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  • FDC

    6 12 , 79-84, 2011

    1122231

    1- , 2 3

    (, )

    .

    ,

    .

    .

    , , , ,

    .

    .

    , , , , ,

    I.

    Ubiquitous-Health ,

    ,

    IT

    .1)

    , ,

    ,

    .

    ,

    2011 Implantable 33

    8.3% , 2014 48

    .2)

    .

    ()

    .3)

    2009

    2

    .4)

    .

    .

    .

    .5-6)

    (Implantable Cardiac Pacemaker)

    (ICD, Implantable Cardioverter Defibrillator)

    ,

    .

    .

    II.

    1.

    1.1

    .

    (Leads) .7)

    , (100-715) 3 26,

    (Tel: 02-2269-7203, Fax: 02-2269-7203, E-mail: [email protected])

  • 80

    .

    .

    .

    .8)

    ( )

    .

    1.2

    .

    (Shock)

    .

    .

    , ,

    .7-8) (Cardioversion)

    (Defibrillation) (Antitachyeardia

    pacing) .9)

    , .

    1.3

    2006 IEEE

    802.15 TG6

    WBAN (Wearable Body Area Network)

    .

    Kbps Mbps

    .

    (MICS : Medical Implant Commu-

    nication System) 402~405 Hz

    .

    (MICS)

    , ,

    .

    , ,

    .

    2.

    2.1

    2000

    ,

    .

    ,

    .

    , ,

    , ,

    FDA ClassIII

    ,

    ClassIV

    .

    ClassIII .

    2

    Active Implantable Medical Device(

    ) .

    2. Implantable Cardioverter Defibrillator 1. Implantable Cardiac Pacemaker

  • 81

    2.2

    ISO, IEC, ASTM, BS, ANSI

    ISO 14708, ISO 5841, EN

    45502

    . ISO 14708-1: 2000 Implants for

    surgery - Active implantable medical device

    .

    14 .10)

    ISO 14708-2:2005 BS

    EN 45502-2-1: 2003

    ,

    , , ,

    .11)

    ISO 14708-6: 2010 BS EN 45502-2-2:2008

    ,

    , ,

    .12)

    3.

    3.1

    2 10

    .

    . ,

    1. International standard of implantable medical device

    ISO 14708-1: 2000

    Implants for surgery - Active implantable medical devices

    - Part 1: General requirements for safety, marking and for information to be provided by the

    manufacturer

    ISO 1708-2: 2005Implants for surgery - Active implantable medical devices

    - Part 2: Cardiac pacemakers

    BS EN 45502-2-1: 2003Active implantable medical devices. Particular requirements for active implantable medical

    devices intended to treat bradyarrhythmia (cardiac pacemakers)

    ISO 14708-1: 2000

    Implants for surgery - Active implantable medical devices

    - Part 1: General requirements for safety, marking and for information to be provided by the

    manufacturer

    ISO 1708-6: 2010

    Implants for surgery - Active implantable medical devices

    - Part 6: Particular requirements for active implantable medical devices intended to treat

    tachyarrhythmia (including implantable defibrillators)

    BS EN 45502-2-2: 2008Active implantable medical devices. Particular requirements for active implantable medical

    devices intended to treat tachyarrhythmia (includes implantable defibrillators)

    2. Performance evaluation of implantable cardiac pacemaker

    1 ms 1/3

    2 V, mA

    3 /min 20

    4 ms (trigger)

    5 V / 201 1 M 1 K

    6 K 1 M

    , 1 k

    7 ms

    8 ms

    9 ms 4()

    10 ms

  • 82

    ,

    , , ,

    .

    .11)

    3 8

    .

    .

    .

    .12)

    .

    3.2

    M

    4, 5 .

    . 1

    (%) .11-12)

    4.

    14

    .

