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전기식 온침기에 대한 안전성 및 성능평가 가이드라인 개발 연구

A Study on Developing Safety and Performance Assessment Guideline for Electronic Warm-Acupuncture Apparatus

  • 장한솔 (동국대학교 분당한방병원 한방내과) ;
  • 정우령 (동국대학교 분당한방병원 한방내과) ;
  • 문정현 (동국대학교 분당한방병원 침구과) ;
  • 최성경 (동국대학교 분당한방병원 침구과) ;
  • 성원석 (동국대학교 분당한방병원 침구과) ;
  • 황민섭 (동국대학교 한의과대학 ) ;
  • 이승덕 (동국대학교 한의과대학) ;
  • 김경호 (동국대학교 일산한방병원 침구과) ;
  • 윤종화 (동국대학교 한의과대학) ;
  • 김은정 (동국대학교 분당한방병원 침구과)
  • Hansol Jang (Department of Internal Korean Medicine. Dongguk University Bundang Oriental Hospital ) ;
  • U-Ryeong Chung (Department of Internal Korean Medicine. Dongguk University Bundang Oriental Hospital ) ;
  • Jeong-Hyun Moon (Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital) ;
  • Seong-Kyeong Choi (Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital) ;
  • Won-Suk Sung (Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital) ;
  • Min-Seop Hwang (College of Korean Medicine, Dongguk University ) ;
  • Seung-Deok Lee (College of Korean Medicine, Dongguk University ) ;
  • Kyung-Ho Kim (Department of Acupuncture & Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Jong-Hwa Yoon (College of Korean Medicine, Dongguk University ) ;
  • Eun-Jung Kim (Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital)
  • 투고 : 2022.07.29
  • 심사 : 2022.08.08
  • 발행 : 2022.09.01

초록

Objectives: This research aimed to develop a guideline for evaluating safety and performance of electronic warm-acupuncture apparatus. With the development of medical devices like electronic warm-acupuncture apparatus with improved performance, convenience and safety measures compared to traditional warm-acupuncture needling, safety and performance guideline is a necessity. Methods: By referring to existing standards and guidelines of other electronic devices for Korean medicine with heating function, guideline for safety and performance assessment of electronic warm-acupuncture apparatus was drafted Results: The guideline, presents explanation for adequate temperature and settings of the apparatus, and safety measurements providing against thermal runaway situations along with guidelines for the manual. Guideline for detailed test method for the performance of the apparatus such as accuracy of temperature increase and the timer, and safety unit was also provided. The test items and suggested test methods for the requirements of biological, electrical and electromagnetic safety were referred to Korean approval documents of ministry of Food and Drug Safety. Conclusion: We proposed the relevant items to verify performance and safety of warm-acupuncture apparatus to assure patient safety and improve the quality of currently developing devices for application in clinical field.

