Clinical evaluation of cardiovascular devices: principles, problems, and proposals for European regulatory reform: Report of a policy conference of the European Society of Cardiology

Autor: Fraser AG, Daubert JC, Van de Werf F, Estes NA 3rd, Smith SC Jr, Krucoff MW, Vardas PE, Komajda M, Anker S, Auricchio A, Bailey S, Bonhoeffer P, Borggrefe M, Brodin LA, Bruining N, Buser P, Butchart E, Calle Gordo J, Cleland J, Danchin N, Degertekin M, Demade I, Denjoy N, Derumeaux G, di Mario C, Dickstein K, Dudek D, Farb A, Flotats A, Gueret P, Israel C, James S, Kautzner J, Lombardi M, Marwick T, Mioulet M, O'Kelly S, Rosano G, Rosenhek R, Sabate M, Swahn E, Tavazzi L, van der Velde E, van Herwerden L, Voigt JU, Weaver D, Wilmshurst P., PERRONE FILARDI, PASQUALE
Přispěvatelé: Fraser, Ag, Daubert, Jc, Van de Werf, F, Estes NA, 3rd, Smith SC, Jr, Krucoff, Mw, Vardas, Pe, Komajda, M, Anker, S, Auricchio, A, Bailey, S, Bonhoeffer, P, Borggrefe, M, Brodin, La, Bruining, N, Buser, P, Butchart, E, Calle Gordo, J, Cleland, J, Danchin, N, Degertekin, M, Demade, I, Denjoy, N, Derumeaux, G, di Mario, C, Dickstein, K, Dudek, D, Farb, A, Flotats, A, Gueret, P, Israel, C, James, S, Kautzner, J, Lombardi, M, Marwick, T, Mioulet, M, O'Kelly, S, PERRONE FILARDI, Pasquale, Rosano, G, Rosenhek, R, Sabate, M, Swahn, E, Tavazzi, L, van der Velde, E, van Herwerden, L, Voigt, Ju, Weaver, D, Wilmshurst, P., Société Européenne de Cardiologie (ESC), Société Européenne de Cardiologie (ESC)-The European Heart House
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Legislation
Medical

Health Care Sector
MESH: Equipment Failure
Regulatory reform
030204 cardiovascular system & hematology
Premarket approval
0302 clinical medicine
Medicine
030212 general & internal medicine
Post-marketing surveillance
MESH: Equipment and Supplies
Equipment Design
MESH: Cardiology
3. Good health
Equipment and Supplies
MESH: Patient Safety
Medical devices
Engineering ethics
Professional association
Equipment Failure
[SDV.IB]Life Sciences [q-bio]/Bioengineering
Patient Safety
Cardiology and Cardiovascular Medicine
Clinical evaluation
Diagnostic Imaging
medicine.medical_specialty
Process (engineering)
Interprofessional Relations
Biomedical Technology
Cardiology
Postmarketing surveillance
Legislation
Context (language use)
MESH: Diffusion of Innovation
European device directives
03 medical and health sciences
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
MESH: Interprofessional Relations
MESH: United States
MESH: European Union
Humans
European Union
Psychiatry
Pace
MESH: Humans
business.industry
MESH: Diagnostic Imaging
MESH: Health Care Sector
MESH: Legislation
Medical

United States
Recast of legislation
Diffusion of Innovation
business
MESH: Biomedical Technology
MESH: Equipment Design
Zdroj: European Heart Journal
European Heart Journal, Oxford University Press (OUP): Policy B, 2011, 32 (13), pp.1673-86. ⟨10.1093/eurheartj/ehr171⟩
ISSN: 0195-668X
1522-9645
DOI: 10.1093/eurheartj/ehr171⟩
Popis: International audience; The European Commission announced in 2008 that a fundamental revision of the medical device directives is being considered in order to clarify and strengthen the current legal framework. The system for testing and approving devices in Europe was established >20 years ago as a 'New Approach' to a previously little-regulated industry. It is recognized by many that the regulatory system has not kept pace with technological advances and changing patterns of medical practice. New legislation will be drafted during 2011, but medical experts have been little involved in this important process. This context makes it an opportune time for a professional association to advise from both clinical and academic perspectives about changes which should be made to improve the safety and efficacy of devices used in clinical practice and to develop more appropriate systems for their clinical evaluation and post-marketing surveillance. This report summarizes how medical devices are regulated and it reviews some serious clinical problems that have occurred with cardiovascular devices. Finally, it presents the main recommendations from a Policy Conference on the Clinical Evaluation of Cardiovascular Devices that was held at the European Heart House in January 2011.
Databáze: OpenAIRE