Page 24 - Biomedical Engineering and Design Handbook Volume 2, Applications
P. 24

CHAPTER 1

                          MEDICAL PRODUCT DESIGN




                          James P. O’Leary
                          Tufts University, Medford, Massachusetts





                          1.1 INTRODUCTION/OVERVIEW  3        1.12 ARCHITECTURE/SYSTEM DESIGN  13
                          1.2 SCOPE  5                        1.13 DETAIL DESIGN  14
                          1.3 QUALITIES OF SUCCESSFUL         1.14 DESIGN FOR MANUFACTURE  14
                          PRODUCT DESIGN  5                   1.15 ROLLOUT  14
                          1.4 CONCURRENT ENGINEERING  5       1.16 PROCESS REVIEW  15
                          1.5 GOALS  6                        1.17 PROTOTYPING  15
                          1.6 TEAM/TALENT  6                  1.18 TESTING  16
                          1.7 PLANNING/RESOURCES  7           1.19 DOCUMENTATION  16
                          1.8 DEVELOPING USER NEEDS  7        1.20 TOOLS  17
                          1.9 PRODUCT SPECIFICATIONS  9       1.21 REGULATORY ISSUES  17
                          1.10 CONCEPT DEVELOPMENT  10        1.22 CLOSURE  18
                          1.11 CONCEPT EVALUATION  11         REFERENCES  18







              1.1 INTRODUCTION/OVERVIEW

                          The design of a medical product is a complex task. All design activities involve the resolution of
                          conflicts and compromise among the desired features, but in medical products the conflicts tend to
                          be more intense, the stakes are often higher, and the background information is often more uncertain.
                          This section describes a process that has been found to be useful in bringing successful products
                          to market. It is based on an approach to design that has recently been described as concurrent
                          engineering.
                            This section opens with some groundwork on getting a program started, follows that with a
                          somewhat specific set of steps to be carried out as the design is developed (Fig. 1.1), and then
                          examines some issues that pervade the entire process, reviewing how these concerns might affect a
                          design and in particular the design of a medical device. Figure 1.1 shows the steps in the process to
                          be described.
                            In order to be more specific about some of the details, an example is sometimes necessary. In this
                          section that product is an improved system of exterior fixation of long bone fractures. In exterior
                          fixation, pins of some type are attached through the skin to the bones above and below the fracture
                          and these pins are in turn attached to an external structure that maintains the position of the bone
                          segments during healing. This is a problem that is easy to picture and understand, which makes it a
                          good example for this document. It is a difficult area in which to make progress, however, and none
                          will be made here. It will only serve as an illustration.
                            Everything has to start somewhere, and a medical product may emanate from a variety of origi-
                          nating events, but at some point a decision is made to pursue a certain need, question, request, or



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