact is likely to be more fruitful in the short term. Human-Computer Interfaces Human-computer interfaces create wearable devices and technology that help to improve the physical and potentially mental performance of humans and help us lead healthier and better lives. Perhaps the most prevalent examples of wearables today are fitness tracker bands and smartwatches: small, easy to wear devices that typically monitor our activity and provide insights that help us lead healthier, better, more productive lives. However, the term wearable doesn't necessarily mean something that you strap onto your wrist or where elsewhere on your body; it also extends to smart clothing such as running shoes that can measure your gait and performance, advances like robotic prosthetics, and robotic wearable technology used in industrial settings. As technology gets smaller and smarter, the sheer range of wearables is going to expand, and new, smaller, smarter products will emerge to supersede the wearables we're familiar with today. For example, we already have smart glasses, but these are likely to be replaced by smart contact lenses. After that, smart contact lenses will likely be replaced by smart eye implants. Advances like this lead many to believe that humans and machines will eventually merge to create truly augmented humans, transhumans, or humans 2.0, where the human body is souped up like a sports car to achieve enhanced physical and mental performance. This would transform the world of medicine and eventually maybe even challenge our understanding of what it means to be human. At a societal level, we could be heading toward an even greater divide between rich and poor, between the Haves and the Have Nots. Technology is promising to help us live longer and healthier lives, maybe even offering the chance to live forever, but probably only for those who can afford it. Imagine a society in which the rich are effectively superhumans that live forever, and everyone else is normal and disadvantaged... There's also a wider ethical question about whether we should want to live exceedingly long lives given the huge strain that would put on our planet. 3D Printing 3D printing, also known as additive manufacturing, means creating a 3D object from a digital file by building it layer by layer. 3D printing may seem distinctly more low-tech than artificial intelligence or gene editing, but it has the potential to completely transform manufacturing and other industries. Using 3D printing, the factories of the future could quickly print spare parts for machinery on site. Entire assembly lines could be replaced with 3D printers. We could print human tissue for transplant, print weapons, even print food. 3D printing technology brings many opportunities, but it also brings some downsides, challenges, and obstacles to overcome. While it has the potential to reduce the environmental impact of manufacturing by using fewer materials overall, we have to consider the environmental impact of the printers themselves. 3D printing also presents problems for intellectual property owners, since the technology enables counterfeiters to produce fake license goods cheaply and easily. There's also the problem that weapons can be easily 3D printed. One thing I find particularly exciting about 3D printing is the potential it brings for mass personalization of products. Thanks to 3D printing, products and Designs can be customized to suit one-off requests in orders, and this could cover anything from personalized sneakers to food that's personalized to our individual nutritional needs. BRONNE https://www.news-medical.net/health/Recent-Developments-in-Health-Technology.aspx Khristich, S. (2021). 17 Major Healthcare Technology Trends of 2022. https://tateeda.com/blog/healthcare-technology-trends. Thimbleby, H. (2013). Technology and the Future of Healthcare. Journal of Public Health Research. https://dx.doi.org/10.4081%2Fjphr.2013.e28. https://www.ncbi.nlm.nih.gov /pmc/articles/PMC4147743/ Vincent, C. J. et al. (2015). Can Standards and Regulations Keep Up with Health Technology? JMIR mHealth and uHealth. https://doi.org/10.2196/mhealth.3918. https://mhealth.jmir.org/2015/2/e64/ https://tateeda.com/blog/healthcare-technology-trends https://www.news-medical.net/health/Recent-Developments-in-Health-Technology.aspx https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147743/ https://mhealth.jmir.org/2015/2/e64/ https://dx.doi.org/10.1016%2Fj.amepre.2013.03.017 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3803146/ 1. Sam P. Tarassoli, Artificial intelligence, regenerative surgery, robotics? What is realistic for the future of surgery? Ann. Med. Surg. 2019;41:53–55. doi: 10.1016/j.amsu.2019.04.001. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 2. 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Surgical Equipment, Surgery has allowed for the mass-scale shift to minimally invasive procedures and the technological “poster-child” of surgery equipment has been the robotic surgical system, such as the da Vinci Surgical System. Ultrasound Imaging Devices, Physicians, especially those within the emergency department, have become more adept at using ultrasound imaging devices over the past 10 years. Telehealth Tools, Bi-directional video feed, cameras, TVs and wireless infrastructure are some of the elements hospitals are adopting to remain competitive in the telehealth realm. The biggest advantage hospitals will gain from telehealth technologies are the ability to help patients immediately while trimming down the costs of an acute-care admission. Smartphones & Tablets, Over the past several years, the omnipresence of smartphones, tablets and their applications has been one of the biggest cultural shifts in the hospital setting, as well as society at large. They provide a wealth of information for physicians and other clinicians — and all within a fingertip's reach. While some hospitals may not directly provide smartphones and tablets to their physicians and clinical staff, hospitals still have to be aware of them. Infection-Detecting Technologies, For example