Free iso 14791 risk management download






















At times, it seems as though no one agrees. The practice of Risk Management in the medical device industry is also intriguing to me. By and large, what I have observed is that Risk Management is too often something we do because we have to-- a checkbox activity.

It seems that we seldom use Risk Management as a tool to help us design, develop, and manufacture safer medical devices. To leave you with an understanding of what is expected from medical device regulators regarding Risk Management. To help you use Risk Management as a tool to design safer medical devices by providing a few helpful tips and pointers to guide you. To share with you all the steps that you need to define and address within your Risk Management procedures.

Please note that the focus of this guide is strictly medical device product risk management. Realize that nearly every medical device regulatory agency has placed the topic of Risk Management front and center. In fact, regulatory agencies, including FDA, are now using risk-based processes throughout their own internal processes when reviewing device submissions and conducting inspections and audits.

Know this: U. In addition to ISO , there are several other key medical device industry standards requiring risk management. The partial list includes:. This is significant because the ISO standard is specific to quality management systems. The expectation is that you manage risk throughout the entire product lifecycle and throughout your entire QMS. I could share with you a history lesson on the genesis and evolution of medical device risk management. While there may be some merit in going through this history, I suspect you are probably more interested in the present state of Risk Management, as well as where things are headed.

The current version of ISO was released in December This version replaced the previous two versions of the standard that were utilized by many of you across the world:. As you likely know, the EN version was applicable if you were selling medical devices in Europe.

When selling in Europe though, it is important to know that additional risk requirements apply, which are outlined in the EU MDR. This document specifies terminology, principles and a process for risk management of medical devices, including software as a medical device and in vitro diagnostic medical devices.

The process described in this document intends to assist manufacturers of medical devices to identify the hazards associated with the medical device, to estimate and evaluate the associated risks, to control these risks, and to monitor the effectiveness of the controls. The requirements of this document are applicable to all phases of the life cycle of a medical device.

The process described in this document applies to risks associated with a medical device, such as risks related to biocompatibility, data and systems security, electricity, moving parts, radiation, and usability. The process described in this document can also be applied to products that are not necessarily medical devices in some jurisdictions and can also be used by others involved in the medical device life cycle. This document requires manufacturers to establish objective criteria for risk acceptability but does not specify acceptable risk levels.

Risk management can be an integral part of a quality management system. However, this document does not require the manufacturer to have a quality management system in place. ISO is a very good standard. While not prescriptive per se, the standard does a very good job of explaining the requirements, expectations, and stages of a risk management process.

Additionally, the standard provides several informative annexes which provide more in-depth explanations and examples.

It is worth it. The medical device regulatory world has adopted this standard. And I see no reason to abandon this notion. Design Controls are intended to demonstrate that a medical device has been:. With Design Controls, you also identify, evaluate, analyze, assess, and mitigate potential product issues. Design Controls and Risk Management address design, development, and manufacturing of medical devices from slightly different perspectives.

If you are thorough with defining and documenting User Needs, Design Inputs, Design Outputs, Design Verification, Design Validation, and Design Reviews, then you will be on the right track towards ensuring your medical device is safe. Realize Design Controls and Risk Management are related. Realize that your overall goal in medical device product development and manufacturing is to prove and demonstrate that your product meets clinical needs, design inputs and requirements, and is safe and effective.

Both are needed. Realize that Risk Management is just as important maybe more so than Design Controls. Realize that Risk Management is a way to evaluate your product from a different perspective. Realize that good Risk Management involves a series of tools, when used properly, will drastically improve the quality, safety, and effectiveness of your medical device.

The best practices of medical device product development have a good flow between Design Controls and Risk Management. When you evaluate risks, you will need to establish Risk Controls to mitigate and reduce risks. Let me explain. Risk Controls are used to help identify ways to reduce the risks.

Are you starting to see how closely related Risk Management and Design Controls should be? As I go through this guide on medical device risk management, I will often reference the ISO standard the reasons for this are described earlier in this guide.

Medical device Risk Management requires top management involvement. It requires that a company establish a Risk Management Policy. The infographic below aligns directly with the ISO standard on a one to one basis and is a high-level overview of the Risk Management process. Click infographic to enlarge.

