The dilemma of reusing single use medical devices: historical and current aspects
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1411 |
Resumo: | Introduction: The reuse of single-use devices is emblematic and involves technical, regulatory, economic, and environmental issues, as well as issues related to patient safety. Objective: To describe historical and current aspects of the reuse of single-use medical devices, in order to support an analysis of the dilemmas that involve this practice. Method: Academic essay, using narrative review data of the literature and expertise of the authors. Results: The reuse of these devices is controversial, although disseminated worldwide. Although there is a theoretical risk involved in the reuse of these products, published data do not identify a causal relationship between adverse event and reuse of these devices. There are favorable and contrary arguments to this practice, in addition to different issues involved, such as patient consent, technical responsibility, distributive and social justice with dissemination of risk and benefit to patients, and can be analyzed in the light of utilitarianism, contractualism and ethics of land. The declaration that the product is single-use or multipurpose is the responsibility of the manufacturer and regulatory bodies do not request evidence attesting that the single-use product cannot be reused, pointing out inconsistencies in the definition of the single-use label. Conclusions: It is necessary to review the classification of products at the time of registration with regulatory agencies, in order to clarify the label of these products, whether multipurpose or single-use, the key point of the dilemma of the reuse of medical products. In addition, the State must be equipped not only with the ability to regulate health processes and services, but also to perform the sanitary control of these activities, in order to minimize risks to public health. |
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The dilemma of reusing single use medical devices: historical and current aspectsO dilema do reúso de dispositivos médicos de uso único: aspectos históricos e atuaisReutilização de Equipamentos; Reciclagem; Regulação; Risco; Saúde ColetivaEquipment Reuse; Recycling; Regulation; Risk; Public HealthIntroduction: The reuse of single-use devices is emblematic and involves technical, regulatory, economic, and environmental issues, as well as issues related to patient safety. Objective: To describe historical and current aspects of the reuse of single-use medical devices, in order to support an analysis of the dilemmas that involve this practice. Method: Academic essay, using narrative review data of the literature and expertise of the authors. Results: The reuse of these devices is controversial, although disseminated worldwide. Although there is a theoretical risk involved in the reuse of these products, published data do not identify a causal relationship between adverse event and reuse of these devices. There are favorable and contrary arguments to this practice, in addition to different issues involved, such as patient consent, technical responsibility, distributive and social justice with dissemination of risk and benefit to patients, and can be analyzed in the light of utilitarianism, contractualism and ethics of land. The declaration that the product is single-use or multipurpose is the responsibility of the manufacturer and regulatory bodies do not request evidence attesting that the single-use product cannot be reused, pointing out inconsistencies in the definition of the single-use label. Conclusions: It is necessary to review the classification of products at the time of registration with regulatory agencies, in order to clarify the label of these products, whether multipurpose or single-use, the key point of the dilemma of the reuse of medical products. In addition, the State must be equipped not only with the ability to regulate health processes and services, but also to perform the sanitary control of these activities, in order to minimize risks to public health. Introdução: O reúso de dispositivos de uso único é emblemático e envolve questões técnica, regulatória, econômica, e ambiental, além de segurança do paciente. Objetivo: Descrever aspectos históricos e atuais do reúso de dispositivos médicos de uso único, de modo a subsidiar uma análise dos dilemas que envolvem essa prática. Método: Ensaio acadêmico, utilizando dados de revisão narrativa da literatura e expertise dos autores. Resultados: O reúso desses dispositivos é controverso, apesar de disseminado mundialmente. Embora haja risco teórico envolvido no reúso desses produtos, dados publicados não identificam uma relação causal entre evento adverso e reúso desses dispositivos. Existem argumentos favoráveis e contrários a essa prática, além de distintas questões implicadas, como consentimento do paciente, responsabilidade técnica, justiça distributiva e social com disseminação de risco e benefício para os pacientes, podendo ser analisadas à luz do utilitarismo, do contratualismo e da ética da terra. A declaração de que o produto é de uso único ou de multiuso é da competência do fabricante e órgãos reguladores não solicitam provas atestando que o produto de uso único não pode ser reusado, apontando inconsistências na definição do