English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 113656/144643 (79%)
Visitors : 51723029      Online Users : 654
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/128978


    Title: 人因工程與醫療器材之美國上市前法規申請及市場進入障礙的關係
    The relationship between human factor engineering (Ergonomic), FDA medical device regulatory pathway and business market entry barriers of medical device company
    Authors: 田燿瑄
    Contributors: 陳桂恒
    吳豐祥

    田燿瑄
    Keywords: 醫療器材
    人因工程與可用性
    美國上市前法規
    進入障礙
    Medical Device
    Human Factor Engineering and Usability
    FDA Premarket Notification
    Entry Barriers
    Date: 2020
    Issue Date: 2020-03-02 11:35:26 (UTC+8)
    Abstract: 人因工程為考量使用者與產品間理解與互動的科學,也是透過理論、準則、數據等資料等設計出優化使用者與整體感受之科學。隨著老年化社會與醫療的發展,醫療器材也更為重視人因工程與可用性之考量,並著重使用者與醫材之操作介面流程,FDA考量重點為醫材臨床使用情境下之安全性與有效性,確認當危害發生時,能有效降低風險在可控制之範圍內。
    本研究以申請美國之非侵入式醫療器材作為研究對象,從人因工程與可用性、美國上市前法規、商業面之進入障礙三個層面進行剖析,透過蒐集個案之次級資料進行比較,探討個案公司在此層面間之交互作用,歸納彼此之間影響之關係,並歸納出結論以提供未來有興趣之臺灣醫療器材廠商可操作之參考。
    本研究得到之結論包括:(1)後進醫療器材公司可從領導品牌醫療器材所 揭露的資訊中找到人因工程與可用性之相關資訊;(2) 後進醫療器材公司可從 醫療器材領導品牌的上市前法規總結報告書及人因工程與可用性相關資訊,推 敲其產品臨床適應症、特徵、安全性與有效性等;(3)醫療器材後進者會因為 領導品牌所建立之市場進入障礙,而影響其人因工程與可用性之規劃和上市前 法規申請的臨床適應症佈局。
    Human factor engineering is the scientific discipline which considers the relationship between user and product, and which design to optimize overall system performance through theory, principle, data and method. Also, with on coming of aging society and technology improvement, more and more medical device takes human factor as consideration to focus on user interface of medical device. Moreover, FDA take human factor engineering and usability report to make sure medical device’s safety and effectiveness, to prevent low harm from risks.
    This research focuses on non-invasive medical device companies and tries to analyze the interaction within three key aspects: human factor engineering and usability, premarket notification, market entry barriers. Through case study and secondary analysis. For Taiwan medical device company to develop strategy which want to USA market.
    In the end, the main conclusions that in this research include: (1) Follower medical device company can find out human factor engineering and usability from the leading company’s open information. (2) Follower medical device company can find product’s Intended use, safety and effectiveness data from leading company’s premarket notification summary report and human factor engineering usability information. (3) The leading medical device company established market entry barriers will affect Follower company product human factor engineering, usability evaluation and premarket notification intended use and pathway.
    Reference: 中文文獻
    1. 余鎮宇. (2009). 台灣醫療電子產業發展策略探討: 臺灣大學醫學工程學研究所.
    2. 吳思華. (2000). 策略九說 (新版): 臉譜出版.
    3. 李俊賢. (2015). 醫療器材可用性評估模式之研究: 國立清華大學工業工程與工程管理學系碩士在職專班碩士論文.
    4. 李啟程. (2005). 台灣生物科技產業醫療器材類策略態勢與發展方向之分析:以五鼎、百略、及必翔公司為例: 科技管理學刊 10卷4期
    5. 林卉庭. (2013). 檢視台灣醫療器材產業的關鍵成功因素: 國立中興大學科技管理研究所.
    6. 林坤輝. (2013). 新創骨科醫療器材公司的競爭策略分析與建議: 國立臺灣大學商學組.
    7. 林承鋒. (2017). 論醫療器材之上市規範與專利保護: 國立臺北大學法律學系法律專業組.
    8. 唐國智. (2002). 開刀房人因工程危害評估與改善設計: 高雄醫學大學公共衛生學研究所.
