Risk Management

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Complete guide

How to integrate
Risk Management
activities in Design
and Development ?

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1. Integrate risk from the Planning
stage

Design activities

Risk
Risk
Mngmt. inter-relationship(s) between risk
management activities and D&D activities

Questions to ask:

How can we effectively integrate risk


management with our project's design and
development processes?

What expertise and resources are needed to


address safety concerns in our design and
development stages?

Risk Mngmt.
D&D plan
plan Coherence and Connection
2. The outputs of risk management
serve as Design inputs
Design characteristics,
specifications ...
Risk control Design
measure(s) input(s)
Need(s) for risk control
measures

Harm(s)

D&D
Identifying hazards
process
Risk analysis

Risk
Mngmt.

When risk control measures are determined to be


necessary and are initially defined, these become
an output as part of the iterative cycle.
3. Design ouput & Risk control
measures
D&D outputs are generally of 3 types :

Examples of risk control


D&D output type
measure(s)

1. Medical device characteristics Compliance with IEC 60601


including those essential for its Over-temperature alarm
safe and proper use User training ...

Special quality requirements


2. Requirements for purchasing, in contracts
production, handling, Imposing stringent process
distribution and servicin controls
Environmental requirements...

Electrical safety performance


limits (e.g., leakage current,
3. Medical device acceptance insulation strength)
criteria Contamination levels or
sterility requirements for a
device or accessory...

Design outputs for a medical device will specify


risk control measures and their application.

When inherent safety is not feasible, additional


measures like labeling, training, and risk
communication are needed, applicable
throughout the device's life-cycle.
4. Use the Design review as a
checkpoint
Design review

Hazards Have all hazards been identified, risks assessed,


identification and risk control measures identified?

Have design and development reviews ensured


Residual adequate communication of individual and
risk(s) overall residual risks to relevant parties,
including users?

Have the effectiveness of risk control measures


Effectiveness for individual risks been verified?

Have design validation activities effectively


Design assessed the overall residual risk associated with
validation device usage by the intended user?

Have new risk-related issues identified during the


New risk design transfer process been controlled and
verified?

Have the reviews confirmed the validity of


Risk/benefit risk/benefit decisions regarding the acceptance
of the overall residual risk?
5. D&D verification, the proof that
risk control measures are
implemented

D&D
verification

What ?

Objective
evidence

Why?

Risk control For each


measures risk(s)

How?

Effectiveness
6. D&D validation, the proof that
the risk control measures are
appropriate

Risk control User needs


measures

Validation
activitie(s)

Analytical
techniques

Validation
plan(s)

Risk control measures need to be established


and addressed prior to conducting clinical
trials/investigations.
7. D&D changes, are there any new
risks?

Reviewed New risk(s)?

Verified
Modification
or new risk
D&D changes control
measure(s) ?
Validated

Benefit/risk
Approved
acceptable ?

Prior to implementing a proposed change, it is


important to ensure that any individual residual
risk(s), as well as the overall residual risk, are
defined and remain acceptable.
8. D&D transfer, are there any new
risks?

D&D transfer

Conception Production

Risk control New risk(s)?


measure(s)

Implemented &
effective
4 Things to remember :
Medical device design focuses on risk identification
and control, aiming to balance risk, functionality,
and feasibility.

Early risk management in design prevents


problems and includes assessing risks in various
conditions.

The design process iterates input, output, and


verification to manage and maintain acceptable
risk levels

Post-market, medical devices require integrated


risk and quality management, with thorough
documentation linking design to risk
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