510(k); MDR; Medical device; distributional semantics; equivalence; medical device regulation; similarity analysis
Abstract :
[en] [en] BACKGROUND: This study aims to facilitate the identification of similar devices for both, the European Medical Device Regulation (MDR) and the US 510(k) equivalence pathway by leveraging existing data. Both are related to the regulatory pathway of read across for chemicals, where toxicological data from a known substance is transferred to one under investigation, as they aim to streamline the accreditation process for new devices and chemicals.
RESEARCH DESIGN AND METHODS: This study employs latent semantic analysis to generate similarity values, harnessing the US Food and Drug Administration 510k-database, utilizing their 'Device Descriptions' and 'Intended Use' statements.
RESULTS: For the representative inhaler cluster, similarity values up to 0.999 were generated for devices within a 510(k)-predicate tree, whereas values up to 0.124 were gathered for devices outside this group.
CONCLUSION: Traditionally, MDR equivalence involves manual review of many devices, which is laborious. However, our results suggest that the automated calculation of similarity coefficients streamlines this process, thus reducing regulatory effort, which can be beneficial for patients needing medical devices. Although this study is focused on the European perspective, it can find application within 510(k) equivalence regulation. The conceptual approach is reminiscent of chemical fingerprint similarity analysis employed in read-across. [en] This study addresses improvement of the registration process for medical devices by using automated methods to determine how similar they are to existing devices. Such a process is already used in chemistry for analysis of related substances. In the context of Medical Device Regulation (MDR), which sets standards for these devices, this process might be applicable in device equivalence evaluation.Traditionally, proving equivalence involves manually finding devices that are similar, but this is time-consuming, repetitive and labor-intensive. This study proposes a new approach, using advanced computer methods and a database from the US Food and Drug Administration (FDA) to automatically identify similar devices. This could make the process much quicker and more accurate and furthermore reduce bias.The study suggests that by applying these automated methods, the impact of recent regulatory changes could be reduced. This means that proving equivalence, a critical step to facilitate device accreditation, could be done more efficiently. The study shows potential for a significant transformation in compliance processes within the medical device industry, making them more streamlined and automated.
Research center :
Interdisciplinary Centre for Security, Reliability and Trust (SnT) > FINATRAX - Digital Financial Services and Cross-organizational Digital Transformations
Disciplines :
Materials science & engineering Engineering, computing & technology: Multidisciplinary, general & others Social & behavioral sciences, psychology: Multidisciplinary, general & others
Author, co-author :
Sündermann, Jan ; Fraunhofer Institute for Toxicology and Experimental Medicine, Nikolai-Fuchs-Straße 1, Hannover, Germany
DELGADO FERNANDEZ, Joaquin ; University of Luxembourg ; Interdisciplinary Centre for Security, Reliability and Trust (SnT), Kirchberg, Luxembourg
Kellner, Rupert ; Fraunhofer Institute for Toxicology and Experimental Medicine, Nikolai-Fuchs-Straße 1, Hannover, Germany
Doll, Theodor; Department of Otolaryngology and Cluster of Excellence "Hearing4all", Hannover Medical School, Hannover, Germany
Froriep, Ulrich P ; Fraunhofer Institute for Toxicology and Experimental Medicine, Nikolai-Fuchs-Straße 1, Hannover, Germany
Bitsch, Annette ; Fraunhofer Institute for Toxicology and Experimental Medicine, Nikolai-Fuchs-Straße 1, Hannover, Germany
External co-authors :
yes
Language :
English
Title :
Medical device similarity analysis: a promising approach to medical device equivalence regulation.
H2020 - 814654 - MDOT - Medical Device Obligations Taskforce
FnR Project :
FNR13342933 - Paypal-fnr Pearl Chair In Digital Financial Services, 2019 (01/01/2020-31/12/2024) - Gilbert Fridgen
Funders :
Horizon 2020 Union Européenne
Funding number :
814654
Funding text :
This paper is part of a project that has received funding from theEuropean Union’s Horizon 2020 research and innovation programmeunder grant agreement Nº814654. For the purpose of open access, andin fulfillment of the obligations arising from the grant agreement, theauthor has applied a Creative Commons Attribution 4.0 International (CCBY 4.0) license to any Author Accepted Manuscript version arising fromthis submission.
