Liability of Medical AI System Developers: Comparative Legal Analysis of International Regulations

Authors

  • Kan Ekaterina Eduardovna Tashkent State University of Law, Lecturer, Cyber Law Department

Keywords:

artificial intelligence, medical AI systems, legal liability, international law, technology regulation

Abstract

This study presents a comparative legal analysis of liability regulation for developers of artificial intelligence-based medical systems in key jurisdictions: the European Union, the United States, and Asian countries (China, Japan). The research identifies two dominant liability models: strict liability (EU, China) and mixed liability (USA, Japan), analyzing their advantages and disadvantages. The study identifies key legal challenges, including the opacity of AI systems' decision-making processes, difficulties in determining responsible entities, and challenges in establishing causation. Specific mechanisms for harmonizing international regulatory approaches are proposed: establishing a differentiated liability regime based on risk levels, requirements for algorithm explainability, easing the burden of proof for victims, and implementing mandatory liability insurance. The work demonstrates the necessity of balancing innovation incentives with patient safety as a key principle for effective regulation of medical AI systems.

References

Davenport T., Kalakota R. The potential for artificial intelligence in healthcare // Future Healthcare Journal. 2023. Vol. 6, № 2. P. 94–98.

Sullivan H.R., Schweikart S.J. Are Current Tort Liability Doctrines Adequate for Addressing Injury Caused by AI? // AMA Journal of Ethics. 2023. Vol. 21, № 2. P. 160-166.

Rachum-Twaig O. Whose Robot Is It Anyway?: Liability for Artificial-Intelligence-Based Robots // University of Illinois Law Review. 2024. Vol. 2024, № 1. P. 1-65.

European Commission. White Paper on Artificial Intelligence: A European Approach to Excellence and Trust. Brussels, 2020.

Gerke S., Minssen T., Cohen G. Ethical and legal challenges of artificial intelligence-driven healthcare // Artificial Intelligence in Healthcare. Academic Press, 2022. P. 295-336.

European Union. Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices. Official Journal of the European Union, L 117/1, 5.5.2017.

European Union. Artificial Intelligence Act. Brussels, 2023.

Artificial Intelligence Act. Proposal for a Regulation of the European Parliament and of the Council laying down harmonised rules on Artificial Intelligence. COM/2021/206 final.

European Union. Council Directive 85/374/EEC of 25 July 1985 on the approximation of the laws, regulations and administrative provisions of the Member States concerning liability for defective products. Official Journal of the European Communities, L 210, 07/08/1985.

European Commission. Liability rules for the digital age - Adapting liability rules to the digital age, Artificial Intelligence and platform services, 2022.

FDA. Artificial Intelligence/Machine Learning (AI/ML)-Based Software as a Medical Device (SaMD) Action Plan. 2021.

FDA. Proposed Regulatory Framework for Modifications to Artificial Intelligence/Machine Learning (AI/ML)-Based Software as a Medical Device (SaMD). 2021.

Restatement (Third) of Torts: Products Liability § 2 (1998).

In re Avandia Marketing, Sales Practices & Prod. Liab. Litig., 945 F. Supp. 2d 593 (E.D. Pa. 2013).

Winter v. G.P. Putnam's Sons, 938 F.2d 1033 (9th Cir. 1991).

National Medical Products Administration. Technical Guideline on Software as Medical Device. Beijing, 2021.

Pharmaceuticals and Medical Devices Agency. Guidance on Software as a Medical Device. Tokyo, 2021.

World Health Organization. Ethics and governance of artificial intelligence for health: WHO guidance. Geneva, 2021.

OECD. Recommendation of the Council on Artificial Intelligence. OECD/LEGAL/0449. 2019.

Price W.N. Artificial Intelligence in Health Care: Applications and Legal Implications // Science and Technology Law Review. 2023. Vol. 14. P. 257-280.

Sun T.Q., Medaglia R. Mapping the challenges of Artificial Intelligence in the public sector: Evidence from public healthcare // Government Information Quarterly. 2023. Vol. 36, № 2. P. 368-383.

Pesapane F., Codari M., Sardanelli F. Artificial intelligence in medical imaging: threat or opportunity? Radiologists again at the forefront of innovation in medicine // European Radiology Experimental. 2022. Vol. 2, № 1. P. 35.

Schönberger D. Artificial intelligence in healthcare: a critical analysis of the legal and ethical implications // International Journal of Law and Information Technology. 2024. Vol. 27, № 2. P. 171-203.

Larsson S., Heintz F. Transparency in artificial intelligence // Internet Policy Review. 2024. Vol. 9, № 2.

Selbst A.D., Powles J. Meaningful information and the right to explanation // International Data Privacy Law. 2023. Vol. 7, № 4. P. 233-242.

Price W.N., Gerke S., Cohen I.G. Potential Liability for Physicians Using Artificial Intelligence // JAMA. 2023. Vol. 322, № 18. P. 1765-1766.

Reddy S., Allan S., Coghlan S., Cooper P. A governance model for the application of AI in health care // Journal of the American Medical Informatics Association. 2023. Vol. 27, № 3. P. 491-497.

Čerka P., Grigienė J., Sirbikytė G. Liability for damages caused by artificial intelligence // Computer Law & Security Review. 2023. Vol. 31, № 3. P. 376-389.

Ebers M. Regulating AI and Robotics: Ethical and Legal Challenges // Robotics, AI and the Future of Law. Springer, 2022. P. 37-71.

Engelmann J., Puntschuh M. Aspects of transparency in machine learning applications for healthcare // AI & Society. 2023. Vol. 38. P. 823-835.

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Published

2025-03-20

How to Cite

Eduardovna, K. E. (2025). Liability of Medical AI System Developers: Comparative Legal Analysis of International Regulations. American Journal of Education and Evaluation Studies, 2(3), 203–209. Retrieved from https://semantjournals.org/index.php/AJEES/article/view/1320

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