Page 422 - Safety Risk Management for Medical Devices
P. 422

Index  401


                       of effectiveness, 185 186             harmonized standards, 24
                       of implementation, 184 185            ISO 14971 history and origins, 23 24
                   Risk management, 1 4, 6 7, 13 16, 25 27,  vocabulary, 9 13, 9t
                        29 30, 41, 77, 88, 124, 159 160, 171,  elaborations, 11 13
                        189, 195, 206 207, 209, 213 214,     hazard theory, 13, 13f
                        216 220, 224 225, 229, 233, 236      reasonably foreseeable misuse, 12 13
                     analysis, 25 26                         system types, 13 14
                     artifacts, 29                        Risk Management File (RMF), 49, 53, 141
                     benefits, 5                            additions, 142, 143t
                     business reasons, 5 7                  frequency of RMF review, 197
                       avoiding recalls and field corrective actions, 6  Risk Management Plan (RMP), 49, 53 60, 78,
                       communications, 6 7                     171, 173, 209, 236
                       cost efficiency, 5 6                 considerations for risk reduction end-point, 60
                     CHL, 61 62                             criteria for risk acceptability, 54 60
                     for combination medical devices, 231   of Vivio, 268 278
                     controls, 26                         Risk Management Report (RMR), 51, 202,
                       verification, 27                        369 375
                     evaluation, 26                       Risk reduction, 40
                     FMEA in, 90 92                         and compliance with IEC 62366 process
                     HAL, 62 66                             end-points, 55 56
                       creating harms assessment list, 63 66  considerations for, 60
                     hazard identification, 60 61            with SOTA, 57f
                     integration of supplier input into, 154 155  without SOTA, 58f
                     legal and regulatory requirements, 4 5  RMF. See Risk Management File (RMF)
                       European Union, 4 5                RMP. See Risk Management Plan (RMP)
                       MDD/AIMDD and transition to EU MDR,  RMR. See Risk Management Report (RMR)
                        5                                 Root-cause analysis, 195
                       United States, 4                   RPN method, 101, 108, 116 117, 136
                     lifecycle relevance of, 224 225        DFMEA, 101t
                     mapping of terminologies, 205 206      merits for criticality ranking, 85 86
                     methodology, 41                        PFMEA, 109t
                     monitoring, 27                         UMFMEA, 117t
                     moral and ethical reasons, 7         Rule-based failure, 37
                     process metrics
                       comparison with historical projects, 219  S
                       issue detection history, 220       SAE. See Serious adverse event (SAE)
                       subjective evaluation, 220         Safety, 11, 16, 121, 123, 137, 221, 227
                     and product lifecycle, 224f            characteristics, 78
                     relationship between UMFMEA and RACT,  by design, 165, 173
                        92f                                 impact, 96, 106
                     requirements, 206 207                   capture end-effects with, 172
                     responsibilities, 52                   information for, 165
                     RMF, 53                                reliability, vs., 121
                     RMP, 53 60                             requirements, 169
                       criteria for risk acceptability, 54 60  risks, 221
                       other considerations for risk reduction end-  management, 2, 86 87
                        point, 60                           safety-critical software development, 148 149
                     standards, 23, 213                     safety-related failure mode, 223 224
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