HealthTech Regulatory Compliance Quiz

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Questions and Answers

What is a core principle of regulatory thinking in HealthTech?

  • Integrating compliance from the initial concept stage of product development. (correct)
  • Treating regulatory compliance as a hurdle instead of long term strategy.
  • Delaying compliance considerations to reduce initial costs.
  • Responding to regulations only when a product is ready for market.

According to the content, a key benefit of proactive regulatory compliance is reduced:

  • Time to market due to fewer delays at the end of product development. (correct)
  • Expenditure on marketing campaigns.
  • Time spent on product research.
  • Number of software developers required.

Which of the following regulatory bodies is mentioned as a key regulator in the provided content?

  • FDA (correct)
  • EMA
  • WHO
  • ISO

What is the primary focus of ISO 62366, as defined in the text?

<p>Usability engineering to ensure the product is easily used (B)</p> Signup and view all the answers

What aspect of HealthTech products does ISO 14971 relate to?

<p>Risk management during manufacture and use (B)</p> Signup and view all the answers

Besides risk management, what is another mandatory system mentioned in the text for HealthTech products?

<p>Quality management system (A)</p> Signup and view all the answers

Which of the following is NOT listed as a key aspect of regulatory thinking?

<p>Reactive decision making (C)</p> Signup and view all the answers

What is the primary purpose of filing a patent?

<p>To secure exclusive rights to an invention for a limited time. (D)</p> Signup and view all the answers

Which of the following best describes 'patentable subject matter'?

<p>Inventions that are novel, non-obvious, and useful. (A)</p> Signup and view all the answers

What is a critical aspect to consider regarding the timing of patent filings?

<p>Filing as early as possible after the idea is conceived, before any publication or public disclosure. (C)</p> Signup and view all the answers

Which of the following is NOT typically a right conferred by a patent?

<p>The right to use the invention for private, non-commercial purposes within the jurisdiction. (C)</p> Signup and view all the answers

What is the primary purpose of 'licensing' regarding intellectual property?

<p>To use and commercialize inventions while the owner still retains ownership. (A)</p> Signup and view all the answers

Who generally owns inventions made by employees at ETH Zurich?

<p>ETH Zurich itself, unless there's a specific agreement. (B)</p> Signup and view all the answers

What does the concept of 'non-obviousness' mean in terms of patentability?

<p>The invention must appear innovative to someone skilled in the relevant field. (C)</p> Signup and view all the answers

Which regulatory body is primarily concerned with pharmaceuticals only?

<p>EMA (A)</p> Signup and view all the answers

Which aspect is crucial for an invention to be considered 'useful' for patent purposes?

<p>It must solve a practical problem. (C)</p> Signup and view all the answers

What is a key challenge when trying to sell a medical device globally?

<p>Fulfilling the different requirements of the many countries. (D)</p> Signup and view all the answers

The EU AI Act is characterized as what type of regulation?

<p>A horizontal regulation impacting various sectors including medical devices (C)</p> Signup and view all the answers

What was noted as a critical failure in the early stages of Covid vaccine deployment?

<p>Neglecting possible side effects while making claims of no side effects (A)</p> Signup and view all the answers

Which aspect is considered most important when developing a HealthTech product?

<p>Transparency about the product (D)</p> Signup and view all the answers

What was the primary issue with Sulzer implants?

<p>An oily residue that led to adhesion failure (B)</p> Signup and view all the answers

In the case of the Covid vaccine, what is considered a suspicious factor?

<p>The claim of no side effects at all. (D)</p> Signup and view all the answers

What should medical device manufacturers prioritize throughout their production process?

<p>Risk management. (C)</p> Signup and view all the answers

Why is explainable AI (XAI) considered important in the context of medical AI?

<p>It allows clinicians to understand and verify how AI makes decisions, increasing trust and ensuring patient safety. (A)</p> Signup and view all the answers

What would be the impact of differing regulatory frameworks across different regions on AI in medicine?

<p>Duplicative testing and approval processes, potentially hindering the global availability of AI medical devices. (A)</p> Signup and view all the answers

What is the primary reason AI models in healthcare need to be transparent and interpretable?

<p>To build trust with healthcare professionals and patients. (A)</p> Signup and view all the answers

How might unrepresentative training data for an AI medical device lead to a biased AI system?

