对医疗器械的监管,实施和市场后监督进行范围审查
Mathias Damkjær1,2, Mia Elkjær1,2, Asbjørn Hróbjartsson1,2
1Cochrane Denmark & Centre for Evidence-Based Medicine Odense, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
PloS one
|May 30, 2025
概括
医疗器械监管,实施和监管方面的研究有限,证据不足往往阻碍了医疗器械的采用. 需要更严格的监管要求和更好的注册表,以提高医疗器械的有效性和安全性.
科学领域:
- 医疗器械规则 医疗器械规则
- 卫生技术评估 卫生技术评估
- 监管科学 监管科学
背景情况:
- 与药物监管相比,医疗器械监管和市场后监管面临的批评是宽容.
- 对于影响在类似选项中选择特定医疗器械的因素的理解有限.
研究的目的:
- 系统地识别和描述有关医疗器械监管,实施和市场后监管的经验研究.
- 描述现有研究机构中反复出现的主题和趋势.
主要方法:
- 根据JBI和PRISMA-ScR指南进行预注册的范围审查.
- 在MEDLINE和Embase数据库中进行的搜索截至2024年2月8日.
- 包括美国食品和药物管理局 (FDA) 和欧盟 (EU) 批准的设备的初级实证研究,不包括二次研究.
主要成果:
- 包括139项研究,主要侧重于批准 (49%) 和市场后监测 (29%).
- 大多数研究使用了FDA数据 (65%),对欧盟监管批准的研究有限 (7%).
- 一个常见的发现是设备批准的临床证据不足,使实施决策复杂化.
结论:
- 医疗器械研究严重依赖FDA数据库,因为欧盟数据访问受限.
- 关于临床实践中医疗器械采用决策过程的研究有限.
- 建议加强监管要求和改进注册表,以加强对医疗器械有效性和危害的证据.
相关概念视频
Pharmacovigilance
1.0K
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
1.0K
Drug Regulation
1.9K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.9K
Drug Control Governance: Regulatory Bodies and Their Impact
258
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
258
Global Regulatory Systems
86
Global regulatory systems in bacteria enable rapid and coordinated responses to environmental changes by integrating sensory inputs with gene expression, ensuring efficient adaptation to fluctuating conditions. Key global regulatory mechanisms include regulons, two-component systems, sigma factors, and secondary messengers.Regulons and Global RegulatorsA regulon is a collection of genes and operons controlled by a common global regulator. These regulators enable bacteria to prioritize resource...
86
Clinical Trials
9.3K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
9.3K
Clinical Trials: Overview
3.4K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.4K


