1 00:00:14,240 --> 00:00:14,629 this 2 00:00:14,629 --> 00:00:14,639 this 3 00:00:14,639 --> 00:00:16,870 this hockey puck sized medical device 4 00:00:16,870 --> 00:00:16,880 hockey puck sized medical device 5 00:00:16,880 --> 00:00:19,429 hockey puck sized medical device represents a dramatic step forward 6 00:00:19,429 --> 00:00:19,439 represents a dramatic step forward 7 00:00:19,439 --> 00:00:22,550 represents a dramatic step forward in the treatment of diabetes it's called 8 00:00:22,550 --> 00:00:22,560 in the treatment of diabetes it's called 9 00:00:22,560 --> 00:00:25,830 in the treatment of diabetes it's called pims programmable implantable medication 10 00:00:25,830 --> 00:00:25,840 pims programmable implantable medication 11 00:00:25,840 --> 00:00:27,189 pims programmable implantable medication system 12 00:00:27,189 --> 00:00:27,199 system 13 00:00:27,199 --> 00:00:29,189 system all this sophisticated hardware fits 14 00:00:29,189 --> 00:00:29,199 all this sophisticated hardware fits 15 00:00:29,199 --> 00:00:31,269 all this sophisticated hardware fits together in a titanium shell 16 00:00:31,269 --> 00:00:31,279 together in a titanium shell 17 00:00:31,279 --> 00:00:34,950 together in a titanium shell to form a computer pump and reservoir 18 00:00:34,950 --> 00:00:34,960 to form a computer pump and reservoir 19 00:00:34,960 --> 00:00:37,990 to form a computer pump and reservoir inventor robert fischell this whole 20 00:00:37,990 --> 00:00:38,000 inventor robert fischell this whole 21 00:00:38,000 --> 00:00:39,590 inventor robert fischell this whole computer for pims 22 00:00:39,590 --> 00:00:39,600 computer for pims 23 00:00:39,600 --> 00:00:41,990 computer for pims runs on just over one millionth the 24 00:00:41,990 --> 00:00:42,000 runs on just over one millionth the 25 00:00:42,000 --> 00:00:45,190 runs on just over one millionth the power of a flashlight bulb 26 00:00:45,190 --> 00:00:45,200 power of a flashlight bulb 27 00:00:45,200 --> 00:00:47,110 power of a flashlight bulb some of the technology was borrowed from 28 00:00:47,110 --> 00:00:47,120 some of the technology was borrowed from 29 00:00:47,120 --> 00:00:49,670 some of the technology was borrowed from a pair of viking spacecraft that landed 30 00:00:49,670 --> 00:00:49,680 a pair of viking spacecraft that landed 31 00:00:49,680 --> 00:00:50,549 a pair of viking spacecraft that landed on mars 32 00:00:50,549 --> 00:00:50,559 on mars 33 00:00:50,559 --> 00:00:54,150 on mars in the mid 1970s so far about 20 34 00:00:54,150 --> 00:00:54,160 in the mid 1970s so far about 20 35 00:00:54,160 --> 00:00:56,229 in the mid 1970s so far about 20 patients have received the experimental 36 00:00:56,229 --> 00:00:56,239 patients have received the experimental 37 00:00:56,239 --> 00:00:57,270 patients have received the experimental implant 38 00:00:57,270 --> 00:00:57,280 implant 39 00:00:57,280 --> 00:00:59,349 implant it's inserted just below the skin in the 40 00:00:59,349 --> 00:00:59,359 it's inserted just below the skin in the 41 00:00:59,359 --> 00:01:01,990 it's inserted just below the skin in the abdomen and can be refilled with insulin 42 00:01:01,990 --> 00:01:02,000 abdomen and can be refilled with insulin 43 00:01:02,000 --> 00:01:04,789 abdomen and can be refilled with insulin every two to three months the first 44 00:01:04,789 --> 00:01:04,799 every two to three months the first 45 00:01:04,799 --> 00:01:07,270 every two to three months the first recipient of pims was jack pietro 46 00:01:07,270 --> 00:01:07,280 