Lawrence D. Maloney, Contributing Editor -- 5/14/2007
Millions of people worldwide live active lives, thanks to implanted
pacemakers that deliver electrical impulses to restore normal function
to the heart. Now, electrical therapy of another sort —
neurostimulation
— could improve the quality of lives for patients with conditions
ranging from chronic pain and epilepsy to deafness and morbid obesity.
The basic components of many of these systems are remarkably similar. Most feature an implanted pulse generator
(IPG) connected to leads that carry an electrical stimulus to targeted
nerves via carefully placed electrodes. A controller outside the body
programs the implanted system for a stimulus regimen customized to the
patient.
Until recent years, however, the number of patients helped by
neurostimulation was relatively small versus alternate therapies, such
as drugs and surgery. But advances in microprocessors, biocompatible
materials, batteries, RF communications and software are now combining
to produce much more effective systems, as well as easier to implant
and, most important of all, more patient-friendly. At the same time,
the medical world's increased understanding of the nervous system,
coupled with favorable results from actual treatment and clinical
trials, have led more physicians to consider neurostimulation as a
viable choice for their patients.
“There's a growing realization that drugs can't cure everyone
and that they often produce harmful side-effects,” says James
Cavuoto, a biomedical engineer and editor/publisher of Neurotech Reports,
a monthly newsletter serving neurotechnology companies and the
investment community. “So, clinicians are now more open to new
treatment strategies.”
He adds, acceptance of neurotechnology devices also have benefited
from favorable publicity, such as that surrounding radio personality Rush Limbaugh, who received a cochlear implant in 2001 after going deaf.
With these and other factors at work, a market study by Neurotech Reports
predicts sales of neurotechnology products worldwide will more than
double from about $3.1 billion in 2006 to $7.6 billion in 2010.
Those rosy growth projections have caught the attention of device
makers and suppliers. Venture capital firms are pouring hundreds of
millions of dollars into startup neurotech firms. At the same time,
medical giants, such as Medtronic, St. Jude and Boston Scientific,
are expanding their neurostimulation programs and buying independent
companies that have established footholds in specific neurotech niches.
“We see this market as one with very significant growth potential,” says Todd Schneider, medical group VP for AMI Semiconductor,
which supplies microprocessors for neurostimulation devices. “Yet
the industry is still in its infancy, so the sky's the limit.”