Nikolova N, Jaworska J., Approaches to measure chemical similarity–a review. QSAR Comb Sci. 2003;22(9–10):1006–1026. doi: 10.1002/qsar.200330831
Escher SE, Kamp H, Bennekou SH, et al. Towards grouping concepts based on new approach methodologies in chemical hazard assessment: the read-across approach of the EU-ToxRisk project. Arch Toxicol. 2019;93(12):3643–3667. doi: 10.1007/s00204-019-02591-7
Moné MJ, Pallocca G, Escher SE, et al. Setting the stage for next-generation risk assessment with non-animal approaches: the EU-ToxRisk project experience. Arch Toxicol. 2020;94(10):3581–3592. doi: 10.1007/s00204-020-02866-4
Rogers DJ, Tanimoto TT., A computer program for classifying plants. Science. 1960;132(3434):1115–1118. doi: 10.1126/science.132.3434.1115
Jaccard P. Lois de distribution florale dans la zone alpine. 1902. doi: 10.5169/seals-266762#110
ISO 10993-18: 2023. Biological evaluation of medical devices–part 18: chemical characterization of medical device materials within a risk management process (ISO 1099318: 2020 + Amd 1: 2022) (includes amendment A1: 2023).
Medical Device Coordination Group Document. MDCG 2020-5: clinical evaluation - equivalence, a guide for manufacturers and notified bodies. 2020. https://health.ec.europa.eu/system/files/2020-09/md_mdcg_2020_5_guidance_clinical_evaluation_equivalence_en_0.pdf
European Commission. MEDDEV 2.7/1 revision 4: clinical evaluation: a guide for manufacturers and notified bodies under directives 93/42/EEC and 90/385/EEC. 2016.
The European Parliament and the Council of the European Union. Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017: on medical devices, amending directive 2001/83/EC, regulation (EC) No 178/2002 and regulation (EC) No 1223/2009 and repealing council directives 90/385/EEC and 93/42/EEC. 2017.
Sündermann J, Bitsch A, Kellner R, et al. Is read-across for chemicals comparable to medical device equivalence and where to use it for conformity assessment?Regul Toxicol Pharmacol. 2024;149:105622. doi: 10.1016/j.yrtph.2024.105622
Jarow JP, Baxley JH. Medical devices: US medical device regulation. Urol Oncol. 2015;33(3):128–132. doi: 10.1016/j.urolonc.2014.10.004
Sorenson C, Drummond M. Improving medical device regulation: the United States and Europe in perspective. Milbank Q. 2014;92(1):114–150. doi: 10.1111/1468-0009.12043
U.S. FDA Food And Drug. The 510(k) program: evaluating substantial equivalence in premarket notifications [510(k)]: guidance for industry and food and drug administration staff. 2014.
U.S. FDA Food And Drug. Electronic submission template for medical device 510(k) submissions: guidance for industry and food and drug administration staff. 2023.
Heneghan CJ, Goldacre B, Onakpoya I, et al. Trials of transvaginal mesh devices for pelvic organ prolapse: a systematic database review of the US FDA approval process. BMJ Open. 2017;7(12):e017125. doi: 10.1136/bmjopen-2017-017125
Zuckerman D, Brown P, Das A. Lack of publicly available scientific evidence on the safety and effectiveness of implanted medical devices. JAMA Intern Med. 2014;174(11):1781–1787. doi: 10.1001/jamainternmed.2014.4193
Bretthauer M, Gerke S, Hassan C, et al. The New European medical device regulation: balancing innovation and patient safety. Ann Intern Med. 2023;176(6):844–848. doi: 10.7326/M23-0454
Fink M, Akra B. Comparison of the international regulations for medical devices–usa versus Europe. Injury. 2023;54:110908. doi: 10.1016/j.injury.2023.110908
Fraser AG, Butchart EG, Szymański P, et al. The need for transparency of clinical evidence for medical devices in Europe. Lancet. 2018;392(10146):521–530. doi: 10.1016/S0140-6736(18)31270-4
Thienpont E, Quaglio G, Karapiperis T, et al. Guest editorial: new medical device regulation in Europe: a collaborative effort of stakeholders to improve patient safety. Clin Orthop Relat Res. 2020;478(5):928–930. doi: 10.1097/CORR.0000000000001154
McDonald S, Ramscar M. Testing the distributioanl hypothesis: the influence of context on judgements of semantic similarity. In: Proceedings of the Annual Meeting of the Cognitive Science SocietyEdinburgh, Scotland; 2001.
Dave R, Balani P. Survey paper of different lemmatization approaches. International journal of research in advent technology science and technology. Special Issue: First International Conference on Advent Trends in Engineering, Science and Technology, ICATEST. 2015.
Qaiser S, Ali R. Text mining: use of TF-IDF to examine the relevance of words to documents. IJCA. 2018;181(1):25–29. doi: 10.5120/ijca2018917395
Rajaraman A, Ullman JD. Mining of massive datasets. [place unknown]: Cambridge University Press; 2012.
