Powerful trends are converging to make medical devices smaller, more efficient and in greater demand. The population is aging, insurers and providers are looking to reduce the cost of care, and more health care is being delivered at home. As a result, manufacturers are miniaturizing medical devices to make them portable and even wearable. In turn, manufacturers are requiring custom molded rubber parts that will perform reliably in the smallest devices. As a result, the engineering of a tiny molded rubber part is becoming more complex and calls for specialized capabilities from rubber molders.