recipient of pims was jack pietro 47 00:01:07,280 --> 00:01:09,190 recipient of pims was jack pietro a professor at american university's 48 00:01:09,190 --> 00:01:09,200 a professor at american university's 49 00:01:09,200 --> 00:01:11,109 a professor at american university's school of international service 50 00:01:11,109 --> 00:01:11,119 school of international service 51 00:01:11,119 --> 00:01:14,070 school of international service in washington dc congressional 52 00:01:14,070 --> 00:01:14,080 in washington dc congressional 53 00:01:14,080 --> 00:01:14,950 in washington dc congressional monitoring 54 00:01:14,950 --> 00:01:14,960 monitoring 55 00:01:14,960 --> 00:01:18,230 monitoring for 28 years jack has had diabetes 56 00:01:18,230 --> 00:01:18,240 for 28 years jack has had diabetes 57 00:01:18,240 --> 00:01:20,230 for 28 years jack has had diabetes like one million other americans he 58 00:01:20,230 --> 00:01:20,240 like one million other americans he 59 00:01:20,240 --> 00:01:22,230 like one million other americans he coped with his body's inability to break 60 00:01:22,230 --> 00:01:22,240 coped with his body's inability to break 61 00:01:22,240 --> 00:01:23,190 coped with his body's inability to break down sugars 62 00:01:23,190 --> 00:01:23,200 down sugars 63 00:01:23,200 --> 00:01:26,950 down sugars through daily insulin injections 64 00:01:26,950 --> 00:01:26,960 through daily insulin injections 65 00:01:26,960 --> 00:01:29,510 through daily insulin injections jack's daily routine includes some tasks 66 00:01:29,510 --> 00:01:29,520 jack's daily routine includes some tasks 67 00:01:29,520 --> 00:01:30,950 jack's daily routine includes some tasks common to us all 68 00:01:30,950 --> 00:01:30,960 common to us all 69 00:01:30,960 --> 00:01:33,429 common to us all and some not so common he must do a 70 00:01:33,429 --> 00:01:33,439 and some not so common he must do a 71 00:01:33,439 --> 00:01:35,749 and some not so common he must do a blood sugar test before and after all 72 00:01:35,749 --> 00:01:35,759 blood sugar test before and after all 73 00:01:35,759 --> 00:01:37,749 blood sugar test before and after all meals and activities 74 00:01:37,749 --> 00:01:37,759 meals and activities 75 00:01:37,759 --> 00:01:39,510 meals and activities the reading helps determine how much 76 00:01:39,510 --> 00:01:39,520 the reading helps determine how much 77 00:01:39,520 --> 00:01:40,789 the reading helps determine how much insulin he needs 78 00:01:40,789 --> 00:01:40,799 insulin he needs 79 00:01:40,799 --> 00:01:42,469 insulin he needs after considering what he will eat for 80 00:01:42,469 --> 00:01:42,479 after considering what he will eat for 81 00:01:42,479 --> 00:01:46,870 after considering what he will eat for breakfast 82 00:01:46,870 --> 00:01:46,880 83 00:01:46,880 --> 00:01:49,270 with this handheld unit information is 84 00:01:49,270 --> 00:01:49,280 with this handheld unit information is 85 00:01:49,280 --> 00:01:50,870 with this handheld unit information is relayed to the pump's computer 86 00:01:50,870 --> 00:01:50,880 relayed to the pump's computer 87 00:01:50,880 --> 00:01:53,190 relayed to the pump's computer controlling the release of insulin 88 00:01:53,190 --> 00:01:53,200 controlling the release of insulin 89 00:01:53,200 --> 00:01:55,510 controlling the release of insulin once an appropriate dose is entered a 90 00:01:55,510 --> 00:01:55,520 once an appropriate dose is entered a 91 00:01:55,520 --> 00:01:57,350 once an appropriate dose is entered a start