Skip to : [Content] [Navigation]
 

Originally Published EMDM November/December 2001

A NOTE FROM THE EDITOR

The New World of Risk Management

Risk, it has been noted, means different things to different people. Manufacturers in the medical sector have a special relationship with the word. They live and breathe risk management.

To begin with, risk analysis is an integral part of the CE marking process. The essential requirements of the Medical Devices Directives (93/42/EEC) state that “devices must be designed and manufactured in such a way that . . . they will not compromise . . . the safety of patients . . . or users.”

This is a worthy goal indeed, but also a lofty one. The obsession with risk has always set the medical industry apart from other business sectors, a fact that will be painfully clear to any manufacturer who has been frustrated by a supplier’s failure to meet the quality requirements of a demanding project.

In a strange way, the horrifying series of anthrax attacks recently unleashed through the US postal system has brought not only general industry, but also the general public, into a rare alignment with the medical sector.

What I’m talking about is subtler than the recent discovery of anthrax spores at the offices of US FDA, or the overnight transformation of Cipro into the world’s most famous pharmaceutical. Rather, it is a frame of mind that seems to be spreading through the world more quickly than a computer virus: safety and security first. Failproof solutions. Zero tolerance for error. In effect, the kind of rigid quality assurance and strict adherence to standards that are so familiar to the medical industry may soon become ubiquitous in a world where our security is constantly called into question.

People all over the world have seen evidence of this new attitude at airports, where they undergo increased screening and face severe luggage restrictions. And they have felt it in their homes and offices, where every letter and package they receive must be considered as a potential terrorist weapon until proven otherwise.

In this new atmosphere of vigilance, some readers may have noticed that their medical suppliers are getting a lot more press—outside of EMDM. In particular, IBA Sterilization & Ionization (Louvain-la-Neuve, Belgium) recently made the welcome announcement that its sterilization technologies can be used to kill anthrax spores in contaminated mail. “The anthrax spore is like any other bacteria we treat today,” says Yves Jongen, the company’s chief research officer. “It’s a question of determining the right dose to ensure elimination of the deadly spore—whether the technology used be EtO, gamma, e-beam, or x-ray.” According to Jongen, the company’s electron accelerators can sterilize anywhere from 240 kg to 20 t of mail in one hour.

And in the United States, SureBeam Corp. (San Diego, CA, USA) has already received a US$26 million order from the US Postal Service to supply e-beam and x-ray sterilization systems that will ensure the safety of mail.

It should come as no surprise that the suppliers who are taking on the daunting task of sterilizing the mail hail from the medical sector. After all, what industry is better equipped to meet the highest standards under the most challenging conditions?

In addition to sterilizers, manufacturers of diagnostic equipment are being called on to speed the development of technology that can offer reliable early warnings of chemical and biological attacks. And this is only the beginning. As time goes on, it seems certain that the medical industry will play an increasingly vital role in civil defence, not only in dealing with the aftermath of terrorist attacks, but also in leading R&D efforts that will keep us one step ahead of those who would destroy us.

At press time, with the announcement of an attack against the offices of a Pakistani newspaper, there is evidence to suggest that anthrax terrorism is spreading beyond US borders. As it becomes clear that the world is full of new risks, we can take some comfort in knowing that we will be defended, in part, by those for whom risk management is a mantra.

Benjamin Lichtman

Copyright ©2001 European Medical Device Manufacturer