Software as a Medical Device Flashcards

1
Q

What are the 2 types of software?

A
  • Computer programmes
  • Functional documents
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2
Q

What is a computer program?

A

A syntactic unit that conforms to the rules of a particular programming language and that is composed of declarations and statements or instructions needed to solve a certain function, task, or problem.

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3
Q

What types of computer programme are there?

A
  • Uncompiled software, if all the installation instructions are provided
  • Freeware/open-source
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4
Q

What is the international standards organisation?

A

A global network of the world’s leading standardisers. They develop and publish international standards and complete standards-related research.

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5
Q

What is the international electrotechnical commission?

A

An international organisation focuses on electrical, electronic, and related technologies. It provides a global, neutral, independent standardisation platform and publishes thousands of international standards.

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6
Q

What is a functional document?

A

Software that requires separate software to perform its function. Often this will be a general purpose application.

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7
Q

Give 4 examples of functional documents

A
  • PDF with logical links
  • Spreadsheets with calculations
  • Documents with macros
  • Interactive web pages
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8
Q

What is the Medicines and Healthcare products Regulatory Agency?

A

An agency of the Department of Health and Social Care. It is the UK’s ‘competent authority’ that monitors and ensures compliance of medical devices with regulations, consults on and develops regulations, and manages the public access register of medical devices on the UK market.

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9
Q

How does the MHRA monitor and ensure compliance of medical devices with regulations?

A
  • Publishing alerts, recalls, and safety information
  • Requesting market withdrawal
  • Prosecuting where necessary
  • Evaluating medical devices being trialled
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10
Q

What is the US equivalent of the MHRA?

A

The Food and Drug Administration (FDA)

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11
Q

What are the intended uses of medical devices?

A
  • Diagnosis, prevention, monitoring, treatment, and/or alleviation of disease
  • Diagnosis, monitoring, treatment, alleviation of, or compensation for an injury or handicap
  • Investigation, replacement, or modification of the anatomy or of a physiological process
  • Control of contraception
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12
Q

What type of clinical products are not qualified as medical devices?

A
  • Products used solely for research
  • Products manufactured in-house
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13
Q

What information determines the medical purpose of a device?

A
  • What the manufacturer states in the device’s labelling
  • Instructions for use
  • Any promotional materials
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14
Q

What 4 things does the intended purpose of a device describe?

A
  • The structure and function of the software
  • The intended population
  • The user
  • The use environment
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15
Q

What is the intended use of in vitro diagnostic medical devices (IVD MDs)?

A

They are intended for the examination of specimens, including blood and tissue donations, derived from the human body solely or principally to provide infomation:
- concerning a physiological or pathological state
- concerning congenital abnormality
- to determine the safety and compatability with potential recipients
- to monitor therapeutic measures

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16
Q

Does stating that something is ‘not a medical device’ stop it from being one?

A

Not if medical claims about the device are being made or implied

17
Q

What documents can be used to determine what is a medical device?

A

Regulations: Medical Device Regulations 2002
Standards and guidance: from BSI, IEC, MDCG, MHRA, and ISO

18
Q

How can you tell if a medical device conforms with the Medical Device Regulations?

A

It will bear the UKCA mark (or the CE mark in some cases)

19
Q

How is the conformity of a medical device with the medical device regulations assessed?

A

Low-risk devices can self-certify their conformity by issuing a ‘declaration of conformity’.
Higher-risk devices are assessed by a notified body that produces a certificate.

20
Q

What is the British standards institution?

A

The UK’s national standards body. This is a non-profit company, is one of several ‘notified bodies’, and is one of many certifiers of quality management systems.

21
Q

What are the main components of a UKCA marking?

22
Q

What is in-house software?

A

Software not placed on the market or transferred to another legal entity.

23
Q

Is software a medical device?

A

Yes, unless it is used solely for research or manufactured in-house.

24
Q

Software that meets the definition of a medical device is required to be ____ marked in line with the UK Medical Device Regulations 2002.

25
What is the purpose of the Medical Device Regulations 2002?
To ensure that medical devices are acceptably safe to use and perform as the manufacturer or developer intends them to.
26
What evidence is required to prove that a medical device is safe to use clinically?
- Clinical evaluation - Existing evidence (i.e. a clinical trial is not always required)
27
How do the Medical Device Regulations monitor safety and effectiveness?
They require: - Information about the product design (risk classification, essential requirements, risk management, technical files) - Evidence (clinical evaluation of the device) - Registration (manufacturers must register with MHRA) - Post-market surveillance (monitoring device throughout its entire lifetime to spot emergent issues and analyse its performance, quality, and safety)
28
Who is the manufacturer of a medical device according to the Medical Device Regulations?
The people responsible for the software design, production, and labelling.
29
Who is liable for a medical device?
The manufacturer where the software is used as intended, and the user if the software is modified or used off-label.
30
What are the 4 key standards for software as a medical device?
Quality Management Systems - Requirements for Regulatory Purposes Medical Device Software - Software Life Cycle Processes Medical Devices - Application of Risk Management to Medical Devices Medical Device Software - Usability Engineering Processes
31
What do the medical device standards regarding quality management discuss?
- Documentation requirements - Management responsibillity - Resource management - Product realisation - Measurements, analysis, and improvement
32
What do the medical device standards regarding risk management discuss?
- Identifying hazards associated with a medical device - Estimating and evaluating the risks associated with these hazards - Controlling risks and monitoring the effectiveness of controls - Evaluating the overall benefit/risk ratio
33
What do the medical device standards regarding software life cycle process discuss?
1) Development 2) Maintenance 3) Risk Management 4) Configuration Management 5) Problem Resolution
34
What do the medical device standards regarding the application of usability engineering discuss?
Use error and different types of use
35
What is use error?
User action or lack of user action while using a medical device that leads to a different result than intended by the manufacturer or expected by the user.
36
What is use error?
User action or lack of user action while using a medical device that leads to a different result than intended by the manufacturer or expected by the user.
37
What are the different types of medical device use?
- Normal use (correct use and use error) - Abnormal use
38
What is health software?
Software intended specifically for managing, maintaining or improving health of individuals or the delivery of care (it is not a medical device)
39
What do the health software general requirements discuss?
The approach to safety, security and performance of all health-related software products, regardless of whether they are a regulated medical device. It covers their requirements, risk management, lifecycle, validation, documentation, and post-market activities.