Pearson K. LIII. On lines and planes of closest fit to systems of points in space. The Lond Edinburgh Dublin Phil Mag And J Sci. 1901;2(11):559–572. doi: 10.1080/14786440109462720
Stewart GW. On the early history of the singular value decomposition. SIAM Rev. 1993;35(4):551–566. doi: 10.1137/1035134
Blondel VD, Guillaume J-L, Lambiotte R, et al. Fast unfolding of communities in large networks. J Stat Mech. 2008;2008(10):10008. doi: 10.1088/1742-5468/2008/10/P10008
Dunn JC. A fuzzy relative of the ISODATA process and its use in detecting compact well-separated clusters. J Cybern. 1973;3(3):32–57. doi: 10.1080/01969727308546046
Davies DL, Bouldin DW. A cluster separation measure. IEEE Trans Pattern Anal Mach Intell. 1979;PAMI-1(2):224–227. doi: 10.1109/TPAMI.1979.4766909
Zhao Q, editor. luster validity in clustering methods.: Doctoral dissertation, Itä-Suomen yliopisto. [place unknown]: [publisher unknown]; 2012.
Zhao Y, Karypis G. Criterion functions for document clustering: experiments and analysis. Computer Science & Engineering (CS&E) technical reports. 2001.
Kühn T. A lower estimate for entropy numbers. J Approximation Theory. 2001;110(1):120–124. doi: 10.1006/jath.2000.3554
Pedregosa F, Varoquaux G, Gramfort A, et al. Scikit-learn: machine learning in Python. J Mach Learn Res [Internet]. 2011:2825–2830. Available from: http://jmlr.org/papers/v12/pedregosa11a.html
Thomas A. python-louvain x.y: Louvain algorithm for community detection. 2020.
Hagberg A, Swart PJ, Schult DA. Exploring network structure, dynamics, and function using NetworkX. In: Proceedings of the 7th Python in Science Conference (SciPy2008); 2008.
Waskom M. Seaborn: statistical data visualization. JOSS. 2021;6(60):3021. doi: 10.21105/joss.03021
Kalyan KS, Sangeetha S. SECNLP: a survey of embeddings in clinical natural language processing. J Biomed Inform. 2020;101:103323. doi: 10.1016/j.jbi.2019.103323
Lee JY, Dernoncourt F, Uzuner O, et al. Feature-augmented neural networks for patient note De-identification. 2016. doi: 10.48550/arXiv.1610.09704
Tashkandi A, Wiese I, Wiese L. Efficient In-database patient similarity analysis for personalized medical decision support systems. Big Data Res. 2018;13:52–64. doi: 10.1016/j.bdr.2018.05.001
Huang J, Xu K, Vydiswaran VGV. Analyzing multiple medical corpora using word embedding2016 IEEE International Conference on Healthcare Informatics (ICHI), Chicago, IL, USA; 2016. p. 527–533. doi: 10.1109/ICHI.2016.94
Mateu-Sanz M, Fuenteslópez CV, Uribe-Gomez J, et al. Redefining biomaterial biocompatibility: challenges for artificial intelligence and text mining. Trends Biotechnol. 2023;42(4):402–417. doi: 10.1016/j.tibtech.2023.09.015
Safizadeh H, Simpkins SW, Nelson J, et al. Improving measures of chemical structural similarity using machine learning on chemical–genetic interactions. J Chem Inf Model. 2021;61(9):4156–4172. doi: 10.1021/acs.jcim.0c00993
Cramer III, Richard D, Redl G, et al. Substructural analysis. Novel approach to the problem of drug design. J Med Chem. 1974;17(5):533–535. doi: 10.1021/jm00251a014
Arif SM, Holliday JD, Willett P. Analysis and use of fragment-occurrence data in similarity-based virtual screening. J Comput Aided Mol Des. 2009;23(9):655–668. doi: 10.1007/s10822-009-9285-0
Benigni R, Laura Battistelli C, Bossa C, et al. Evaluation of the applicability of existing (Q)SAR models for predicting the genotoxicity of pesticides and similarity analysis related with genotoxicity of pesticides for facilitating of grouping and read across. EFS3. 2019;16. doi: 10.2903/sp.efsa.2019.EN-1598
Maggiora G, Vogt M, Stumpfe D, et al. Molecular similarity in medicinal chemistry. J Med Chem. 2014;57(8):3186–3204. doi: 10.1021/jm401411z
Martelli N, Eskenazy D, Déan C, et al. New European regulation for medical devices: what is changing?Cardiovasc Intervent Radiol. 2019;42(9):1272–1278. doi: 10.1007/s00270-019-02247-0