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Evaluation of Adverse Events Recorded in FDA/USA and ANVISA/Brazil Databases for the Medical Equipment: Pulmonary Ventilators, Defibrillators, Infusion Pumps, Physiological Monitors and Ultrasonic Scalpels

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XXVII Brazilian Congress on Biomedical Engineering (CBEB 2020)

Abstract

Medical equipment is used in the diagnostic, monitoring and therapy, offering numerous benefits to the patients. However, these devices’ technical factors and the human aspects can produce adverse events, which may cause severe consequences for the patients. Therefore, it is crucial to provide means to mitigate these situations by improving safety in equipment use. Thereby, our objectives are to present to the scientific community the main alerts, dangers and failures related to medical equipment use and ways to attenuate them. For that purpose, we performed an analysis of adverse events reported for some medical equipment in the Food Drugs Administration (FDA/USA) and the Brazilian Health Surveillance Agency (ANVISA) databases, since 2016. Finally, we classified the events into different categories, according to similarity. The results show a total of 3100 cases registered in the FDA for the equipment at the study and 75 cases in ANVISA for two of this equipment. Based on the list of the top ten health hazards (2016–2020) provided by the Emergency Care Research Institute (ECRI) we were able to understand which equipment most offer hazards and the main ways to mitigate them. Overall, we found that the risks are common to medical devices, so the best way to deal with adverse events is prevention, through good maintenance and medical staff training for dealing with them.

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References

  1. ANVISA. RDC number 02 (2010) Gerenciamento de tecnologias em saúde em estabelecimentos de saúde

    Google Scholar 

  2. Gao X et al (2019) A hazard analysis of class I recalls of infusion pumps. JMIR Hum Fctors. https://doi.org/10.2196/10366

  3. Data Mining at the Center for Devices and Radiological Health at https://www.fda.gov/science-research/data-mining/data-mining-center-devices-and-radiological-health

  4. Medical Device Reporting (MDR): How to Report Medical Device Problems at https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems

  5. OpenFDA at https://www.fda.gov/science-research/health-informatics-fda/openfda

  6. Pham JC et al (2016) Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. Respir Care. https://doi.org/10.4187/respcare.04151

  7. Infusion Pumps at https://www.fda.gov/medical-devices/general-hospital-devices-and-supplies/infusion-pumps

  8. Automated External Defibrillators at https://www.fda.gov/medicaldevices/cardiovasculardevices/automated-external-defibrillators-aeds

  9. Golpaygani AT, Movahedi MM, Reza M (2017) A study on performance and safety tests of defibrillator equipment. J Biomed Phy Eng

    Google Scholar 

  10. Bonafide CP et al (2017) Video analysis of factors associated with response time to physiologic monitor alarms in a children’s hospital. JAMA Pediatr. https://doi.org/10.1001/jamapediatrics.2016.5123

  11. Crispi CP et al (2018) Hemostasis with the ultrasonic scalpel. JSLS. https://doi.org/10.4293/JSLS.2018.00042

  12. Schabacker M (2018) Awareness alone won’t improve medical device safety. ECRI at https://www.ecri.org/press/improve-medical-device-safety

  13. ECRI Institute Top Ten Technology Hazards for 2018. Health Devices 2017 November

    Google Scholar 

  14. ECRI Institute Top Ten Technology Hazards for 2016. Health Devices 2015 November

    Google Scholar 

  15. ECRI Institute Top Ten Technology Hazards for 2017. Health Devices 2016 November

    Google Scholar 

  16. ECRI Institute Top Ten Technology Hazards for 2019. Health Devices 2018 November

    Google Scholar 

  17. ECRI Institute Top Ten Technology Hazards for 2020. Health Devices 2019 November

    Google Scholar 

  18. Evans RS et al (2005) Enhanced notification of critical ventilator events. J Am Med Inf Assoc. https://doi.org/10.1197/jamia.M1863

  19. Ruppel H, Funk M, Whittemore R (2018) Measurement of physiological monitor alarm accuracy and clinical relevance in intensive care units. Am J Crit. Care. https://doi.org/10.4037/ajcc2018385.

  20. Peng M et al (2013) The ultrasonic harmonic scalpel for circumcision: experimental evaluation using dogs. Asian J Androl. https://doi.org/10.1038/aja.2012.67

  21. Ferri E et al (2013) Harmonic scalpel versus conventional haemostasis in neck dissection: a prospective randomized study. Int J Surg Oncol. https://doi.org/10.1155/2013/369345

  22. Otani M, Machado WV (2008) A proposta de desenvolvimento de gestão da manutenção industrial na busca da excelência ou classe mundial. Revista Gestão Industrial

    Google Scholar 

  23. ABNT, NBR 5462 (1994) Confiabilidade e Mantenabilidade

    Google Scholar 

  24. ABNT, NBR 15943 (2011) Diretrizes para um programa de gerenciamento de equipamentos de infraestrutura de serviços de saúde e de equipamentos para a saúde.

    Google Scholar 

  25. ISO17025 (2017) Requisitos gerais para a competência de laboratórios de ensaio e calibração

    Google Scholar 

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Acknowledgements

The authors thank CAPES and CNPq for their scholarships and UFES for technical and scientific support.

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The authors declare that they have no conflict of interest.

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de Souza, J.C. et al. (2022). Evaluation of Adverse Events Recorded in FDA/USA and ANVISA/Brazil Databases for the Medical Equipment: Pulmonary Ventilators, Defibrillators, Infusion Pumps, Physiological Monitors and Ultrasonic Scalpels. In: Bastos-Filho, T.F., de Oliveira Caldeira, E.M., Frizera-Neto, A. (eds) XXVII Brazilian Congress on Biomedical Engineering. CBEB 2020. IFMBE Proceedings, vol 83. Springer, Cham. https://doi.org/10.1007/978-3-030-70601-2_314

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  • DOI: https://doi.org/10.1007/978-3-030-70601-2_314

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-70600-5

  • Online ISBN: 978-3-030-70601-2

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