A recent regulation push for UDI in the U.S., EU, Australia/New Zealand, and China paves to way for the deployment of Surgical Tracking (SIT) systems in hospitals. The U.S. FDA is several years into its Unique Device Identifier (UDI) program for medical device tracking. Several other countries and regions have since been rolling out similar medical device tracking programs.

The goal of these programs is to improve safety, increase efficiency, and provide unambiguous accountability when it comes to controlling and tracking medical devices and surgical instruments. RFID has rapidly emerged as a viable solution for tracking reusable devices like surgical instruments across these initiatives.

UDI for manufacturers of medical devices

The FDA's UDI program was developed to provide more accurate tracking of devices, speed up product recalls, and improve patient safety. Starting in 2014, different classes of devices are required to include a permanent mark containing a unique identifier and manufacturing information.

The number of items that fall under UDI will be expanded each year through the 2020s. Information on device labels is centrally managed via the Global Unique Device Identification Database (GUDID), making it available to stakeholders across the supply chain.

RFID tagging

UDI identification and information are encoded on the device using barcodes, direct part marking, or RFID tagging

In addition to improving safety, UDI helps manufacturers better manage and track inventory. Hospitals and other medical institutions could also use the UDI to manage and track consignments internally. The UDI identification and information are encoded on the device using barcodes, direct part marking, or RFID tagging.

RFID tags are wireless, contactless, and long-range, making them particularly well suited for the automation of aspects of the Joint Commission's Universal Protocol, as well as meeting FDA UDI requirements. They are designed to withstand the rigors of the hospital environment, as well as harsh sterilisation processes.

Identification of devices

Medical device manufacturers use RFID tags to identify each device uniquely. More importantly, RFID does not require line-of-sight scanning (like barcode labels or direct marks would), so items can easily be scanned even when the UDI tag or label is not visible.

The information collected can be shared with other stakeholders in the lifecycle and workflow of medical devices.

UDI in The European Union

The EU has matched the FDA regulations for its own UDI programs via the EU Medical Device Regulation 2017/745 and In Vitro Diagnostic Medical Device Regulation 2017/746.

Compliance deadlines for different classes of medical devices in the EU will be rolled out through 2027.

UDI in China

UDI program in China is focused on proving the authenticity of medical devices at any given time

The UDI program in China is focused on proving the authenticity of medical devices and identifying which devices are in the hands of a patient or medical staff/facility at any given time.

In March, the CFDA released a draft of the UDI regulation for public comment, which included definitions of the UDI carrier that could include linear or 2D barcodes, as well as RFID or Near Field Communication (NFC) tags.

UDI in Australia/New Zealand

The two countries released a new surgical asset tracking standard (AS/NZS 4187:2014) that mandated tighter regulations of reusable medical device reprocessing. Automation has been identified as the most efficient means of meeting the new standard.

Hospitals will be moving from tray tracking instrument lifecycle tracking, with every stage requiring this type of tracking by December 2021.

RFID applications

A recent report from Brick42 lays out the case for RFID in these applications quite well. By automating the identification, counting, and tracking of surgical instruments, hospitals can provide a high return on investment while also ensuring compliance with UDI rules in these regions.

Users can see the benefits of RFID tracking clearly in the hospitals that have deployed RFID surgical tracking systems with Xerafy. The company's rugged RFID tags enable medical device tracking to provide the visibility needed under these evolving UDI standards and requirements.

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