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确保医疗器械安全:标准组织和监管机构的作用。

Ensuring Medical Device Safety: The Role of Standards Organizations and Regulatory Bodies.

作者信息

Daryanani Andres E, Maduekwe Ugwuji N, Baird Pat, Ehrenfeld Jesse M

机构信息

Advancing a Healthier Wisconsin Endowment, Medical College of Wisconsin, Milwaukee, WI, USA.

Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

J Med Syst. 2025 Jan 25;49(1):16. doi: 10.1007/s10916-025-02150-x.

Abstract

Medical devices significantly enhance healthcare by integrating advanced technology to improve patient outcomes. Ensuring their safety and reliability requires a delicate balance between innovation and rigorous oversight, managed through the collaborative efforts of standards development organizations, standards accrediting organizations, and regulatory agencies such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA). This article explores the historical evolution of medical device regulation, the role of standards organizations, and the impact of regulatory practices on device safety. Highlighting the critical need for stringent regulations, informed by instances where medical devices caused patient harm, we discuss the processes and collaborations between various international standards and regulatory frameworks that ensure device safety and effectiveness. This comprehensive review addresses the complexities of regulatory compliance and standardization, aiming to bridge the knowledge gap among healthcare providers and enhance the implementation of safety standards in medical technology.

摘要

医疗设备通过整合先进技术显著提升医疗保健水平,从而改善患者治疗效果。确保其安全性和可靠性需要在创新与严格监管之间达成微妙平衡,这要通过标准制定组织、标准认证组织以及诸如美国食品药品监督管理局(FDA)和欧洲药品管理局(EMA)等监管机构的协同努力来实现。本文探讨了医疗设备监管的历史演变、标准组织的作用以及监管实践对设备安全的影响。通过医疗设备造成患者伤害的实例凸显了严格监管的迫切需求,我们讨论了各种国际标准与监管框架之间确保设备安全和有效性的流程及合作。这一全面综述阐述了监管合规与标准化的复杂性,旨在弥合医疗保健提供者之间的知识差距,并加强医疗技术安全标准的实施。

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