• Title/Summary/Keyword: Medical Device Management

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The Development of Assistant Device for the Standing X-ray Views and Its Usability for the Patient Safety (환자의 안전을 위한 입식 X선 촬영 보조기구 개발 및 유용성 평가)

  • Gil, Jong Won;Kim, Yong Gwon
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.223-229
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    • 2015
  • In this study, We designed and implemented a assistant device for the standing X-ray views which is the one of the clinical X-ray imaging position. To evaluate the usability of the proposed assistant device, We choose 11 clinical patient postures that are used frequently and applied the postures to 5 volunteers. 11 images was taken from a volunteer for the patient postures. And we conducted a survey on safety and clinical usefulness, the 5 volunteers responded to the safety and 5 experts responded to the clinical usefulness. The survey results show that the volunteers feel more safe and the obtained images are very clear and clinically useful. The result for the image quality is 4.69 of 5(best) and safety is 2.84 of 3(best). It will be very profitable to both patients and hospitals by using the proposed assistant device.

DB set-up of the Year 2000 date problem for medical device (의료기기 Year2000 문제해결을 위한 데이터베이스 구축방안)

  • Kim, S.H.;Juh, R.H.;Lee, S.D.;Shin, T.S.;Kim, J.S.;Kim, S.H.;Huh, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.104-105
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    • 1998
  • To minimize the Y2K (year 2000) date aware problem of medical devices, we are developing a database that keeps the data such as equipment type, specification, serial number, model number, acquisition date, vendor, manufacturer of the device as well as the names of departments that installed and that is currently responsible for the management of the medical device. The database also keeps the information as to whether the device awares the date, whether it is affected by the Y2K problem or not, how to solve the problem, reference home page address, and so on. The data was collected via internet search of the FDA web site and related of manufacturers homepages. To manage the Y2K problem effectively, the database should be updated regularly to include recent information.

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Development of Operational Technology and Integrated Measurement Information Management System for the Radioactivity Measurement Device (방사능 측정장치 운영 기술 및 측정정보 통합관리 시스템 개발)

  • Dong-Sik Jin;Kyeong-Ryeong Kim;Jae-Geun Lee
    • Journal of radiological science and technology
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    • v.47 no.3
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    • pp.183-195
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    • 2024
  • Additional functional upgrades to the large-area compton camera (LACC) measurement device that can provide characteristics evaluation information (nuclear species and radioactivity) and two-dimensional or three-dimensional distribution imaging information of radioactive materials existing in surface or internal of concrete structures are required in terms of work stability and efficiency in order to apply to actual decommissioning sites such as nuclear power plants or medical cyclotron facilities by using this measurement device. To this purpose, the technology that allows radiation workers to intuitively and visually check the distribution of radioactive materials in advance by matching the two-dimensional distribution imaging information of radioactive materials obtained through the LACC measurement device and visual imaging of the measurement zone (10 m × 5 m) was developed. In addition, the separate system that can automatically adjust the position (height) in units of the measurement area size (0.7 m × 0.3 m × 0.8 m) of the LACC measurement device was developed and the integrated management system for characteristics evaluation information and two-dimensional or three-dimensional distribution imaging information obtained per unit of measurement for radioactive materials was developed. These functional upgrades related to LACC measurement device can improve work efficiency and safety when measuring radioactivity of concrete structures and enable the establishment of appropriate decommissioning strategies using radioactivity measurement information for decommissioning nuclear power plants or medical cyclotron facilities.

Application of Risk Management for Dental Implants Based on ISO 14971 (치과용 임플란트에 대한 ISO 14971 기반의 리스크관리)

  • Yoon, Ji-Hoon;Kim, Young-Jin;Jeon, Gye-Rok;Jeong, Chang-Mo
    • Journal of the Korean Society of Safety
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    • v.27 no.2
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    • pp.92-97
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    • 2012
  • Risk management is the process that helps to identify hazards, analyze them, and then to create an action plan to avoid and mitigate these hazards. The main objective of risk management in product development and manufacturing is to provide safe and efficient products without spending too many resources. Medical device manufacturers also face enormous risks - regulatory, legal, and financial - based on their products and processes, and the concepts of risk management are particularly important because any single failure may result in serious damages to body or loss of life. In this regard, a set of guidelines for the application of risk management to medical devices has been issued by ISO and specified in the document ISO 14971 Medical devices - Application of risk management to medical devices. The main objective of this study is to investigate the application of risk management to dental implant development and manufacturing processes based on ISO 14971. A general risk management process is first introduced, and the application of ISO 14971 to dental implants is further investigated.

