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시판 후 의료기기 임상평가를 위한 체계적 문헌고찰 활용 방안 연구: 안과용전기수술기 사례를 중심으로

A Study on the Application of Systematic Literature Review for Post-Market Clinical Evaluation of Medical Devices: Focused on the Ophthalmic Electrosurgical system

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초록

In this study, we examined whether the systematic literature review method used in the field of evidencebased medicine could be used for post-market clinical evaluation of medical devices by modifying them to fit the regulatory perspective of medical devices in Korea. For this purpose, systematic literature review was modified and applied to conduct a clinical literature survey on the ophthalmic electrosurgical system(Trabectome®, NeoMediX Corp) used for the treatment of glaucoma. A total of six documents were finally selected, and clinical safety and efficacy information on the indications of the ophthalmic electrosurgical system were effectively presented. In addition, general safety information and unexpected safety information could be distinguished through comparison with medical device adverse event reporting cases. The method used in this study is expected to be used in various ways throughout post-market medical device safety management system and for the purpose of regulation improvement, especially in the field of ophthalmic electrosurgical system.

Abstract

In this study, we examined whether the systematic literature review method used in the field of evidencebased medicine could be used for post-market clinical evaluation of medical devices by modifying them to fit the regulatory perspective of medical devices in Korea. For this purpose, systematic literature review was modified and applied to conduct a clinical literature survey on the ophthalmic electrosurgical system(Trabectome®, NeoMediX Corp) used for the treatment of glaucoma. A total of six documents were finally selected, and clinical safety and efficacy information on the indications of the ophthalmic electrosurgical system were effectively presented. In addition, general safety information and unexpected safety information could be distinguished through comparison with medical device adverse event reporting cases. The method used in this study is expected to be used in various ways throughout post-market medical device safety management system and for the purpose of regulation improvement, especially in the field of ophthalmic electrosurgical system.

참고문헌 (17)

  1. "Medical Device Act, amended by act of the Korean Ministry of Food and Drug Safety, No. 16402", ~ (2019)
  2. "Regulation on Medical Device Approval Report Review, Etc:amended by ordinance of the Korean Ministry of Food and Drug Safety, No. 2019-103", ~ (2019)
  3. 안형식, "체계적 고찰 연구의 개요", 대한의사협회지, 57(1), pp.49~59 (2014), 대한의사협회[DOI]
  4. 이선희, "신의료기술 안전성·유효성 검증을 위한 체계적문헌 고찰", 대한의사협회지, 55(3), pp.279~291 (2012), 대한의사협회
  5. Moher D, "Preferred reporting items for systematic reviews and meta analyses: the PRISMA statement", J Clin Epidemiol, 62, pp.1006~1012 (2009)
  6. Wecker T, "Ab Interno Trabeculectomy With the Trabectome as a Valuable Therapeutic Option for Failed Filtering Blebs", J Glaucoma, 25(9), pp.758~762 (2016)
  7. Bussel I, "Outcomes of ab interno trabeculectomy with the trabectome by degree of angle opening", J Ophthalmol, 99, pp.914~919 (2015)
  8. Masahiro M, "Evaluation of Trabectome in Open-Angle Glaucoma", Article in Journal of glaucoma, 22(3), pp.205~208 (2013)
  9. Jens FJ, "Trabectome surgery for primary and secondary open angle glaucomas", Graefes Arch Clin Exp Ophthalmol, 251(12), pp.2753~2760 (2013)
  10. Jessica LMT, "Ab interno trabeculectomy : Outcomes in exfoliation versus primary open-angle glaucoma", JCRS, 38(2), pp.315~323 (2012)
  11. Kaplowitz K, "Review and meta-analysis of ab-interno trabeculectomy outcomes", Br J Ophthalmol, 100(5), pp.594~600 (2016)
  12. 이예진, "의료기기 이상사례 보고에 대한 국내 이해관계자의 관점 차이", 의공학회지, 40(5), pp.171~178 (2019), 대한의용생체공학회
  13. Mitchell DF, "Who is Responsible for Evaluating the Safety and Effectiveness of Medical Devices? The Role of Independent Technology Assessment", J Gen Intern Med, 23, pp.57~63 (2007)
  14. James DC, "Medicare Covers The Majority Of FDA-Approved Devices And Part B Drugs, But Restrictions And Discrepancies Remain", HEALTH AFFAIRS, 32(6), pp.1109~1115 (2013)
  15. 김병관, "임상적 관점에서의 의료기기 관리제도 개선방안 연구", 과학기술법연구, 25(4), pp.3~36 (2019), 과학기술법연구원[DOI]

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