Do you know about risk management for medical devices?
Risk is common word in human definition and even child learns the word risk from very age when he starts learning and start doing some adventure of childhood
Everybody
knows the word risk as common word vocabulary it has lot of importance in medical
device field. Though various documents are available, and experts have devised
various methods to assess the same.
Though
we learnt risk based on our perception like we consider certain act as very
risky and scared to do the same, stunt man who has practiced that act, does it
so easily and risk in his or her perception for that act is very low.
This
type of perception cannot work in regulated world where we define risk based on
assessment as defined in various well accepted standard documents. Let us
understand this
Medical devices, those have helped improv the
standard of life for thousands and thousands of individuals. All those are
associated with some sort of risk but are still released based on assessed
risk. That risk is overcome based on advantage
Risk is measured based on major two elements like
severity and probability of its occurrence. If we assign the number to these
two elements, then multiplication becomes risk number and higher the number,
higher the risk. Sometime third element detectability is also considered. If
possibility of detection is at early stages, then lowest number is allotted,
and it increases from lower to higher end when detection becomes later or no
detection at all. Thus, multiplication of all three becomes risk number which
becomes assessed risk
Above approach, is now well accepted by most of
regulated bodies and same is documented by manufacturer of device and submitted
to regulated bodies along with other documents like device master file.
Risk Management method includes –
Risk Analysis (to find out risk number as mentioned
above) Expert discuss and define numbers for each element and multiplication
becomes risk number.
1. Risk analysis: if this shows that risk is more than
its advantage for patient then device cannot qualify.
2. Risk Controls: If device cannot qualify then we need
either to scrap the project or introduce some measure whereby we can bring risk
number low. This is termed as risk control. This also can be used to reduce the
probability factor even in case of high or medium risk to lower it to medium
and low risk.
3. Residual Risk: After risk control whatever risk is
left. This will have to be certainly very low over its advantage.
4. Risk Management Review: Once
whole process is done; this is then monitored to validate and evaluate the
assigned values in actual field.
5. Production & Post-Production data: This
is continuous process of learning and data will help to assess our assigned
values are correct or not and will also show improvement action. PMS Post
marketing surveillance is one such mandatory activity defined by regulated body
for all medical device manufacturer.
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