SaMD Synergy: Bridging Innovation and Regulation in the AI Healthcare Era

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Rohit. B. Lomte, Nikita. S. Jadhav, Tejas. S. Aware, Ajit. P. Gayake, Kaveri. G. Bhosale, Dimple. D. Marathe

Abstract

The emergence of Software as Medical Devices (SaMD) in modern healthcare signifies a paradigm shift, integrating software applications and algorithms into critical medical processes. SaMD, ranging from diagnostic tools to telemedicine platforms, enhances healthcare accessibility and efficiency, shaping personalized medicine and improving patient outcomes. This abstract delves into the regulatory landscape, emphasizing the complexities of SaMD compliance with stringent medical device regulations. The paper underscores the pivotal role of SaMD in reshaping healthcare, While SaMD streamlines healthcare processes and fosters collaboration, the paper highlights the pressing need for regulatory frameworks to navigate this transformative landscape. IMDRF in year 2013 formed the software as medical device working group to develop guidance for SaMD. Software as a medical device working group was chaired by FDA. After 2013 the guidelines for SaMD have evolved considering risk categorization, quality management system and clinical evaluation. The challenges faced by regulators in ensuring the safety and efficacy of AI-driven SaMD underline the critical importance of addressing these complexities for the future of medical practice and patient experiences. The IEC 62304 is the standard for the risk management specially for the medical devices with reference to ISO 14971 for Quality Management System. The various application of SaMD is in Mobile ECG Apps, MRI, Computer Aided Detection, Mammography Image Analysis Software etc. Future application of AI based SaMD is going to become an integral part of healthcare system.

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