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基于真实世界数据的婴儿培养箱临床使用风险分析与建议

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目的 统计、分析婴儿培养箱不良事件的原因和风险,为婴儿培养箱上市后安全合规使用、安全监管以及生产企业进行产品全生命周期风险管理提供技术支持.方法 从国家医疗器械不良事件监测信息系统山东省数据库中,采集自2019年1月至2022年12月的婴儿培养箱上市后真实世界数据,借助Excel进行统计,通过归因分析探讨婴儿培养箱不良事件类型、可能导致的伤害、产生的原因及风险因素.结果 共采集729例婴儿培养箱不良事件报告,统计发现医疗机构是婴儿培养箱不良事件主要的上报来源,其中三级综合医院数量最多,为345例,占比47.3%.729例报告中未造成后果事件数量最多,共546例,占比74.9%.设备功能故障或损坏、设计缺陷、组件质量问题或使用维护不当是婴儿培养箱不良事件常见的原因.婴儿培养箱在临床使用过程中的潜在风险主要包括机械结构安全性风险、报警失效风险、噪声风险和电气安全风险.结论 减少婴儿培养箱临床使用不良事件的发生需要医疗机构、生产企业和监管部门共同应对,以确保婴儿培养箱的合规安全使用.
Risk Analysis and Recommendations for Clinical Use of Infant Incubators Based on Real-World Data
Objective To count and analyze the causes and risks of adverse events of infant incubators,and provide technical support for the safe and compliant use of infant incubators after listing,safety supervision and the risk management of product life cycle by manufacturers.Methods The real-world data of infant incubators after listing from January 2019 to December 2022 were collected from the Shandong provincial database of the National Adverse Event Monitoring Information System for Medical Devices,and the types of adverse events,possible injuries,causes and risk factors of infant incubators were discussed through attribution analysis by using Excel for statistics.Results A total of 729 cases of adverse events in infant incubators were collected,and the statistics found that medical institutions were the main sources of adverse events in infant incubators,among which the number of grade Ⅲgeneral hospitals was the largest,with a total of 345 cases,accounting for 47.3%.Among the 729 cases reported,the number of non-consequential events was the largest,with a total of 546 cases,accounting for 74.9%.Functional failure or damage to the equipment,design defects,component quality issues,or improper use and maintenance were common causes of adverse events in infant incubators.The potential risks of infant incubator in clinical use mainly included mechanical structure safety risk,alarm failure risk,noise risk and electrical safety risk.Conclusion To reduce the occurrence of adverse events in the clinical use of infant incubators,medical institutions,manufacturers and regulatory authorities should work together to ensure the compliance and safe use of infant incubators.

infant incubatorreal-word datamedical device adverse eventsrisk analysisrisk control

曲彦、牛惠芳

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青岛市妇女儿童医院 医学工程科,山东 青岛 266003

山东省药品不良反应监测中心,山东 济南 250014

婴儿培养箱 真实世界数据 医疗器械不良事件 风险分析 风险控制

国家"十四五"医疗器械不良事件重点监测工作项目

药监综械管[2021]99号

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(3)
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