Verlab Research Institute for Biomedical Engineering, Medical Devices and Artificial Intelligence, Sarajevo, Bosnia and Herzegovina.
Medical Device Inspection Laboratory, Verlab Ltd., Sarajevo, Bosnia and Herzegovina.
Technol Health Care. 2023;31(1):389-399. doi: 10.3233/THC-229014.
Premature born infants or infants born sick require immediate medical attention and decreasing the stress imposed onto their body by the environment. Infant incubators provide an enclosed environment that can be controlled to fit the needs of the infant. As such, their performance must be consistent and without significant deviations. The only manner to ensure this is by post-market surveillance (PMS) focused on evaluation of both safety and performance. The new Medical Device Regulation (MDR) defines medical device post-market surveillance (PMS) as performed by independent, third-party, notified bodies more strategically in hope to improve traceability of device performance. However, there is still an apparent gap in terms of standardised conformity assessment testing methods.
This paper proposes a novel method for conformity assessment testing of infant incubators for post-market surveillance purposes.
The method was developed based on guidelines for devices providing measurements laid out by the International Organisation of Legal Metrology (OIML). The methodology was validated during a four year period in healthcare institutions of all levels.
The developed method was validated between 2018 and 2021 in healthcare institutions of all levels. The results obtained during validation suggest that conformity assessment testing of infant incubators as a method used during PMS contributes to significant improvement in devices' accuracy and reliability.
A standardized approach in conformity assessment testing of infant incubators during PMS, besides increasing reliability of the devices, is the first step in digital transformation of management of these devices in healthcare institutions opening possibility for use of artificial intelligence.
早产儿或患病婴儿需要立即得到医疗关注,并减轻环境对其身体造成的压力。婴儿培养箱提供了一个封闭的环境,可以进行控制以满足婴儿的需求。因此,其性能必须保持一致,且不能有重大偏差。确保这一点的唯一方法是通过以评估安全性和性能为重点的上市后监管(PMS)。新的《医疗器械法规》(MDR)将医疗器械上市后监管(PMS)定义为由独立的第三方通知机构更具战略性地进行,希望提高设备性能的可追溯性。然而,在标准化合格评定测试方法方面仍存在明显差距。
本文提出了一种用于婴儿培养箱上市后监管目的的合格评定测试新方法。
该方法是基于国际法制计量组织(OIML)制定的用于测量设备的指南开发的。该方法在四年内于各级医疗机构进行了验证。
该方法于 2018 年至 2021 年在各级医疗机构进行了验证。验证过程中获得的结果表明,作为 PMS 期间使用的方法,对婴儿培养箱进行合格评定测试有助于显著提高设备的准确性和可靠性。
在 PMS 期间对婴儿培养箱进行标准化的合格评定测试,除了提高设备的可靠性外,还是这些设备在医疗机构管理中数字化转型的第一步,为人工智能的使用开辟了可能性。