<p>By creating a model that is overfitted to a specific demographic group, leading to inaccurate results for other groups. (B)</p> Signup and view all the answers

Which strategy is commonly used to address limitations in training data, thus reducing bias?

<p>Using data augmentation to enrich underrepresented categories with synthetic data (C)</p> Signup and view all the answers

Why is it important to use data from diverse demographic groups when training AI for medicine?

<p>To ensure that the AI performs effectively across a broad population and does not produce biased results. (D)</p> Signup and view all the answers

What does the term 'black box' refer to, relating to AI models?

<p>AI models whose internal decision-making is opaque. (B)</p> Signup and view all the answers

What is the major focus of the FDA regarding AI in medical devices?

<p>Continuous updates and modifications to improve AI device performance. (B)</p> Signup and view all the answers

What is a primary focus of regulatory oversight on AI systems?

<p>Ensuring AI systems are free from bias and maintain transparency (B)</p> Signup and view all the answers

According to the content, what is the importance of human oversight in AI-driven medical decisions?

<p>To allow clinicians to intervene when AI recommendations appear uncertain or flawed (C)</p> Signup and view all the answers

What does the EU AI Act primarily focus on?

<p>Regulating AI systems used in high-risk applications, emphasizing transparency and bias mitigation (D)</p> Signup and view all the answers

What is a key aspect of the FDA's AI/ML Action Plan regarding medical devices?

<p>Emphasizing transparency, continuous learning, and fairness in the development and monitoring of AI (C)</p> Signup and view all the answers

In which way does ANVISA, Brazil's regulatory body, classify medical devices?

<p>Into four risk-based categories, similar to the EU system (A)</p> Signup and view all the answers

What is one of the requirement manufacturers need to meet to have their medical device approved by ANVISA?

<p>Submitting detailed technical documentation, including clinical data (A)</p> Signup and view all the answers

What is a requirement for manufacturers seeking approval from Health Canada?

<p>A medical device license application including technical documentation, clinical data, and quality management system certification (ISO 13485) (A)</p> Signup and view all the answers

What is a key requirement from the Therapeutic Goods Administration (TGA) in Australia for higher-risk devices?

<p>Clinical data and a conformity assessment. (A)</p> Signup and view all the answers

What is the primary purpose of post-market surveillance (PMS) for HealthTech products?

<p>To ensure the ongoing safety and performance of products after they are placed on the market. (A)</p> Signup and view all the answers

Which of the following is NOT a required element of a post-market surveillance plan?

<p>Establishing the initial risk classification of the product. (A)</p> Signup and view all the answers

What is the main objective of surveillance audits for manufacturers holding ISO 13485 certification?

<p>To assess the continuation of the manufacturer's QMS compliance with ISO 13485. (A)</p> Signup and view all the answers

Who typically conducts surveillance audits for medical device manufacturers?

<p>Notified bodies or certification bodies. (D)</p> Signup and view all the answers

What does a manufacturer need to ensure regarding non-conformities that are identified during previous audits?

<p>That they are addressed appropriately. (B)</p> Signup and view all the answers

What are Periodic Safety Update Reports (PSURs) primarily used for in HealthTech?

<p>To provide updates on the safety of high-risk devices to notified bodies. (A)</p> Signup and view all the answers

Why are case studies of successful HealthTech regulatory compliance important?

<p>They provide real-world examples and lessons for navigating regulatory challenges. (D)</p> Signup and view all the answers

Within the case study of the AI-powered diagnostic software, what is the main challenge the software addresses?

<p>The lengthy time it takes radiologists to interpret scans and improving early detection of cancer. (C)</p> Signup and view all the answers

Flashcards

Risk Management in Medical Devices

The process of evaluating and mitigating potential risks associated with a medical device throughout its entire lifecycle, from design to manufacturing to use.

Instruction For Use (IFU)

A document that provides detailed information about a medical device, including its intended use, indications, contraindications, warnings, precautions, and adverse effects.

Medical Device Validation

The process of ensuring that a medical device meets its intended performance and safety requirements.

Medical Device Regulation (MDR)

The legal framework for medical devices in the European Union.

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Food and Drug Administration (FDA)

The legal framework for medical devices in the United States.

