Postmarketing surveillance
Postmarketing surveillance (PMS), also known as post market surveillance, is the practice of monitoring the safety of a
Postmarketing surveillance uses a number of approaches to monitor drug and device safety, including spontaneous reporting databases, prescription event monitoring, electronic health records, patient registries, and record linkage between health databases.[1] These data are reviewed to highlight potential safety concerns in a process known as data mining.
National implementation
Canada
Health Canada is the regulatory body which approves drugs, and it has a division called "Marketed Health Products Directorate" (MHPD) which coordinates Canadian postmarketing surveillance.[2]
European Union
The guidance document "MEDDEV 2.12-1 rev 8" offers a comprehensive guidance on best practice for medical device post-market surveillance (materiovigilance). The concept of post market surveillance is linked to the concepts of vigilance and market surveillance. A manufacturer of medical devices is required to report incidents (serious adverse events) to the national competent authority of the member state the company resides in. The Medical Device Regulation (EU) 2017/745 (MDR) provides in §2 the following definition of post-market surveillance:
‘post-market surveillance’ means all activities carried out by manufacturers in cooperation with other economic operators to institute and keep up to date a systematic procedure to proactively collect and review experience gained from devices they place on the market, make available on the market or put into service for the purpose of identifying any need to immediately apply any necessary corrective or preventive actions;
Further requirements on PMS are given in §83 of the MDR; §84 details PMS Plan requirements and references Section 1.1 of Annex III of the MDR; §85 details the PMS report, while §86 describes the contents of the Periodic Safety Update Report (PSUR).
Similar provisions on Post-Market Surveillance are found in the European regulation on in vitro diagnostic medical devices (IVDR).[3][4][5]
The MDCG Guideline 2023-3 "Questions and Answers on vigilance terms and concepts as outlined in the Regulation (EU) 2017/745 on medical devices" provides furter clarification on the topic. [6]
United Kingdom
The Medicines and Healthcare products Regulatory Agency (MHRA) and the Commission on Human Medicines (CHM) jointly operate the Yellow Card Scheme, which was one of the first examples of a pharmacovigilance scheme, aimed at mitigating adverse drug reactions (ADRs).[citation needed]
United States
Postmarketing surveillance is overseen by the
See also
References
- ^ S2CID 19091146. Archived from the originalon 2012-07-07. Retrieved 2011-06-17.
- ^ "Post-marketing Pharmacosurveillance in Canada". Health Canada. 2005. Archived from the original on 2010-09-28. Retrieved 2010-07-27.
- ^ IVDR - 2017/746
- PMID 28697849.
- ^ "Post-Market Surveillance and Vigilance: MDR vs IVDR". citemedical.com.
- ^ MDCG Guideline 2023-3
- ^ "Post-marketing Surveillance". U.S. FDA/CDER. 2004.
- ^ "Post-Approval Studies". U.S. FDA/CDRH. 2014.
- ^ "522 Postmarket Surveillance Studies". U.S. FDA/CDRH. 2014.
- ^ FDA. "Postmarketing Requirements and Commitments: Introduction". Food and Drug Administration.