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Health committee  Thank you. I appreciate that. I mentioned a couple of times that I think we have omitted paying any attention to the motivations for requesting implants among patients, whether cosmetic or reconstruction. I think this is a big omission that could go some way to improving the gen

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  No, I don't.

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  Yes, I do. Health Canada is responsible for the management of drugs and devices, among many other things. That means they're responsible for the quality of the submission data they request from industry, the review of it, the collection of adverse events, postmarket vigilance and

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I would agree with you that perfection is in the way here of launching something. I don't think it should be. I prefer to think about this from the point of view of the women and other patients who are receiving these. To me, we have a huge obligation to them that we have not f

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  Yes, I would agree. That and other international examples of breast implant registries are informative here. I think the issue of health care utilization should concern Health Canada and the rest of us, especially with current crises in the health care system. There are lots of

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I can say that Australia may have addressed some of these questions with interstate issues. That might be worth investigating for the committee. Secondly, one of the private member's bills that I mentioned in my timeline took place in Ontario, so at least at that point in time,

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I would agree. Those surgeries taking place in private clinics are probably the hardest ones to follow, and there may be the most resistance there.

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  As I mentioned already, the improvement of mandatory reporting of adverse events for all medical devices needs to happen quickly. In particular, it needs to be extended past hospitals and manufacturers to individual practitioners, private clinics and private settings, including l

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I can't speak for the industry, obviously. I have seen examples where the industry has been supportive, but I don't have an answer to that.

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  Both of those things are true. It is a gender equity issue. Thirty years ago.... Some of the regulations surrounding breast implants—they're on the timeline in the document I gave you—clearly illustrate that you were late to including breast implants, among other devices, in reg

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I think we could rely on that.

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  Thank you. I think your witnesses last week talked about the various pros and cons of models for registries. As one of the prior witnesses today said, that's not my area of expertise, but I do think that aspects of public oversight are extremely important here in terms of making

May 9th, 2023Committee meeting

Dr. Lorraine Greaves

Health committee  I think they are all on the website and publicly available.

May 9th, 2023Committee meeting

Dr. Lorraine Greaves