the procalcitonin, or PCT, test for a hospital’s sepsis program. The test is a tool that detects sepsis earlier, therefore avoiding the overutilization of antibiotics. It is cost-effective over the long term because it will allow hospitals to diagnose and manage infections more successfully and reduce the hospital’s need to pay for costly antibiotics. Medical technology encompasses a wide range of medical devices. Practicing clinical engineers often focus on a few areas of medical device technology, such as defibrillators, electrosurgical units, and physiological monitors. It encloses an entire spectrum of medical devices with which the clinical engineers are responsible for creating. The medical devices that are required for almost all diagnostic and therapeutic medical interventions. These devices have different lifetimes because they may be disposable, reusable, or implantable. They are made of a range of materials, such as plastics, ceramics, metals, wood, and biologic products, and they rely upon all types of physical principles for their functioning (e.g., electronic, hydraulic, mechanical, chemical, optical, and radiation). People use them to improve patient health. Medical devices, as distinguished from drugs, achieve their action without directly entering metabolic pathways. Costly adoption of technologies in the healthcare, cost is the first and most important limit in adopting newer technologies in the healthcare system. This cost is mainly implementation and maintenance costs. Assisting the patient and side by side keeping costs under control becomes a difficult path. Privacy and Security, cybersecurity risk concerns exposing a patient’s data to a third party. Intentional or accidental exposure might cause deletion or alteration in data. Hence, any omission or alteration of data can lead to a wrong diagnosis, treatment plan, or other adverse effects System reliability, physicians want constant access to their patient’s data. They are concerned that patient data may become temporarily unavailable if computers crash. Or even deleted in case of a virus attack or the power goes out. Unskilled Personnel, there is a need for technological pro-people in healthcare systems to run systems better. It saves their time while performing everyday tasks. The trained personnel for operating advanced machines and health systems are in need. June 23, 2022 Forces reliance on internet connection – it’s harder for rural healthcare providers to communicate with each other and with patients. Bigger risk of serious security breaches due to data sharing. Higher chance of miscommunication in virtual appointments. Lack of empathy due to it being more impersonal or relying on AI. More expensive for healthcare providers and patients. High chance of frustration if technology fails. Even as AI is being used to help healthcare, it can be perverted to steal patient and provider identities, divert funds and misuse information by hacking medical computer systems. This can occur via private systems linked to hospital software, or by wireless networks at health facilities, or via the Internet of Things (IoT). Thus, the protection of such systems from AI-driven malware and personalized attacks would perhaps cost more than can be saved by the application of such systems. https://dx.doi.org/10.1016%2Fj.amepre.2013.03.017 We’ve come a long way since the Health Information Technology for Economic and Clinical Health (HITECH) Act was passed in 2009. The electronic health records (EHR) system industry was still in its infancy back then, but HITECH laid the framework for the widespread adoption of EHRs as part of then-president Obama’s American Reinvestment & Recovery Act (ARRA). The Meaningful Use program began incentivizing providers for their use of EHRs in 2011, motivating more and more doctors to switch from paper and more entrepreneurs to start EHR companies. However, at that point, many vendors were focusing more on creating software for Meaningful Use than on creating software providers could actually use efficiently. After switching to an EHR system, many healthcare professionals found that their systems were slowing them down instead of helping them work faster. Plus, most of the systems at that point in time were desktop- and server-based, which came with a variety of drawbacks, including higher hardware costs and limited mobility. As the industry has evolved, more usable EHRs have appeared on the market thanks to strategies like specialty-first design, user-centered design methodologies, and having doctors help program EHR software themselves. There’s still an inevitable focus on government incentive programs, but the emphasis now is more on saving time and reducing the reporting burden. More physicians have also been able to adopt cloud and touch-based technologies, and some health information systems today even offer intelligence amplification to assist physicians in the exam room. Easily Accessible Medical Information It has become increasingly common for people suffering from questionable symptoms to immediately consult the internet for an answer to their ailments. This is great for easing worries or providing answers when your medical provider may not be readily available. It can also save you money by avoiding unnecessary doctor visits. A Larger Presence on Social Media Physicians, hospitals, and clinics have made it a standard practice to create an avenue to the public through social media sites. This not only grants them a larger audience, but allows people an easy way to reach out for information from them. They can offer advice or information specific to their practice, educating followers far and wide. Better treatments, equipment, and medicine Better equipment has allowed doctors to provide more comprehensive care. Better treatments have increased the quality of life of a number of different people suffering from long-term illnesses. And better medicine has completely wiped out the fear of some life-threatening illnesses of the past Faster Results It used to take weeks or even a month to get the results of medical