Implantable mechanical devices
Within 20 years, implantable devices will increasingly incorporate electronics to enable noninvasive assessment. Current cardiac stents simply revascularize arteries; future stents may include sensors that use radio-frequency identification (RFID) to report vessel status wirelessly when scanned over the chest. Sensorized artificial discs will be implanted in the hip, spine, or knee to noninvasively monitor load and verify proper function, as shown in Figure 2. If excessive load or malfunction is detected, the sensors will alert the patient and caregivers so corrective measures can be taken promptly. High-performance sensors have not been widely used in implants because proteins and the immune system can attack devices, limiting long-term efficacy. Over the next 20 years, cellular biology approaches will reduce immune recognition of sensors as foreign bodies. Biocompatible materials will be essential for all implantable devices.