Reliable Design of Medical DevicesCRC Press, 30. jan. 1997 - 728 sider Presenting the basic concepts and major issues associated with medical device design, this text describes current development processes as well as standards and regulatory information, providing a basis for assessing new technologies. It aims to help manufacturers establish and operate a viable reliability assurance programme, and purchasers to formulate effective methods of vendor evaluation. |
Innhold
The Medical Device as an Entity | 1 |
12 A Brief History of Medical Devices | 4 |
13 Cuirent Medical Devices | 5 |
The Concept of Failure | 9 |
22 Causes of Failure | 11 |
23 The Practical Aspects of Failures | 12 |
24 Failure Rate | 13 |
25 Hardware Failure | 14 |
153 Trademarks | 299 |
154 Trade Secrets | 304 |
References | 309 |
Human Factors | 311 |
162 The Human Element in Human Factors Engineering | 313 |
16 3 The Hardware Element in Human Factors Engineering | 315 |
165 The Human Factors Process | 319 |
167 Analysis | 320 |
26 Software Failure | 16 |
27 Failure Due to Human Error | 17 |
28 Failure from the Customers Point of View | 18 |
Reliability Assurance | 21 |
33 The Definition of Reliability | 23 |
34 History of Reliability | 25 |
36 Device Reliability | 31 |
37 Optimizing Reliability | 33 |
38 Reliabilitys Effect on Medical Devices | 34 |
References | 35 |
Device Safety | 37 |
41 Definition of Safety | 38 |
42 Safety and Reliability | 40 |
43 The Legal Aspects of Safety | 42 |
44 System Safety | 46 |
45 Hardware Safety | 47 |
46 Software Safety | 48 |
47 Verification and Validation of Safety | 50 |
48 An Effective Safety Program | 51 |
References | 54 |
Device Economics | 57 |
52 Budgeting for Product Development | 60 |
53 Other Economic Parameters | 63 |
54 Life Cycle Costing | 67 |
55 Economics of Warranties | 68 |
References | 69 |
Medical Device Regulations and Standards | 71 |
The Food and Drug Administration | 73 |
62 Device Classification | 75 |
63 Registration and Listing | 79 |
64 The 510k Process | 80 |
65 PMA Application | 87 |
66 Investigation Device Exemptions IDE | 90 |
67 Good Laboratory Practices GLP | 93 |
69 Human Factor s | 94 |
610 Design Control | 95 |
611 The FDA and Software | 96 |
612 Software Classification | 98 |
613 The FDA Inspection | 99 |
614 Advice on Dealing with the FDA | 100 |
References | 101 |
The Medical Device Directives | 105 |
71 Definition of a Medical Device | 106 |
72 The Medical Device Directives Process | 107 |
73 Choosing the Appropriate Directive | 108 |
74 Identifying the Applicable Essential Requirements | 109 |
75 Identification of Corresponding Harmonized Standards | 112 |
76 Assurance that the Device Meets the Essential Requirements and Harmonized Standards | 113 |
77 Classification of the Device | 123 |
78 Decision on the Appropriate Conformity Assessment Procedure | 126 |
79 Type Testing | 129 |
710 Identification and Choice of a Notified Body | 130 |
711 Establishing a Declaration of Conformity | 135 |
712 Application of the CE Mark | 136 |
713 Conclusion | 139 |
ISO 9000 Series of Standards | 141 |
83 Hie ISO 9000 Registration Process | 147 |
84 Choosing a Registrar | 152 |
85 The Certification Audit | 153 |
86 Implementing ISO 9000 | 158 |
References | 160 |
Domestic Standards | 163 |
92 Software Standards and Regulations | 170 |
93 Testing Facilities | 171 |
References | 173 |
International Standards | 175 |
102 Hie International Regulate ly Scene | 178 |
103 The TickIT Program | 182 |
104 The Software Quality System Registration Program | 183 |
105 The ISO Guidance Documents for ISO 9001 and 9002 | 184 |
106 Proposed Regulatory Requirements for Canada | 185 |
107 ISO 14000 Series | 186 |
108 Medical Informatics | 188 |
References | 189 |
Specifying and Designing the Product | 193 |
Defining the Device | 195 |
111 The Product Definition Process | 197 |
112 Overview of Quality Function Deployment | 199 |
113 The QFD Process | 200 |
114 Summary of QKD | 209 |
115 The Business Proposal | 211 |
References | 216 |
Requirements Engineering | 219 |
122 The Product Specification | 224 |
123 The Reliability Goal | 226 |
124 Specification Review | 229 |
126 The Software Quality Assurance Plan SQAP | 231 |
127 Software Requirements Specification SRS | 234 |
128 The Software Design Description SDD | 238 |
References | 240 |
Risk Management | 243 |
132 Deciding on Acceptable Risk | 245 |