    9. 楊豐輝. (2011). 台灣電子血壓計產業與競爭策略分析 ---以中國大陸市場為例: 國立臺灣大學高階公共管理組.
    10. 葉至誠, & 葉立程. (2011). 研究方法與論文寫作 (3rd ed.): 商鼎數位出版.
    11. 詹錦宏, & 洪志華. (2008). 醫療電子產業發展模式之研究-數位血壓計之案例: 臺灣職能治療研究與實務雜誌.
    12. 劉慶森. (2016). 國內醫療產業之創新商業模式比較分析- 以國內醫療器材商為例: 朝陽科技大學企業管理系台灣產業策略發展博士班.
    13. 蔣竣凱. (2019). 醫療器材公司成長策略研究-以博而美公司重症通路事業部門為例: 中原大學企業管理研究所.
    14. 鄭麗雲. (2007). 台灣地區醫療器材廠商經營策略形成之分析-以D公司為例: 淡江大學國際貿易學系國際企業學碩士在職專班.
    15. 盧威廷. (2016). 預防退化性膝關節炎之創新穿戴裝置設計與評估: 國立成功大學工業設計學系.
    16. 自由時報,(2018),高齡社會 內政部:台灣老年人口破14% 亞洲排名第3,https://news.ltn.com.tw/news/life/breakingnews/2391182 (最後瀏覽日2018/11/30)
    17. 中華民國人因工程學會:學會介紹,載於:http://www.est.org.tw/about_01.php (最後瀏覽日:2019/10/10)
    18. 自由時報,(2018),高齡社會 內政部:台灣老年人口破14% 亞洲排名第3,https://news.ltn.com.tw/news/life/breakingnews/2391182 (最後瀏覽日2018/11/30)
    19. Business Wire, <Masimo與邁瑞宣布擴大合作夥伴關係:邁瑞將在美國以外的其他國家新增Masimo SET®脈搏血氧飽和度儀至其患者監護設備中>,載於https://www.businesswire.com/news/home/20190514005702/zh-HK/ (最後瀏覽日:2019/12/01)
    20. 國家實驗研究院科技政策研究與資訊中心,Gabriel Chao,<[個案分析]血氧計專利訴訟:Masimo與Nellcor>,《科技產業資訊室》,2011/03/08,載於:http://iknow.stpi.narl.org.tw/Post/Read.aspx?PostID=6053 (最後瀏覽日2019/12/01)

    英文文獻
    1. Amrulloh, Y. A., Abeyratne, U. R., Swarnkar, V., Triasih, R., & Setyati, A. (2015). Automatic cough segmentation from non-contact sound recordings in pediatric wards. Biomedical Signal Processing and Control, 21, 126-136. doi:10.1016/j.bspc.2015.05.001
    2. Applying Human Factors and Usability Engineering to Medical Devices. (2016). CDRH, FDA (U.S. Department of Health and Human Services Public Health Service Food and Drug Administration Center for Devices and Radiological Health)
    3. Bergsland, J., Elle, O. J., & Fosse, E. (2014). Barriers to medical device innovation. Med Devices (Auckl), 7, 205-209. doi:10.2147/MDER.S43369
    4. Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for U.S. adults: National Health Interview Survey, 2012. National Center for Health Statistics. Vital Health Stat 10(260). 2014.
    5. Bloom B, Jones LI, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2012. National Center for Health Statistics. Vital Health Stat 10(258). 2013.
    6. Chest American College of Chest Physicians, The Global Impact of Respiratory Disease - Second Edition, Retried From https://www.chestnet.org/News/Press-Releases/2017/05/FIRS-releases-The-Global-Impact-of-Respiratory-Disease-Second-Edition?p=1 (2019/12/01)
    7. Definition and Domains of Ergonomics, viewed by https://www.iea.cc/whats/index.html , Last visited 2019/10/01
    8. De Novo Classification Request, Retrieved from https://www.fda.gov/medical-devices/premarket-submissions/de-novo-classification-request (Last visited 2019/09/19)
    9. FDA, Medical Device Overview: What is a medical device?, Retrieved from https://www.fda.gov/industry/regulated-products/medical-device-overview#What%20is%20a%20medical%20device
    10. FDA Regulatory Controls, Retrieved from https://www.fda.gov/medical-devices/overview-device-regulation/regulatory-controls#intro (Last visited 2019/09/19)
    11. Gay, L. R. (1992). Educational research: Competencies for analysis and application (4th ed.). New York: Merril Pr.
    12. Healthy People.gov, Respiratory Diseases, Retried From https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases#six (2019/12/01)
    13. Hill, C. W. L., Schilling, M. A., & Jones, G. R. (2016). Strategic Management: An Integrated Approach, Theory & Cases (12th ed.): Cengage Learning.
