device (medical device)

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Introduction

A medical device is defined as any instrument, apparatus, contrivance, implant or accessory that is used in diagnosis or treatment of disease or other medical conditions.

Notes

  • FDA will require most medical devices to carry a unique code that will allow easier identification & tracking of devices[1] in a system called unique device identification system (UDI)
    • UDI system consists of two core items
      • a unique number that identifies the device
      • publicly searchable database administered by the FDA, called the Global Unique Device Identification Database (GUDID) (No identifying patient information)
  • medical devices 1st approved in the European Union associated with more safety alerts & recalls than those 1st approved in the U.S.[5]

More specific terms

References

  1. 1.0 1.1 FDA News Release: Sept. 20, 2013 FDA finalizes new system to identify medical devices. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm
  2. FDA: Medical Devices http://www.fda.gov/MedicalDevices/
  3. FDA News Release. March 12, 2015 FDA releases final guidance on reprocessing of reusable medical devices. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm437804.htm
  4. CDC Health Advisory. Sept 11, 2015 Immediate Need for Healthcare Facilities to Review Procedures for Cleaning, Disinfecting, and Sterilizing Reusable Medical Devices. http://emergency.cdc.gov/han/han00382.asp
    Centers for Disease Control and Prevention (CDC) Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf
  5. 5.0 5.1 Hwang TJ, Sokolov E, Franklin JM, Kesselheim AS. Comparison of rates of safety issues and reporting of trial outcomes for medical devices approved in the European Union and United States: cohort study. BMJ 2016;353:i3323 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27352914 <Internet> http://www.bmj.com/content/353/bmj.i3323
  6. Shuren J FDA is working with hospitals to modernize data collection about medical devices. FDA Voice. Posted Oct24, 2016 http://blogs.fda.gov/fdavoice/index.php/2016/10/fda-is-working-with-hospitals-to-modernize-data-collection-about-medical-devices/
  7. Resnic FS, Matheny ME Perspectives: Medical Devices in the Real World. N Engl J Med 2018; 378:595-597 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29443668 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMp1712001