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