Risk management guidance for diagnostic medical devices

Authors

Keywords:

medical devices, diagnostic techniques and procedures, risk assessment and mitigation.

Abstract

Introduction: Manufacturers of medical devices do not always have the expertise to perform a risk management process that complies with ISO 14971:2019 and includes the necessary metrological requirements; therefore, for better use of these devices, especially diagnostic devices, a risk management process based on established regulations should be implemented and maintained.

Objective: To provide guidance for the management of indirect risks in patients with incorrect or delayed diagnoses.

Methods: Applicable international standards were reviewed and risk management dossiers for medical devices, including in-vitro diagnostic reagents, were analyzed.

Results: The guidance provides guiding elements for each step of the risk management process for diagnostic medical devices: risk management plan, risk analysis, risk assessment, risk evaluation and control, overall residual risk assessment, risk management review, and feedback from production or post-production information.

Conclusions: This guide is a useful tool for designers, manufacturers, evaluators of diagnostic medical devices, risk management and device quality assessors, and medical personnel.

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Author Biographies

Rosa Mayelin Guerra Bretaña, Universidad de La Habana

Investigadora y Profesora Titular, Centro de Biomateriales

Rita Catalina Sosa Vera, Centro de Gestión y Desarrollo de la Calidad

Investigadora Auxilia, Master en Gestión de la Calidad y Ambiental

References

1. International Organization for Standardization (ISO). ISO 14971:2019. Dispositivos médicos/productos sanitarios (MD)-Aplicación de la gestión del riesgo a los MD. Ginebra, Suiza: ISO; 2019.

2. Guerra RM. Normalización, calidad y gestión de riesgos en el campo de los dispositivos médicos. Metodologías y estudio de casos. La Habana, Cuba: Editorial UH; 2019 [acceso 15/04/2021]. Disponible en: https://www.libreriavirtualcuba.com/productos.php?producto=596&subserie=139

3. Oficina Nacional de Normalización. NC-ISO 13485:2018. Equipos médicos. Sistemas de gestión de la calidad. Requisitos para propósitos reguladores. La Habana, Cuba: Oficina Nacional de Normalización; 2018.

4. Guerra RM, Flórez AL. Impact of regulations on innovation in the field of medical devices. Res Biomed Eng. 2018;34(4):356-67. DOI: https://doi.org/10.1590/2446-4740.180054

5. Sosa R, Guerra RM. Adopta Cuba normas de impacto en programas priorizados. ¿Cómo reducir el riesgo de los dispositivos médicos? Actualización de las normas pertinentes. Rev Norm. 2020 [acceso 15/04/2021];(2):17-37. Disponible en: http://www.cgdc.cu/es/publicaciones/revista-normalizacion-no22020.

6. International Organization for Standardization (ISO). ISO/TR 24971:2020. Medical devices - guidance on the application of ISO 14971. Genève, Suiza: International Organization for Standardization (ISO); 2020.

7. International Organization for Standardization (ISO). ISO 22367:2020. Medical laboratorios - application of risk management to medical laboratories. Genève, Suiza: International Organization for Standardization (ISO); 2020.

8. Guerra RM, Sosa R. Guía para la gestión de los riesgos de los dispositivos médicos para el diagnóstico. En: Ponencia presentada en el Fórum de Ciencia y Técnica del Centro de Biomateriales. Universidad de La Habana; 2021.

9. International Organization for Standardization (ISO). ISO 18113-2:2009. In vitro diagnostic medical devices - Information supplied by the manufacturer (labelling) - Part 2: In vitro diagnostic reagents for professional use. Genève, Suiza: International Organization for Standardization (ISO); 2009.

Published

2023-01-27

How to Cite

1.
Guerra Bretaña RM, Sosa Vera RC. Risk management guidance for diagnostic medical devices. Rev Cubana Inv Bioméd [Internet]. 2023 Jan. 27 [cited 2025 Aug. 6];42(1). Available from: https://revibiomedica.sld.cu/index.php/ibi/article/view/1897

Issue

Section

ARTÍCULOS ORIGINALES