Development and validation of Medical Device Key Evidence Tool ('MeDKET'): An evidence-based framework to explain success in selected European and US companies

Innovating in Medical Device (MD) industry is challenging. This study aims to develop and validate an evidence-based framework that helps innovators of small and large enterprises (SEs and LEs) assess their readiness for successful MD development and deployment. We conducted a key-informant process...

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Veröffentlicht in:PloS one 2023-07, Vol.18 (7), p.e0288126-e0288126
Hauptverfasser: Manetti, Stefania, Lettieri, Emanuele, Ni, Melody Zhifang
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Ni, Melody Zhifang
description Innovating in Medical Device (MD) industry is challenging. This study aims to develop and validate an evidence-based framework that helps innovators of small and large enterprises (SEs and LEs) assess their readiness for successful MD development and deployment. We conducted a key-informant process (stage 1) where 25 international experts identified a list of emergent Health Technology Assessment (HTA) themes they believed were essential to company success. A sample of 22 European and US selected companies (13 SEs and 9 LEs) then reached a consensus on a list of key themes through a robust Delphi process (stage 2). Finally, we constructed (stage 3) and validated (stage 4) the checklist for SEs and LEs. The checklist for SEs and LEs included 21 and 15 items (i.e., fundamental Yes/No questions) with nine overlapping criteria for both SEs and LEs. In both groups, MD success was driven by three major item categories: (i) R&D assessment strategy; (ii) device-outcome measures; (iii) company profiling. Alongside the retrospective validation study, we collected 40 case studies on MDs (23 successes and 17 failures) across the selected enterprises. The retrospective validation provided the proportion of successful and failed case studies that met the 'MeDKET' criteria. We discovered that early HTA plays a pivotal role in MD industry success with different implications based on enterprise size. This study is the first of its kind to provide a holistic picture of the perceived role of early-stage HTA in MD industry success.
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subjects Biology and Life Sciences
Check lists
Criteria
Decision making
Delphi method
Engineering and Technology
Evaluation
Health risks
Industrial research
Innovations
Interviews
Medical devices
Medical equipment
Medical equipment and supplies industry
Medical innovations
Medical test kit industry
Medicine and Health Sciences
People and places
Product development
Professionals
Questionnaires
R&D
Reimbursement
Research & development
Scholarly publishing
Social Sciences
Society
Success
Technology assessment
United States
title Development and validation of Medical Device Key Evidence Tool ('MeDKET'): An evidence-based framework to explain success in selected European and US companies
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