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重庆医疗器械独立软件产品风险点分析及监管对策

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目的 为重庆地区医疗器械独立软件的监管提供参考.方法 抽选重庆市近4年(2020年至2023年)已申报并至少完成1个软件(含软件组件)产品注册的66家医疗器械软件(包含独立软件和软件组件)生产企业作为研究对象,通过问卷调查、文献检索、实地走访、专题讨论等方式进行调研,分析医疗器械独立软件产品风险点,并提出监管对策.结果 截至2023年10月1月,重庆现有医疗器械软件生产企业19家,医疗器械独立软件产品23个,主要风险涵盖网络安全风险、企业自身风险、系统自身风险、医院方风险、后期监管风险5个方面.企业自身风险主要集中在机构和人员(15%)、文件管理(30%)、设计开发(25%)、生产管理(25%)4个部分,其他问题占5%.结论 监管机构应增强技术监管,做好风险宣传,完善法律体系,借鉴国外的经验;注册人应强体系,勤报告,重评价;医疗机构应强化不良事件的上报机制,自觉按要求使用医疗器械软件,主动接受相关部门的监督;加强社会共治,积极响应"全国医疗器械安全宣传周"活动,行业主管部门应加强科普宣传和行业自律引导.
Risk Points and Regulatory Countermeasures for Software as a Medical Device in Chongqing
Objective To provide a reference for the regulatory of the software as a medical device(SaMD)in Chongqing.Methods A total of 66 medical device software manufacturers(including SaMD and software components)in Chongqing that have applied for and completed at least one software(including software components)product registration in the past four years(from 2020 to 2023)were selected as research objects.The Questionnaire survey method,literature search method,field visit method and special discussion method were conducted to analyzed the risk points of SaMD,and regulatory countermeasures were put forward.Results As of October 2023,there were 19 SaMD manufacturers and 23 SaMD products in Chongqing,and their main risks cover five aspects:network security risks,enterprise risks,system risks,hospital risks,and post-regulatory risks.The main risks of enterprise were concentrated in four parts:institutions and personnel(15%),document management(30%),design and development(25%)and production management(25%),and the other risks accounted for 5%.Conclusion It is recommended that regulatory authorities should strengthen technical supervision,carry out risk publicity,improve the legal system,and learn from foreign experience;the registrant should strengthen the system,report and reevaluate;the medical institutions should strengthen the reporting mechanism of adverse events,consciously use software medical devices as required,and actively accept the supervision of relevant departments;Social co-governance should be strengthened to actively respond to the National Medical Device Safety Publicity Week,and the competent authorities should strengthen science popularization publicity and strengthen the self-discipline guidance of the industry.

Chongqingsoftware as a medical devicerisk pointsdrug regulatory

王延德、唐诗斯、吴国军、余元骏

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重庆市药品监督管理局检查一局,重庆 400020

重庆市药品监督管理局,重庆 401120

重庆市医疗器械技术审评查验中心,重庆 401120

重庆地区 医疗器械独立软件 风险点 药品监管

国家药品监督管理局中国药品监管科学行动计划重点项目

[中检办器械函[2022]41号]

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(19)