ENGINEERING A BIOARTIFICIAL LIVER DEVICE

  • Park, Jae-Sung;Yarmush, Martin L.;Tilles, Arno W.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1419-1426
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    • 2008
  • Fulminant hepatic failure is a clinical syndrome associated with a high mortality rate. Orthotopic liver transplantation is the only clinically proven effective treatment for patients with end-stage liver disease who do not respond to medical management. A major limitation of this treatment modality is the scarcity of donor organs available, resulting in patients dying while waiting for a donor liver. An extracorporeal bioartificial liver (BAL) device containing viable hepatocytes has the potential to provide temporary hepatic support to liver failure patients, serving as a bridge to transplantation while awaiting a suitable donor. In some patients, providing temporary hepatic support may be sufficient to allow adequate regeneration of the host liver, thereby eliminating the need for a liver transplant. Although the BAL device is a promising technology for the treatment of liver failure, there are several technical challenges that must be overcome in order to develop systems with sufficient processing capacity and of manageable size. In this overview, the authors describe the critical issues involved in developing a BAL device. They also discuss their experiences in hepatocyte culture optimization within the context of a microchannel flat-plate BAL device.

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Side Effects of Orthopedic Products in Veterinary Medicine in South Korea

  • Yun, Taesik;Jung, Soo Yeon;Kang, Kyongmook;Yun, Seon-Jong;Koo, Yoonhoi;Park, Jooyoung;Kim, Ill-Hwa;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.39 no.1
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    • pp.9-15
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    • 2022
  • As more veterinary clinics become specialized with the growth of the companion animal market, an increasing number of veterinary clinics perform orthopedic surgery and use orthopedic products, some of which are defective and have side effects. Thus, the present study aimed to prepare fundamental data for the revision and development of manufacturing standards for these products in order to prevent their side effects. We conducted a survey targeting veterinary clinics as consumers and medical device companies as suppliers. Veterinary clinics were surveyed via offline and online methods; 320 clinics that offered orthopedic surgery and approximately 4,000 veterinary clinics that were registered in the Korean Veterinary Medical Association were targeted, and 153 veterinary clinics responded to the survey. The survey for medical device companies, was performed online, targeting 29 companies; 14 companies responded. The number of side effects of orthopedic products was higher in animal orthopedic products than in those for human use. Many consumers tended to suspect that side effects were caused by product defects. To resolve side effects after using orthopedic products, consumers mostly underwent reoperation. Meanwhile, some severe cases proceeded to legal disputes. Similarly, medical device companies, or the suppliers, responded that most side effects occurred in veterinary orthopedic products and that product defects and mistakes in use were the causes. As for most of the follow-up actions for side effects, these companies either reported the issue to those in charge or analyzed and resolved the issues themselves. Therefore, to develop quality products, suppliers should be provided with clear standards for the production, and information disclosure and a report system for side effects should be particularly established to gain consumers' trust regarding the safety of these products.

ISO14971:2019 detailed analysis and Post Market Surveillance Application Method - Focusing on IVDR requirements (ISO14971:2019 세부분석과 Post Market Surveillance의 적용 방안 - IVDR 요구사항 중심으로)

  • Knag, Il Kyu
    • Journal of Biomedical Engineering Research
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    • v.43 no.4
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    • pp.199-213
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    • 2022
  • EN ISO 14971:2012 a risk management standard approved and applied as a European standard in 2012, will be adopted and applied as ISO 14971:2019 published in December 2019, ISO/TR 24971(Guidance) published in June 2020 from May 2022. After that, it is applied to IVDD surveillance and IVDR new and conversion, and the manufacturer is already preparing for application or is starting preparation for application. In addition, 98/78/EEC IVDD applied from 1998 will also be applied as REGULATION (EU) 2017/746 IVDR from May 2022. In particular, in IVDR, the requirements for post-marketing investigations such as Post Market Surveillance (PMS), Summary of safety and performance(SSP), Periodic Safety Update Report(PSUR) and Post Market Performance Follow Up(PMPF), which were not required in the existing IVDD, increased, and the contents were also specified. This study focused on ISO14971:2019 among these strengthened and newly applied regulations, and tried to present a detailed analysis and application plan of Post Market Surveillance (PMS) required by 2017/746 IVDR.

