073 - Anatomy of a Hazard, Clifton Ericcson, ISO 14971/24971 Risk Management with Naveen Agarwal

Let's Combinate · 22 Feb 2023 · 19m

What this episode covers

Naveen Agarwal of Creative Analytics Solutions explains the 'Anatomy of a Hazard' using Clifton Ericcson’s HS-IM-TTO model to clarify ISO 14971 risk management for medical devices. He argues that hazards are non-linear system properties rather than simple linear sequences, requiring a distinction between hazard source, initiating mechanisms, and target-threat outcomes. Agarwal advocates for separating failure analysis (FMEA) from hazard-harm analysis to manage complexity and improve completeness in risk files.

Other shows on the same ground, closest first.

  • Global Medical Device Podcast · 1h 03m

    #422: ISO 14971 and the Road to Risk Management with Edwin Bills

    Edwin Bills, a lead expert in medical device risk management and key contributor to ISO 14971, explains how his background as a submariner and manufacturing quality engineer informs his approach to patient safety and cost of quality. He details the critical link between manufacturing process capability (CPK), supplier quality, and financial risk, arguing that quality failures directly impact a company's bottom line and reputation. Bills critiques common industry practices, such as late-stage FMEA and manual spreadsheet-based traceability, advocating for early hazard analysis, industrial statistics, and integrated software solutions to manage complex risks in medical devices and combination products.

  • Global Medical Device Podcast · 36m

    #325 The Role of dFMEAs in Risk Management for Medical Devices

    Wade Schroeder, a medical device expert at Greenlight Guru, explains how dFMEA and ISO 14971 work together to manage risk in medical device design. He argues that while dFMEA provides a useful bottom-up technical view, ISO 14971 offers a necessary top-down, patient-focused strategy that maps directly to FDA expectations. Schroeder highlights Greenlight Guru’s software as a tool that integrates risk management with design controls, reducing the complexity of maintaining separate systems. The discussion emphasizes using tools like fault tree analysis and fishbone diagrams to ensure comprehensive safety without compromising regulatory compliance.

  • Global Medical Device Podcast · 40m

    Inside Look into ISO 14971:2019 & ISO TR 24971:2020 from the Author's Point of View

    Ed Bills, a risk management consultant and technical committee member for ISO 14971:2019 and ISO TR 24971:2020, joins host Jon Speer to explain the nuances of the updated international medical device risk management standards. They discuss the separation of guidance from requirements, the critical role of post-market surveillance in Clause 10, and the regulatory landscape involving the EU MDR and IVDR. Bills emphasizes that risk management is a product safety standard distinct from business or project risk, and advises companies to read the full rationale and technical report to avoid common misinterpretations.

  • Global Medical Device Podcast · 39m

    3 Systems of Risk for Medical Devices from FDA

    Mike Drues of Vascular Sciences joins host Jon Speer to explain the FDA's three distinct systems for managing medical device risk: product classification (Class I-III), significant vs. nonsignificant risk (SR/NSR) for clinical trials, and software level of concern (Class A-C). Drues argues that these systems are independent yet interdependent, noting that the default Class III status for novel devices often misrepresents actual risk, as seen with the 'Band-Aid' example. He emphasizes that labeling claims can drastically alter a device's classification and risk status, and advises companies to use pre-submissions to align with the FDA before determining SR/NSR status.

  • Global Medical Device Podcast · 53m

    #450: Human Factors vs. Clinical Trials: Why Your MedTech Submission is Stalling

    Staci Miller, a Human Factors and UX Strategist at GenUX, explains why medical device submissions stall when human factors (HF) is treated as a late-stage box-checking exercise rather than an integrated part of ISO 14971 risk management. She distinguishes between Use-Related Risk Analysis (URRA) for novel devices and User Failure Mode and Effects Analysis (uFMEA) for established products with post-market data, emphasizing that clinical trial efficacy data cannot replace usability validation unless premeditated in the study protocol. Miller warns that ignoring the 'use environment' and design inputs leads to FDA rejections, as regulators require a cohesive safety story that maps user interactions across diverse contexts like ambulances or radiology suites.

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