中国药物警戒 ›› 2022, Vol. 19 ›› Issue (1): 13-17.
DOI: 10.19803/j.1672-8629.2022.01.03

• 真实世界数据支持药械监测与评价(一)专栏 • 上一篇    下一篇

基于真实世界数据的高风险植入类无源医疗器械上市后风险监测技术专家共识

谭婧1,2, 刘春容1,2,△, 黄诗尧1,3, 高培4, 王杨5, 李晨6, 贺勇6, 袁洪7, 王雯1,2, 李玲1,2, 熊益权1,2, 任燕1,2, 姚明宏1,2, 赵燕8, 董放8, 沈传勇8#, 孙鑫1,2,*   

  1. 1四川大学华西医院中国循证医学中心,四川 成都 610041;
    2国家药品监督管理局海南真实世界数据研究与评价重点实验室,四川 成都 610041;
    3成都中医药大学附属医院/四川省中医药循证医学中心,四川 成都 610037;
    4北京大学公共卫生学院流行病与卫生统计学系,北京 100191;
    5中国医学科学院北京协和医学院阜外医院国家心血管病中心医学统计部,北京 100037;
    6四川大学华西医院心脏内科,四川 成都 610041;
    7中南大学湘雅三医院,湖南 长沙 410013;
    8国家药品监督管理局药品评价中心,国家药品监督管理局药物警戒研究与评价重点实验室,北京 100021
  • 收稿日期:2021-10-08 出版日期:2022-01-15 发布日期:2022-01-20
  • 通讯作者: *孙鑫,男,博士,研究员,临床流行病学与循证医学。E-mail:sunx79@hotmail.com。#为共同通信作者。
  • 作者简介:谭婧,女,博士,副研究员,临床流行病学与循证医学。为并列第一作者。
  • 基金资助:
    国家自然科学基金资助项目(72174132); 国家药品监督管理局中国药品监管科学行动计划第二批重点项目; 国家药品监督管理局药品评价中心课题(20186X001)

Expert consensus on post-marketing risk monitoring technology for high-risk implantable passive medical devices based on real world data

TAN Jing1,2, LIU Chunrong1,2,△, HUANG Shiyao1,3, GAO Pei4, WANG Yang5, LI Chen6, HE Yong6, YUAN Hong7, WANG Wen1,2, LI Ling1,2, XIONG Yiquan1,2, REN Yan1,2, YAO Minghong1,2, ZHAO Yan8, DONG Fang8, SHEN Chuanyong8#, SUN Xin1,2,*   

  1. 1Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu Sichuan 610041, China;
    2NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu Sichuan 610041, China;
    3Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu Sichuan 610037, China;
    4Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China;
    5National Center for Cardiovascular Diseases, Fuwai Hospital Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;
    6Department of Cardiology, West China Hospital, Sichuan University, Chengdu Sichuan 610041, China;
    7Xiangya Third Hospital, Central South University, Changsha Hunan 410013, China;
    8Center for Drug Reevaluation, NMPA, NMPA, Key Laboratory for Research and Evaluation of Pharmacovigilance, Beijing 100021, China
  • Received:2021-10-08 Online:2022-01-15 Published:2022-01-20

摘要: 高风险植入类无源医疗器械的上市后监测是医疗器械风险管理的重要环节,通过对高风险医疗器械上市后安全性信号的监测和评价,最大限度地控制医疗器械潜在的风险,保证医疗器械安全、有效地使用,避免发生群体性严重后果,是医疗器械生产、经营、使用机构和技术监测部门的共同职责。为了更好地促进和辅助高风险植入类无源医疗器械的上市后监测,本专家共识采用系统性文献回顾、专题小组讨论和专家咨询过程,系统梳理国内外医疗器械上市后风险监测现状,并提出适宜于我国国情的高风险植入类无源医疗器械上市后风险监测模式和高风险医疗器械风险监测关键技术。

关键词: 真实世界数据, 无源植入类医疗器械, 上市后监测

Abstract: Post-market surveillance of high-risk implantable passive medical devices is one of key aspects in the risk management of medical device. It is the common responsibility of medical device industry, operations, user institutions and regulatory departments to control the potential risks of medical devices to the maximum extent, and ensure the safe and effective use of medical devices and avoid mass serious consequences, which can be achieved by post-market surveillance and evaluation management of safety signals of high-risk medical devices. In order to promote and assist the post-market surveillance of high-risk implantable passive medical devices, by systematic literature review, focus group discussion and expert consultation, this expert consensus systematically reviewed the status quo of post-market surveillance of risk among medical devices home and board, further constructed the mode of risk monitoring of high-risk implantable passive medical device and key technologies which could be suitable for China's national conditions.

Key words: real world data, passive implantable medical devices, post-marketing risk monitoring

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