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  • 1.  When is summative evaluation compulsory?

    This message was posted by a user wishing to remain anonymous
    Posted 21-Feb-2022 12:42
    This message was posted by a user wishing to remain anonymous

    Hi all, 
    I am currently updating our usability procedure and I would like to identify some rules that can, in certain circumstances, allow me to discard for a specific change the requirement of summative evaluation. Currently our yes/no decision depends on whether a critical task is involved (associated with a risk with severity 3 or higher).

    However, as I work in an "extremely" agile and fast-paced company, it is not feasible to repeat a summative study for the dozen of changes that are proposed by D&D every 2 months. To give you the full picture, a summative study, for our specific device, is almost as burdensome as a clinical study and requires an IRB approval. It took me ~1 year to prepare and implement our first summative evaluation.

    For example, for changes that are related to serious risks but don't impact the risks negatively (increase severity or require a new risk control measure), can I conclude that summative is not needed and we can limit our analysis to internal simulated testing (which we call formative)? Is there any other practical advice you can give me concerning on how the evaluate such changes?
    Thanks in advance


  • 2.  RE: When is summative evaluation compulsory?

    Posted 21-Feb-2022 13:27

    As a general rule, there must always be usability engineering summative evaluation to cover the full user interface that is being marketed.  Remember that user interface summative evaluation is closely linked with the design/development validation process; neither are optional.  Accordingly, the same general design change principles apply when we make user interface design changes.

    Specifically, if a design change doesn't affect the user or the user interface, then the existing summative evaluation can still be considered valid and applicable.  For example, IEC 62366:2015 / EN 62366:2015 as amended state that, "…For SUMMATIVE EVALUATION, the MANUFACTURER may use data obtained from the SUMMATIVE EVALUATIONS of products with an equivalent USER INTERFACE together with a technical rationale for how this data is applicable. The results shall be stored in the USABILITY ENGINEERING FILE…In the case of a design modification, the SUMMATIVE EVALUATION can be performed by looking at data obtained from previous SUMMATIVE EVALUATIONS for the parts that have not changed. This is the same PROCESS that is used for any POST-PRODUCTION design modification…". [Emphasis added]

    But if the user interface has changed, then appropriate summative evaluation is generally required, especially if the user interface changes frequently.  Frequent user interface changes would in my opinion require even more care regarding summative evaluation so as to assure that the frequent changes don't increase the frequency of known use errors or introduce new use errors, hazards, hazardous situations, or hazard-related use scenarios.

    The needs of public health aren't swayed by the demands of an aggressive business plan.  Instead, the business plan needs to sway to the needs of public health.



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    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2022 by ComplianceAcuity, Inc. All rights reserved.
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  • 3.  RE: When is summative evaluation compulsory?

    Posted 22-Feb-2022 06:12
    Hello Anon,

    If you are claiming compliance to IEC 62366-1 the simple answer is yes, always.  Otherwise, if you claim compliance to a standard and not follow it, then this raises all kinds of other issues.  There are also consideration of a Summative Evaluation or Usability Report or Usability File ... are they the same?  For me yes.  No matter what is it actually called, if usability testing is needed there should be a document supporting these activities.  It also means in other instances you need a usability report for other purposes such as electrical safety testing, 510(k) submissions, etc.   I completely agree with Kevin, it does not matter your device, your development activities, how fast your organisation goes, if usability activities are needed for the device, these need to be done.  It would not be a good thing for a company when a regulatory agency reviews the usability activities and they are months out of date because usability testing and documentation does not keep up with the organisation.  To answer your question, there are ways this can be managed for changes which may be occurring over time, finding creative ways to keep activities current, and utilising methods to review the changes as an on-going basis.

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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Vice President Global Regulatory Affairs
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  • 4.  RE: When is summative evaluation compulsory?

    Posted 22-Feb-2022 11:55
    Also, I would advise not to get too hung up or offended by the terms "formative evaluation" and "summative evaluation" in IEC 62366:2015 / EN 62366:2015 as amended.  I approach these evaluations as close correlates to design/development verification (formative evaluation) and validation (summative evaluation).  So the 62366 studies would just be targeted subparts of the overall design verification and validation phases to which we're already so accustomed.

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    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2022 by ComplianceAcuity, Inc. All rights reserved.
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  • 5.  RE: When is summative evaluation compulsory?

    Posted 22-Feb-2022 10:11

    First, an opinion. Who ever decided to write the standard using formative and summative evaluation has done a great disservice to the industry. These are concepts and terms from education, and have little applicability in this case.

    Formally summative evaluation means a user interface evaluation conducted at the end of the user interface development with the intent to obtain objective evidence that the user interface can be used safely.

    Informally, there is a great quotation, I forget the source, that I use in my course. Formative evaluation is when the cooks taste the soup while summative evaluation is when the guests taste the soup.

    Without know the product, I'm surprised that it would take a year to design a summative evaluation and IRB approval to conduct it.

    The issue to consider is whether the changes you ask about affect the user interface. If not, then you don't need summative evaluation for these changes. In terms of risk management, ISO 14971:2019, you need to consider information for safety. Following the IEC 62366-1:2015+A1:2020, 4.1.3 you want to show that the information is perceivable, understandable, and supports correct use of the device.

    One way to do this is to look at the hazard-related use scenarios from risk management and ask if the change increases one of the components of risk (harm severity and frequency of occurrence). If not, the prior work can stand. Then, using clause 4.3 of the usability standard, tailor your usability program to include this case. Document the tailored system in the Usability Engineering File and reflect it in your implementing procedure.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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