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确保上市医疗器械的安全性:器械和放射健康中心(CDRH)医疗器械上市后安全性监测计划(二) 被引量:1

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摘要 确保上市后医疗器械的安全性是各国监督管理部门应履行的职责。医疗器械在设计、功能方面的复杂性及风险特征决定了其监管方法的特异性。美国食品药品监督管理局下属的器械和放射健康中心(CDRH)负责医疗器械的上市前审批和上市后监管。相应地,CDRH通过上市前审批计划和上市后监测计划,使得医疗器械从设计、上市使用,到更新换代,组成了一个维护公众健康安全的统一体。本文为CDRH医疗器械上市后安全性监测计划的全部译文,包括CDRH上市后安全性监测框架及所包含的内容,以及用来监测和评估与使用医疗器械有关的不良事件和风险的方法,并提出持续性改进措施。希望能为加强我国医疗器械监管,建立规范化、系统化的监管模式提供借鉴。
出处 《中国药物警戒》 2008年第2期77-79,共3页 Chinese Journal of Pharmacovigilance
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  • 1[14]A quality system is composed of subsystems.QSIT assesses the following four subsystems:1.Management Controls,2.Design Controls,3.Production and Process Controls,and 4.Corrective and Preventive Actions(CAPA).
  • 2[15]A"correction"covcrs a number of activities,including the repair,modification,adjustment,relabeling,destruction,inspection,or patient monitoring of a device,even without physical removal from its point of use.A"removal"also covers a number of activities,including the physical removal of a device from its oint of nsc to some other location for repair,modification,adjustment,relabeling,desmlction or inspection.
  • 3[16]The annual report must contain the following information required under 21 CFR 814.84:a.a list and description of changes to the device or manufacawing processes that affect the safety and effectiveness of the device(21 CFR 814.39(a));b.a list and description of changes to the device that do not affect the device's safety and effectiveness(21 CFR 814.39(b));c.copies of unpublished reports of data from any clinical investigations or non clinical laboratory studies involving the device or related devices and known to or that reasonably should beknown to the applicant;andd.copies of reports in the scientific literature concerning the deviceand known to or that reasonably should be known to the applicant.

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