Medical Technology Directory

health technology evaluations at your fingertips

Hayes Medical Technology Directory is a comprehensive collection of in-depth health technology assessment reports designed to support evidence-based policies, guideline development, and technology acquisition. Below is a brief sampling of our Directory publications.

View a sampling of our Directory reports.

Intra-articular Facet Joint Injections for the Treatment of Chronic Nonmalignant Spinal Pain of Facet Joint Origin

April 19, 2018 Medical Technology Directory

Health Problem: Chronic pain is defined as persistent or episodic pain of a duration > 6 months of an intensity that adversely affects the function or well-being of an individual. Back and neck pain are very common conditions in the United States. Low back pain was the leading cause contributing to the most years lived with disability in 2010, both in the United States and globally. Although it may be less common than low back or neck pain, chronic persistent thoracic spinal pain can be disabling. One study estimated the prevalence of all spinal pain in the general population as...

Comparative Effectiveness Review of Percutaneous Mitral Valve Repair

April 13, 2018 Medical Technology Directory

Health Problem: The mitral valve (MV) in the heart normally prevents blood from flowing backward from the left ventricle into the left atrium during ventricular contraction, but this valve can fail due to wear or direct damage or due to changes in the shape of the heart. The resulting backward flow or regurgitation forces the ventricle to pump harder to maintain adequate output of oxygenated blood into the body. Technology Description: The MitraClip Mitral Valve Repair System (Abbott Vascular Inc.) and the Carillon Mitral Contour System (Cardiac Dimensions Inc.) are minimally invasive devices for repair of a damaged or leaking MV....

Intragastric Balloons for Treatment of Obesity

March 29, 2018 Medical Technology Directory

Health Problem: Obesity is a multifaceted condition, involving a combination of factors such as behavior, genetics, medication use, and dietary patterns, as well as community environment, education, and food marketing. Obesity is associated with poorer mental health outcomes, can significantly impact quality of life, and can foster conditions like diabetes, heart disease, stroke, and some cancers. Obesity is a common condition in the United States, where approximately 37.7% of adults ages 20 years and older are considered obese, as are 17.2% of youths ages 2 to 19 years. Technology Description: Intragastric balloons (IGBs) are acid-resistant balloons that are inserted into the...

Percutaneous Laser Disc Decompression for Lumbar Disc Herniation

March 28, 2018 Medical Technology Directory

Health Problem: Herniated discs, also referred to as slipped, ruptured, or bulging discs, are injuries of the intervertebral structures that provide shock absorption in the spine. Disc herniations occurring in the lumbar spinal region may lead to pain, numbness, and/or weakness in the lower back and legs. For most patients, pain is temporary and responsive to conservative treatments. However, some individuals may require invasive treatments for symptom relief. Technology Description: Percutaneous laser disc decompression (PLDD) is a minimally invasive therapeutic option for lumbar disc herniation (LDH) refractory to conservative treatment. The goal of PLDD is to relieve intradiscal pressure and allow...

Comparative Effectiveness Review of Single-Incision Laparoscopic Surgery (SILS) for Colorectal Procedures: A Review of Reviews

March 26, 2018 Medical Technology Directory

Health Problem: Colorectal diseases encompass a broad range of conditions that can vary in severity from mildly irritating to life threatening. Common indications requiring surgical intervention for curative intent include colorectal cancer, inflammatory bowel disease, and diverticular disease. Technology Description: Single-incision laparoscopic surgery (SILS) for colorectal disease is an emerging surgical technique that requires only 1 subumbilical incision for colorectal resection. Specialized port systems are available to facilitate SILS or the surgical team may use standard laparoscopic devices to perform this surgery. All of the procedures utilize pneumoperitoneum (gas used to expand the abdomen and permit visualization during surgery) and instruments...