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108   Safety Risk Management for Medical Devices


                Table 12.8 PFMEA Occurrence ratings
                                      Probability of Occurrence Criteria (Occ)

                Category    Rank   Qualitative criteria                          Quantitative
                                                                                   criteria
                Frequent     5     The occurrence is frequent. Failure may be almost  $ 10 21
                                     certain or constant failure

                Probable     4     The occurrence is probable. Failure may be likely |  ,10 21  and
                                     Repeated failures are expected                 $ 10 22
                Occasional   3     The occurrence is occasional | Failures may occur at  ,10 22  and
                                                                                        23
                                     infrequent intervals                           $ 10
                Remote       2     The occurrence is remote | Failures are seldom  ,10 23  and
                                                                                        24
                                     expected to occur                              $ 10
                Improbable   1     The occurrence is improbable | Failure is not   ,10 24
                                     expected to occur


                defined and consistently applied. The Occ rating is inclusive of the implementation of
                all pertinent mitigations. In other words, choose the Occurrence rank assuming the
                cited mitigations are already implemented and effective.
                   Det, or Detectability, is the likelihood of detection of a Failure Mode. It is an esti-
                mate of the probability of detecting the Failure Mode before the product is released.
                Therefore detection may occur anywhere in the causal chain, from the Cause of the
                Failure Mode to the End Effect. Refer to Table 12.9 for definitions of detectability
                rankings. Use quantitative data if available. Otherwise use the qualitative criteria to
                determine the Detectability rankings.
                   RPN is a measure of criticality of a Failure Mode. RPN is the product of the
                rankings of Severity, Occurrence, and Detection. This number is used to prioritize
                the Failure Modes and determine the degree of compensation that must be exercised.
                Table 12.10 offers a suggested stratification of compensating actions based on the criti-
                cality of the Failure Mode. The boundaries in Table 12.10 are selected at 12 and 52.
                But it is up to the manufacturer to decide where to draw the boundaries. Table 12.10
                says that for the highest segment of RPN ratings, Level 3, the RPN must be reduced
                to a lower Level.
                   For Level 2, RPN should be reduced as far as possible, for safety-related Failure
                Modes. But for nonsafety-related Failure Modes, the decision as to how far to reduce
                the RPN is a business decision and depends on the feasibility of the actions needed to
                reduce the RPN.
                   For Level 1, per EN ISO 14971:2012 [7] for safety-related Failure Modes the RPN
                must be reduced as far as possible, therefore the treatment of RPN is the same as Level
                2. However, for nonsafety-related Failure Modes, further action is not required.
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