【專文分享】超越「實質等同」的迷思:從FDA法規21 CFR 870.2380演進論 AI 醫材的法規與智財同步戰略

February 26th, 2026 ‧ 3 min read

由世博林家聖執行長林志忠經理李紹宸工程師共同撰寫,發表於成大前瞻醫療器材科技中心(MDIC)成大醫院臨床創新研發中心(CIC)創刊之醫療器材與技術創新通訊 2026年2月 第二十二期,聚焦 AI 醫療器材(AI SaMD)在美國法規架構下的上市策略與戰略思維。

傳統上,FDA 510(k) 的「實質等同(substantial equivalence)」往往被視為快速上市的捷徑;然而,作者提醒業界,若缺乏整體商業與產品策略,僅取得實質等同認定可能只能換來入場券,而難以創造持久的市場競爭力。

透過解析 FDA 法規 21 CFR 870.2380 相關產品代碼的演進案例(例如 Viz.ai、Apple 等),文章指出,唯有採取 法規、智財(IP)與給付支付策略同步佈局,並有意識地主動定義與拓展產品代碼邊界,才能建立具備高商業含金量 的競爭護城河。

此外,作者也提出實務性策略,包括逆向策略性觸發新產品代碼、納入持續學習的變更控制計畫(PCCP)、營運自由分析(FTO)與給付路徑同步規劃,幫助醫材創新者將法規合規性轉化為真正的商業價值。

👉 詳細內容請見原文連結
🔗 https://mdnews.web2.ncku.edu.tw/p/404-1174-217845.php?Lang=zh-tw

林 家聖

董事長暨執行長

林家聖現職擔任世博科技顧問執行長、杉盛資產管理顧問股份有限公司智財顧問,同時兼任國立成功大學智慧財產審議委員會業界委員 (2020迄今)。

林 志忠
林 志忠

經理

李 紹宸
李 紹宸

資料工程師

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