Page 8 - ITPS-8-3
P. 8

INNOSC Theranostics and
            Pharmacological Sciences                                                      AI in medical device safety



            The  primary  goal  of  materiovigilance  is  to  safeguard   incorporation of AI into materiovigilance systems can
            public health by monitoring and addressing potential   address current challenges in medical device monitoring
            safety issues related to medical equipment.  It plays a vital   and ultimately enhance patient outcomes.
                                              3
            role in improving medical device efficiency and design,
            reducing complications from devices, and alerting patients   2. Challenges in the traditional
            and health-care providers to counterfeit or substandard   materiovigilance system
            devices.  As a crucial component of health policy in both   Despite the implementation of materiovigilance programs
                  4
            public and private health-care settings, materiovigilance   in numerous countries, post-marketing surveillance
            helps  minimize  the  likelihood  of  incidents  caused  by   of medical devices remains less advanced and reliable
            medical equipment.  With the global increase in medical   compared to that of medicines.  This circumstance
                            5
                                                                                           1,7
            device use, materiovigilance has become increasingly   suggests that traditional methods may be inadequate in
            important for ensuring patient safety and promoting the   monitoring and managing risks associated with medical
            responsible use of life-saving devices. 6          devices once they are on the market.
              Different countries and regions, such as the United   There are significant variations in the materiovigilance
            States, the European Union, Japan, China, and India, have   regulatory systems of different nations, and there is
            distinct systems for implementing their materiovigilance   insufficient empirical evidence to establish the overall
            programs.  For instance, the Materiovigilance Program of   superiority of any one system.  This lack of standardization
                    3
                                                                                      3
            India, established on July 6, 2015, aims to generate safety   can lead to inconsistencies in how adverse events are
            data and track adverse events related to medical devices.    reported and addressed globally.
                                                         1,2
            Interestingly, although many nations have established
            materiovigilance initiatives, these programs are often less   One of the primary issues that the world encounters is
            developed and refined compared to the systems in place   the underreporting of adverse events. Healthcare workers
            for medications.  This limitation emphasizes the ongoing   often struggle to translate their knowledge and positive
                         7
            need  for  efforts  to  improve  post-market  surveillance  of   attitudes into effective reporting of medical device adverse
                                                                    2
            medical devices. As health-care technology advances,   events.  This situation indicates that conventional systems
            robust materiovigilance procedures are becoming    may not be adequately encouraging reporting from those
            increasingly crucial, particularly with the integration of   most likely to encounter these events.
            artificial intelligence (AI). AI has revolutionized post-  Challenges including the absence of global standards
            market surveillance by enabling more effective signal   and poor reporting protocols underscore the need
            detection, risk assessment, and regulatory compliance.    for  continuous  strengthening  and  enhancement  of
                                                          8
            AI is transforming health-care monitoring by providing   materiovigilance programs to improve patient safety and
            previously unattainable capabilities in patient care, disease   medical device monitoring.
            detection,  and  health  management.  Machine  learning   Over the past decade,  AI  has  revolutionized
            (ML) algorithms and sophisticated data analysis enable   materiovigilance  by  automating  adverse  event  detection,
            the processing of large volumes of medical data, including   data analysis, and pattern recognition. Traditional
            electronic health records, medical imaging, and real-time   materiovigilance relied on manual data entry, static databases,
            patient data from medical devices. 9,10
                                                               and reactive approaches, often resulting in delayed detection
              However, the use of AI in health-care monitoring   of safety signals. In contrast, modern AI-driven systems
            raises concerns related to interpretability, algorithm   leverage real-time monitoring, natural language processing
            bias, and data privacy, emphasizing  the need for   (NLP), and predictive analytics to proactively identify risks
            transparent and ethically sound AI implementation within   from vast datasets, including unstructured sources such as
                                    8
            materiovigilance frameworks.  In addition, the emergence   social  media  and  medical  records.  AI  enhances  accuracy,
            of AI/ML-enabled medical devices presents new regulatory   reduces reporting biases, and facilitates faster regulatory
            challenges, making it essential to incorporate sustainability   compliance. However, issues such as data privacy and
            principles into the materiovigilance ecosystem. 11  algorithm transparency remain pivotal in ensuring the

              Despite these challenges, AI holds immense potential   efficacy and reliability of AI in materiovigilance. 8,9
            for health-care monitoring. By integrating big data   Timely reporting of any event occurrence is
            analytics, ML, and blockchain technology, AI can transform   important, and the reporting period is outlined in Table 1.
            patient care models, streamline health-care delivery, and   Table  2 discusses the differences in medical device
            ultimately  improve  patient  outcomes  while  reducing   vigilance programs in India, the United States, and the
            health-care costs. 12,13  The review aims to explore how the   United Kingdom.


            Volume 8 Issue 3 (2025)                         2                                doi: 10.36922/itps.6204
   3   4   5   6   7   8   9   10   11   12   13