首页|2379例有源医疗器械不良事件报告的分析

2379例有源医疗器械不良事件报告的分析

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目的:加强医疗器械不良事件报告的风险信号挖掘和利用,提示不良事件高风险品种的临床主要使用风险及不良事件发生原因,提出风险防控措施,为监测和监管工作的进一步开展提供参考,更好地保障公众用械安全.方法:汇总2021~2023年厦门市医疗机构上报的2379例有源医疗器械不良事件报告,对报告中涉及的有源医疗器械产品进行归类,并对不良事件的表现形式及发生的原因进行剖析.结果:医疗器械不良事件报告数占比较高的有源医疗器械品种主要为输液泵、病人监护仪、注射泵、除颤监护仪和血液透析滤过装置,占总报告数的31.4%;5个品种不良事件发生的原因主要集中在设备未校准、非电器类配件故障、电器类配件故障,占不良事件总数的67%;不同有源医疗器械品种的风险特征具有较强的典型性.结论:针对有源医疗器械品种的风险特征,生产企业应加强设计开发阶段的验证,医疗机构在使用环节应加强产品的操作培训和维护保养,市级监测机构应加强风险信号研判及处置的力度,协同保障公众用械安全.
Analysis of 2379 Adverse Event Reports on Active Medical Devices
Objective:This study aims to strengthen the detection and utilization of risk signals from adverse event reports on medical devices,identify the primary clinical use risks and causes of adverse events for high-risk devices,propose risk prevention and control measures,and provide a reference for improved monitoring and regulatory efforts to ensure patient safety in device use.Methods:A total of 2379 adverse event reports on active medical devices submitted by medical institutions between 2021 and 2023 in Xiamen were summarized and analyzed.The involved products were categorized,and the manifestations and causes of adverse events were examined.Results:Active medical devices with a high proportion of adverse event reports includes infusion pumps,patient monitors,injection pumps,defibrillation monitors,and hemodialysis filtration devices,accounting for 31.4%of total reports.The primary causes of adverse events in these five categories are equipment misalignment,non-electrical component failures,and electrical component failures,collectively representing 67%of all adverse events.The risk characteristics of different types of active medical devices show clear patterns.Conclusion:Based on the risk characteristics of these active medical devices,manufacturers should strengthen verification processes during the design and development stages.Medical institutions should improve operational training and maintenance of products during use.Municipal monitoring agencies should strengthen the analysis and handling of risk signals.Collaborative efforts among all parties are essential to ensure the safe use of medical devices for the public.

medical devicesactiveadverse eventsmonitoring

唐剑、袁文杰、苏智阳

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厦门市产品技术审评与审核查验中心

医疗器械 有源 不良事件 监测

2024

中国食品药品监管
中国医药报社

中国食品药品监管

影响因子:0.099
ISSN:1673-5390
年,卷(期):2024.(11)