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Medical Device Development

The process of developing and testing a medical device to ensure it meets regulatory requirements and is safe and effective for its intended use.

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Medical Device Verification

The process of ensuring that a medical device meets its intended performance and safety requirements, especially in the context of clinical use.

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In Vitro Diagnostic Regulation (IVDR)

A type of medical device regulation that focuses specifically on in vitro diagnostic (IVD) devices.

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What is a patent?

A legal right granted to an inventor for an invention, allowing the inventor to exclude others from making, using, or selling the invention.

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What is patentable subject matter?

The subject matter that can be protected by a patent, including processes, machines, manufactures, and compositions of matter.

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What makes an invention patentable?

An invention must be novel, non-obvious, and useful to be patentable.

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Timing of innovation/patent filings

The period between an invention's creation and the filing of a patent application.

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What is the patenting process?

The official process of applying for and obtaining a patent, starting with a patent application and ending with a patent grant.

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What rights does a patent confer?

A patent gives the patentee the exclusive right to exploit the invention for a specified period, usually 20 years.

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Who owns inventions at ETH?

ETH Zurich owns inventions created by its employees or students during their employment or studies.

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What is licensing?

A process where a patent holder grants another party the right to use the invention under certain conditions.

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Regulatory Thinking

A mindset that considers regulatory compliance throughout the entire lifecycle of a health technology product, from ideation to market launch and beyond.

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Proactive Compliance

Proactive compliance means ensuring your product meets regulations right from the start, instead of scrambling to fix things at the end.

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Long-Term Market Strategy

Regulatory compliance should be viewed as a strategic tool that strengthens your product's credibility and earns the trust of healthcare providers and patients.

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Anticipation of Regulatory Changes

Regulatory thinking anticipates future regulatory shifts, emerging technologies, and evolving market demands, ensuring product viability over time.

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Reduced Time to Market

Integrating compliance early in the development phase minimizes the risk of costly delays caused by overlooked regulations.

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Cost Savings

Proactive compliance helps avoid expensive recalls, rework, or fines caused by non-compliance, saving you money in the long run.

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Enhanced Market Credibility

Compliance is a key factor in gaining the trust of healthcare providers, patients, and payers.

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Commitment to Compliance

Regulatory compliance is not just about meeting the minimum standards, but about demonstrating a commitment to quality and safety.

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Explainable AI (XAI)

The ability of an AI system to explain its decision-making process and provide insights into how it arrived at a particular outcome.

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Diverse Data for AI

Data used to train AI models should represent the diverse population the device will be used on. Lack of diversity can lead to biased outcomes.

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Regulatory Harmonization for AI

Regulations that govern AI development and usage in healthcare differ between countries and regions. This can lead to different testing and approval processes.

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Bias Detection & Mitigation

The process of identifying and mitigating bias in an AI model. This is crucially important for ensuring fairness and accuracy.

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Using Representative Datasets

Training AI models with data that represents the population who will actually use the device is key to avoiding biases and ensuring accurate results.

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AI Models as 'Black Boxes'

AI models that use deep learning often have complex internal processes that are difficult to understand. This is known as the 'black box' problem.

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Global AI Regulation

AI development and regulation is a global issue, with different approaches in different regions.

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Trust in AI Systems

AI systems should be trustworthy and transparent, especially in healthcare where decisions can impact patients' lives.

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Regulatory Oversight on Fairness

Ensuring AI systems are free from bias and transparent.

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EU AI Act

The European Union's law for regulating high-risk AI systems, emphasizing transparency and bias mitigation.

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FDA's AI/ML Action Plan

The FDA's guidelines for developing, monitoring, and ensuring fairness in AI medical devices.

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Human Oversight in AI

Human involvement is essential for AI, especially in healthcare, enabling medical professionals to review and override decisions made by AI.

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Continuous Monitoring of AI

Continually monitoring an AI system after its release is crucial to identify and address potential biases that may emerge from new data.

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ANVISA (Brazil)

Brazil's regulatory body for medical devices and health products, with a classification system similar to the EU.

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Health Canada

Canada's regulatory body for medical devices, using a classification system similar to the FDA and MDR.

