The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems.
Closed-loop medical devices such as brain-computer interfaces are an emerging and rapidly advancing neurotechnology. The target patients for brain-computer interfaces (BCIs) are often severely paralyzed, and thus particularly vulnerable in terms of personal autonomy, decisionmaking capacity, and age...
| Publicado en: | Cambridge Quarterly of Healthcare Ethics Vol. 25; no. 4; pp. 623 - 634 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Cambridge University Press
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118150950&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118150950 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09631801 7XO jtl: Cambridge Quarterly of Healthcare Ethics issn: 09631801 maglogo: N pubinfo: dt: Oct2016 vid: 25 iid: 4 pid: 15979 pub: Cambridge University Press artinfo: ui: 118150950 10.1017/S0963180116000359 118150950 ppf: 623 ppct: 11 formats: tig: atl: The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems. aug: au: KELLMEYER, PHILIPP COCHRANE, THOMAS MÜLLER, OLIVER MITCHELL, CHRISTINE BALL, TONIO FINS, JOSEPH J. BILLER-ANDORNO, NIKOLA sug: subj: Robotics Patient Autonomy Ethics, Medical Equipment and Supplies Autonomy Consent ab: Closed-loop medical devices such as brain-computer interfaces are an emerging and rapidly advancing neurotechnology. The target patients for brain-computer interfaces (BCIs) are often severely paralyzed, and thus particularly vulnerable in terms of personal autonomy, decisionmaking capacity, and agency. Here we analyze the effects of closed-loop medical devices on the autonomy and accountability of both persons (as patients or research participants) and neurotechnological closed-loop medical systems. We show that although BCIs can strengthen patient autonomy by preserving or restoring communicative abilities and/or motor control, closed-loop devices may also create challenges for moral and legal accountability. We advocate the development of a comprehensive ethical and legal framework to address the challenges of emerging closed-loop neurotechnologies like BCIs and stress the centrality of informed consent and refusal as a means to foster accountability. We propose the creation of an international neuroethics task force with members from medical neuroscience, neuroengineering, computer science, medical law, and medical ethics, as well as representatives of patient advocacy groups and the public. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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