The following list highlights some of the top breakthroughs in medical technology globally in the year 2021:

1. COVID-19 Vaccines: The rapid development and distribution of highly effective vaccines against the SARS-CoV-2 virus, such as Pfizer-BioNTech, Moderna, and AstraZeneca.

2. mRNA Technology: The mRNA technology used in COVID-19 vaccines has showcased its potential to revolutionize treatments for various diseases, including cancer, infectious diseases, and rare genetic disorders.

3. CRISPR-based Gene Editing: Continued advancements in CRISPR technology, enabling precise gene editing techniques, which hold promise for treating genetic diseases.

4. Artificial Intelligence in Healthcare: AI is transforming healthcare, aiding in diagnosis, drug discovery, patient monitoring, and predicting disease outcomes.

5. Telemedicine and Remote Patient Monitoring: The widespread adoption and advancements in telemedicine and remote patient monitoring technology due to the COVID-19 pandemic, enabling access to healthcare from a distance.

6. Organ-on-a-Chip Technology: The development of miniature organs-on-a-chip, which mimic human organ functions, helps researchers study diseases and test potential drugs without human or animal testing.

7. Robotics-Assisted Surgery: The utilization of robotic systems in surgeries, such as the da Vinci Surgical System, has improved surgical precision, minimized invasiveness, and reduced patient recovery times.

8. Wearable Health Tech: The proliferation of wearable devices, such as smartwatches and fitness trackers, offering health monitoring features that aid in early detection and prevention of diseases.

9. Bioprinting: The advancement in 3D bioprinting, allowing the fabrication of complex living tissues that could be used for organ transplants and drug testing.

10. Digital Therapeutics: The emergence of evidence-based digital therapeutics that utilize software to treat or manage various diseases, offering potentially effective and scalable treatments.

Please note that this list is not exhaustive, and there may be other notable breakthroughs in medical technology from different regions or specialties.