Page 80 - Safety Risk Management for Medical Devices
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Risk Management Process  59


































                   Figure 11.4 Example risk profile.

                   alternative method for such cases is to create a safety risk profile for the device and
                   follow the normal benefit risk analysis process. If a panel of medical experts consider
                   the benefits of the device outweigh the overall residual risks of the device, and the
                   device gets approved for commercialization, then the risk profile of that device can
                   serve as the basis for evaluating future versions of the same product.
                      An example risk profile could look like Fig. 11.4. The method to create this type
                   of risk profile is as follows.
                      Use a severity scale such as Table 17.1, and a probability scale such as Table 17.2.
                   Determine the risk of Harm(s) for every Hazard. If your process uses a single Harm-
                   severity method, then R describes the probability of occurrence of the Harm in one
                   class of Harm, e.g., Critical (rank 4). For all the Hazards of the System, count the
                   number of risks that fall in each cell of the matrix in Fig. 11.4. Populate the matrix as
                   in Fig. 11.4. This would be the risk profile for the device in question and could serve
                   as the basis of risk evaluation for the next version of the same device that is released.
                      In the BXM method, where for each Harm there are five P 2 numbers, one for each
                   severity class, the same computation can be implemented. Only instead of one R for each
                   Hazard Harm pair, there would be five Rs. The counting method is the same as above.
                      To compare one risk profile against another, you need an algorithm. One potential
                   algorithm is to assign a score to the risk profile which is the sum of the products of
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