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Risk Analysis Techniques  77


                      Unlike the FTA, Mind Maps do not use logic gates. Implicitly all connections are
                   OR gates. For example, in Figure 12.4 under “VF not detected,” it can happen if
                   either “SW doesn’t detect VF” OR “Sensing signal path is disrupted.”


                   12.2.3 Methodology
                      Step 1. Obtain the System requirements and architectural design. Understand the
                              theory of System operation.
                      Step 2. List the top undesired events for the System. These could be the Harms,
                              or the Hazardous Situations.
                      Step 3. Define the scope of analysis. What’s in; what’s out.
                      Step 4. For each top undesired event create a Mind Map. Brainstorm and identify
                              pathways to the top event.


                       Tip   Although a Mind Map doesn’t model logic gates and the connections are interpreted as
                       OR gates, a work-around would be to create a node called “AND” where multiple branches feed
                       into it. The output of the AND node would occur if all the incoming branches occur.


                   12.3 PRELIMINARY HAZARD ANALYSIS

                   12.3.1 Introduction
                   PHA is a technique that can be used early in the development process to identify the
                   Hazards, Hazardous Situations, and events that can cause Harm when few of the
                   details of the medical device design are known. The PHA can often be a precursor to
                   further studies.
                      With the advance knowledge that is generated by the PHA, it becomes possible to
                   identify the safety-critical parts of the System concept, estimate the potential risks
                   associated with the System, and thus guide the design team to prioritize and focus
                   resources on the highest risk parts of the System.
                      Performance of a PHA is far more effective when people from various functions
                   are engaged to participate. This provides for a multiperspective analysis leveraging
                   insights from many points of view. Here, risk management can serve as a tool for
                   stimulation of communication among the team members who would ordinarily not
                   have reason to communicate.
                      R&D engineering benefits from the advance knowledge generated by the
                   PHA to anticipate Risk Controls and design them into the System early, instead
                   of late in the product development process and thus reduce product development
                   costs.
                      Another significant benefit of the PHA is that it can provide advisory to manage-
                   ment not to proceed with the development of a product, in case it is anticipated that
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