Designing medical technology for resilience: integrating health economics and human factors approaches.

Abstract:

INTRODUCTION:The slow adoption of innovation into healthcare calls into question the manner of evidence generation for medical technology. This paper identifies potential reasons for this including a lack of attention to human factors, poor evaluation of economic benefits, lack of understanding of the existing healthcare system and a failure to recognise the need to generate resilient products. Areas covered: Recognising a cross-disciplinary need to enhance evidence generation early in a technology's life cycle, the present paper proposes a new approach that integrates human factors and health economic evaluation as part of a wider systems approach to the design of technology. This approach (Human and Economic Resilience Design for Medical Technology or HERD MedTech) supports early stages of product development and is based on the recent experiences of the National Institute for Health Research London Diagnostic Evidence Co-operative in the UK. Expert commentary: HERD MedTech i) proposes a shift from design for usability to design for resilience, ii) aspires to reduce the need for service adaptation to technological constraints iii) ensures value of innovation at the time of product development, and iv) aims to stimulate discussion around the integration of pre- and post-market methods of assessment of medical technology.

journal_name

Expert Rev Med Devices

authors

Borsci S,Uchegbu I,Buckle P,Ni Z,Walne S,Hanna GB

doi

10.1080/17434440.2018.1418661

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

15-26

issue

1

eissn

1743-4440

issn

1745-2422

journal_volume

15

pub_type

杂志文章
  • Patient-specific instrumentation in total knee arthroplasty.

    abstract:INTRODUCTION:Total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures. During the past decade, patient-specific instrumentation (PSI) has been commercially introduced in order to simplify and make TKA surgery more effective, precise and efficient than conventional mechanical instrumenta...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1627197

    authors: León-Muñoz VJ,Martínez-Martínez F,López-López M,Santonja-Medina F

    更新日期:2019-07-01 00:00:00

  • Cardima Surgical Ablation System: a novel tool for cardiac ablation in the treatment of atrial fibrillation.

    abstract::Atrial fibrillation is a pervasive and difficult heart rhythm problem for more than 3 million Americans. Patients are plagued by myriad symptoms and are exposed to the risk of stroke. Attempts to restore normal rhythm with drug therapy have been largely unsuccessful and the complications associated with long-term anti...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.09.9

    authors: Saltman AE

    更新日期:2009-05-01 00:00:00

  • How prosthetic design influences knee kinematics: a narrative review of tibiofemoral kinematics of healthy and joint-replaced knees.

    abstract:INTRODUCTION:To improve the total knee arthroplasty (TKA) prosthesis design, it is essential to study the kinematics of the tibiofemoral joint. Many studies have been conducted in this area; however, conflicting results and incomparable testing methods make it difficult to draw definitive conclusions or compare researc...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1564037

    authors: Meng F,Jaeger S,Sonntag R,Schroeder S,Smith-Romanski S,Kretzer JP

    更新日期:2019-02-01 00:00:00

  • Pentax confocal endomicroscope: a novel imaging device for in vivo histology of the upper and lower gastrointestinal tract.

    abstract::With advances in endoscopic imaging tools, it is becoming increasingly possible to find, assess and treat numerous gastrointestinal (GI) pathologies at the time of endoscopy. This article focuses on the newly developed Pentax confocal endomicroscope that enables in vivo microscopic imaging of the upper and lower GI tr...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.5.549

    authors: Polglase AL,McLaren WJ,Delaney PM

    更新日期:2006-09-01 00:00:00

  • COVID-19: ensuring our medical equipment can meet the challenge.

    abstract::To predict the spread of coronavirus disease globally and consequently prepare the hospital facilities with the required technology is a challenge. The availability of essential medical equipment to support patients affected by Covid-19 is globally limited. Areas covered This perspective gives a technical view of the ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1772757

    authors: Garzotto F,Ceresola E,Panagiotakopoulou S,Spina G,Menotto F,Benozzi M,Casarotto M,Lanera C,Bonavina MG,Gregori D,Meneghesso G,Opocher G

