The Journal of mHealth Vol 2 Issue 1 (February 2015) | Page 28

FDA Issues Draft Guidance on General Wellness Devices and Apps »» A claim that a computer game will diagnose or treat autism; »» A claim that a product will treat muscle atrophy or erectile dysfunction; »» A claim to restore a structure or function impaired due to a disease, e.g., a claim that a prosthetic device enables amputees to play basketball. may play an important role in health outcomes should be generally accepted; such associations are typically described in peer-reviewed scientific publications. Examples of chronic diseases for which a healthy lifestyle is associated with risk reduction or help in living well with that disease include heart disease, high blood pressure, and type 2 diabetes. The second category of general wellness intended uses is comprised of two subcategories: The guidance gives examples of this category of disease-related general wellness claims: 1) Intended uses to promote, track, and/ or encourage choice(s), which, as part of a healthy lifestyle, may help to reduce the risk of certain chronic diseases or conditions; and 2) Intended uses to promote, track, and/ or encourage choice(s) which, as part of a healthy lifestyle, may help living well with certain chronic diseases or conditions. »» Product X promotes physical activity, which, as part of a healthy lifestyle, may help reduce the risk of high blood pressure. »» Software Product Y tracks your caloric intake and helps you manage a healthy eating plan to maintain a healthy weight and balanced diet. Healthy weight and balanced diet may help living well with high blood pressure and type 2 diabetes. »» Product Z tracks activity sleep patterns and promotes healthy sleep habits, which, as part of a healthy lifestyle, may help reduce the risk for developing type 2 diabetes. Continued from page 25 Both subcategories of disease-related general wellness claims should only contain references where it is well understood that healthy lifestyle choices may reduce the risk or impact of a chronic disease or medical condition. That is, the claim that the healthy lifestyle choice(s) The FDA has clarified that the General Wellness policy will not extend to devices that present inherent risks to a user’s safety. Whether a device is low-risk for purposes of the guidance is determined by whether or not the product: 1. is invasive; 2. involves an intervention or technology that may pose a risk to a user’s safety if device controls are not applied, such as risks from lasers, radiation exposure, or implants; 3. raises novel questions of usability; or 4. raises questions of biocompatibility. Where the answer to any of these questions is yes, then the device would not be considered a low-risk general wellness product and therefore not covered by the guidance. The FDA is seeking input on the draft guidance documents from industry and other stakeholders during the comment period. For more information please or to read the draft guidance visit www.fda. gov/MedicalDevices/ResourcesforYou/Industry/ucm430911.htm n Digital Mobile Solution Places International Travellers in Control of their Healthcare Worldwide The health insurance industry is becoming increasingly interested in how it can help customers achieve better quality of life, reduce premiums for those that actively manage their health, develop better and more efficient relationships with health professionals and differentiate products in the marketplace. Digitisation has a large role to play in this and, as part of this commitment, private medical insurance customers with British multinational insurance company Aviva can now use a specially developed smartphone app that provides access to securely stored personal medical records and immediate access to emergency assistance and medical advice, wherever they are in the world. 26 February 2015 Produced in partnership with Oxfordshire-based Medelinked, the Aviva International Solutions App - which is available for both Apple iOS and Android smartphones - enables the Company’s customers to record a range of medical details including allergies, conditions, immunisations, medications and tests, and has the ability to store images of scans, x-rays and certificates to complete their health profile. This provides users with the peace of mind that, if they need urgent medical treatment abroad, their medical history can be quickly and safely accessed and shared from their mobile device. The customer has sole control over the information that is stored and can decide whether they wish any healthcare profes- sional or organisation to view any part of their medical history. Aviva is unable to access any of the data, unless the user chooses to share any records with them. The customer can also choose any information they would like to store in a password-protected E mergency Records area, which a chosen family member or colleague can immediately access in the event of an emergency. When healthcare or emergency support is needed, the app enables customers to dial straight through to Aviva and its 24-hour emergency assistance and medical advice service, as well as to a list of their healthcare providers. There is also a clear step-by-step guide on how to make