DOI QR코드

DOI QR Code

국내 인·허가 온열의료기기 기술 현황 조사 및 분석

The Current State of Intended Equipment for Heating in Medical Use Based on Domestic Licensed Medical Devices

  • 임수란 (가천대학교 한의과대학 해부경혈학교실) ;
  • 박정환 (가천대학교 바이오나노대학 바이오나노학과) ;
  • 박지연 (대전대학교 한의과대학 경락경혈학교실) ;
  • 김송이 (가천대학교 한의과대학 해부경혈학교실)
  • Su-Ran Lim (Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University) ;
  • Jung-Hwan Park (Department of Bionano Technology, College of Bio-Nano Technology, Gachon University) ;
  • Ji-Yeun Park (Department of Meridian & Acupoint, College of Korean Medicine, Daejeon University) ;
  • Song-Yi Kim (Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University)
  • 투고 : 2023.08.24
  • 심사 : 2023.10.11
  • 발행 : 2023.12.27

초록

Objectives : This study aimed to determine the status of thermal stimulation devices approved in Korea for medical applications over the past 10 years, and based on this, to obtain insight for future thermal treatment in Korean medical institutions. Methods : We searched the item classification list entitled "Regulations on Medical Device Items and Rating by Item" from the Ministry of Food and Drug Safety Notice No. 2021-24, 2021 (Enforced March 19, 2021; www.mfds.go.kr) for individually licensed heaters using the terms "heat" and "heating". Results : We identified 17 items of thermal stimulation product group, of which 1,308 devices were licensed by February 4, 2022, and 53.2% of them (n=696) were devices with valid permits for distribution in Korea. Among the licensed devices, heating pad systems under/overlay (electric, home use) were approved the most, but combinational stimulator (for medical use, home use; Grade 2) accounted for the highest percentage among the current valid permission. Moxibustion apparatuses were licensed separately for electrical use and non-electrical use, and occupied a low percentage of the total devices. We analyzed 307 devices that were accompanied by technical documents and found that the heat sources were wires in 145 (47.2%), infrared rays in 44 (14.3%) and ultrasonic waves in 42 (13.7%) devices. Most (83.1%) devices were used for pain relief, while other applications included beauty, cancer treatment, maintenance of infant body temperature, and healing fractures. Conclusions : Thermal stimulation devices accounted for about 0.9% of all medical devices, and among them, combinational stimulators and heating pad systems under/overlay had the most valid permits. Thermal stimulation devices using heating wires and infrared rays were the most prevalent, and most were used to relieve pain. In order to develop a range of thermal stimulation devices that can be utilized in Korean medical institutions, it is imperative that they have potential applications beyond pain management, addressing various medical purposes. To achieve this, foundational research is necessary to effectively apply diverse heat sources based on medical objectives.

키워드

과제정보

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number : HF21C0167).

