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中国医药导刊 ›› 2023, Vol. 25 ›› Issue (5): 453-457.

• 专栏-数字疗法 •    下一篇

数字疗法产品技术问题探讨

王晨希, 李佳戈   

  1. 中国食品药品检定研究院光机电室, 北京 100050
  • 收稿日期:2023-06-08 出版日期:2023-05-28 发布日期:2023-05-28

Discussion on Technical Issue of Digital Therapeutic Products

  1. Division of Active Medical Device and Medical Optics, National Institutes for Food and Drug Control, Beijing 100050, China
  • Received:2023-06-08 Online:2023-05-28 Published:2023-05-28

摘要: 数字疗法是依靠高质量的软件为患者提供基于循证医学证据的干预措施,融合了设计、临床评估、可用性和数据安全等先进技术,通过高质量、安全、有效的数据驱动型干预措施来应对各种疾病。监管机构根据需要对其进行审查或认证,以支持有关风险、功效和预期用途的产品声明。本研究针对数字疗法产品的共性技术问题展开讨论,从医疗器械定义出发,总结数字疗法产品关键属性,分别从结构组成、预期用途、循证医学和参与者等方面加以界定和限制;围绕数据质量、设计变更和算法构建等方面阐述了产品的设计开发问题,明确了产品使用环节的网络安全、可用性和强度配置等技术风险,并提出随机对照临床试验开展过程中面临的问题,以期为此类产品的监管提供思路和借鉴。

关键词: font-size:medium, ">数字疗法;循证医学;变更;强度;可用性

Abstract: Digital therapeutics reley on high-quality softwares to provide evidence-based interventions for patients, integrating advanced technologies such as design, clinical evaluation, usability, and data security, which can respond to various diseases through high-quality, safe, and effective data-driven interventions. Regulatory agencies review or certify the products as needed to support product claims related to risks, efficacy, and intended use. This study discusses the common technical issues of digital therapeutic products, respectively defining and limiting the key attributes of digital therapeutics products based on the definition of medical devices, including structural composition, intended use, evidence-based medicine, and participants. Design and development issues of the product was discussed, including data quality, design changes, and algorithm construction. The technical risks of network security, usability, and strength configuration in the use of the product were clarified, and the problems faced in the process of conducting randomized controlled clinical trials were proposed. Through analysis and discussion, in order to provide reference for future supervision of such products.
   

Key words: font-size:medium, ">Digital therapeutics; Evidence-based medicine; Change; Intensity; Usability

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