Regulation of medical devices: post market surveillance as risk management strategy

Introduction: Managing medical device risks is an activity that spans all phases of the life cycle of the product and is essential for the products available for use to behave effectively and safely. Objective: To discuss on the post-marketing surveillance model of medical device (technovigilance) i...

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Detalles Bibliográficos
Autores: Melchior, Stela Candioto, Waissmann, William
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Vigilância Sanitária em Debate
Idioma:portugués
inglés
OAI Identifier:oai:ojs.visaemdebate.incqs.fiocruz.br:article/1359
Acceso en línea:https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1359
Access Level:acceso abierto
Palabra clave:Technovigilance
Risk Management
Medical Devices
Health Surveillance
Tecnovigilância
Gerenciamento de Risco
Dispositivos Médicos
Vigilância Sanitária
Descripción
Sumario:Introduction: Managing medical device risks is an activity that spans all phases of the life cycle of the product and is essential for the products available for use to behave effectively and safely. Objective: To discuss on the post-marketing surveillance model of medical device (technovigilance) in Brazil, present international experiences and reflect on their insertion in risk management. Method: Narrative review, based on regulations published on institutional sites and on texts published from 2000 on the Portal Capes, Virtual Health Library, SciELO and on the bases Bireme, ScienceDirect and Pubmed, in which technovigilance is presented as the action of State and as part of risk management in health services. Results: Different countries adopt the registration and inspection of good manufacturing practices as a way to regulate devices, which does not exhaust the risk assessment. Notification of medical devices related problems is one of the post-market surveillance strategies, in addition to cross-country information exchange, technology assessment studies, active surveillance in health services, and aggregating actual behavioral data during use. Conclusions: The technological advancement and incremental changes of DM challenge the State to review risk assessment criteria based on pre-market data, aggregating post-market related data, enabling risk identification and event chain intervention.