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Post-market surveillance of medical devices is the ongoing process of monitoring and assessing the safety, performance, and effectiveness of devices after they are on the market. It involves reporting adverse events, tracking device performance, identifying trends, and updating risk assessments. This helps detect issues, ensure patient safety, and maintain regulatory compliance. The process gathers real-world evidence, informs corrective actions, and fosters transparent communication among manufacturers, regulators, healthcare providers, and patients.
PMS is a regulated activity in the United States by the Food and Drug Administration (FDA) and in the European Union (EU) by the European Commission (EC). Over the years, regulations have shifted to more emphasis on PMS activities and this is likely to continue in markets across the world.
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The FDA’s 21 CFR part 822 outlines the PMS requirements for medical device manufacturers in the U.S. Referencing Section 522 of the Federal Food, Drug, and Cosmetic Act, the FDA states that post-market surveillance is required for certain devices that present a potential for serious risk to health.
PMS is required for class II and class III medical devices that meet any of the following criteria:
(a) Failure of the device would be reasonably likely to have serious adverse health consequences;
(b) The device is intended to be implanted in the human body for more than 1 year; or
(c) The device is intended to be used outside a user facility to support or sustain life.
In 2017, the European Union released the Medical Device Regulation (MDR), which featured an increased focus on post-market surveillance. The post-market surveillance system must be commensurate with the risks associated with the device and include:
– A post-market surveillance plan
– Post-market surveillance procedures
– Post market surveillance reporting such as PMS reports (PMSRs) or Periodic Safety Update Report (PSURs)
Now that we’ve reviewed PMS in general, let’s take a look at how you can build an effective PMS system. Your system’s goal is to collect data on the safety and performance of your medical device. There are many different ways to set up a PMS system, but all systems should include some basic elements:
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