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26    Safety Risk Management for Medical Devices


                   • Identify the intended use of the medical device
                   • Identify the safety characteristics of the medical device
                   • Identify the Hazards that the device could present
                   • Estimate the risk for each Hazard
                   You are required to identify the persons who perform the risk analysis. This is
                necessary for confirmation of qualification of such individuals. Also, the date of the
                analysis must be recorded.


                6.1.1.1 Hazard identification
                The Standard [3,7] requires documentation of both known, and foreseeable Hazards
                associated with the medical device under both normal and fault conditions. This
                creates four types of Hazards. Table 6.1 captures this Hazard taxonomy.
                   A number of techniques are used to identify the System Hazards. For example,
                Fault Tree Analysis (see Section 12.1 for details), and Failure Modes and Effects
                Analysis (see Section 12.4 for details).
                   Other techniques of Hazard identification are: search of published literature for
                reported Hazards of similar devices; search of databases such as MAUDE [16], and
                EUDAMED [17]; and examination of ISO 14971 [3,7] Annex E, Table E.1.
                In Table E.1, there is a listing of many common Hazards that could help with the
                identification of Hazards that are related to your medical device.

                           Table 6.1 Hazard taxonomy
                                                                Hazard Type
                                                           Known      Foreseeable
                                              Normal         X            X
                           Fault Condition
                                              Fault          X            X


                6.1.1.2 Risk estimation
                Risk estimation methods are explained in detail in Chapter 17, Risk Estimation.


                6.1.2 Risk evaluation
                Risk evaluation requires knowledge of risk acceptance criteria. See Chapter 19, Risk
                Evaluation, for a detailed discussion of risk evaluation.


                6.1.3 Risk controls

                See Chapter 18 for a detailed discussion of Risk Controls.
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