If you are developing medical devices in this day and age, you absolutely must have an established Risk Management process defined, documented, and implemented. As you go through this guide, I will share with you all the steps that you need to define and address within your Risk Management procedures. You need to include end-users, marketing, sales, business development, quality, regulatory, and manufacturing on your product Risk Management team.

All of these functional areas provide different perspectives and experiences for the medical devices you are designing, developing, and manufacturing. There are several key terms pertaining to Risk Management defined in ISO that you definitely need to understand. RISK - combination of the probability of occurrence of harm and the severity of that harm.

HARM - physical injury or damage to the health of people, or damage to property or the environment. When this happens, I recommend asking the person to explain what they mean. Getting a grasp on the list of terms above is critical to understanding medical device risk management.

Often times, it is assumed that the topic of Risk Management is only the responsibility of the medical device product developers and engineers designing new products. While it is true that product developers and engineers do play a pivotal role, medical device Risk Management is a much more comprehensive process that should span all functional areas of a medical device. This means that, in addition to product developers and engineers, other functional areas including business development, marketing, manufacturing, sales, and end-users should be an integral part of your Risk Management process.

Executive management is the ultimate authority within the company. Executive management has the responsibility for making sure there are adequate and appropriate resources for conducting risk management activities. This involves determining the risk acceptability criteria. The criteria should be based on solid, objective evidence, such as industry standards. The Risk Management Plan is dynamic and should be revisited and updated often. Scope of the Risk Management activities. Define the product included.

It is possible to have multiple products described within a single Risk Management Plan. Define roles and responsibilities. Identify the Risk Management team that will be reviewing and approving risk documentation.

Note, that often times this is likely to be defined within your Risk Management Procedure. Specify methods to verify Risk Control measures are implemented and reduce risks to the pre-established acceptable levels. Define how post-production information will be captured and fed into Risk Management activities for the product.

The Risk Management Plan evolves and should be kept current--even after product development is completed. A Risk Management File can be structured and organized by an individual product or for a product family. A best practice is to keep the contents of the product Risk Management File together in a single location for ease of access and use. This is very difficult to manage and maintain using a paper-based approach. And you can search far and wide for a software solution that is compliant with ISO The starting point for identifying specific risks related to medical device products is Risk Analysis.

Many techniques are used throughout the industry, including preliminary hazards analysis, FMEA, and fault tree analysis. FMEA is a reliability tool that assumes single-fault failures as part of analysis. Risk Management is broader than just failures; risks exist when medical devices are used without failure modes. In my opinion, as you go through Risk Analysis, Risk Evaluation, and Risk Controls, there is a good flow and progression.

You should define an approach that helps you document and capture all of these Risk Management steps which I explain in the Ideal Risk Management Workflow section of this guide. The Risk Analysis must identify the medical device, as well as who was involved, risk analysis scope, and date s. When you start your Risk Analysis, you should work from a documented intended use statement. Yes, this should be the same intended use that you capture as part of Design Controls when defining User Needs and Design Inputs.

Knowing the intended use is important for Risk Management. This statement helps define the scope and will be instrumental as you identify hazards, harms, etc. Once you have defined the intended use, chances are you will be able to also identify cases of foreseeable misuse too. You should define these and include intentional and unintentional misuse cases. Yes, you should consider off-label uses of the device. The safety characteristics included in your medical device should be identified.

Things like special guards or redundant features are good examples. One excellent way to ensure safety characteristics are established and document is to define these as specific Design Inputs in your Design History File. We look forward to answering your questions. Click here for day free trial. Worried about implementing ISO ?

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Medical Device Risk Management Process Risk management is an ongoing process that requires companies to continually improve. Identify Hazards and Hazardous Situations A potential source of harm from using a device. Estimate Risk Consider the probability of occurrence and the potential severity. Evaluate Overall Acceptability of Identified Risks Create a risk acceptability matrix to determine if the risks are acceptable, if they are outweighed by benefits or if risk mitigation is required.

Establish Risk Control Measures These measures are meant for all risks, not just those deemed unacceptable. Overall Residual Risk After the residual risk is deemed acceptable, the manufacturer must inform users of significant residual risks.



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