Early feasibility studies in the United States: Focus on electrophysiology

J Cardiovasc Electrophysiol. 2023 Oct;34(10):2158-2162. doi: 10.1111/jce.15869. Epub 2023 Feb 28.

Abstract

The care of patients with heart rhythm disorders is often dependent on technologies developed to address their unique clinical needs. Although much innovation occurs in the United States, recent decades have seen a significant proportion of early clinical studies performed outside the United States, driven largely by costly and time-inefficient processes seemingly inherent to the United States research ecosystem. As a result, the goals of early patient access to novel devices to address unmet needs and efficient technology development in the United States remain incompletely realized. This review will introduce key aspects of this discussion, organized by the Medical Device Innovation Consortium, in an effort to broaden awareness and encourage engagement by stakeholders in an effort to address central issues and therefore further a growing effort to shift Early Feasibility Studies to the United States for the benefit of all involved.

Keywords: early feasibility studies; medical device innovation consortium; novel technology development; regulatory pathways.

Publication types

  • Review

MeSH terms

  • Cardiac Electrophysiology*
  • Ecosystem*
  • Feasibility Studies
  • Humans
  • United States