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Electronic medical devices: a primer for pathologists.

James B Weitzman1

  • 1Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. jamesb.weitzman@downstate.edu

Archives of Pathology & Laboratory Medicine
|June 26, 2003
PubMed
Summary

Pathologists need guidelines for examining electronic medical devices (EMDs) found in surgical specimens and at autopsy. Systematic examination and reporting of these increasingly sophisticated EMDs will enhance diagnostic certainty.

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Area of Science:

  • Pathology
  • Medical Device Technology
  • Forensic Pathology

Background:

  • Electronic medical devices (EMDs) with downloadable memories are integral to modern medicine.
  • These devices, including pacemakers and insulin pumps, are frequently encountered by pathologists.
  • No standardized guidelines exist for the pathological examination of EMDs.

Purpose of the Study:

  • To offer pathologists a comprehensive overview of EMDs.
  • To detail technical aspects, indications, contraindications, and complications of selected EMDs.
  • To propose examination and reporting guidelines for pathologists.

Main Methods:

  • Literature review of PubMed-indexed articles.
  • Consultation of medical and history of medicine textbooks.

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  • Analysis of FDA publications and manufacturer specifications.

    • Main Results:

    • Development of suggested examination and reporting guidelines for EMDs.
    • Guidelines cover devices received as surgical specimens and at autopsy.

    Conclusions:

    • The number and complexity of EMDs in pathology practice are rising.
    • Systematic examination, reporting, and memory download of EMDs are crucial.
    • Integrating EMD analysis into pathology training and practice will improve diagnostic capabilities.