Narrative Highlight: Paul Malchesky

 
In December of 2002 we conducted preliminary email interviews with leading figures in the field of bionics. The text below comes from the exchange with Paul Malchesky, D.Eng, International Center for Artificial Organs and Transplantation.
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1. Which individual or event do you attribute the greatest historical significance in the advancement of organ replacement devices or machines? Please explain why.
  I would say the Medicare Approval of Chronic Renal Failure treatment. Yes, the technology is important and certainly we cannot ever forget all the contributions made by individuals but without government recognition of the therapy and its support it would not have been possible to the level known today in the U.S. or other developed countries. One only has to look at the less available resources in developing countries to see the importance of this. The example of the artificial kidney has set the tone (for better or worse) for other artificial organ developments/applications.
3. What mechanical devices or machines have you had experience with experimentally, and what were the greatest challenges in your work? (answered by scientists and researchers only)
  I have worked with artificial kidneys, artificial lungs, artificial blood, apheresis technologies, and artificial liver support to name the more important ones. Perhaps the greatest challenges were at the interface of technology development and clinical application. When one has a technology/device that meets a clinical need there are many issues that cannot be known until clinical trials are done.