235 Understanding Stage of Innovation of Invasive Procedures and Devices

Abstract Aim New and modified surgical procedures devices are often introduced into clinical practice without adequate evidence of their safety efficacy. To promote systematic evaluation innovations, the IDEAL IDEAL-D frameworks outline recommendations for study design governance according to stage innovation. However, determining innovation can be difficult, hindering use such frameworks. There is a need detailed understanding what means, how it determined. The aim this understand concept as reported in literature. Method A review being conducted. Searches Ovid Medline Embase databases have been performed. Articles were screened by title and, then full text. s foreign language articles excluded. Data will extracted verbatim regarding approaches evaluating innovations thematic analysis conducted, findings summarised narrative report. Results search returned 2,946 articles, which 46 included. Preliminary identified two procedures, one devices. Following analysis, report explore innovation, including barriers implementation proposed solutions. Conclusions progress presented at Surgical Innovation Summit. An improved facilitate better innovations.