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SE in Medical Device
      Industry

    Channy Laux
      4/12/11



                       1
Objective

• Compare and contrast product
  development in Defense and Medical
  Device Industries




                                       2
Agenda

•   Different Types of Medical Devices
•   BD Biosciences Products
•   Compare & Contrast
•   Challenges
•   Conclusions




                                         3
Different Types of
Medical Devices




                     4
Non-Invasive Medical Devices




   Flow Cytometer   Blood Pressure Monitor




                                         5
Invasive Medical Devices


      Pacemaker




                           6
Invasive Medical Devices

     Injection Needle




                           7
Invasive or Non-Invasive?

TRIMProb (Tissue Resonance InterferoMeter Probe)




                                                   8
BD Biosciences Products

            Flow Cytometer




                             9
BD Biosciences Products




    BD FACS Sample Prep Assistant III




                                        10
Compare & Contrast
                        Defense                             Medical Device
           1962 - Publication of “A Methodology for      1978 - 21 CFR part 820 became
Maturity     Systems Engineering”                          effective; required Current Good
           1969 - MIL-STD-499; began to mandate SE         Manufacturing Practices (CGMP)
             practices                                   1996 - 21 CFR part 820 added
           1990 - NCOSE                                    Design Control and ISO 9001
           1995 - INCOSE                                   concepts; including requirements
                                                           and verification/validation but not
           1998 - EIA 632 released (based on MIL-          a complete SE process
             STD-499B which was never released)
                                                         1996 - ISO 13485 Quality
           1999 - IEEE-1220                                Management Systems for
           2002 - ISO/IEC 15288                            Designing and Manufacturing
           SE viewed as                                    Medical Devices
             * The architect
             * The requirements engineer                 SE viewed as
             * Interface engineer                          * Requirements engineer
             * System Integrator                           * Ad-hoc troubleshooting
             * The system verification & qualification     * Verification & Validation
             planner and tester …                          * Facilitator


                                                                                            11
                                                                                                 11
Compare & Contrast

                       Defense                  Medical Device
               SoS with capabilities based on   Systems focus on the intra-
Complexity     interoperability between         operability
               Satellites, Aircrafts, Land
               Vehicles, Ships, C4ISR

               - DoD                            - Regulatory Affairs (worldwide)
Stakeholders   - External systems               - Medical Core Team member
               - User with formal training      - User (IVD, RUO, Expert,
                                                Novices) with preferences (Lab
                                                Workflow, Individual, Local)
                                                - Biologists




                                                                                   12
Compare & Contrast

                       Defense                  Medical Device
                - Normal Operation              - Research Use Only (RUO)
Operation       - Training                      - In-Vitro Diagnostics (IVD)
Modes           - Diagnostics                   - Training
                                                - Diagnostics
                - System to System I/F (ICD)    - Limited control of end user
Intended Use    - User workflow SOP             - For Invasive Device (i.e.
                                                pacemaker) the intended use
                                                is specific
                - ConOps                        - Meetings with SME
Requirement     - Formal analysis (UC, Causal   - No abstraction control
                analysis)                       - Ad-Hoc approach
                - Interfaces                    - Requirement is complete
                - Clear levels of abstraction   when time is up
                - ilities




                                                                                13
Compare & Contrast

                       Defense                      Medical Device
               - System level                    - Functional organization at system
Architecture   - Subsystem level                 level
                                                 - Architecture at a subsystem level is
                                                 more formal
               - BIT (SBIT, PBIT, IBIT)          - Manual Troubleshooting notes
Standard       - Self diagnostics & Recovery     - Manual Replaceable parts
functions      - Redundancy capabilities
               - Component shelf life tracking
                                                 - Field Service Engineering

               - Status log                      - For invasive devices such as
                                                 pacemaker there would be more
                                                 built-in capabilities such as
                                                 redundancy, PBIT, …
               - Budget                          - Hazard to user & patient
Risk           - Technical
               - Schedule




                                                                                          14
Compare & Contrast
                         Defense                      Medical Device
               - Integration Plan/Strategy          - Exploratory Testing
Integration    - Independent integration platform   - Manage system test configurations
               - IRS, ICD, N2 diagram               - Coordinate daily standup meeting
                                                    between subsystems

               - Incremental integration leads to   - System performance verification
Verification   final test and verification          focuses more on application
               - Design for verification            protocols
               - Verification Platform (test set)   - Device level of verification is
               - First Article Inspection           mostly done by subsystem test

               - System qualification/validation    - Validation Plan
Validation                                          - Simulating customer scenarios -
                                                    Determine a go or no-go of the
                                                    product release
                                                    - Validation reports




                                                                                        15
Challenges




               Lab Technician




                                Flow Cytometer
Sample Prep




                Robot

                                                 16
Challenges




                          Intensive Care Unit



Bed Side Monitoring                                     IV Pumps




                      Ventilator     Brain Monitoring

                                                                   17
What To Do?

• Improve Systems Engineering process
  (INCOSE Systems Engineering Handbook)