    更新日期:2020-06-01 00:00:00

  • Use of microdebriders in common rhinologic disorders.

    abstract::Powered instruments have been introduced into otorhinolaryngology practice over the last decade. These instruments were accepted immediately by many institutions, and continuing development has led to the current use of microdebriders in a variety of surgical procedures in otorhinolaryngology. In clinical rhinology, t...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.7

    authors: Cingi C,Sayin I,Civelek S

    更新日期:2010-05-01 00:00:00

  • What can be done for cerebral embolic protection in TAVI? Analysis in the light of 10 years' experience with protected carotid artery stenting.

    abstract::In the last 30 years, development of minimally invasive percutaneous procedures to treat cardiovascular defects has been thriving. Although these techniques present obvious advantages, like avoiding cardiopulmonary bypass, the passage of catheter systems and the deployment of devices in the blood circulation can cause...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1120666

    authors: Egron S,Kütting M,Marzelle J,Becquemin JP,Schmitz-Rode T,Steinseifer U

    更新日期:2016-01-01 00:00:00

  • Hemodialysis machine technology: a global overview.

    abstract::The market for hemodialysis machines, the background, the current products of manufacturers and the features of hemodialysis machines are described in this article. In addition to the established companies and their products, Chinese manufacturers, and new developments for home hemodialysis, are outlined based on publ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.54

    authors: Polaschegg HD

    更新日期:2010-11-01 00:00:00

  • Laparoscopic cholecystectomy: device-related errors revealed through a national database.

    abstract::Laparoscopic techniques represent a key milestone in the development of modern surgery, offering a step change in quality of care, patient satisfaction and efficiency in use of health service resources. Laparoscopy is most widely used for gall bladder surgery. As would be expected with the introduction of any new tech...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.11.43

    authors: Panesar SS,Salvilla SA,Patel B,Donaldson SL

    更新日期:2011-09-01 00:00:00

  • Cochlear implants: current status and future potential.

    abstract::This article reviews the current status of cochlear implantation in both adults and children, including expanding candidacy groups, bilateral implantation, advances in speech processing software, internal and external device hardware, surgical techniques and outcomes. Promising advances, novel therapies and evolving c...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.11.12

    authors: Cosetti MK,Waltzman SB

    更新日期:2011-05-01 00:00:00

  • Current and future developments in artificial muscles using electroactive polymers.

    abstract::For decades, electroactive polymers received relatively little attention due to their limited actuation capability. However, in the last 15 years, a series of electroactive polymer materials have emerged that produce a significant shape or size change in response to electrical stimulation. These materials have the clo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.6.731

    authors: Bar-Cohen Y

    更新日期:2005-11-01 00:00:00

  • Digital breast tomosynthesis (3D-mammography) screening: data and implications for population screening.

    abstract::The evidence on digital breast tomosynthesis (DBT), or quasi-3D-mammography, for population breast screening has emerged rapidly: two prospective and several retrospective studies provide convincing evidence that mammography with DBT improves screening detection measures compared with standard mammography. Based on po...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1028362

    authors: Houssami N

    更新日期:2015-07-01 00:00:00

  • Potential of APDM mobility lab for the monitoring of the progression of Parkinson's disease.

    abstract::APDM's Mobility Lab system provides portable, validated, reliable, objective measures of balance and gait that are sensitive to Parkinson's disease (PD). In this review, we describe the potential of objective measures collected with the Mobility Lab system for tracking longitudinal progression of PD. Balance and gait ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1153421

    authors: Mancini M,Horak FB

    更新日期:2016-05-01 00:00:00

  • Treating bladder-outflow obstruction with thermo-expandable prostate metal stents.

    abstract::Bladder-outflow obstruction is a common age-related clinical entity due to a variety of benign and malignant diseases of the prostate. Surgical treatment is not suitable for high-risk elderly patients who seek minimally invasive management. We present a prostatic thermo-expandable metal stent for treating bladder-outf...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.09.13

    authors: Papatsoris AG,El-Husseiny T,Sawada Y,Takahashi T,Nagaoka A,Maan Z,Moraitis K,Masood J,Junaid I,Buchholz N

