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136   Safety Risk Management for Medical Devices


                Table 15.3 Software Failure Modes and Effects Analysis detectability ratings
                                            Detection Criteria (Det)

                Category        Rank   Qualitative criteria               Quantitative criteria
                Undetectable      5    No detection opportunity | No      , 10 23
                                         means for detection |
                                         Countermeasures not possible
                Low               4    Opportunity for detection is low |  , 10 22  and $ 10 23
                                         Countermeasures are unlikely
                Moderate          3    Opportunity for detection is moderate  , 10 21  and $ 10 22
                                         | Countermeasures are probable
                                                                                 21
                High              2    Opportunity for detection is high |  , 9x10  and
                                         Countermeasures are likely         $ 10 21
                                                                                 21
                Almost Certain    1    Opportunity for detection is almost  $ 9x10
                                         certain | Countermeasures are
                                         certain



                Table 15.4 Software Failure Modes and Effects Analysis criticality table
                 RPN                      Action

                 53–125  Level 3—Reduce RPN through failure compensating
                       provisions.
                       Level 2—If Safety Impact is Y, reduce RPN to as low as
                 13–52
                       possible. If Safety Impact is N, reduce RPN if feasible.
                       Level 1—If Safety Impact is Y, reduce RPN to as low as
                 1–12
                       possible. If Safety Impact is N, further RPN reduction is
                       not required.


                   Similar to DFMEA an RPN value is computed as the product of Sev, Occ, and
                Det ratings. Higher RPN indicates higher criticality. This number is used to prioritize
                the Failure Modes and determine the degree of compensation that must be exercised.
                   Table 15.4 offers a suggested stratification of compensating actions based on the
                criticality of the Failure Mode. The boundaries in Table 15.4 are selected at 12 and
                52. But it is up to the manufacturer to decide where to draw the boundaries.
                Table 15.4 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.
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