高リスク脳インプラント患者の安全確保に向けた新提案(New proposal aims to protect patients with high-risk brain implants)

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2025-06-12 カナダ・ブリティッシュコロンビア大学(UBC)

高リスク脳インプラント患者の安全確保に向けた新提案(New proposal aims to protect patients with high-risk brain implants)
Image credit: Milad Fakurian via Unsplash

UBCの神経倫理学者らは、高リスク脳インプラント(BCI)使用者を保護する新たな「ノーフォルト補償制度」を提案。現在はFDA承認機器でも被害者が訴訟できない制度上の欠陥があるため、ワクチン補償制度のように、企業の過失証明なしで医療費や損失補填を受けられる仕組みを構築すべきと主張。制度は企業拠出金で運用し、患者保護と技術革新の両立を目指します。

<関連情報>

高リスク神経デバイスの責任フレームワーク 無過失補償制度はイノベーションと患者保護のバランスをとるのに役立つかもしれない A liability framework for high-risk neural devices A no-fault compensation scheme may help balance innovation and patient protection

A. Rotenberg, M. Gunning, R. Magistro Nadler, Z. H. T. Kiss, and J. Illes
Science  Published:12 Jun 2025

Abstract

High-risk medical devices are integral to modern health care, but unexpected adverse events from performance failures or malfunctions may leave patients irreversibly harmed. Consumers in the US who incur injuries from products can ordinarily seek relief under the product liability laws of their state. However, a 2008 US Supreme Court decision against patient complainants restricted this legal pathway, raising concerns of patient abandonment. With the emergence of implantable brain-computer interfaces (iBCIs) exposing vulnerable patients to a new suite of unknowns and potential physical and neurocognitive impacts, policy-makers must revisit the commitment to justice at the forefront of innovation. Focusing on the case example of intracranial neurotechnology, we describe a no-fault compensation scheme that may offer relief to injured patients in the US. Its potential advantages may also hold relevance in countries where civil litigation remains the only pathway to patient recourse.

医療・健康
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