FDA医用脉搏血氧仪指南分析

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
张慧珊,丁金聚,张译丹
文章摘要
FDA医用脉搏血氧仪指南构建了从研发到临床的全链条规范,以患者安全为核心,涵盖非临床测试、临床验证及标签披露,与国际标准形成互补。2025年草案强化种族差异关注,要求临床试验纳入一定比例深色皮肤人群并标注肤色影响警告,回应不同种族测量偏差问题。指南还涉及技术演进(如多光谱传感器、柔性监测)、临床验证要求、国际监管差异(与欧盟MDR对比)及未来趋势(技术融合、算法优化),文章对其进行综述分析。
文章关键词
FDA;医用脉搏血氧仪;指南分析
参考文献
[1] ISO 10993-1:2024 Biological evaluation of medical devices-Part 1:Evaluation and testing within a risk management process. [2] Patterson S,Sandercock N,Verhovsek M.Understanding pulse oximetry in hematology patients:Hemoglobinopathies,racial differences, and beyond.Am J Hematol.2022;97(12):1659-1663. [3] Takagi,Toshishige.,Fujii,Tomoko.,Nakamura,Sae.,Tsutsumi,Yusuke.,&Uezono,Shoichi..(2025).Accuracy of Pulse Oximetry and Risk Factors Associated with Discrepancy from Arterial Oxygenation in Asian Patients in the ICU:An Observational Study.Chest. [4] Jakachira,Rutendo.,Diouf,Mbaye.,Lin,Zixi.,Burrow,Joshua A.,&Howes,Andrew..(2022).Single-wavelength,single-shot pulse oximetry using an LED-generated vector beam.Optics express. [5] Lou Z,Tao J,Wei B,et al.Near-Infrared Organic Photodetectors toward Skin-Integrated Photoplethysmography-Electrocardiography Multimodal Sensing System.Adv Sci(Weinh).2023;10(36):e2304174. [6] Matos,João.,Matos,João.,Matos,João.,Matos,João.,&Struja,Tristan..(2024).BOLD:Blood-gas and Oximetry Linked Dataset.Scientific data. [7] Kyriacou,Panicos A.,Charlton,Peter H.,Al-Halawani,Raghda.,&Shelley,Kirk H..(2022).Inaccuracy of pulse oximetry with dark skin pigmentation:clinical implications and need for improvement.British journal of anaesthesia. [8] Leeb,Gregory.,Auchus,Isabella.,Law,Tyler.,Bickler,Philip.,&Feiner,John..(2024).The performance of 11 fingertip pulse oximeters during hypoxemia in healthy human participants with varied,quantified skin pigment.EBioMedicine. [9] Jamali,Haya.,Castillo,Lauren T.,Morgan,Chelsea Cosby.,Coult,Jason.,&Muhammad,Janice L..(2022).Racial Disparity in Oxygen Saturation Measurements by Pulse Oximetry:Evidence and Implications.Annals of the American Thoracic Society. [10] NIH Office of Minority Health.Equity in Medical Devices:Addressing Racial and Ethnic Disparities.NIH Report.2021;RR-2105. [11] European Commission.(2023).MDR Transition Guidance:Implications and Extended Timelines for EU Medical Device Regulations. Official Journal of the European Union. [12] EXPLORING THE USE OF LARGE LANGUAGE MODELS IN REGISTERING MEDICAL DEVICE SOFTWARE [13] Mastrototaro,John J.,Leabman,Michael.,Shumate,Joe.,&Tompkins,Kim L..(2024).Performance of a Wearable Ring in Controlled Hypoxia:A Prospective Observational Study.JMIR formative research.
Full Text:
DOI