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The legal implications of mobile health apps and devices

medical appsI'm neither a doctor nor a lawyer, but you don't have to have an MD to realize that medical apps are becoming an ever-more-important tool in managing our healthcare choices, costs and overall wellness. In a similar vein, medical accessories to our iDevices could make home medical care cheaper and easier.

Whether you're monitoring your blood sugar, looking up first aid advice or trying to find an emergency clinic, mobile medical apps are going to be huge; that is, they will be if the legal system doesn't stifle innovation in the space. As for hardware -- where are the devices we were promised?

There's very little case law around the liability of medical apps should something go wrong, ditto hardware and regulatory issues. Remember 2009, when Apple brought Johnson & Johnson's folks on stage for them to announce the LifeScan app for glucose monitoring, and then in 2010 when sanofi-aventis showed off the iBGStar? Both products replicate the functionality of existing glucose meters on the market, yet neither one has made it to the approval stage yet. There could be technical hiccups, there could be problems on the marketing front... or maybe there's a liability angle. We're still waiting on the Withings blood pressure cuff, although the iHealth unit has actually shipped -- a notable exception in the realm of iDevice health attachments.

This article from TechNewsWorld raises the point that liability for a medical app has yet to be determined in the courts. Who takes the blame if your first aid app winds up giving you incorrect advice on CPR -- the carrier, the developer or the distributor? Josh McKoon, a Georgia Senator and lawyer at a firm specializing in healthcare legal issues said "they all could be sued." Of course, you can sue anyone, any time. Luckily apps have disclaimers, and in reality anyone who (at this point) is solely dependent upon a smartphone app for their health is likely going to lose a lawsuit.

As the article points out, there are lots of issues at play here. FDA regulations, murky legal rulings, pending litigation: they all make medical apps a legal minefield should something go wrong and your disclaimer provide less-than-adequate coverage. In other words, it's a mess. Medical apps are cranking out all the time, but medical devices you dock with your iOS device, not so much. We'll have to wait and see how case law shapes this emerging market. Read the article from TechNewsWorld for a comprehensive breakdown of where this market is at now, and consider the future up for grabs.



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I'm neither a doctor nor a lawyer, but you don't have to have an MD to realize that medical apps are becoming an ever-more-important tool...
 

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Chris

So lets get this straight - medical apps do not directly perform medical measurement. Where they work with another device, such as an insulin monitor, the whole setup must be vetted by the FDA. As for whether the carrier, the developer or the distributor can be sued - this like saying the wholesaler to Walgreens, Walgreens, and the blood pressure cuff maker all can be sued for the same point of failure - gimme a break.

May 06 2011 at 8:45 PM Report abuse rate up rate down Reply
VIvek

as a EMT volunteer, I am always on the lookout for iPhone apps that can help me with run reports, etc. So far, I have found the EMS Tracker to be an excellent app, but there's room for improvement in this category.

May 06 2011 at 7:43 AM Report abuse rate up rate down Reply
1 reply to VIvek's comment
bxiie

Check out TriageLink for iPhone.

http://itunes.apple.com/us/app/triagelink/id368260089?mt=8

May 06 2011 at 10:54 AM Report abuse rate up rate down Reply
DonL0001

The iHealth BP unit did ship, but shouldn't have.

It is designed(??) to have a blind, electrically hot power connection, which failed after about four connections, before a single useful BP reading was obtained.

A couple of calls clearly indicated that trying to get the unit refunded would be unlikely to be worth the bother, so I just discarded the unit, glad that it was the unit that failed, and not the iPad.

Regards, Don

May 06 2011 at 2:53 AM Report abuse rate up rate down Reply
MILE

The Withings blood pressure cuff is actually available here in Germany -- so I guess it really might be some legal or regulatory issue in the US that keeps it from being released…!?

May 05 2011 at 11:30 PM Report abuse rate up rate down Reply
1 reply to MILE's comment
Victor Agreda, Jr.

Which is exactly why some people (ever since I can remember) have needed to go overseas for certain medical procedures or drugs, equipment, etc.

May 06 2011 at 12:09 AM Report abuse rate up rate down Reply
DawnII

Why the hell would anyone rely on an app to direct their professional care anyway? As a medical student, I can safely say that this shouldn't be an issue. First of all, medical professionals are required to obtain recertification for basic life support every 2 years. If you even need an app to tell you what to do in the first place, something is very wrong. Apps should only be used as reference, no medical professional in their right mind would actually NEED an app to tell them what to do.

May 05 2011 at 11:00 PM Report abuse rate up rate down Reply
2 replies to DawnII's comment
Victor Agreda, Jr.

We're talking about people who are NOT medical professionals. I don't think an iPhone Physician's Desk Reference is an issue. It's something like "Snakebite Cures!" as a free app that normal people might rely upon, or a glucose tracker, etc. that could become a liability.

May 06 2011 at 12:09 AM Report abuse rate up rate down Reply
chris

This isnt about medical professionals using apps.. its about apps interacting with medical devices. I've been wanting an app for an insulin pump for years, but don't see that happening because of liability. My pump has a wireless controller, I'd love to have one less device to carry. Same with my glucose monitor. I have these devices on my belt clip that would very well be replaced with my iphone.

May 06 2011 at 8:28 PM Report abuse rate up rate down Reply
mattcutler

Don't the Good Sumaritan laws of most states cover the issues addressed in this article?

May 05 2011 at 9:01 PM Report abuse rate up rate down Reply
crandallcrute

That's the nice thing about living in the US - there's always someone else to blame. Can't possibly ever be MY fault! Who can I sue? Someone has to pay!

I don't know whose more of a joke - the lawyers or their clients!

May 05 2011 at 8:58 PM Report abuse rate up rate down Reply
1 reply to crandallcrute's comment
hfwbr

Nice job of pointing the finger at other people.

May 05 2011 at 9:53 PM Report abuse rate up rate down Reply
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