    14. IEC. (2015). IEC 62366-1:2015 Application of usability engineering to medical device. In (pp. 58): Bsi Standards Publication.
    15. ISO 9421-11:2018, Introduction
    16. ISO 9241-210:2010, Introduction
    17. Kosasih, K., Abeyratne, U. R., Swarnkar, V., & Triasih, R. (2015). Wavelet augmented cough analysis for rapid childhood pneumonia diagnosis. IEEE Trans Biomed Eng, 62(4), 1185-1194. doi:10.1109/TBME.2014.2381214
    18. Linda Chatwin, Esq., RAC, Sr. Customer Solutions Consultant, Health Sciences Division UL,(2019) Building an Effective Global Regulatory Strategy for Medical Device, MasterControl, Retrieved from https://www.mastercontrol.com/gxp-lifeline/building-an-effective-global-regulatory-strategy-for-medical-devices/ (Lasted visited 2019/10/10)
    19. Masimo website, About Masimo, Retrieved from http://www.masimo.tw/aboutmasimo/index.htm
    20. Masimo website, Masimo Signal Extraction Technology (SET®) , Retrieved from http://www.masimo.com/technology/co-oximetry/set/
    21. Masimo, Masimo Probe-Off Detection-A Common Limitation of Pulse Oximetry, Retrieved from http://www.masimo.co.uk/siteassets/uk/documents/pdf/clinical-evidence/whitepapers/lab4546a_whitepapers_apod.pdf
    22. Masimo, Masimo To Present At Evercore ISI 2nd Annual HealthCONx Conference, Retrieved from https://www.masimo.com/company/investors/investor-relations/ (Last visited 2019/12/01)
    23. Masimo, Patent Litigation Status, Retried from https://www.masimo.tw/patentlitigation.htm (Last visited 2019/12/01)
    24. Masimo, Masimo Signal Extraction Technology (SET®), Retried From https://www.masimo.com/technology/co-oximetry/set/ (Last visited 2019/12/01)
    25. Masimo, 2018-Q2 Masimo Product catalog, Retried From https://infiniti.se/wp-content/uploads/Masimo_Katalog_2018.pdf (Last visited 2019/12/01)
    26. Manbachi, A., Kreamer-Tonin, K., Walch, P., Gamo, N. J., Khoshakhlagh, P., Zhang, Y. S., . . . Yazdi, Y. (2018). Starting a Medical Technology Venture as a Young Academic Innovator or Student Entrepreneur. Ann Biomed Eng, 46(1), 1-13. doi:10.1007/s10439-017-1938-x
    27. Medical Device User Fee, Retrieved from https://www.fda.gov/medical-devices/premarket-submissions/medical-device-user-fees (Last visited 2019/09/19)
    28. Masimo, Masimo APOD Whit paper, Retrieved from https://infiniti.se/wp-content/uploads/Beskrivning_APOD_whitepaper-1.pdf
    29. Michael Wiklund, Jonathan Kendler, Allison Y. Strochlic (2010). Usability Testing of Medical Devices. Boca Raton: CRC Press, https://doi.org/10.1201/b10458 (pp.90-pp.103)
    30. PEDIATRIC LUNG INFECTION AND CRITICAL CARE AROUND THE WORLD, Retried From https://www.abstractsonline.com/pp8/#!/5789/presentation/11880 (2019/12/01)
    31. Premarket Approval (PMA), Retrieved from https://www.fda.gov/medical-devices/premarket-submissions/premarket-approval-pma (Last visited 2019/09/19)
    32. Premarket Notification 510(k), Retrieved from https://www.fda.gov/medical-devices/premarket-submissions/premarket-notification-510k (Last visited 2019/09/19)
    33. P. P. Moschovis, A Cough Analysis Smartphone Application for Diagnosis of Acute Respiratory Illnesses in Children, Retrieved from https://www.abstractsonline.com/pp8/#!/5789/presentation/11880
