Evidence map›Paper›PMID 40450160›Full record

ArticleNPJ digital medicine2025

A general framework for governing marketed AI/ML medical devices.

Boris Babic, I Glenn Cohen, Ariel Dora Stern, Yiwen Li, Melissa Ouellet

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Ethical Considerations in Personal Health Large Language Models.Journal of medical Internet research · 2026
    Article
  10. Review
  11. Review
  12. Article
  13. Article
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  15. AI Competency: Current State and Challenges.JMIR medical education · 2026
    Article
  16. Article
  17. Article
  18. Automated vertigo diagnosis using video-oculography and artificial intelligence for clinic-based triage: Preliminary results.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Boris BabicUniversity of Hong Kong, Hong Kong, SAR, China.
I Glenn CohenThe Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, The Project on Precision Medicine, Artificial Intelligence, and the Law (PMAIL), Cambridge, MA, USA. igcohen@law.harvard.edu.
Ariel Dora SternHasso Plattner Institute, University of Potsdam, Potsdam, Germany.
Yiwen LiUniversity of Hong Kong, Hong Kong, SAR, China.
Melissa OuelletHasso Plattner Institute, University of Potsdam, Potsdam, Germany.

Funding

Novo Nordisk Fonden NNF23SA0087056Research Grants Council, University Grants Committee 17616324
6 · The paper itself

Abstract

This project represents the first systematic assessment of the US Food and Drug Administration's postmarket surveillance of legally marketed artificial intelligence and machine learning based medical devices. We focus on the Manufacturer and User Facility Device Experience database-the FDA's central tool for tracking the safety of marketed AI/ML devices. In particular, we evaluate the data pertaining to adverse events associated with approximately 950 medical devices incorporating AI/ML functions for devices approved between 2010 through 2023, and we find that the existing system is insufficient for properly assessing the safety and effectiveness of AI/ML devices. In particular, we make three contributions: (1) characterize the adverse event reports for such devices, (2) examine the ways in which the existing FDA adverse reporting system for medical devices falls short, and (3) suggest changes FDA might consider in its approach to adverse event reporting for devices incorporating AI/ML functions.

Identifiers

PMID40450160
PMCPMC12126487

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.