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32    Safety Risk Management for Medical Devices



                    Tip Start usability engineering right from the start of product development. Though FDA requires
                    summative studies, they also want a summary of how usability engineering was performed
                    throughout the design process.

                8.1 KEY TERMS

                Below, a select group of terms are defined. A clear understanding of these terms is
                important in the proper dispositioning of use-errors, and is also beneficial for commu-
                nication with team members.

                Term                Definition
                Abnormal Use        Conscious, intentional act or unintentional act that is counter
                                      to or violates normal use and is beyond further reasonable
                                      means of user-interface-related risk control by the manufacturer
                                      [14] 3.1
                Action Error        One of the causes of Use Error. Related to error in performance of
                                      an action, and not primarily due to perception or cognition
                                      deficiencies
                Cognition Error     One of the causes of Use Error. Related to deficiency in cognition,
                                      and not primarily due to perception deficiencies or the inability
                                      to perform the action
                Correct Use         Normal Use without Use Error [14] 3.3

                Effectiveness       Accuracy and completeness with which users achieve specified goals
                                      [14] 3.4
                Formative Evaluation  User interface evaluation conducted with the intent to explore user
                                      interface design strengths, weaknesses, and unanticipated use
                                      errors [14] 3.7
                                    Also known as Formative Study
                Hazard-Related Use  Use scenario that could lead to a hazardous situation or harm [14]
                  Scenario            3.8
                Lapse               A memory failure. The User had the knowledge but forgets the
                                      knowledge and makes a decision based on incorrect knowledge.
                                      User executes the decision without slips
                                    This term was used in IEC 62366 2007 version, but not used in the
                                      2015 version
                Malice              Intentional act to do harm to people, property, or the environment
                Mistake             The User does not have the knowledge and/or User makes a wrong
                                      decision. User executes without slips
                                    This term was used in IEC 62366 2007 version, but not used in the
                                      2015 version
                                                                                  (Continued)
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