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88    Safety Risk Management for Medical Devices


                taking responsibility for the creation and maintenance of the work products. Some of
                the reasons for this preference are:
                   1. Mitigations are the domain of design and manufacturing engineering. They
                      can best determine the possibility, practicality, and impact of mitigations on
                      design and manufacturing.
                   2. Risk management is only one of the beneficiaries of the FMEAs and uses the
                      FMEAs as a tool for detection of the System Hazards. Since risk management
                      is focused on safety, if risk management owns the FMEAs, the attention would
                      be primarily on the safety-related Failure Modes and some of the nonsafety-
                      related Failure Modes may not get the attention that they deserve. Therefore
                      the knowledge that could be gained and the value that could be delivered to
                      product development may not become realized.


                    Tip   Involve the FMEA reviewers and stakeholders in the production of the FMEAs. Not only the
                    collective participation enriches the analysis, but also the familiarity which is gained as a result of
                    the participation, will make the review of the FMEAs easier.

                12.4.9 Making your way through the FMEA
                Performing FMEAs on any product of moderate to high complexity takes a large
                amount of time and resources. Often participants get tired and the quality of their
                input declines. You could even witness lengthy arguments that don’t come to any
                conclusions. This is one of the reasons people tend to shy away from doing FMEAs.
                Or, if they do it, they try to get through it as quickly as they can, and check the box
                as “done.”
                   Here are some of the causes for unsuccessful FMEA sessions:

                   • The team is sequestered for long sessions for several days.
                   • The team loses focus on what is the subject of the analysis, or what is the con-
                      text of operation for the subject of the analysis.
                   • Only a small part of the FMEA spreadsheet is projected on a screen; people
                      can’t see all the columns, or column headings; they get lost.
                   • One person dominates the conversation; others quiet down and just nod in
                      agreement.
                   • Participants check their emails, smart phones, or do other work and lose focus.
                   • People get confused and have trouble distinguishing Causes from Failure
                      Modes, and effects.
                   • The team is scoring severity and occurrences as they go; this promotes incon-
                      sistencies in ratings as people’s frames of minds drift over time.
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