一次性使用医疗器械复用的风险评价和质量控制技术

      Single-use Medical Devices Re-processing: Risk Assessment and Quality Control Technologies

      • 摘要: 一次性使用高值耗材类医疗器械在许多国家,如美国、德国及英国等是允许重复使用的,但是,必须满足严格的监管要求。除了监管政策法规,如市场准入方式、GMP的特殊规定外,在技术层面对复用存在的潜在风险控制和质量保障体系有严格的要求。因此,有效的风险评估和风险控制技术是保证复用器械安全有效、质量可控的关键。该文通过分析监管体系较完善的美国、德国及英国对复用医疗器械监管方面的技术要求,结合相关文献的最新报道,讨论了如何进行科学风险评估的措施;重点介绍了一些风险控制的技术,为进一步研究一次性使用高值医疗器械复用的风险控制措施和制定监管决策提供参考。

         

        Abstract: The reuse of high-cost single-use medical devices (SUD) is permitted in many countries, such as the United States, Germany and the United Kingdom, but strict regulatory requirements must be met. In addition to regulatory policies and regulations, such as market access mode and special requirements on Good Manufacture Practice (GMP), there are strict technical requirements on the potential risk control and quality assurance system. Therefore, effective risk assessment and risk control technology are the keys to ensure effective quality control and safe use of SUDs. In this article, based on analyzing the technological requirements of the national regulatory on SUDs in the United States, Germany and Britain, and combined with the review from latest relevant literature, to discuss the strategies of how to carry out scientific risk assessment. Some risk control technologies on the reuse of SUDs are introduced, which will provide support for the further study on risk control strategies and regulatory decisions for the reuse of SUDs in China.

         

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