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Device risk management flowchart (EN ISO 14971:2019 and MDR)

  • 1.  Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 11-Feb-2020 13:07
    I took a stab at creating a single flowchart that points out differences between the 2019 standard and the MDR.
    This is just a starting point for me. If anyone has any input that I like/agree with (smile) I will surely update it.

    Here is a link to my flowchart. This link should work in the future even if I have made updates.
    https://mdqc.com/iso-149712019-europe-mdr-risk-management-process-flow/

    Here is a link to my prior flowchart focused on EN ISO 14971:2012 versus the Europe MDD.

    Note: I created the new chart using LucidChart and would be happy to share the native files if there is any interest. You will probably need a LucidChart account for the files to be useful. I am not affiliated with LucidChart in any way other than being a happy customer. Please send an email to sam@mdqc.com to request LucidChart link.

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    Sam Lazzara
    https://mdqc.blog
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  • 2.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 04:43
    Thanks Sam, I will definitely take a look at this for any feedback.  A lot of work - good job !

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    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 3.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 07:51
    Thanks Sam for sharing!

    Ginger

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    Ginger Cantor, MBA, RAC
    Founder/Principal Consultant
    Centaur Consulting LLC
    River Falls, Wisconsin 54022 USA
    715-307-1850
    centaurconsultingllc@gmail.com
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  • 4.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 11:21
    This is remarkable. Thank you for sharing this ,Sam!

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    Kamran Younis
    Mr
    Butler NJ
    United States
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  • 5.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 11:42
    Thank you for this fantastic resource.  I will be sharing it with my team as we do our gap assessment.

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    Miriam Wilcox
    Regulatory Affairs Specialist
    Merrimack NH
    United States
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  • 6.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 12:28
    Bravo! We owe you.

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    Jo Huang RAC
    Assoc Manager - Regulatory Affairs
    Irvine CA
    United States
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  • 7.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 16:01
    Thank you Sam

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    Barry Welenc
    Manager, Quality & Regulatory
    Aurora IL
    United States
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  • 8.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 12-Feb-2020 22:00
    Many thanks Sam.  Very helpful.

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    Bob Peterson, RAC
    Honolulu HI USA
    bpeterson679@gmail.com
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  • 9.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 13-Feb-2020 02:24
    Thank you Sam for sharing!​

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    Peter Reijntjes
    Principal Consultant Regulatory & Quality Affairs
    Arnhem
    Netherlands
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  • 10.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 14-Feb-2020 10:26
    Hi Sam - This is an excellent flow chart. I agree with the contents that you have got there.

    Karthik Natesan

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    Karthik Natesan, RAC
    KN Consulting and Services
    (Quality and Regulatory Consultant)
    Newark, DE
    P: 949-245-5607
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  • 11.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 14-Feb-2020 15:33
    As always Sam you do incredible work.  Thx for helping the community!

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    Leonard (Leo) Eisner, P.E.
    The "IEC 60601 Guy"
    Principal Consultant, Eisner Safety Consultants
    Phone: (503) 244-6151
    Mobile: (503) 709-8328
    Email: Leo@EisnerSafety.com
    Website: www.EisnerSafety.com
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  • 12.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 17-Feb-2020 09:46
    Hi Sam,

    I took a look. :)

    It looks very thorough, and I don't see anything left out. I certainly think that the ISO/TR 24971 guidance is helpful in explaining how some of the steps in your flow chart should be done. In particular, the creation of a risk acceptability policy. It will be important for anyone that is developing a CE Marked product to have a policy that clearly considers both the relevant harmonized standards, common specifications, and the state of the art.

    A detailed work instruction, template or training for the benefit/risk analysis is needed too.

    The only part of your approach I'm not fond of is the option for two different processes: 1) with MDR, and 2) without MDR. I would prefer to have a single process for all products. I believe the MDR process is more stringent and therefore just complying with the MDR process should satisfy any other markets.

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    Rob Packard
    Shrewsbury VT
    United States
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  • 13.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 17-Feb-2020 13:23
    Edited by Sam Lazzara 17-Feb-2020 13:28
    Thank you, all, for your feedback. If I make any updates to the flowchart I will post it in this thread.

    Rob, thanks for the input.
    My reasons for showing the "unadulterated" (EN) ISO 14971:2019 requirements versus the additional MDR requirements are:

    1. Purely academic interest, trying to get into the brains of the framers of 14971 and the MDR.
    Is the MDR more or less "state-of-the-art" as compared to 14971:2019? Where is this train headed?

    2. Many/most of the U.S. based startups I am working with are only focused on U.S. marketing efforts (and solely ISO 14971) because:
    (a) that is where they live, making it easier to support U.S. customers;
    (b) the Europe MDR requirements are viewed as more-burdensome as compared to U.S. FDA requirements; and
    (c) their funders (angels, VCs, etc.) are advising against Europe until after exiting (i.e. "let the acquiring company deal with Europe and the rest of the world").
    Having said that, there is a lot of wisdom in weaving the MDR into the firm's quality system fabric, but making allowances for not implementing all MDR requirements with the understanding that no devices will be marketed in Europe until those requirements are met.

    Sam Lazzara
    Medical Device Quality Consultant
    San Francisco Bay Area, California USA
    https://mdqc.blog
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  • 14.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 17-Feb-2020 16:58
    I figured those were your reasons for designing your flow chart the way you did. For companies that only need to worry about USA, they can delete the pieces unique to the MDR. I don't think I would change anything you've done, but for individual clients I would make the comments I provided before and let the client decide if they wanted to adapt your original version.

    As I said in my earlier comments, I think the acceptability policy and the benefit/risk analysis are where companies will struggle and procedures need some planning by users that have the necessary training.

    You definitely did a nice job. Thank you for sharing with everyone.

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    Rob Packard
    Shrewsbury VT
    United States
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  • 15.  RE: Device risk management flowchart (EN ISO 14971:2019 and MDR)

    Posted 17-Feb-2020 17:08
    Hi Rob and Sam - I agree that companies struggle with the acceptability policy and the benefit/risk analysis. An acceptability policy based upon the quantitative analysis of the cumulative individual benefit/risk analysis will be cumbersome for the companies as different product lines would have different risk acceptability.  A qualitative method for determining the overall risk acceptability will be the most feasible approach. But, most companies have struggled to define this in their procedures.

    Karthik


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    Karthik Natesan, RAC
    KN Consulting and Services
    (Quality and Regulatory Consultant)
    Newark, DE
    P: 949-245-5607
    ------------------------------