A Study on the Effects of the R&D Activities and Patent on the Corporate Performance of Medical Device Firms in Korea (국내 의료기기 제조기업의 연구개발활동과 특허가 기업 경영성과에 미치는 영향에 관한 연구)

  • Kim, Dosung;Lee, Jungsoo;Cho, Sung Han;Kim, Min Seok;Kim, Nam-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.157-165
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    • 2018
  • Companies conduct R&D for continuous development and enhancement of corporate value, and obtain patents as an intangible asset resulting from this process. This study screened 103 medical device firms whose R&D information, patent information, and management performance information were all published to determine how R&D activities and patents affect corporate operational performance. The number of patents, R&D costs, company type and Inno-Biz of the company were set as independent variables, and the companies' sales, intangible assets, operating profit ratios, net profit margins, corporate ratings and profit-related financial ratios were used as dependent variables. The results confirmed that R&D expenditure had negative (-) effects on most indicators, including sales volume, operating profit ratio, and net profit ratio, while it had positive (+) [ED highlight - these are unnecessary if negative and positive are also written out.] effects only on intangible assets. Additionally, domestic patents were found to have negative (-) effects on sales, cash flow ratings, and dropped capital return, and positive (+) effects on net profit growth. Moreover, the business performance variables affected by the company characteristics were sales volume and cash flow ratings. The medical device industry is dominated by small and medium-sized businesses Although research and development activities and patents have been shown to have a negative impact on corporate management in the short term, they are expected to have a positive long-term impact when reflecting the characteristics of the medical device industry that must undergo clinical trials and authorization procedures after R&D.

A Systematic Review on the Clinical Efficacy of Digital Therapeutics for Sleep Disorders: Subgroup Analysis by Control Groups (수면 장애가 있는 환자에게 적용한 디지털 치료기기의 임상적 유효성에 대한 체계적 문헌고찰: 대조군분류에 따른 하위 분석)

  • Hyosun Jeon;Eunjee Kang;Soojung Yoo
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.4
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    • pp.221-241
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    • 2023
  • Background: The purpose of this systematic review was to investigate the effects of digital therapeutics for insomnia on sleep disorders and mental health improvement compared to the control group. Methods: Following the guidelines on systematic review(PRISMA, NECA), a literature search was conducted through PubMed, Cochrane Library, EMBASE, RISS, KISS, and KoreaMed using keywords. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias and effect size assessment. Results: Thirty eight RCT met criteria for inclusion. When compared against three control conditions, the digital therapeutics for insomnia was an effective intervention for improvement sleep disorders and mental health in comparison to waiting list and Patient-directed care with some intervention by medical staff. However, digital therapeutics for insomnia were no more effective than face-to-face CBT-I control group. Conclusion: The efficacy of digital therapeutics for insomnia was evaluated differently depending on the control group. Therefore, in phase 3 clinical trials for efficacy evaluation, it is necessary to review whether the control group has been properly established.

Validation of the mobile wireless digital automatic blood pressure monitor using the cuff pressure oscillometric method, for clinical use and self-management, according to international protocols

  • Yoo, Sooyoung;Baek, Hyunyoung;Doh, Kibbeum;Jeong, Jiyeoun;Ahn, Soyeon;Oh, Il-Young;Kim, Kidong
    • Biomedical Engineering Letters
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    • v.8 no.4
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    • pp.399-404
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    • 2018
  • The purpose of this study was to evaluate the accuracy of a mobile wireless digital automatic blood pressure monitor for clinical use and mobile health (mHealth). In this study, a manual sphygmomanometer and a digital blood pressure monitor were tested in 100 participants in a repetitive and sequential manner to measure blood pressure. The guidelines for measurement used the Korea Food & Drug Administration protocol, which reflects international standards, such as the American National Standard Institution/Association for the Advancement of Medical Instrumentation SP 10: 1992 and the British Hypertension Society protocol. Measurements were generally consistent across observers according to the measured mean ${\pm}SD$, which ranged in $0.1{\pm}2.6mmHg$ for systolic blood pressure (SBP) and $0.5{\pm}2.2mmHg$ for diastolic blood pressure (DBP). For the device and the observer, the difference in average blood pressure (mean${\pm}$SD) was $2.3{\pm}4.7mmHg$ for SBP and $2.0{\pm}4.2mmHg$ for DBP. The SBP and DBP measured in this study showed accurate measurements that satisfied all criteria, including an average difference that did not exceed 5 mmHg and a standard deviation that did not exceed 8 mmHg. The mobile wireless digital blood pressure monitor has the potential for clinical use and managing one's own health.