키워드

참고문헌

  1. Korean Acupuncture & Moxibustion Medicine Society. (2020). Acupuncture and Moxibustion (admended 1st ed). Korea: Hanmi Press 
  2. Yao, C., Xu, Y., Chen, L., Jiang, H., Ki, C. S., Byun, J. S., & Bian, W.(2016). Effects of warm acupuncture on breast cancer-related chronic lymphedema: a randomized controlled trial. Current Oncology, 23(1), 27-34. https://doi.org/10.3747/co.23.2788 
  3. Ko , H.J, Yoo, J.H, Kim, M.W & Shin, J.C. (2020). Systematic Review of Fire Needling or Warm Needling Treatment for Ankle Sprain. J Acupunct Res, 27(1):19-27. https://doi.org/10.13045/jar.2019.00332 
  4. Lin, Bb. (2015). Clinical observation of warm needling moxibustion for rheumatoid arthritis. J Acupunct Tuina Sci. 13, 121-124. https://doi.org/10.1007/s11726-015-0834-x 
  5. Min, W.K., Yeo, S., Kim, E.H., Song, H.S., Koo, S., Lee, J.D., & Lim, S. (2013). Comparison of Warm-Needling and Acupuncture for Knee Osteoarthritis: A Randomized Controlled Trial. Kor J Acupunct, 30(1), 64-72.  https://doi.org/10.14406/acu.2013.30.1.064
  6. Li, X., Han, Y., Cui, J., Yuan, P., Di, Z., & Li L. (2016). Efficacy of warm needle moxibustion on lumbar disc herniation: a meta-analysis. J Evid Based Complementary Altern Med, 21(4),311-319. https://doi.org/10.1177/2156587215605419 
  7. Zhang, J., Chen, Y., Lan, K., Hu, L., & Yu, H. (2021). Clinical, Anti-hyperuricemic, and Pain-relief Effects of Five Acupuncture and Moxibustion Therapies in Acute Gouty Arthritis: a Network Meta-analysis. Chinese General Practice, 24(8), 1001. https://doi.org/10.12114/j.issn.1007-9572.2020.00.347 
  8. Kim, H., Shim, I., Yi, S. H., Lee, H., Lim, H. S., & Hahm, D. H. (2009). Warm needle acupuncture at Pungsi (GB31) has an enhanced analgesic effect on formalin-induced pain in rats. Brain res bull, 78(4-5), 164-169. https://doi.org/10.1016/j.brainresbull.2008.10.006 
  9. Yang, L., Tan, J. Y., Ma, H., Zhao, H., Lai, J., Chen, J. X.,& Suen, L.K.P. (2018). Warm-needle moxibustion for spasticity after stroke: a systematic review of randomized controlled trials. Int J Nurs Stud, 82, 129-138. https://doi.org/10.1016/j.ijnurstu.2018.03.013. 
  10. o, H. R., Choi, S. K., Sung, W. S., Lee, S. D., Lee, B. W., & Kim, E. J. (2022). Thermal Properties of Warm-versus Heated-Needle Acupuncture. Evid Based Complement Alternat Med, 2022:4159172. https://doi.org/10.1155/2022/4159172. 
  11. Kim, J. W., Lee, H. J., Ahn, C. B., & Yi, S. H. (2011). Study of the thermal properties of warm needle and the development of warm needle apparatus. J Acupunct Res, 28(1), 15-28. 
  12. Yi, S. H., Kang, J. W., Nam, D. W., Kim, E. J., Lee, H. J., Kim, K. S.,& Lee, J.D. (2009). Study on the Thermal Properties of Electric Moxibustion Apparatus for Presenting Assessment Guideline in Korea. J Acupunct Res, 26(6), 31-39. 
  13. Lee, B. W., Oh, Y. T., Jang, H., Choi, S. K., Jo, H. R., Sung, W. S.,& Kim, E. J (2021). An Experimental Study on the Development and Possible Solution of Thermal Runaway Model of Electronic Moxibustion with System Error. Korean J Acupunct, 38(4), 282-289. https://doi.org/ 10.14406/acu.2021.029 
  14. Health Insurance Review and Assessment Service. Statistics on medical practices. [cited 2022 Jul 27]. Available from URL: http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do 
  15. Lee, J. H., Jo, H. R., Kim, S. H., Lee, Y. S., Park, S. W., Moon, S. R.,& Kim, E. J. (2019). A Review on the Characteristics of Temperature Variation in Warm Needle. J Kor Med, 40(3), 112-138. https://doi.org/10.13048/ jkm.19031 
  16. Yang, S. B., & Kwon, O. S. (2019). Principal components of thermal stimulation while the warm needling: diameter of the acupuncture needle and distance from the skin. Kor J Acupunct, 36(4), 210-220. https://doi.org/10.14406/acu.2019.024 
  17. Yi, S. H., Kang, J. W., Nam, D. W., Kim, E. J., Lee, H. J., Kim, K. S., & Lee, J. D. (2010). Study on Developing Assessment Guideline for Safety and Performance of Electric Moxibustion Apparatus. J Acupunct Res, 27(1), 75-86. 
