Abstract
Postmarketing surveillance (PMS) is a critical process for ensuring the safety and efficacy of medical devices once they have been approved for use. The purpose of PMS is to monitor the performance of medical devices in real-world environments and identify any adverse events or safety issues that may occur. This paper provides an overview of the PMS process for medical devices, highlighting key challenges and opportunities for improvement. It also discusses regulatory requirements for PMS, including the need for robust reporting systems and the importance of timely and accurate data collection. The role of stakeholders, such as healthcare professionals and patients, in reporting adverse events and providing feedback on device performance is also described. Overall, this paper highlights the critical importance of PMS in ensuring the safety and efficacy of medical devices and emphasizes the need for continuous evaluation and improvement of PMS programs to meet the evolving needs of patients and healthcare systems.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Badnjević A, Pokvić LG, Džemić Z et al (2020) Risks of emergency use authorizations for medical products during outbreak situations: a COVID-19 case study. BioMed Eng OnLine 19:75
Global Harmonization Task Force (2008) Summary technical documentation for demonstrating conformity to the essential principles of safety and performance of medical devices (STED). https://www.imdrf.org/sites/default/files/docs/ghtf/archived/SG1/technical-docs/ghtf-sg1-n011-2008-principles-safety-performance-medical-devices-080221.doc
BSI Group Americas (2021) Effective post-market surveillance White Paper. https://www.bsigroup.com/en-US/medical-devices/resources/Whitepapers-and-articles/wp18---effective-post-market-surveillance/
Castor Inc (2021) Essential guide to post-market clinical follow-up (PMCF) for medical devices. https://www.castoredc.com/whitepaper/pmcf-medical-devices-guide/
Badnjević A, Cifrek M, Magjarević R, Džemić Z (eds) (2018) Inspection of medical devices. In: Series in biomedical engineering. Springer, Singapore
UK Government (2020) Guidance: medical devices: conformity assessment and the UKCA mark. https://www.gov.uk/guidance/medical-devices-conformity-assessment-and-the-ukca-mark
Badnjević A, Pokvić LG, Hasičić M, Bandić L, Mašetić Z, Kovačević Ž, Kevrić J, Pecchia L (2019) Evidence-based clinical engineering: Machine learning algorithms for prediction of defibrillator performance. Biomed Sig Process Control 54:101629
Kovačević Ž, Gurbeta Pokvić L, Spahić L, Badnjević A (2019) Prediction of medical device performance using machine learning techniques: infant incubator case study. Health Technol
Badnjević A, Avdihodžić H, Gurbeta Pokvić L (2021) Artificial intelligence in medical devices: past, present and future. Psychiatria Danubina 33(suppl 3):101–106
Badnjevic A, Gurbeta L, Boskovic D, Dzemic Z (2015) Measurement in medicine—past, present, future. Folia Medica Facultatis Medicinae Universitatis Saraeviensis J 50(1):43–46
Gurbeta L, Badnjevic A (2017) Inspection process of medical devices in healthcare institutions: software solution. Health Technol 7(1):109–117
Badnjevic A, Gurbeta L, Jimenez ER, Iadanza E (2017) Testing of mechanical ventilators and infant incubators in healthcare institutions. Technol Health Care 25(2):237–250
Gurbeta L, Dzemic Z, Bego T, Sejdic E, Badnjevic A (2017) Testing of anesthesia machines and defibrillators in healthcare institutions. J Med Syst 41:133
USA Food and Drug Administration (FDA) (2020) Postmarketing surveillance programs. https://www.fda.gov/drugs/surveillance/postmarketing-surveillance-programs
EU MDR (2017) Post market surveillance system. https://eumdr.com/post-market-surveillance-system/
Oriel Stat A Matrix (2018) Figure 1, What is a medical device quality management system (QMS)? https://www.orielstat.com/blog/medical-device-qms-overview/
Robert Wood Johnson Foundation (2010) Figure 2, Chronic conditions: making the case for ongoing care. https://folio.iupui.edu/handle/10244/807
Expert Institute, Medical Device Injuries: FDA Data Reveals Increasing Risk (2020) Adverse events, Figure 3. https://www.expertinstitute.com/resources/insights/medical-device-injuries-fda-data-reveals-increasing-risk/
Relias Media (2010) Example, FDA orders Baxter to recall infusion pumps. https://www.reliasmedia.com/articles/19335-fda-orders-baxter-to-recall-infusion-pumps
McKinsey & Company (2013) The business case for medical device quality. https://www.mckinsey.com/
USA FDA (2010) Infusion pumps total product life cycle. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/infusion-pumps-total-product-life-cycle
Pew Charitable Trusts (2014) Medical device registries: recommendations for advancing safety and public health. https://www.pewtrusts.org/en/research-and-analysis/reports/2014/09/medical-device-registries
FDA Safety and Innovation Act (FDASIA) (2014) https://www.fda.gov/regulatory-information/selected-amendments-fdc-act/food-and-drug-administration-safety-and-innovation-act-fdasia
Today’s Medical Developments (2014) Medical device integration with EHRs: the landscape and outlook for the future. https://www.todaysmedicaldevelopments.com/article/tmd0614-medical-device-integration-ehr/
American College of Clinical Engineering (ACCE) Publications, Stephen Grimes, Health Technology Challenges 2020. https://accenet.org/publications/Pages/ReferenceMaterials.aspx
AAMI News (2022) Getting post-market surveillance done right: a conversation with Mark Swanson. https://array.aami.org/content/news/getting-post-market-surveillance-done-right-conversation-mark-swanson
FDA Guidance Document (2022) Voluntary malfunction summary reporting (VMSR) program for manufacturers. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/voluntary-malfunction-summary-reporting-vmsr-program-manufacturers#:~:text=FDA's%20VMSR%20Program%20is%20intended,reducing%20the%20burden%20on%20manufacturers.
Badnjevic et al (2022) Post-market surveillance of medical devices: a review. Technol Health Care. https://content.iospress.com/articles/technology-and-health-care/thc220284
Badnjevic et al (2023) Evidence-based maintenance of medical devices: current shortage and pathway towards solution. Technol Health Care. https://content.iospress.com/articles/technology-and-health-care/thc229005
Badnjevic et al (2023) A novel method for conformity assessment testing of mechanical ventilators for post-market surveillance purposes. Technol Health Care. https://content.iospress.com/articles/technology-and-health-care/thc229012; ECGs https://content.iospress.com/articles/technology-and-health-care/thc229006; Dialysis machines https://content.iospress.com/articles/technology-and-health-care/thc229011
Kaiser Permanente Clinical Engineer Thomas Judd, 2014, presented at MedTech world: early integration of quality systems (QS) and QS enhancement for high-performance products, found in Clinical engineering handbook, 2020, Chapter 46—QMS, https://www.sciencedirect.com/science/article/pii/B978012813467200047X
Global Clinical Engineering Alliance-GCEA. https://www.globalcea.org/home
International Federation of Medical and Biological Engineering Clinical Engineering Division-IFMBE CED. https://ced.ifmbe.org/
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Judd, T. (2024). Post-market Surveillance (PMS) of Medical Devices: From a Clinical Engineering Perspective. In: Badnjević, A., Cifrek, M., Magjarević, R., Džemić, Z. (eds) Inspection of Medical Devices . Series in Biomedical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-031-43444-0_5
Download citation
DOI: https://doi.org/10.1007/978-3-031-43444-0_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-43443-3
Online ISBN: 978-3-031-43444-0
eBook Packages: Physics and AstronomyPhysics and Astronomy (R0)