    ,

    ,

    3. Performance evaluation of implantable cardioverter defibrillator

    1 ms 1/3

    2 V, mA

    3 /min 20

    4 ms (trigger)

    5 V / 201 1 M 1 K

    102

    6 K 1 M, 30pF

    7 ICD V

    8 /

    J ICD

    4. Test result of implantable cardiac pacemaker

    ()

    1 0.49 ms(0.5 ms)

    2 1.23 V(1 V)

    3 665.96 mHz

    (35 min1)

    4 1485 ms (1.5 s)

    5 1.1(1)

    1.05 (1)

    6 362

    7 1000 ms

    420 ms

    8 25 ms

    20 ms

    9 200 ms

    10

    5. Test result of implantable cardioverter defibrillator

    ()

    1 4 ms (4 ms)

    2 250 mV (0.2 V)

    3 831.22 mHz

    (50 min1)

    4 1024 ms (1 s)

    5 1.1 (1)

    1.05 (1)

    6 362

    7 ICD

    8 /

    W220mV2 t( )

    50-----------------------------

    0

    0.004 sec

    dt=

  • 83

    ,

    ,

    ,

    ,

    ,

    ,

    ,

    , ,

    ,

    ,

    .

    , ,

    .

    IV.

    .

    ,

    .

    . ,

    .

    .

    .

    .

    .

    2010

    (10172465)

    .

    1) O. N. Kim., u-Healthcare , LG Business

    Insight, pp. 23-41, 2009.

    2) Jacob Basham, Implatable Medical Devices: Challenges

    and Opportunities, 2011.

    3) Korea Health Industry Development Institute, Korea

    Health Industry Development Institute, Vol. 05, 2010.

    4) ,

    , 2009.

    5) 2009 ,

    Korea Food & Drug Administration, 2010.

    6) W. H. Maisel. Safety issues involving medical devices.

    Journal of theAmerican Medical Association, Vol. 08, pp.

    955-958, 2005.

    7) Myeong Sang Kong, EMC Study of the Pacemaker and

    Implantable Cardioverter-Defibrillator in Saloon Area, The

    Korea Society for Railway, Vol. 2, pp. 741-1120, 2002.

    8) K. David Steidley, Eric Steidley, "Pacemaker/ ICD Irradi-

    ation Policies in Radiation Oncology, Radiation Oncology

    Dept., St. Barnabas Medical Center

    9) Dong-il Lee, Shinki Ahn, Jong Youn Kim, Myounghee Kim,

    Sooyoung Kim, Moon Hyoung Lee, Sung Soon Kim,

    Implantable Cardioverter-Defibrillator (ICD) TherapyInitial

    Clinical Experience in 6 Patients, Korean Circulation J, Vol.

    9, pp.999-1015, 1999

    10) ISO 14708-1: 2000, Implants for surgery - Active implantable

    medical device - Part 1: General requirements for safety,

    marking and for information to be provided by the manu-

    facturer

    11) ISO 14708-2: 2005, Implants for surgery - Active im-

    plantable medical device - Part 2: Cardiac pacemakers

    12) ISO 14708-6: 2010, Implants for surgery - Active im-

    plantable medical device - Part 6: Particular requirements for

    active implantable medical devices intended to treat tachyar-

    rhythmia (including implantable defibrillators).

    (: 2011. 11. 5 /: 2011. 12. 16)

  • 84

    Abstract

    Study on the Test for Implantable U-Health Device

    Jae Hoon Jeong1, Sung Yun Park1, Eun Jeong Cho2, Chan Hoi Hur2, Ki Jung Park2, Dong Sup Kim3 and Sung Min Kim1

    1Department of Medical Bio Engineering, Dongguk Univ.-Seoul2Fusion Technology Medical Devices Team, Pharmaceuticals and Medical Devices Research Department

    National Institute of Food and Drug Safety Evaluation, Korea Food and Drug Administration3Pharmaceuticals and Medical Devices Research Department National Institute of Food and Drug Safety Evaluation,

    Korea Food and Drug Administration

    The purpose of this study is to survey the technology and to investigate the standard about the 'Implantable

    u-health devices (implantable cardiac pacemakers, implantable defibrillators) in domestic and foreign. As results,

    the evaluation guideline has been made for each device (implantable cardiac pacemakers, implantable

    defibrillators). The evaluation guideline is included scope, normative references, term and definitions, method of

    performance evaluation, test configuration, figure of test result. We have taken a detailed assessment of safety

    and effectiveness about the guideline for performance evaluation. The evaluation guideline has made based on

    the international guideline which have internationally credibility.

    Key words : Implantable Medical Device, Implantable Cardiac Pacemaker, Implantable Cardioverter Defibrillator,

    Safety, Performance, Test Methods