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TGA (Australia)

Australia's regulatory body for medical devices and pharmaceuticals, using a risk-based classification system for approval.

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Surveillance Audits

Periodic assessments conducted by notified bodies or certification bodies to ensure ongoing compliance with ISO 13485 standards.

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Post-Market Surveillance (PMS)

A comprehensive process that involves systematically collecting, analyzing, and evaluating data about the safety and performance of medical devices after they've been released to the market.

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Software as a Medical Device (SaMD)

Software specifically designed for use in medical settings, such as diagnosing medical conditions.

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Risk Management

A systematic approach to identifying, analyzing, and evaluating potential risks associated with medical devices throughout their lifecycle.

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Validation

The process of demonstrating that a medical device meets its intended performance requirements under real-world conditions and satisfies safety standards.

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Verification

The process of systematically evaluating a medical device against its design specifications and intended use to ensure that it meets specific performance requirements.

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Study Notes

Essentials in Translational Science Summary

  • Translational science encompasses the application of various technological innovations in healthcare, aiming to improve patient care, increase efficiency, and reduce costs.
  • Key categories of HealthTech products include medical devices, in vitro diagnostic devices (IVDs), software as a medical device (SaMD), vaccines, pharmaceuticals, combination products, and biotechnology products.
  • Medical devices assist in diagnosing, treating, or preventing medical conditions, ranging from simple tools to complex technologies like pacemakers or MRI machines.
  • IVDs analyze bodily samples (e.g., blood, tissue) outside the body to aid diagnosis, monitoring, or disease prevention. Examples include COVID-19 testing kits and genetic screening tests.
  • SaMDs are software applications for medical purposes, like diagnostics, treatment, or monitoring without requiring a physical connection to a medical device (e.g., mobile health apps, Al-powered diagnostic tools).
  • Vaccines and pharmaceuticals aim to prevent or treat diseases through biological preparations. Vaccines trigger immunity, while pharmaceuticals offer treatments or diagnostics.
  • Combination products integrate elements from different HealthTech categories, providing unified solutions for complex medical conditions.
  • Biotech products utilize living organisms or biological systems for drug development or therapies, often involving genetic engineering (e.g., monoclonal antibodies, gene-edited therapies).

Regulatory Landscape for HealthTech Products

  • Regulatory thinking integrates compliance into every stage of a HealthTech product's lifecycle, anticipating future trends.
  • Key benefits of proactive regulatory thinking include reduced time to market, cost savings, enhanced market credibility, and future-proofing products.
  • Steps to integrate regulatory thinking include early engagement with regulatory authorities, pre-submission meetings, and embedding risk management throughout the product's lifecycle.
  • Various international regulatory bodies (e.g., FDA in the US, MDR and IVDR in the EU, TGA in Australia) oversee HealthTech products, with specific regulations for each product category.
  • Global regulatory harmonization efforts (e.g., IMDRF, GHTF) work towards streamlining compliance procedures and facilitating international trade of medical devices.

Essential Steps in Developing a Medical Device

  • Idea/Concept development: Determine intended use and purpose.
  • Classification: Categorize device based on patient risk (Class I (low), II (moderate), or III (high)).
  • Design & Development: Use ISO 13485, traceability, usability testing, risk management.
  • Verification: Product builds according to specs.
  • Validation: Product meets clinical needs.
  • Regulatory Submission: Documentation for market approval.
  • Post-Market Surveillance (PMS): Monitor quality and performance after release.

Intellectual Property (IP)

  • Intellectual Property (IP) and IP rights (IPR) are crucial for protection of an invention.
  • Patents offer exclusive rights to the inventor for a set period, excluding others from using, making, selling, or importing their invention. Patents have costs associated with filing and maintaining.
  • Subject matter covered by a patent may vary between countries, and factors like novelty, industrial applicability, and inventive step determine patentability.
  • Understanding prior art, or previously disclosed information, is critical in determining the novelty of an invention.

Mock Exam Discussion

  • Successful marketing of any product depends on a multitude of factors, including the perception of the product's advantages for consumers, insurance coverage, and affordability.
  • Understanding the needs of different stakeholders (patients, physicians, insurance companies) during the development process is essential to product success.
  • The clinical aspects and potential benefits or impacts of the product for human needs should be articulated for investors.

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