Position statement: The need for EU legislation to require disclosure and labelling of the composition of medical devices.


Journal

Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 24 11 2020
accepted: 08 03 2021
pubmed: 7 5 2021
medline: 22 6 2021
entrez: 6 5 2021
Statut: ppublish

Résumé

In recent years, skin reactions secondary to the use of medical devices (MD), such as allergic contact dermatitis have increasingly been observed (e.g. to continuous blood sugar monitoring systems, insulin pumps, wound dressings, medical gloves, etc.): this is regarded as a developing epidemic. Lack of labelling of the composition of MD, as well as frequent lack of cooperation of manufacturers to disclose this relevant information, even when contacted by the clinician for the individual case of an established adverse reaction, significantly impede patient care. To advocate for full ingredient labelling in the implementation of EU regulation for MD. This position paper reviews the scientific literature, the current regulatory framework adopted for MD to date, and the likely impact, including some costs data in case of the absence of such labelling. Efforts made by several scientific teams, who are trying to identify the culprit of such adverse effects, either via asking for cooperation from companies, or using costly chemical analyses of MD, can only partly, and with considerable delay, compensate for the absence of meaningful information on the composition of MD; hence, patient management is compromised. Indeed, without knowing the chemical substances present, physicians are unable to inform patients about which substances they should avoid, and which alternative MD may be suitable/tolerated. There is an urgent need for full and accurate labelling of the chemical composition of MD in contact with the human body.

Sections du résumé

BACKGROUND BACKGROUND
In recent years, skin reactions secondary to the use of medical devices (MD), such as allergic contact dermatitis have increasingly been observed (e.g. to continuous blood sugar monitoring systems, insulin pumps, wound dressings, medical gloves, etc.): this is regarded as a developing epidemic. Lack of labelling of the composition of MD, as well as frequent lack of cooperation of manufacturers to disclose this relevant information, even when contacted by the clinician for the individual case of an established adverse reaction, significantly impede patient care.
OBJECTIVES OBJECTIVE
To advocate for full ingredient labelling in the implementation of EU regulation for MD.
METHODS METHODS
This position paper reviews the scientific literature, the current regulatory framework adopted for MD to date, and the likely impact, including some costs data in case of the absence of such labelling.
RESULTS RESULTS
Efforts made by several scientific teams, who are trying to identify the culprit of such adverse effects, either via asking for cooperation from companies, or using costly chemical analyses of MD, can only partly, and with considerable delay, compensate for the absence of meaningful information on the composition of MD; hence, patient management is compromised. Indeed, without knowing the chemical substances present, physicians are unable to inform patients about which substances they should avoid, and which alternative MD may be suitable/tolerated.
CONCLUSION CONCLUSIONS
There is an urgent need for full and accurate labelling of the chemical composition of MD in contact with the human body.

Identifiants

pubmed: 33955077
doi: 10.1111/jdv.17238
pmc: PMC8251888
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1444-1448

Informations de copyright

© 2021 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

Références

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Auteurs

A Herman (A)

Department of Dermatology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Brussels, Belgium.

W Uter (W)

Department of Medical Informatics, Biometry and Epidemiology, Univ. Erlangen/Nürnberg, Erlangen, Germany.

T Rustemeyer (T)

Department of Dermatology and Allergology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.

M Matura (M)

Dermatology Unit, Skaraborgs Hospital Skövde, Skövde, Sweden.

K Aalto-Korte (K)

Occupational Health Unit, Finnish Institute of Occupational Heath, Helsinki, Finland.

J Duus Johansen (J)

Department of Dermatology and Allergy, National Allergy Research Centre, Herlev-Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.

M Gonçalo (M)

Department of Dermatology, Coimbra University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

I R White (IR)

Cutaneous Allergy Team, St. John's Institute of Dermatology, Guy's Hospital, London, UK.

A Balato (A)

Department of Advanced Biomedical Sciences, University of Naples Federico II, Napoli, Italy.

A M Giménez Arnau (AM)

Department of Dermatology, Hospital del Mar. Universitat Autònoma de Barcelona, Barcelona, Spain.

K Brockow (K)

Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.

C G Mortz (CG)

Department of Dermatology and Allergy Center, Odense Research Center for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark.

V Mahler (V)

Med. Faculty, Univ. Erlangen/Nuremberg, Erlangen, Germany.

A Goossens (A)

Contact Allergy Unit, Department of Dermatology, University Hospital KU Leuven, Leuven, Belgium.

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