    更新日期:2009-07-01 00:00:00

  • Sleep assessment devices: types, market analysis, and a critical view on accuracy and validation.

    abstract::Introduction: Sleep assessment devices are essential for the detection, diagnosis, and monitoring of sleep disorders. This paper provides a state-of-the-art review and comparison of sleep assessment devices and a market analysis.Areas covered: Hardware devices are classified into contact and contactless devices. For e...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1693890

    authors: Ibáñez V,Silva J,Navarro E,Cauli O

    更新日期:2019-12-01 00:00:00

  • Advanced methods of spinal stimulation in the treatment of chronic pain: pulse trains, waveforms, frequencies, targets, and feedback loops.

    abstract:INTRODUCTION:Spinal cord stimulation has emerged as a state-of-the-art evidence-based treatment for chronic neuropathic pain and mixed nociceptive-neuropathic pain. In recent years, several newer devices and treatment algorithms have provided unique and effective ways of treating chronic pain by spinal cord stimulation...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1567325

    authors: Maheshwari A,Pope JE,Deer TR,Falowski S

    更新日期:2019-02-01 00:00:00

  • Biomolecular modification of implant surfaces.

    abstract::In this review, surface modification of implant devices by immobilization of biological molecules is discussed. A brief introduction to the development of biomolecular surface science is presented, followed by a review of current activities in selected fields. Bone-contacting devices and some cardiovascular implant de...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.3.361

    authors: Morra M

    更新日期:2007-05-01 00:00:00

  • Computer-aided design and manufacturing of surgical templates and their clinical applications: a review.

    abstract:INTRODUCTION:The surgical template is a guide aimed at directing the implant placement, tumor resection, osteotomy and bone repositioning. Using it, preoperative planning can be transferred to the actual surgical site, and the precision, safety and reliability of the surgery can be improved. However, the actual workflo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2016.1218758

    authors: Chen X,Xu L,Wang W,Li X,Sun Y,Politis C

    更新日期:2016-09-01 00:00:00

  • Anti-infective therapy with an Er:YAG laser: influence on peri-implant healing.

    abstract::In addition to conventional treatment modalities (mechanical and chemical), the use of lasers has been increasingly proposed for the treatment of periodontal and peri-implant infections (i.e., cleaning and detoxification of implant surfaces). Preliminary results from basic studies have pointed to the high potential of...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.3.267

    authors: Sculean A,Schwarz F,Becker J

    更新日期:2005-05-01 00:00:00

  • Imaging techniques in pancreatic tumors.

    abstract::Conventional ultrasonography represents the first diagnostic imaging modality for the study of pancreatic tumors. Contrast-enhanced ultrasound has significantly improved the accuracy of first-line examination and may influence the choice of second-line investigations: multidetector computed tomography is considered th...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.09.67

    authors: D'Onofrio M,Gallotti A,Pozzi Mucelli R

    更新日期:2010-03-01 00:00:00

  • New developments in the delivery of cardiac resynchronization therapy: targeted lead placement, multi-site and endocardial pacing.

    abstract::Cardiac resynchronization therapy (CRT) is a proven treatment adjunct for selected patients with heart failure and evidence of ventricular dyssynchrony. When applying most contemporary guidelines the accepted response rate has remained static with up to one-third of patients failing to respond. Empiric lateral/postero...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.885320

    authors: Sohal M,Chen Z,Sammut E,Jackson T,Behar J,Carr-White G,Razavi R,Rinaldi CA

    更新日期:2014-05-01 00:00:00

  • Amplatzer Duct Occluder device: a new technology for the closure of the moderate-to-large-sized patent ductus arteriosus.

