Evaluating New Ophthalmic Digital Devices for Safety and Effectiveness in the Context of Rapid Technological Development

Zachary M. Bodnar, Ronald Schuchard, David Myung, Michelle E. Tarver, Mark S. Blumenkranz, Natalie A. Afshari, Mark S. Humayun, Christie Morse, Ken Nischal, Michael X. Repka, Derek Sprunger, Michael Trese, Malvina B. Eydelman

Research output: Contribution to journalReview article

Abstract

Importance: The US Food and Drug Administration's medical device regulatory pathway was initially conceived with hardware devices in mind. The emerging market for ophthalmic digital devices necessitates an evolution of this paradigm. Objectives: To facilitate innovation in ophthalmic digital health with attention to safety and effectiveness. Evidence Review: This article presents a summary of the presentations, discussions, and literature review that occurred during a joint Ophthalmic Digital Health workshop of the American Academy of Ophthalmology, the American Academy of Pediatrics, the American Association for Pediatric Ophthalmology and Strabismus, the American Society of Cataract and Refractive Surgery, the American Society of Retina Specialists, the Byers Eye Institute at Stanford and the US Food and Drug Administration. Findings: Criterion standards and expert graders are critically important in the evaluation of automated systems and telemedicine platforms. Training at all levels is important for the safe and effective operation of digital health devices. The risks associated with automation are substantially increased in rapidly progressive diseases. Cybersecurity and patient privacy warrant meticulous attention. Conclusions and Relevance: With appropriate attention to safety and effectiveness, digital health technology could improve screening and treatment of ophthalmic diseases and improve access to care..

Original languageEnglish (US)
Pages (from-to)939-944
Number of pages6
JournalJAMA ophthalmology
Volume137
Issue number8
DOIs
StatePublished - Aug 2019

ASJC Scopus subject areas

  • Ophthalmology

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    Bodnar, Z. M., Schuchard, R., Myung, D., Tarver, M. E., Blumenkranz, M. S., Afshari, N. A., Humayun, M. S., Morse, C., Nischal, K., Repka, M. X., Sprunger, D., Trese, M., & Eydelman, M. B. (2019). Evaluating New Ophthalmic Digital Devices for Safety and Effectiveness in the Context of Rapid Technological Development. JAMA ophthalmology, 137(8), 939-944. https://doi.org/10.1001/jamaophthalmol.2019.1576