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9781588294227

Clinical Evaluation Of Medical Devices

by ;
  • ISBN13:

    9781588294227

  • ISBN10:

    1588294226

  • Edition: 2nd
  • Format: Hardcover
  • Copyright: 2005-12-31
  • Publisher: Humana Pr Inc

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Supplemental Materials

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Summary

This expanded and updated edition includes the many innovations and clinical research methods that have developed since the first edition, as well as current information on the regulatory, legal, and reimbursement environment for medical devices. The authors summarize the key principles and approaches employed in medical device clinical trials and illustrate their uses in a revealing series of detailed, real-world case studies. Highlights include new information on the requirements and process for gaining reimbursement from Medicare and private insurers on new products -including new case studies of research specifically designed for this purpose-and new statistical methods applied to medical device trials. Additional case studies provide examples of combination products, three-phase development models (i.e., feasibility, FDA approval, and Medicare reimbursement), and novel study designs. The cases demonstrate a wide range of designs that have been successfully applied to many different research problems, as well as to a variety of therapeutic or diagnostic products.

Table of Contents

Preface v
Contributors ix
PART I FUNDAMENTALS OF CLINICAL STUDY DESIGN AND EVALUATION
1 Clinical Trials in Development and Marketing of Medical Devices
3(18)
Karen M. Becker
2 Regulatory Requirements for Clinical Studies of Medical Devices and Diagnostics
21(38)
Daniel A. Kracov and Lisa M. Dwyer
3 Requirements for Medicare Coverage and Reimbursement for Medical Devices
59(22)
Esther R. Scherb and Stuart S. Kurlander
4 Postmarket Requirements for Significant Risk Devices
81(18)
Suzan Onel
5 Applications of Bayesian Methods to Medical Device Trials
99(18)
Telba Z. Irony and Richard Simon
6 Intellectual Property Protection for Medical Devices
117(24)
Fariborz Moazzam and Michael D. Bednarek
7 HIPAA Compliance in Clinical Research
141(12)
Peter M. Kazon and Sharon D. Brooks
8 Overview of Medicare Coverage of Clinical Trials
153(8)
Julie K. Taitsman
9 Developing Drug—Device Combination Products With Unapproved Components
161(26)
Guy Chamberland
10 Wall Street's Perspective on Medical Device Evaluation: Innovation Investing
187(12)
Adam K. Galeon
PART II CASE STUDIES
11 Challenges in Conducting Implantable Device Trials: Left Ventricular Assist Device in Destination Therapy
199(18)
Ursula Maria Schmidt-Ott, Alan J. Moskowitz, Annetine C. Gelijns, Julie C. Choe, Michael Parides, and Deborah V. Davis Ascheim
12 BELIEF: A Randomized, Sham-Procedure-Controlled Trial of Percutaneous Myocardial Laser Therapy
217(16)
Jan Erik Nordrehaug and Janet M. Fauls
13 Clinical Trials of an Anti-Adhesion Adjuvant
233(8)
Michael P. Diamond
14 Use of Multiple Imputation Models in Medical Device Trials
241(12)
Donald B. Rubin and Samantha R. Cook
15 Case Studies on the Local Coverage Process
253(16)
Mitchell I. Burken
16 Reimbursement Analysis: From Concept to Coverage
269(16)
Robin Bostic
17 Polyurethane Pacemaker Leads: The Contribution of Clinical Expertise to the Elucidation of Failure Modes and Biodegradation Mechanisms
285(20)
Ken Stokes
18 Role of Device Retrieval and Analysis in the Evaluation of Substitute Heart Valves
305(26)
Frederick J. Schoen
19 The Use of Surrogate Outcome Measures: A Case Study: Home Prothrombin Monitors
331(6)
John J. Whyte
Index 337

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