command is given 92 00:01:57,350 --> 00:01:57,360 start command is given 93 00:01:57,360 --> 00:01:59,030 start command is given the two units communicate with each 94 00:01:59,030 --> 00:01:59,040 the two units communicate with each 95 00:01:59,040 --> 00:02:00,550 the two units communicate with each other using telemetry 96 00:02:00,550 --> 00:02:00,560 other using telemetry 97 00:02:00,560 --> 00:02:02,870 other using telemetry the same way satellites beam information 98 00:02:02,870 --> 00:02:02,880 the same way satellites beam information 99 00:02:02,880 --> 00:02:05,190 the same way satellites beam information from outer space 100 00:02:05,190 --> 00:02:05,200 from outer space 101 00:02:05,200 --> 00:02:07,030 from outer space the key to maintaining normal blood 102 00:02:07,030 --> 00:02:07,040 the key to maintaining normal blood 103 00:02:07,040 --> 00:02:08,949 the key to maintaining normal blood sugar is through careful regulation of 104 00:02:08,949 --> 00:02:08,959 sugar is through careful regulation of 105 00:02:08,959 --> 00:02:09,669 sugar is through careful regulation of diet 106 00:02:09,669 --> 00:02:09,679 diet 107 00:02:09,679 --> 00:02:12,949 diet insulin and exercise jack plays tennis 108 00:02:12,949 --> 00:02:12,959 insulin and exercise jack plays tennis 109 00:02:12,959 --> 00:02:13,830 insulin and exercise jack plays tennis regularly 110 00:02:13,830 --> 00:02:13,840 regularly 111 00:02:13,840 --> 00:02:15,830 regularly he thinks pins may have helped him win 112 00:02:15,830 --> 00:02:15,840 he thinks pins may have helped him win 113 00:02:15,840 --> 00:02:18,630 he thinks pins may have helped him win last summer's 55 and over baltimore open 114 00:02:18,630 --> 00:02:18,640 last summer's 55 and over baltimore open 115 00:02:18,640 --> 00:02:20,150 last summer's 55 and over baltimore open tennis championship 116 00:02:20,150 --> 00:02:20,160 tennis championship 117 00:02:20,160 --> 00:02:22,790 tennis championship one of the sort of unsuspected benefits 118 00:02:22,790 --> 00:02:22,800 one of the sort of unsuspected benefits 119 00:02:22,800 --> 00:02:24,150 one of the sort of unsuspected benefits for me has been a 120 00:02:24,150 --> 00:02:24,160 for me has been a 121 00:02:24,160 --> 00:02:27,030 for me has been a a general upgrading of health i feel 122 00:02:27,030 --> 00:02:27,040 a general upgrading of health i feel 123 00:02:27,040 --> 00:02:27,910 a general upgrading of health i feel better 124 00:02:27,910 --> 00:02:27,920 better 125 00:02:27,920 --> 00:02:32,470 better and in many ways it's like a new life 126 00:02:32,470 --> 00:02:32,480 127 00:02:32,480 --> 00:02:35,270 meet 23 year old melissa frank a lab 128 00:02:35,270 --> 00:02:35,280 meet 23 year old melissa frank a lab 129 00:02:35,280 --> 00:02:37,830 meet 23 year old melissa frank a lab technician in eldersburg maryland 130 00:02:37,830 --> 00:02:37,840 technician in eldersburg maryland 131 00:02:37,840 --> 00:02:40,070 technician in eldersburg maryland for as long as she can remember diabetes 132 00:02:40,070 --> 00:02:40,080 for as long as she can remember diabetes 133 00:02:40,080 --> 00:02:41,830 for as long as she can remember diabetes has been part of her life 134 00:02:41,830 --> 00:02:41,840 has been part of her life 135 00:02:41,840 --> 00:02:43,750 has been part of her life melissa regulates her blood sugar with 136 00:02:43,750 --> 00:02:43,760 melissa regulates her blood sugar with 137 00:02:43,760 --> 00:02:44,949 melissa regulates her blood sugar with insulin injections 138 