Surgeons call for compulsory registers of all new medical devicesBMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k5010 (Published 26 November 2018) Cite this as: BMJ 2018;363:k5010
All rapid responses
The call for a compulsory registry of all new medical devices is long overdue, as can be seen from news stories of unanticipated adverse effects that appear with disappointing regularity.
A simple solution would be to impose a small "tariff" on every device used, of around 1% of the retail sales price of the item. This would provide funding for the formation and upkeep of a prospective registry, which would be maintained by independent organisations selected by open tender. Academic clinical trials units would be obvious places to run such registries.
Surely we all have a duty to ensure that all medical devices are tested to the same (or very similar) standards applied to drugs. Patients deserve no less.
Competing interests: I work in an academic clinical trials unit, specialising in surgical and other non-drug interventional studies.
Surgeons must firstly abstain from performing dangerous harmful operations, even if they are easier and quick, and then lobby for registration of implanted medical devices.
Permanent mesh must no longer be used for vaginal prolapse repair, a Cochrane systematic review has concluded.
Competing interests: No competing interests