rótulo de uso único. Conclusões: Faz-se necessário rever a classificação dos produtos no momento do registro nas agências reguladoras, a fim de clarificar o rótulo desses produtos, se de multiuso ou de uso único, o ponto chave do dilema do reúso de produtos médicos. Adicionalmente, há que se munir o Estado não apenas com a capacidade de regular processos e serviços de saúde, mas de realizar o controle sanitário dessas atividades, a fim de minimizar riscos à saúde coletiva.Instituto Nacional de Controle de Qualidade em Saúde2021-02-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/141110.22239/2317-269x.01411Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 1 (2021): February; 91-98Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 1 (2021): Febrero; 91-98Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 1 (2021): Fevereiro; 91-982317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1411/1276Copyright (c) 2021 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccess Auxiliadora Magalhães Costa, ElianaAlves Costa, Ediná 2023-06-27T16:48:59Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1411Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T16:48:59Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
The dilemma of reusing single use medical devices: historical and current aspects O dilema do reúso de dispositivos médicos de uso único: aspectos históricos e atuais |
title |
The dilemma of reusing single use medical devices: historical and current aspects |
spellingShingle |
The dilemma of reusing single use medical devices: historical and current aspects Auxiliadora Magalhães Costa, Eliana Reutilização de Equipamentos; Reciclagem; Regulação; Risco; Saúde Coletiva Equipment Reuse; Recycling; Regulation; Risk; Public Health |
title_short |
The dilemma of reusing single use medical devices: historical and current aspects |
title_full |
The dilemma of reusing single use medical devices: historical and current aspects |
title_fullStr |
The dilemma of reusing single use medical devices: historical and current aspects |
title_full_unstemmed |
The dilemma of reusing single use medical devices: historical and current aspects |
title_sort |
The dilemma of reusing single use medical devices: historical and current aspects |
author |
Auxiliadora Magalhães Costa, Eliana |
author_facet |
Auxiliadora Magalhães Costa, Eliana Alves Costa, Ediná |
author_role |
author |
author2 |
Alves Costa, Ediná |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Auxiliadora Magalhães Costa, Eliana Alves Costa, Ediná |
dc.subject.por.fl_str_mv |
Reutilização de Equipamentos; Reciclagem; Regulação; Risco; Saúde Coletiva Equipment Reuse; Recycling; Regulation; Risk; Public Health |
topic |
Reutilização de Equipamentos; Reciclagem; Regulação; Risco; Saúde Coletiva Equipment Reuse; Recycling; Regulation; Risk; Public Health |
description |
Introduction: The reuse of single-use devices is emblematic and involves technical, regulatory, economic, and environmental issues, as well as issues related to patient safety. Objective: To describe historical and current aspects of the reuse of single-use medical devices, in order to support an analysis of the dilemmas that involve this practice. Method: Academic essay, using narrative review data of the literature and expertise of the authors. Results: The reuse of these devices is controversial, although disseminated worldwide. Although there is a theoretical risk involved in the reuse of these products, published data do not identify a causal relationship between adverse event and reuse of these devices. There are favorable and contrary arguments to this practice, in addition to different issues involved, such as patient consent, technical responsibility, distributive and social justice with dissemination of risk and benefit to patients, and can be analyzed in the light of utilitarianism, contractualism and ethics of land. The declaration that the product is single-use or multipurpose is the responsibility of the manufacturer and regulatory bodies do not request evidence attesting that the single-use product cannot be reused, pointing out inconsistencies in the definition of the single-use label. Conclusions: It is necessary to review the classification of products at the time of registration with regulatory agencies, in order to clarify the label of these products, whether multipurpose or single-use, the key point of the dilemma of the reuse of medical products. In addition, the State must be equipped not only with the ability to regulate health processes and services, but also to perform the sanitary control of these activities, in order to minimize risks to public health. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed article" "Artículo revisado por pares" "Artigo avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1411 10.22239/2317-269x.01411 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1411 |
identifier_str_mv |
10.22239/2317-269x.01411 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1411/1276 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 1 (2021): February; 91-98 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 1 (2021): Febrero; 91-98 Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 1 (2021): Fevereiro; 91-98 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
_version_ |
1797042045808803840 |