00:02:44,949 --> 00:02:44,959 insulin injections 139 00:02:44,959 --> 00:02:47,110 insulin injections often four times a day but there are 140 00:02:47,110 --> 00:02:47,120 often four times a day but there are 141 00:02:47,120 --> 00:02:48,150 often four times a day but there are side effects 142 00:02:48,150 --> 00:02:48,160 side effects 143 00:02:48,160 --> 00:02:50,150 side effects for instance her skin has developed a 144 00:02:50,150 --> 00:02:50,160 for instance her skin has developed a 145 00:02:50,160 --> 00:02:52,229 for instance her skin has developed a dangerous resistance to absorbing 146 00:02:52,229 --> 00:02:52,239 dangerous resistance to absorbing 147 00:02:52,239 --> 00:02:54,790 dangerous resistance to absorbing insulin properly this results in poor 148 00:02:54,790 --> 00:02:54,800 insulin properly this results in poor 149 00:02:54,800 --> 00:02:56,229 insulin properly this results in poor blood sugar control 150 00:02:56,229 --> 00:02:56,239 blood sugar control 151 00:02:56,239 --> 00:02:58,149 blood sugar control which can lead to blindness nerve 152 00:02:58,149 --> 00:02:58,159 which can lead to blindness nerve 153 00:02:58,159 --> 00:03:01,830 which can lead to blindness nerve disorders liver and heart damage 154 00:03:01,830 --> 00:03:01,840 disorders liver and heart damage 155 00:03:01,840 --> 00:03:03,910 disorders liver and heart damage this summer melissa is going to have an 156 00:03:03,910 --> 00:03:03,920 this summer melissa is going to have an 157 00:03:03,920 --> 00:03:05,430 this summer melissa is going to have an insulin pump implanted 158 00:03:05,430 --> 00:03:05,440 insulin pump implanted 159 00:03:05,440 --> 00:03:07,830 insulin pump implanted and is very excited because she has seen 160 00:03:07,830 --> 00:03:07,840 and is very excited because she has seen 161 00:03:07,840 --> 00:03:09,190 and is very excited because she has seen the difference it has made 162 00:03:09,190 --> 00:03:09,200 the difference it has made 163 00:03:09,200 --> 00:03:11,910 the difference it has made with other patients who have it that's 164 00:03:11,910 --> 00:03:11,920 with other patients who have it that's 165 00:03:11,920 --> 00:03:13,190 with other patients who have it that's why i want it 166 00:03:13,190 --> 00:03:13,200 why i want it 167 00:03:13,200 --> 00:03:15,509 why i want it because i've had my disease so long now 168 00:03:15,509 --> 00:03:15,519 because i've had my disease so long now 169 00:03:15,519 --> 00:03:16,869 because i've had my disease so long now i don't want to have complications by 170 00:03:16,869 --> 00:03:16,879 i don't want to have complications by 171 00:03:16,879 --> 00:03:18,710 i don't want to have complications by the time i hit 30. 172 00:03:18,710 --> 00:03:18,720 the time i hit 30. 173 00:03:18,720 --> 00:03:21,910 the time i hit 30. pims programmable implantable medication 174 00:03:21,910 --> 00:03:21,920 pims programmable implantable medication 175 00:03:21,920 --> 00:03:22,710 pims programmable implantable medication system 176 00:03:22,710 --> 00:03:22,720 system 177 00:03:22,720 --> 00:03:25,350 system using space technology to improve the 178 00:03:25,350 --> 00:03:25,360 using space technology to improve the 179 00:03:25,360 --> 00:03:26,390 using space technology to improve the daily lives 180 00:03:26,390 --> 00:03:26,400 daily lives 181 00:03:26,400 --> 00:03:33,430 daily lives of people with diabetes 182 00:03:33,430 --> 00:03:33,440 of people with diabetes 183 00:03:33,440 --> 00:03:35,519 of people with diabetes you