PMID- 26501120 OWN - NLM STAT- MEDLINE DCOM- 20160912 LR - 20181113 IS - 2352-3964 (Print) IS - 2352-3964 (Electronic) IS - 2352-3964 (Linking) VI - 2 IP - 9 DP - 2015 Sep TI - Reporting of Cardiovascular Medical Device Adverse Events to Pharmaceuticals and Medical Devices Agency, Japan. PG - 1211-6 LID - 10.1016/j.ebiom.2015.07.011 [doi] AB - BACKGROUND: Marketing authorization holders (MAHs) are obligated to report adverse events (AEs) within 15 days (some cases 30 days) to the Pharmaceuticals and Medical Devices Agency (PMDA) of Japan. METHODS: To analyze the timeliness of AE reporting to the PMDA, 6610 reports for five categories of cardiovascular devices were retrieved. Two durations were calculated: (1) time from the date the AE occurred to that when the MAH captured it (DOC: days); and (2) time from the date of MAH capture to that of MAH report (DCR: days). Number of DOC > 15 days (DOC15) and delayed reports (DCR > 15 or 30 days) were also calculated. RESULTS: AEs included 9.2% deaths and 7.5% non-recoveries. DOC15 and delayed reports were 51.0% and 10.9%, respectively. By multivariate analysis, DOC15 was associated with foreign AE, device category, MAH, patient outcome, event category, and AE that had to be reported within 15 or 30 days (AE15/30). Delayed report was associated with device category, MAH, patient outcome, event category, and AE15/30. COMMENTS: Although Japanese MAHs complied with the obligation to report AEs, they often failed to share AEs with healthcare providers. Registry may be a potential solution, although the cooperation of healthcare providers to input data is essential. FAU - Handa, Nobuhiro AU - Handa N AD - Pharmaceutical and Medical Device Agency, Tokyo, Japan. FAU - Ishii, Kensuke AU - Ishii K AD - Pharmaceutical and Medical Device Agency, Tokyo, Japan. FAU - Matsui, Yutaka AU - Matsui Y AD - Pharmaceutical and Medical Device Agency, Tokyo, Japan. FAU - Ando, Yuki AU - Ando Y AD - Pharmaceutical and Medical Device Agency, Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150710 PL - Netherlands TA - EBioMedicine JT - EBioMedicine JID - 101647039 RN - 0 (Pharmaceutical Preparations) SB - IM MH - Cardiovascular System/*metabolism MH - Equipment and Supplies/*adverse effects MH - Humans MH - Japan MH - Logistic Models MH - *Organizations MH - Pharmaceutical Preparations MH - *Research Report PMC - PMC4588369 OTO - NOTNLM OT - Adverse event report OT - Cardiovascular device OT - Pharmaceuticals and Medical Devices Agency OT - Registry EDAT- 2015/10/27 06:00 MHDA- 2015/10/27 06:01 PMCR- 2015/07/10 CRDT- 2015/10/27 06:00 PHST- 2015/05/21 00:00 [received] PHST- 2015/07/07 00:00 [revised] PHST- 2015/07/07 00:00 [accepted] PHST- 2015/10/27 06:00 [entrez] PHST- 2015/10/27 06:00 [pubmed] PHST- 2015/10/27 06:01 [medline] PHST- 2015/07/10 00:00 [pmc-release] AID - S2352-3964(15)30066-9 [pii] AID - 10.1016/j.ebiom.2015.07.011 [doi] PST - epublish SO - EBioMedicine. 2015 Jul 10;2(9):1211-6. doi: 10.1016/j.ebiom.2015.07.011. eCollection 2015 Sep.