Identification of Known Use-Related Problems in Artificial Intelligence Medical Imaging Devices

Yuhao Chen, Shihui Ruan, K. Plant, Shimeng Du
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Abstract

As Artificial Intelligence (AI) advances, it is included into more and more medical device systems to carry out these systems’ intended functions. Given AI’s ability to learn from real-world use and its capability to continuously improve performance, manufacturers of medical devices are utilizing AI to innovate their products to better assist health care providers. However, like application of other types of medical devices, the application of AI in medical care might pose different types of potential risks to the patients, the users themselves, and to the use environment. For manufactures to successfully ensure the safety of AI medical devices, it is crucial to identify known problems by investigating use-related, user interface, and user interaction in-cidents that have occurred in comparable medical devices. The objective of this study is to identify potential use-related problems of DeepView® Wound Imaging System that assesses the healing potential of thermal burn wounds by analyzing multispectral images with an ML algorithm. We use a variety of sources of information on reports and recalls of medical devices that are associated with deaths, serious injuries and mal-functions. After examining relevant reports and recalls, 19 use-related problems were identified. An in-depth analysis was then conducted, considering each identified use-related problem and determining how it relates to the specific features and functionality of DeepView® Wound Imaging System as well as identifying patterns and commonalities among them. The information gained from this analysis can be beneficial in enhancing the safety of AI medical devices by providing a deeper understanding of the reasons for failure, to avoid similar issues in the future, and ultimately to improve patient safety and public health.
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人工智能医疗成像设备中已知使用相关问题的识别
随着人工智能的发展,它被纳入越来越多的医疗设备系统,以实现这些系统的预期功能。鉴于人工智能从现实世界中学习的能力及其不断提高性能的能力,医疗设备制造商正在利用人工智能创新其产品,以更好地帮助医疗保健提供者。然而,与其他类型医疗设备的应用一样,人工智能在医疗保健中的应用可能会对患者、用户本身和使用环境带来不同类型的潜在风险。对于制造商来说,要成功确保人工智能医疗设备的安全,通过调查类似医疗设备中发生的与使用相关的、用户界面和用户交互来识别已知问题至关重要。本研究的目的是确定DeepView®伤口成像系统的潜在使用相关问题,该系统通过使用ML算法分析多光谱图像来评估热烧伤伤口的愈合潜力。我们使用各种信息来源来报告和召回与死亡、严重伤害和功能失常有关的医疗器械。在审查了相关报告和召回后,发现了19个与使用有关的问题。然后进行了深入分析,考虑了每个已确定的与使用相关的问题,确定了它与DeepView®伤口成像系统的特定特征和功能之间的关系,并确定了它们之间的模式和共性。从这一分析中获得的信息有助于提高人工智能医疗设备的安全性,因为它可以更深入地了解失败的原因,避免未来出现类似问题,并最终改善患者安全和公共健康。
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