Development of Medical devices Flashcards

1
Q

What’s the process of developing medical devices?

A

Idea
Market
Requirements
Development and testing
Business plan
–> final product

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2
Q

What are the three keys to understanding the needs?

A
  • Etiology – Anatomy, physiology, pathophysiology
  • Epidemiology – Prevalence and Incidence
  • Care pathway – Diagnostics, Treatment, Follow-up
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3
Q

What are the three keys to understanding the market?

A
  • Who are my customers?
  • What is the industry like?
  • Who is my competition?
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4
Q

Who is responsible for a medical product during its life cycle?

A

The manufacturer

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5
Q

What is MDR

A

Medical Device Regulation - Every medical device must follow it (comes from MDD, Medical Device Directive)

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6
Q

What does the CE mark indicate? What role does the manufacturer have?

A

According to the manufacturer’s assessment, the product complies with the EU’s standards for safety, health, and environmental protection

By affixing the CE marking, the manufacturer takes on legal manufacturer responsibility.

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7
Q

What is a notified body?

A

Companies/organizations designated to conduct third-party assessments of medical devices before they are placed on the market.

Higher risk classes: Notified body issues the certificate

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8
Q

True or false?
Certificate = CE-marked

A

False

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9
Q

What determines if a device is a medical device?

A

Intended use, for humans, for one or more of the following:
* diagnosis, prevention, monitoring, prediction, prognosis, treatment or alleviation of disease/injury/disability.
* investigation, replacement or modification of the anatomy or a physiological or pathological process or state.
* Provide information by means of in vitro examination of specimens derived from the human body, including organ, blood and tissue donations.
* Also products used to clean/sterilise of some medical products

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10
Q

What determines the classification of a medical device?

A

Duration of contact
Degree of invasiveness
Anatomy affected
Active/non-active

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11
Q

How long is transient/short/long term use in terms of medical device classification?

A

<60 min
6min to 30 days
>30 days

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12
Q

How is a combination of products classified?

A

Individually

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13
Q

How is driving or affecting software classified?

A

Same as product

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14
Q

What are the 6 steps of risk management

A

Analysis of risk
Evaluation of risk
Control of risk
Evaluation of residual risk
Report of risk management
Reports from production and post-production

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15
Q

What is EMC?

A

ElectroMagnetic compatibility, is the ability of devices and systems to operate in their electromagnetic environment without impairing their functions and without faults and vice versa

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16
Q

What is clinical evaluation?

A

A key document that is updated regularly
during product development and
throughout the product lifecycle until its
no longer on the market.

17
Q

What 4 conclusions must the clinical evaluation contain?

A
  • Safety
  • Performance
  • Side effects
  • Risk Benefit ratio
18
Q

What is EBM?

A

Evidence-based medicine. This means that products must be based on reliable evidence for their success.

19
Q

What are the 5 steps when developing EBM?

A
  1. Construct a well-built clinical question and classify it into one category - Therapy / Diagnosis / Etiology / Prognosis / Prevention / Cost
  2. Find the evidence in health care literature
  3. Critically appraise or formally evaluate for validity and usefulness
  4. Integrate the evidence with patient factors
  5. Evaluate the whole process
20
Q

What are surrogate endpoints?

A

physical measurement of a specific outcome which is considered to be a valid
predictor of the real outcome

21
Q

When can surrogate endpoints be used?

A

when the clinical outcomes might take a very long time to study, or in cases
where the clinical benefit of improving the surrogate endpoint is well-understood

22
Q

What is the p-value in terms of the evaluation of results?

A

the probability of obtaining a result
at least as extreme as the one that
was observed in the
experiment, given that the null
hypothesis is true