The FDA said in a September 2005 report on implantable cardiac defribrillator (ICD) and pacemaker malfunctions that the annual number of ICDs implanted in the U.S. "increased from fewer than 10,000 implants in 1990 to close to 100,000 in 2002." However, the medical systems in other Western nations are apparently not quite as aggressive in making use of ICDs.