    abstract::The Amplatzer Duct Occluder is a novel device designed to allow for the transcatheter closure of virtually all sized patent ductus arteriosuses. Prior technologies have been cumbersome and challenging to deploy with somewhat less than ideal closure rates associated with their use. This article summarizes the present k...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.3.291

    authors: Pass RH

    更新日期:2006-05-01 00:00:00

  • Safe incorporation of new technologies in thyroid surgery.

    abstract::The history of thyroid surgery starts with Billroth, Kocher and Halsted, who developed the technique for thyroidectomy between the years of 1873 and 1910. In general the essential objectives for thyroidectomy are: sparing the parathyroid glands, avoidance of injury to the laryngeal nerves, an accurate hemostasis and a...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.6.747

    authors: Dionigi G,Bacuzzi A,Bertocchi V,Carrafiello G,Boni L,Rovera F,Dionigi R

    更新日期:2008-11-01 00:00:00

  • Surgical drilling of curved holes in bone - a patent review.

    abstract:INTRODUCTION:Conventional surgical drills are rigid straight instruments used to make holes in bones. They lack the ability to follow a curved pathway, making them impractical for several surgical procedures. For this reason, there is a continuous need for improved devices for surgical drilling of curved holes. AREAS ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1596794

    authors: Sendrowicz A,Scali M,Culmone C,Breedveld P

    更新日期:2019-04-01 00:00:00

  • Abdominal wall reconstruction using biological tissue grafts: present status and future opportunities.

    abstract::Surgeons often encounter the challenge of treating acquired abdominal wall defects following abdominal surgery. The current standard of practice is to repair most defects using permanent synthetic mesh material. Mesh augments the strength of the weakened abdominal wall fascia and enables the hernia repair to be perfor...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.5.657

    authors: Bellows CF,Alder A,Helton WS

    更新日期:2006-09-01 00:00:00

  • Thermal scalpel to target cancer.

    abstract::Nanotechnology is increasingly applied to the field of medicine, particularly for the treatment of cancer. In this regard, gold nanoparticles can mediate hyperthermia induction and kill tumor cells upon laser irradiation, thereby functioning as a 'thermal scalpel'. Recent developments in gold nanoparticle design have ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.2.131

    authors: Everts M

    更新日期:2007-03-01 00:00:00

  • Drug-eluting stents: from evidence to policy.

    abstract::Drug-eluting stents are a major breakthrough in cardiology, with the Cypher (Cordis Corporation) and Taxus (Boston Scientific) stents preventing 60-70% of repeat coronary revascularizations, compared with bare metal stents. Both evidence- and risk-based application of drug-eluting stents is expected to create relevant...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.1.1.49

    authors: Marchetti M

    更新日期:2004-09-01 00:00:00

  • Plugs for left atrial appendage occlusion: an overview of available devices.

    abstract:INTRODUCTION:Approximately one-third of all ischemic strokes and the ensuing health and economic burden can be attributed to the presence of atrial fibrillation (AF). The global prevalence of AF continues to rise, thus making it by far the most common diagnosed cardiac arrhythmia. Percutaneous left atrial appendage (LA...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2020.1837621

    authors: Obeid S,Nietlispach F,Meier B

    更新日期:2020-11-01 00:00:00

  • Development of inexpensive blood imaging systems: where are we now?

    abstract::Clinical applications in the developing world, such as malaria and anemia diagnosis, demand a change in the medical paradigm of expensive care given in central locations by highly trained professionals. There has been a recent explosion in optical technologies entering the consumer market through the widespread adopti...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.1075388

    authors: Chu K,Smith ZJ,Wachsmann-Hogiu S

    更新日期:2015-01-01 00:00:00

  • In vivo nucleic acid delivery with PEI and its derivatives: current status and perspectives.

    abstract::Poly(ethylenimine) (PEI) has recently emerged as a favorable candidate for nucleic acid (NA) delivery because of its good effectivity at low cost. Despite copious derivatives and formulations being explored over the years, there is a scarcity of efforts to systematically review the current status and unmet needs of re...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/erd.10.83

    authors: Lai WF

    更新日期:2011-03-01 00:00:00