  18. Korean Standards Commission. Korean Industrial Standards - Electronic muxibustion (KS Standard No. KS P 2142:2021). 2021. [cited 2022 Jul 27] Available from URL: https://e-ks.kr/streamdocs/view/sd;streamdocsld=72059250443348792 
  19. International Organization for Standardization. Traditional Chinese medicine - Electric heating moxibustion equipment (ISO Standard No. 21292:2020). 2020. [cited 2022 Jul 27] Available from URL: from https://www.iso.org/standard/70470.html 
  20. Yang, S. B., Kim, M. S & Kim, J. H.(2018). Analgesia of Electroacupuncture and Radio -Frequency Warm Needling in Acupoint Combination on Ankle Sprain in Rats. Kor J Acupunct, 35(1), 27-35. https://doi.org/10.14406/acu.2018.005 
  21. Lee, S. Y., Byeon, S. J., Choi, Y. B., Kim, J. J & Lee, YH.(2016). Clinical Assessment of Warm Acupuncture Therapy System Using HF Time-varying Magnetic Field. Kor J Acupunct, 33(4), 213-220. https://doi.org/10.14406/acu.2016.027 
  22. Korean Law Information Center. Common standard for biological safety evaluation of medical devices (ministry of Food and Drug Safety act No. 2020-12). 2020. [cited 2022 Jul 27] Available from URL:https://law.go.kr 
  23. Korean Law Information Center. Common standard and testing methods for electrical safety evaluation of medical devices (ministry of Food and Drug Safety act No. 2015-115). 2015. Available from URL:https://law.go.kr 
  24. Korean Law Information Center. Common standard for electromagnetic safety evaluation of medical devices (ministry of Food and Drug Safety act No. 2020-29). 2020. [cited 2022 Jul 27] Available from URL:https://law.go.kr 
  25. Health Insurance Review and Assessment Service. HIRA charging method and reimbursement standards - I.Acting -chapter13,14 Korean traditional medicine examination, and treatment. 2009. [cited 2022 Jul 27]. Available from URL: http://rulesvc.hira.or.kr/ 
  26. Chung, J. Y., Choi, D. Y., Woo, H. S., & Kang, S. K. (2009). Review of clinical trials on warming acupuncture for musculoskeletal pain diseases-A systematic review. J Acupunct Res, 26(4), 11-18. 
  27. Luo Jr, D., Liu Jr, Y., Wu Jr, Y., Ma Jr, R., Wang Jr, L., Gu Jr, R., & Fu Sr, W. (2018). Warm needle acupuncture in primary osteoporosis management: a systematic review and meta-analysis. Acupuncture in Medicine, 36(4), 215-221. https://doi.org/10.1136/acupmed-2016-011227 
  28. Liu, G. F., Gao, Z., Liu, Z. N., Yang, M., Zhang, S., & Tan, T. P. (2021). Effects of warm needle acupuncture on temporomandibular joint disorders: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med, 2021. https://doi.org/10.1155/2021/6868625 
  29. Kim, D. J., Jo, H. R., Jang, H., Choi, S. K., Jung, C. Y., Sung, W. S., ... & Kim, E. J. (2022). Temperature Characteristics of Traditional Indirect Moxibustion and Electronic Moxibustion. J Acupunct Meridian Stud, 15(3), 174-180. https://doi.org/10.51507/j.jams.2022.15.3.174 
  30. Chung, H. J., & Rhee, K. Y. (2009). Coating of heat-acupuncture needle using an Al2O3 material to improve a heat insulation. J. Korean Soc. Precis. Eng, 26(4), 114-119. 
  31. Yeo, S. (2013). The study on temperature measurement of warm needling using stainless steel needle and gold needle. Korean Journal of Acupuncture, 30(3), 178-184. https://doi.org/10.14406/acu.2013.30.3.178 
  32. Zhang, D., Das, D. B., & Rielly, C. D. (2014). Microneedle assisted micro-particle delivery from gene guns: experiments using skin -mimicking agarose gel. J Pharm Sci, 103(2), 613-627. https://doi.org/10.1002/jps.23835. 
  33. Fujii, M., Yamanouchi, S., Hori, N., Iwanaga, N., Kawaguchi N.,& Matsumoto, M. (1997). Evaluation of Yucatan micropig skin for use as an in vitro model for skin permeation study. Biol Pharm Bull, 20(3), 249-254. https://doi.org/10.1248/bpb.20.249.