• System of Systems approach

• MBSE (Model Based Systems Engineering)



                                       18
Conclusions

• SE in Medical Device Industry is not as
  elaborate as in Defense Industry, however,
  focus is on product safety
• Different types of Medical Devices demand
  different levels of SE practices
• Improving SE process in the Medical Device
  industry will optimize the following
  – Efficiency of product development
  – Usability
  – Flexibility


                                               19

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Systems Engineering in Medical Devices

  • 1. SE in Medical Device Industry Channy Laux 4/12/11 1
  • 2. Objective • Compare and contrast product development in Defense and Medical Device Industries 2
  • 3. Agenda • Different Types of Medical Devices • BD Biosciences Products • Compare & Contrast • Challenges • Conclusions 3
  • 5. Non-Invasive Medical Devices Flow Cytometer Blood Pressure Monitor 5
  • 7. Invasive Medical Devices Injection Needle 7
  • 8. Invasive or Non-Invasive? TRIMProb (Tissue Resonance InterferoMeter Probe) 8
  • 9. BD Biosciences Products Flow Cytometer 9
  • 10. BD Biosciences Products BD FACS Sample Prep Assistant III 10
  • 11. Compare & Contrast Defense Medical Device 1962 - Publication of “A Methodology for 1978 - 21 CFR part 820 became Maturity Systems Engineering” effective; required Current Good 1969 - MIL-STD-499; began to mandate SE Manufacturing Practices (CGMP) practices 1996 - 21 CFR part 820 added 1990 - NCOSE Design Control and ISO 9001 1995 - INCOSE concepts; including requirements and verification/validation but not 1998 - EIA 632 released (based on MIL- a complete SE process STD-499B which was never released) 1996 - ISO 13485 Quality 1999 - IEEE-1220 Management Systems for 2002 - ISO/IEC 15288 Designing and Manufacturing SE viewed as Medical Devices * The architect * The requirements engineer SE viewed as * Interface engineer * Requirements engineer * System Integrator * Ad-hoc troubleshooting * The system verification & qualification * Verification & Validation planner and tester … * Facilitator 11 11
  • 12. Compare & Contrast Defense Medical Device SoS with capabilities based on Systems focus on the intra- Complexity interoperability between operability Satellites, Aircrafts, Land Vehicles, Ships, C4ISR - DoD - Regulatory Affairs (worldwide) Stakeholders - External systems - Medical Core Team member - User with formal training - User (IVD, RUO, Expert, Novices) with preferences (Lab Workflow, Individual, Local) - Biologists 12
  • 13. Compare & Contrast Defense Medical Device - Normal Operation - Research Use Only (RUO) Operation - Training - In-Vitro Diagnostics (IVD) Modes - Diagnostics - Training - Diagnostics - System to System I/F (ICD) - Limited control of end user Intended Use - User workflow SOP - For Invasive Device (i.e. pacemaker) the intended use is specific - ConOps - Meetings with SME Requirement - Formal analysis (UC, Causal - No abstraction control analysis) - Ad-Hoc approach - Interfaces - Requirement is complete - Clear levels of abstraction when time is up - ilities 13
  • 14. Compare & Contrast Defense Medical Device - System level - Functional organization at system Architecture - Subsystem level level - Architecture at a subsystem level is more formal - BIT (SBIT, PBIT, IBIT) - Manual Troubleshooting notes Standard - Self diagnostics & Recovery - Manual Replaceable parts functions - Redundancy capabilities - Component shelf life tracking - Field Service Engineering - Status log - For invasive devices such as pacemaker there would be more built-in capabilities such as redundancy, PBIT, … - Budget - Hazard to user & patient Risk - Technical - Schedule 14
  • 15. Compare & Contrast Defense Medical Device - Integration Plan/Strategy - Exploratory Testing Integration - Independent integration platform - Manage system test configurations - IRS, ICD, N2 diagram - Coordinate daily standup meeting between subsystems - Incremental integration leads to - System performance verification Verification final test and verification focuses more on application - Design for verification protocols - Verification Platform (test set) - Device level of verification is - First Article Inspection mostly done by subsystem test - System qualification/validation - Validation Plan Validation - Simulating customer scenarios - Determine a go or no-go of the product release - Validation reports 15
  • 16. Challenges Lab Technician Flow Cytometer Sample Prep Robot 16
  • 17. Challenges Intensive Care Unit Bed Side Monitoring IV Pumps Ventilator Brain Monitoring 17
  • 18. What To Do? • Improve Systems Engineering process (INCOSE Systems Engineering Handbook) • System of Systems approach • MBSE (Model Based Systems Engineering) 18
  • 19. Conclusions • SE in Medical Device Industry is not as elaborate as in Defense Industry, however, focus is on product safety • Different types of Medical Devices demand different levels of SE practices • Improving SE process in the Medical Device industry will optimize the following – Efficiency of product development – Usability – Flexibility 19