133 Factor s Important to Medical Device Risk Assessment | 246 |
134 Risk Management | 250 |
136 Tools for Risk Estimation | 255 |
References | 269 |
Liability | 271 |
141 Negligence | 272 |
142 Strict Liability | 273 |
143 Breach of Warranty | 274 |
144 Defects | 276 |
145 Failure to Warn of Dangers | 278 |
146 Plaintiffs Conduct | 279 |
149 Manufacturers and Physicians Responsibilities | 280 |
1410 Conclusion | 281 |
Reference | 282 |
Intellectual Property | 283 |
152 Copyrights | 293 |
169 Set Usability Goals | 324 |
1610 Design User Interface Concepts | 325 |
1611 Model he User Interface | 327 |
1612 Test the User Interface | 328 |
1613 Specify the User Interface | 329 |
1614 Additional Human Factors Design Considerations | 330 |
References | 351 |
Establishing and Using Metrics | 355 |
172 Software Complexity Metrics | 358 |
173 Objective and Algorithmic Measurements | 359 |
174 Process and Product Metrics | 360 |
176 Size Metrics | 361 |
177 McCabes Complexity | 364 |
178 Halstead Measures | 365 |
179 Other Software Metrics | 368 |
1710 ComputerAided Metrics | 369 |
References | 371 |
Good Laboratory Practices | 373 |
182 Good Laboratory Practices Regulations | 375 |
183 Good Laboratory Practices Inspections by the FDA | 384 |
184 International Good Laboratory Practices | 387 |
References | 390 |
Hardware Design | 391 |
192 Redundancy | 393 |
193 Component Selection | 396 |
194 Component Derating | 401 |
195 Safety Maigin | 402 |
196 Load Protection | 403 |
197 Environmental Protection | 404 |
199 Initial Reliability Prediction | 405 |
1910 Design for Variation | 414 |
1913 Design Reviews | 418 |
References | 420 |
Software Design | 423 |
202 Design Alternatives and Tradeoffs | 425 |
203 Software Architecture | 426 |
204 Choosing a Methodology | 428 |
205 Stnichired Analysis | 429 |
206 ObjectOriented Design | 430 |
207 Choosing a Language | 431 |
208 Software Risk Analysis | 434 |
209 The Requirements Traceability Matrix | 437 |
2010 Software Review | 438 |
2011 Design Techniques | 443 |
2013 Module Specifications | 444 |
2015 Design Support Tools | 445 |
2016 Design as the Basis for Verification and Validation Activity | 446 |
2017 Conclusion | 447 |
Software Coding | 451 |
213 Good Coding Practices | 454 |
214 Hie Coding Process | 456 |
215 Implementation Checklist | 461 |
References | 462 |
Testing and Data Analysis | 463 |
The Basis and Types of Testing | 465 |
222 Parsing Test Requirements | 467 |
223 Test Protocol | 468 |
225 Purpose of the Test | 472 |
227 Detennining Sample Size and Test Length | 473 |
228 Types of Testing | 476 |
References | 486 |
Hardware Verification and Validation | 489 |
232 Environmental Testing | 492 |
233 Accelerated Testing | 499 |
234 Sudden Death Testing | 503 |
235 The Sudden Death Test | 508 |
References | 516 |
Software Verification and Validation | 519 |
241 Allocation of Software Testing | 521 |
242 Verification and Validation Test Method Commonality | 522 |
243 Validation and Test Overview | 524 |
244 The Essentials of Software Testing | 528 |
References | 531 |
Analysis of Test Results | 533 |
251 Failure Rate | 534 |
252 Mean Time Between Failures MTBF | 535 |
253 Reliability | 540 |
254 Confidence Level | 542 |
255 Confidence Limits | 543 |
256 Minimum Life | 545 |
References | 550 |
The Manufacturing and Maintenance Process | 551 |
GMP and Manufacturing | 553 |
262 The GMP Regulation | 556 |
263 Design for Manufacturability | 559 |
264 Design for Assembly | 560 |
265 The Manufacturing Process | 564 |
References | 568 |
Configuration Management | 569 |
271 Configuration Identification | 570 |
272 Configuration Audits | 574 |
273 Configuration Management Metrics | 576 |
274 FDAs View of Configuration Management | 577 |
27S Status Accounting | 578 |
Analysis of Field Data | 581 |
282 Failure Analysis of Field Units | 586 |
283 Warranty Analysis | 587 |
References | 589 |
Appendices | 591 |
Chi Square Table | 593 |
Appendix 2 Percent Rank Tables | 595 |
Addresses of Standards and Regulatory Agencies | 613 |
Detailed Summary of the Twenty Requirements of ISO 9000 | 621 |
Appendix 5 Common Failure Modes | 657 |
Appendix 6 Glossaiy | 671 |
Index | 693 |
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Referanser til denne boken
Medical Device Reliability and Associated Areas B.S. Dhillon Ingen forhåndsvisning tilgjengelig - 2000 |