New medical devices invention, development, and use

Detalles Bibliográficos
Autores Corporativos: National Academy of Engineering (-), Institute of Medicine (U.S.)
Otros Autores: Ekelman, Karen B. (-)
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, D.C. : National Academy Press 1988.
Edición:1st ed
Colección:Series on technology and social priorities.
Materias:
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009622115306719
Tabla de Contenidos:
  • New Medical Devices
  • Copyright
  • FOREWORD
  • PREFACE AND ACKNOWLEDGMENTS
  • CONTENTS
  • PART 1 MEDICAL DEVICES INNOVATION AND HEALTH CARE
  • New Medical Devices and Health Care
  • SCREENING
  • DIAGNOSIS
  • THERAPY
  • REHABILITATION
  • References
  • Inventing Medical Devices: Five Inventors' Stories
  • DEVELOPMENT OF TECHNICON'S AUTO ANALYZER
  • PLASMAPHERESIS
  • PNEUMATIC EXTRADURAL INTRACRANIAL PRESSURE MONITOR
  • The Invention Process
  • Financing and Marketing
  • INVENTION OF AN ELECTRONIC RETINOSCOPE
  • THE FIRST SUCCESSFUL IMPLANTABLE CARDIAC PACEMAKER
  • WHEELCHAIRS FOR THE THIRD WORLD
  • Nicaragua Wheelchair Project
  • Evolution of the Design
  • The Future
  • Technological Innovation and Medical Devices
  • WHAT IS TECHNOLOGICAL INNOVATION IN MEDICAL DEVICES?
  • WHO BRINGS ABOUT MEDICAL DEVICE INNOVATIONS?
  • WHICH COMPANIES CONTRIBUTE TO MEDICAL DEVICE INNOVATIONS?
  • HOW DO FDA REGULATIONS AFFECT MEDICAL DEVICE INNOVATION?
  • WHAT IS THE ROLE OF THE LARGER COMPANY IN MEDICAL DEVICE INNOVATION?
  • References
  • PART 2 CURRENT TRENDS
  • Federal Support of Medical Device Innovation
  • SYSTEMS PHYSIOLOGY AND MODELING
  • NEURAL PROSTHESES FOR HUMAN REHABILITATION
  • BIOMECHANICS
  • BIOMATERIALS
  • BIOSENSORS
  • METABOLIC IMAGING
  • MINIMALLY INVASIVE PROCEDURES
  • ARTIFICIAL ORGANS
  • FEDERAL SUPPORT FOR BIOMEDICAL ENGINEERING RESEARCH
  • CONCLUSION
  • References
  • Private Investment in Medical Device Innovation
  • DECISIONS ABOUT R&amp
  • D
  • TECHNICAL FACTORS
  • MARKET FACTORS
  • CONCLUSIONS
  • References
  • Product Liability and Medical Device Regulation: Proposal for Reform
  • INDIVIDUAL AND SOCIAL FUNCTIONS: THE LIMITS OF REGULATION AND PRODUCT LIABILITY
  • DISTORTIONS CAUSED BY INCONSISTENCIES BETWEEN REGULATION AND PRODUCT LIABILITY
  • MEDICAL DEVICES AS A SPECIAL KIND OF CONSUMER PRODUCT: A FRAMEWORK FOR APPROACHING REFORM.
  • Overview of Reform Proposal
  • The Stages Described: Issues for Debate
  • Stage 1
  • Stage 2
  • Stage 3
  • CONCLUSION
  • NOTES
  • Bibliography
  • Impact of the Changing Medical Payment System on Technological Innovation and Utilization
  • PROSPECTIVE PAYMENT SYSTEM
  • New Incentives under the Prospective Payment System
  • MEDICAL TECHNOLOGIES, HEALTH CARE COSTS, AND THE ROLE OF PROPAC
  • Cardiac Pacemakers
  • Magnetic Resonance Imaging
  • Penile Prostheses
  • IMPACT OF PPS ON MEDICAL TECHNOLOGY
  • CONCLUSIONS
  • A Conflict: Medical Innovation, Access and Cost Containment
  • INCENTIVES AND DISINCENTIVES FOR MEDICAL DEVICE INNOVATION
  • The Prospective Payment System
  • The Health Care Finance Administration Decision-Making Process
  • Innovation under Alternative Health Care Delivery Systems
  • FUTURE DIRECTIONS
  • REFORM PROPOSALS
  • Technology Assessment
  • Priority List of Candidate Topics for Assessment and Policy Actions
  • Interim Coverage Policy
  • Periodic Payment Adjustments
  • Greater Public Input into Coverage Decision Making
  • Identification of Outmoded, Ineffective, and Overutilized Existing Technologies
  • CONCLUSION
  • References
  • PART 3 HOW TRENDS WILL INTERACT
  • How Trends Will Interact: The Perspective of the Hospital
  • THE PERSPECTIVE OF HEALTH CARE PAYERS
  • THE PERSPECTIVE OF THE HOSPITAL
  • CONCLUSION
  • References
  • Perspectives of Industry, the Physician, and Government
  • RESPONSIBILITY, RISK, AND INFORMED CONSENT
  • How We Deal with Risk
  • Responsibilities in the Health Care Arena
  • Informed Consent
  • A Perspective on Future Challenges
  • References
  • THE PERSPECTIVE OF THE MEDICAL DEVICE INDUSTRY
  • Ten Stages in the Innovation of Medical Devices
  • Factors Influencing the Ten Stages in Medical Device Innovation
  • Some Suggestions for Change
  • PROSPECTIVE PAYMENT
  • Regulation and Product Liability.
  • Biomedical Innovation
  • Evaluating Medical Devices
  • HOW TRENDS WILL INTERACT: THE PERSPECTIVE OF THE GOVERNMENT
  • The Government's Role in Research
  • The Government's Role in Financing Health Care
  • The Government as Guardian of the Public Interest
  • The Stage is Set
  • The Government as Reconciler of Conflicting Interests, Including Its Own
  • Changes in the Payment System
  • Information for Making Choices
  • Possible Role for the Institute of Medicine
  • References
  • Summarizing Reflections
  • SALIENT TRENDS IN HEALTH CARE
  • THE FLOW OF INNOVATION
  • HEALTH OF THE DEVICES ENTERPRISE ITSELF
  • INSTITUTIONAL AND INFRASTRACTURAL ISSUES
  • REGULATORY CONTROL VERSUS TORT LIABILITY
  • ECONOMICS
  • DIFFUSION
  • CURRENT RESEARCH DIRECTIONS
  • IDENTIFYING NEEDS AND OPPORTUNITIES
  • ENVOI
  • CONTRIBUTORS
  • INDEX.