참고문헌

  1. Kwak H, Lee S, Kim SB. Therapeutic heat and cryotherapy in family medicine. KJFM. 2003 ; 24(10) : 877-83.
  2. Kim KY, Kim MH, Kim SH, Kim HS, Kim HS, Nam HC, et al. Photo therapeutics. 2nd ed. Korea : HYUNMOON Publishing Co. 2019 : 1-198.
  3. Lee JK, Ha HS. Assessment of tear lipid layer after treatment by an Infrared Instrument. J Korean Ophthalmol Soc. 2004 ; 45(10) : 1659-64.
  4. Choi BM, Hong SY. A literatural study on the evidence of using thermotherapy and cryotherapy of cutaneous and muscle meridian in Korean medical physiotherapy. JKMR. 2010 ; 20(4) : 73-81.
  5. Park HJ, Son CG. Overview for moxibustion-related researches worldwide. Korean J Acupunct. 2008 ; 25(3) : 167-74.
  6. Kim HJ. The effects of moxibustion therapy on chronic low back pain, daily living disability and sleep pattern in elderly women. JKAIS. 2016 ; 17(7) : 301-10. https://doi.org/10.5762/KAIS.2016.17.7.301
  7. Lee SH, Kim JK, Son YH, Jeong HY, Kim JH, Kwon JN, et al. A clinical study of moxibustion therapy's effect on functional recovery in hemiplegia on stroke. Korean J. Orient. Int. Med. 2008 ; 29(1) : 278-84.
  8. Kim SY, Chae Y, Lee SM, Lee H, Park HJ. The effectiveness of moxibustion: an overview during 10 years. Evid Based Complement Alternat Med. 2011 ; 2011 : 306515. https://doi.org/10.1093/ecam/nep163
  9. Park H, Lee IS, Lee H, Chae Y. Bibliometric Analysis of Moxibustion Research Trends over the Past 20 Years. J Clin Med. 2020 ; 9(5) : 1254. https://doi.org/10.3390/jcm9051254
  10. Han CH, Shin MS, Shin SH, Kang KW, Park SH, Choi SM. Telephone survey for grasping clinical actual state of moxibustion therapeutics in Korea. Korean J Acupunct. 2007 ; 24(3) : 17-31.
  11. Han CH, Shin MS, Kang KW, Kang BK, Park SH, Choi SM. An in-depth interview for use of moxibustion therapy in Korea. Korean J Acupunct. 2008 ; 25(1) : 85-97.
  12. Kim G, Hwang YI, Ryu Y, Kim HJ, Bae YM, Kim KB. Ultrasonic device developed for non-invasive moxibustion therapy. Integr Med Res. 2021 ; 10(4) : 100729. https://doi.org/10.1016/j.imr.2021.100729
  13. Kang B, Jung WM, Lee H, Chae Y. Psychophysical and psychophysiological effects of heat stimulation by electric moxibustion. Complement Ther Med. 2019 ; 42 : 400-5. https://doi.org/10.1016/j.ctim.2018.12.018
  14. Shin MS, Shin BC, Lee MJ, Kim HJ, Song YK, Song MY, et al. The utilization of physical therapies in the Korean medicine clinics: A survey for national health insurance planning. JKMR. 2009 ; 19(3) : 101-9.
  15. Kim JS. Problems and countermeasures of non-reimbursable listing of physiotherapy in Korea. Research Institute for Healthcare Policy Korean Medical Association. 2012 ; 10(4) : 61-5.
  16. Medical Device Policy Division. Regulations on medical device items and classification by item [Enforcement June 12, 2023] [Notification of Ministry of Food and Drug Safety No. 2023-41, Revision June 12, 2023]. Ministry of Food and Drug Safety.
  17. Shin UW, Choi GS, Kim SY, Kim KH, Dan B. 2020 Medical device industry analysis report. Korea health industry development institute. Self-medical device-2020-78.
  18. Lin L, Cheng K, Tan MT, Zhao L, Huang Z, Yao C, et al. Comparison of the effects of 10.6-㎛ infrared laser and traditional moxibustion in the treatment of knee osteoarthritis. Lasers Med Sci. 2020 ; 35(4) : 823-32. https://doi.org/10.1007/s10103-019-02863-9
  19. Sun C, Ji CC, Li Y, Kuang JJ, Wu JT. A comparison study of photothermal effect between moxibustion therapy and laser irradiation on biological tissue. Int J Therm Sci. 2021 ; 164 : 106924. https://doi.org/10.1016/j.ijthermalsci.2021.106924
  20. Lee CH, Hong CH, Liao WT, Yu HS. Differential immunological effects of infrared irradiation and its associated heat in vivo. J Photochem Photobiol B. 2016 ; 155 : 98-103. https://doi.org/10.1016/j.jphotobiol.2016.01.006
  21. Medical device review department. Guidelines for understanding medical device technical document review (Civilian's Guide). National Institute of Food and Drug Safety Evaluation. 2020.
  22. Kim BG, Yang SJ. A study on improvement of medical device management system in clinical perspective. Hannam Journal of Law&Technology. 2019 ; 25(4) : 3-36
  23. Habash RWY, Bansal R, Krewski D, Alhafid HT. Thermal therapy, part 1: an introduction to thermal therapy. Crit Rev Biomed Eng. 2006 ; 34(6) : 459-89. https://doi.org/10.1615/critrevbiomedeng.v34.i6.20
  24. Biro S, Masuda A, Kihara T, Tei C. Clinical implications of thermal therapy in lifestyle-related diseases. Exp Biol Med (Maywood). 2003 ; 228(10) : 1245-9. https://doi.org/10.1177/153537020322801023
  25. Li LJ. Thermal therapy for eye diseases. THERMAL SCIENCE. 2020 ; 24(4) : 2319-24. https://doi.org/10.2298/TSCI2004319L
  26. Bak YH, Huang DS, Kwon JW, Shin HK. Study of medical devices in traditional Korean medical clinics. JKM. 2011 ; 32(2) : 79-91.
  27. Nam DH. A Survey of Utilizing Status and Demand for Medical Devices in Traditional Korean Medicine. JKM. 2013 ; 34(1): 69-79.
  28. Kim JH, Kim JU, Kim KH. Survey of traditional Korean medical device: number of devices, problems, solution plan. JPPKM. 2014 ; 28(4) : 430-9.  https://doi.org/10.15188/kjopp.2014.08.28.4.430