testing. With improved technology, it is now possible to get results as soon as the lab is finished with your sample. Many hospitals and clinics offer web portals, allowing you to access your results within hours or days. It Helps to Predict Outbreaks Since many people search online for answers once they begin to feel under the weather, that data actually adds up to create a larger picture specific to that query. Yearly flu outbreaks are a great example of this. Artificial intelligence (AI) has so many exciting applications in healthcare.. Another innovative technology in the medical field is nanotechnology for diagnosis. You may not have heard of nanotechnology before, but it’s concerned with objects that have at least one dimension under 100 nanometres (nm) in size. One nanometre is one-billionth of a metre. Robotics is one of the fastestgrowing and most exciting fields of medicine. Robot developments range from disinfectant robots or exoskeletons right through to surgical robots and pharmabiotics. The very first exoskeleton-aided surgery was performed, and a tetraplegic man became capable of controlling an exoskeleton using only his brain. There are many applications for these robots, from lifting elderly patients and aided nursing to assist patients with spinal cord injury. Companies are vying to bring out microelectrodes that can be implanted safely into the brain to restore some degree of functionality to people who have lost sight, for instance, or voluntary muscle activity. An example of this is Elon Musk’s Neuralink company which is developing similar brain chips for disabled and mentally challenged individuals to be able to express themselves like us. There exist more companies, organizations, projects, and start-ups that are about to offer their neuro-implants for a variety of medical needs, including restoring certain functional independence in patients with different types of paralysis or blindness. Healthcare trackers, wearables and sensors, as the future of medicine and healthcare is closely connected to the empowerment of patients as well as individuals taking care of their own health through technologies, I cannot leave out health trackers, wearables and sensors from my selection. They are great devices to get to know more about ourselves and retake control over our own lives. 3D-printing can bring wonders in all aspects of healthcare. We can now print biotissues, artificial limbs, pills, blood vessels and the list goes on and will likely keep on doing so. Robotics, One of the most exciting and fastest growing fields of healthcare is robotics; developments range from robot companions through surgical robots until pharmabotics, disinfectant robots or exoskeletons. Nanotechnology is concerned with objects that have at least one dimension under 100 nanometres (nm) in size. One nanometre is one-billionth of a metre. We are living at the dawn of the nanomedicine age. I believe that nanoparticles and nanodevices will soon operate as precise drug delivery systems, cancer treatment tools or tiny surgeons. Augmented reality differs from VR in two respects: users do not lose touch with reality and it puts information into eyesight as fast as possible. These distinctive features enable AR to become a driving force in the future of medicine; both on the healthcare providers’ and the receivers’ side. Virtual reality (VR) is changing the lives of patients and physicians alike. In the future, you might watch operations as if you wielded the scalpel or you could travel to Iceland or home while you are lying on a hospital bed. Artificial intelligence has the potential to redesign healthcare completely. One of the most important applications is in diagnosis, as there have been several situations in which AI has been able to identify diseases like skin cancer and diabetic blindness better than experts in the field. AI algorithms are able to mine medical records, design treatment plans or create drugs way faster than any current actor on the healthcare palette including any medical professional. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3803146/ Genomics is an interdisciplinary field of biology that focuses on the understanding and manipulation of DNA and genomes of living organisms. Gene editing is a group of technologies that enables genetic engineering in order to change the DNA and genetic structure of living organisms. Biotechnology is advancing to the point where it's viable to alter the DNA encoded within a cell; this will influence the characteristics or traits that its descendants will have. In plants, this could affect the number of leaves or their colouring, while in humans, it could affect their height, eye colour, or their likelihood of developing diseases. This opens up a range of possibilities that are almost unlimited, as it means that any characteristic of a living organism that is inherited can theoretically be changed. Humancomputer interfaces create wearable devices and technology that help to improve the physical and potentially mental performance of humans and help us lead healthier and better lives. Perhaps the most prevalent examples of wearables today are fitness tracker bands and smartwatches: small, easy to wear devices that typically monitor our activity and provide insights that help us lead healthier, better, more productive lives. Bringing a world of wonders in all aspects of healthcare is 3D-printing. The list is growing with printing available for blood vessels, artificial limbs, bio tissues, and pills, and will likely continue to grow. The pharmaceutical industry is also a benefiter of these changing technologies. 3D-printed drugs have been FDA-approved and have been in circulation since 2015. Researchers are now developing 3D-printing “polypills.” These will have layers of drugs so patients can stick to their therapeutic plan. conditions such as Parkinson’s or Alzheimer’s disease. A user could have the level of medication in their blood regularly monitored according to a physician’s plan and be reminded to administer their next dose when its level drops below a certain threshold.