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The News & World Report investigates "how implantable medical devices gain approval from the Food and Drug Administration," according to the contest questionnaire. As the medical devices manufacturing business has grown over the years, so has the number of patients crippled or killed by the implantation of faulty pacemakers, defibrillators, heart valves, knee joints or spinal-fusion screws. The story finds that FDA allows for devices to be marketed before undergoing clinical tests, and is unable to monitor them once the devices are in use.