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Revolution of Medical Device Distribution Structure by Expanding UDI Code: A Case Study of Edwards Lifesciences in South Korea

KyoSung Kum Primary Contact
Abstract

The South Korean medical device market is rapidly growing, necessitating a more efficient and reliable system for managing the supply and distribution of medical devices. (1) Background/Purpose: The current ‘Medical Device Supply Reporting’ system, which utilizes the Unique Device Identifier (UDI) code, provides a foundation for tracking medical device supplies but remains limited in scope, covering only certain classes of medical devices. Hospitals, Group Purchasing Organizations (GPOs), and government agencies operate in silos without effective communication, forcing suppliers to adapt to each system separately and imposing substantial manpower burdens. This study aims to analyze the current distribution structure, evaluate the effectiveness of the existing UDI system, and propose a comprehensive framework for expanding and optimizing the UDI code system to revolutionize medical device distribution in South Korea. (2) Study Design/Methodology/Approach: The study employs a combination of qualitative and quantitative methods, including literature review, case analysis of Edwards Lifesciences Korea using ERP system data and customer service interview insights, comparison against international UDI standards (U.S. FDA, EU MDR/IVDR), and stakeholder analysis. (3) Findings: Based on four years of order data (2020–2023), approximately 38% of consignment replenishment orders were received through cold calling and 47% via GPO-operated sites, with CSRs required to manually monitor 71 separate GPO sites daily. The UDI supply reporting system has increased administrative workload without addressing root-cause inefficiencies in the distribution structure. (4) Originality/Value: This paper strongly proposes the introduction of an Electronic Data Interchange (EDI) system integrated with UDI codes to create an automated, unified solution that maximizes supply chain efficiency, enhances medical device management reliability, and ultimately improves patient safety.

References
  1. Kang, M., Shin, K., & Yeon, J. (n.d.). Innovations in Regulations and Safety Management in the Medical Device Industry.
  2. Kim, B. (n.d.). Policy and Issues: Pharmaceutical Management Information Center, Health Insurance Review and Assessment Service.
  3. Kim, Y. (2012). Research on the development and introduction of medical device unique identification code (UDI). Ministry of Food and Drug Safety.
  4. Kim, Y. (2017). Research on efficient UDI system utilization. Ministry of Food and Drug Safety.
  5. Kim, J., Shin, K., & Kim, E. (2019). Development of a medical device information search website. Technology Management, 4(3), 65–95.
  6. Park, M. (2022). Research for developing an analysis model of R&D innovation capability of SMEs. Technology Management, 7(1), 1–21.
  7. Seong, H. (2017). Research on support measures for medical device companies for domestic introduction of UDI. Master’s thesis, Dongguk University.
  8. Woo, H. (2018). Current status and analysis of medical device unique identification code introduction. Korea Health Industry Development Institute.
  9. Lee, S., Son, K., Park, K., & Han, K. (2020). Research on integrated information system construction through analysis of overseas cases of medical device standard code (UDI). Journal of the Korean IT Policy and Management Society, 12(6), 2105–2110.
  10. Da Silva, E., & Figueira, J. (2015). Unique Device Identifier System: The Impact Of The Portuguese Experience. Value in Health, 18(7), A373.
  11. Drozda Jr., J. P., Dudley, C., Helmering, P., Roach, J., & Hutchison, L. (2016). The Mercy unique device identifier demonstration project: implementing point of use product identification in the cardiac catheterization laboratories of regional health system. Elsevier, pp. 116–119.
  12. Drozda Jr., J. P., Roach, J., Forsyth, T., Helmering, P., Dummit, B., & Tcheng, J. E. (2018). Constructing the informatics and information technology foundations of a medical device evaluation system: a report from the FDA unique device identifier demonstration. Journal of the American Medical Informatics Association, 25(2), 111–120.
  13. European Commission. (2017). Medical Devices Regulation (MDR) and In Vitro Diagnostic Medical Devices Regulation (IVDR). European Commission.
  14. Jacobson, D. R. (2018). Unique Device Identifier database integration for clinical engineers. Journal of Clinical Engineering, 43(2), 71–74.
  15. Jiang, G., Yu, Y., Kingsbury, P. R., & Shah, N. (2019). Augmenting medical device evaluation using a reusable unique device identifier interoperability solution based on the OHDSI common data model. In MEDINFO 2019: Health and Wellbeing e-Networks for All. IOS Press, pp. 1502–1503.
  16. Karas, C. (2016). US Food and Drug Administration unique device identifier rule: Perioperative basics. AORN Journal, 103(3), 329–332.
  17. Muhlestein, J. B., Graham, J., Tcheng, J., McKinnon, A., Knight, S., May, H. T., … & Drozda, J. P. (2020). Development and Initial Utilization of a Multi-institutional Distributed Data Network Designed to Evaluate Real-world Clinical Outcomes in Patients Presenting for Percutaneous Coronary Intervention (PCI): Results From the Building the Unique Device Identifier (UDI) Into Longitudinal Data for Medical Device Evaluation (BUILD) Networks. Circulation, 142(Suppl_3), A13128.
  18. Sorenson, C., & Drummond, M. (2014). Improving medical device regulation: the United States and Europe in perspective. The Milbank Quarterly, 92(1), 114–150.
  19. Tcheng, J. E., Crowley, J., Tomes, M., Reed, T. L., Dudas, J. M., Thompson, K. P., … & Workgroup, M.U.D.E. (2014). Unique device identifiers for coronary stent postmarket surveillance and research. American Heart Journal, 168(4), 405–413.
  20. Tcheng, J. E., Nguyen, M. V., Brann, H. W., Clarke, P. A., Pfeiffer, M., Pleasants, J. R., … & Kelly, J. F. (2021). The Medical Device Unique Device Identifier as the Single Source of Truth in Healthcare Enterprises–Roadmap for Implementation of the Clinically Integrated Supply Chain. Medical Devices, 14, 459.
  21. Therapeutic Goods Administration (TGA). (2020). Unique Device Identification (UDI) System. Australian Government.
  22. Ministry of Food and Drug Safety. https://www.mfds.go.kr/index.do
  23. Medical Device UDI Tracking Management System. https://emedi.mfds.go.kr/msismext/udi/min/mainView.do
  24. eZmedicom. https://www.ezmedicom.com/main/index
Keywords
UDI code medical device distribution Electronic Data Interchange (EDI) South Korea supply chain management consignment inventory management Group Purchasing Organization (GPO) patient safety Medical Device Act
Details

Authors
KyoSung Kum Primary Contact
ELEKTA Ltd
How to Cite
Revolution of Medical Device Distribution Structure by Expanding UDI Code: A Case Study of Edwards Lifesciences in South Korea. (2026). ASSIST Business Review, 2(6). https://jnl.ampla.page/abr/article/view/99