    34. Porter, M. E. (1989). How Competitive Forces Shape Strategy.: Palgrave, London.
    35. Research and Market, (2018), Medical Device Market Report: Trends, Forecast and Competitive Analysis, Retrieved from https://www.researchandmarkets.com/research/42d8b9/global_medical?w=5 (Lasted visited 2019/12/01)
    36. ResApp, Telehealth, Retried From https://www.resapphealth.com.au/solutions/ (2019/12/20)
    37. ResApp, ResApp FDA Consultant Engagement., Retried From https://www.resapphealth.com.au/fda-consultant-engagement/ (Last visited 2019/12/01)
    38. ResApp, ResApp Submits De Novo Application to the FDA for smartphone-based Diagnosis of Paediatric Disease. Retried From https://www.resapphealth.com.au/resapp-submits-de-novo-application-to-the-fda-for-smartphone-based-diagnosis-of-paediatric-respiratory-disease/ (Last visited 2019/12/01)
    39. ResApp, ResApp Receives CE Mark Approval for Smartphone-based Diagnostic Test for Adult and Paediatric Respiratory Disease, Retried From https://www.resapphealth.com.au/resapp-receives-ce-mark-approval-for-smartphone-based-diagnostic-test-for-adult-and-paediatric-respiratory-disease/ (Last visited 2019/12/01)
    40. ResApp, ResApp Receives CE Mark for the World’s First Smartphone-based Diagnostic Test for Respiratory Disease, Retried From https://www.resapphealth.com.au/resapp-receives-ce-mark-for-the-worlds-first-smartphone-based-diagnostic-test-for-respiratory-disease/ (2019/12/01)
    41. Sawyer, D. (2000). Do it by Design_An Introduction to Human Factors in Medical Devices. Retrieved from https://elsmar.com/pdf_files/FDA_files/DOITPDF.PDF
    42. Stewart, D. W., & Kamins, M. A. (1992). Secondary Research: SAGE Publications UK.
    43. Sharan, R. V., Automatic Croup Diagnosis Using Cough Sound Recognition, IEEE, (2019)
    44. Swarnkar, V., Abeyratne, U. R., Chang, A. B., Amrulloh, Y. A., Setyati, A., & Triasih, R. (2013). Automatic identification of wet and dry cough in pediatric patients with respiratory diseases. Ann Biomed Eng, 41(5), 1016-1028. doi:10.1007/s10439-013-0741-6
    45. US10098569B2 Method and apparatus for processing patient sounds, Retried From https://patents.google.com/patent/US10098569B2/en (2019/12/01)
    46. Visiongain, (2014), MEDICAL DEVICE CONTRACT MANUFACTURING: WORLD MARKET OUTLOOK 2014-2024 & Future Prospects for Leading Companies, Retrieved from https://www.visiongain.com/Report/1189/Medical-Device-Contract-Manufacturing-World-Market-Outlook-2014-2024 (Lasted visited2019/12/01)
    47. Why is Human Factor Engineering important to medical devices?, Retrieved from https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/human-factors-and-medical-devices (Last visited 2019/10/10)
    48. What Is Human Factors/Ergonomics?, viewed by https://www.hfes.org/about-hfes/what-is-human-factorsergonomics , Last visited 2019/10/01
    49. Wiklund, M., Kendler, J., & Strochlic, A. Y. (2010). Usability Testing of Medical Devices (1st Edition ed.). Boca Raton.
    Description: 碩士
    國立政治大學
    科技管理與智慧財產研究所
    105364102
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0105364102
    Data Type: thesis
    DOI: 10.6814/NCCU202000207
    Appears in Collections:[科技管理與智慧財產研究所] 學位論文

    Files in This Item:

    There are no files associated with this item.



    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏,無償提供學術研究與公眾教育等公益性使用,惟仍請適度,合理使用本網站之內容,以尊重著作權人之權益。商業上之利用,則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作,已盡力防止侵害著作權人之權益,如仍發現本網站之數位內容有侵害著作權人權益情事者,請權利人通知本網站維護人員(nccur@nccu.edu.tw),維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback