ISO 14971

{{Short description|ISO standard}}

ISO 14971 Medical devices — Application of risk management to medical devices is a voluntary consensus standard,{{cite web|url=https://www.iso.org/foreword-supplementary-information.html|title=FOREWORD - SUPPLEMENTARY INFORMATION|website=www.iso.org/foreword-supplementary-information.html}} published by International Organization for Standardization (ISO) for the first time in 1998, and specifies terminology, principles, and a process for risk management of medical devices.

[https://www.iso.org/standard/72704.html ISO Catalogue: Medical devices -- Application of risk management to medical devices]

The current ISO 14971 edition was published in December 2019.

Background

The ISO Technical Committee responsible for the maintenance of this standard is ISO/ TC 210 working with IEC/SC62A through Joint Working Group one (JWG1). This standard is the culmination of the work starting in ISO/IEC Guide 51,{{cite web|url=http://www.iso.org/iso/catalogue_detail.htm?csnumber=53940|title=ISO/IEC Guide 51:2014 - Safety aspects -- Guidelines for their inclusion in standards|website=www.iso.org}} and ISO/IEC Guide 63.{{cite web|url=http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=50729|title=ISO/IEC Guide 63:2012 - Guide to the development and inclusion of safety aspects in International Standards for medical devices|website=www.iso.org}} The third edition of ISO 14971 was published in December 2019 and supersedes the second edition of ISO 14971.{{cite web|url=https://www.iso.org/standard/72704.html|title=ISO 14971:2019 Medical devices — Application of risk management to medical devices, the European Forward |website=www.iso.org|date=14 July 2020 }}

Specifically, ISO 14971 is a nine-part standard which first establishes a framework for risk analysis, evaluation, control, and review, and also specifies a procedure for review and monitoring during production and post-production.{{cite web|title=Medical devices -- Application of risk management to medical devices| date=2 May 2013 |url=http://www.iso.org/iso/catalogue_detail?csnumber=38193|publisher=ISO|access-date=13 September 2015}}{{cite web|last1=Manookian|first1=Brian|title=Technical Information About ISO 14971|url=https://www.cmtriallawyers.com/blog/2015/02/11/technical-information-about-iso-14971/|publisher=Cummings Manookian|access-date=13 September 2015}}

ISO 14971:2012 was harmonized with respect to the three European Directives associated with medical devices through the three 'Zed' Annexes (ZA, ZB & ZC). The Annex ZA harmonized ISO 14971:2012 with the Medical Devices Directive 93/42/EEC of 1993.[https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:31993L0042 Council Directive 93/42/EEC of 14 June 1993] The Annex ZB harmonized ISO 14971:2012 with the Active Implantable Medical Device Directive 90/385/EEC of 1990.[https://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:31990L0385 Council Directive 90/385/EEC of 20 June 1990 on the approximation of the laws of the Member States relating to active implantable medical devices] The Annex ZC harmonized ISO 14971:2012 with the In-vitro Diagnostic Medical Device Directive 98/79/EC of 1998.[http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:31998L0079 Directive 98/79/EC of the European Parliament and of the Council of 27 October 1998 on in vitro diagnostic medical devices]

The 2021 addendum to ISO 14971 (ISO 14971:2019+A11:2021) was published to harmonize ISO 14971 and two European Regulations associated with medical devices through the two 'Zed' Annexes (ZA & ZB). The Annex ZA harmonized ISO 14971 with the European Union's Medical Device Regulation (2017/745) of 2017.[http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32017R0745 REGULATION (EU) 2017/745 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 5 April 2017] The Annex ZB harmonized ISO 14971 with the European Union's Medical Device Regulation (2017/746) of 2017.[http://eur-lex.europa.eu/eli/reg/2017/746/oj REGULATION (EU) 2017/746 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 5 April 2017]

Guidance Documents

ISO/TR 24971{{cite web|url=https://www.iso.org/foreword-supplementary-information.html|title=ISO/TR 24971:2013 - Medical devices -- Guidance on the application of ISO 14971|website=www.iso.org}} was published in 2013 by the ISO TC 210 technical committee to provide expert guidance on the application of this standard. The second edition of ISO 24971 was published in 2020 and contains some of the informative annexes from the second edition of ISO 14971.{{cite web|url=http://www.iso.org/iso/home/store/catalogue_tc/catalogue_detail.htm?csnumber=59587|title=ISO/TR 24971:2020 - Medical devices -- Guidance on the application of ISO 14971|website=www.iso.org|date=18 December 2019 }}, the Forward

ISO 14971 risk management options

= Inherent safety by design =

For example:

  • Use specific connectors that cannot be connected to the wrong component.
  • Remove features that can be mistakenly selected or eliminate an interaction when it could lead to use error.
  • Improve the detectability or readability of controls, labels, and displays.
  • Automate device functions that are prone to use error when users perform the task manually.{{Cite web|url=https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-meddev-gen/documents/document/ucm259760.pdf|archive-url=https://web.archive.org/web/20160222010831/http://www.fda.gov/ucm/groups/fdagov-public/@fdagov-meddev-gen/documents/document/ucm259760.pdf|url-status=dead|archive-date=February 22, 2016|title=Applying Human Factors and Usability Engineering to Medical Devices|date=February 3, 2016|publisher=U.S. Department of Health and Human Services Food and Drug Administration}} {{PD-notice}}

= Protective measures in the medical device itself or in the manufacturing process =

For example:

  • Incorporate safety mechanisms such as physical safety guards, shielded elements, or software or hardware interlocks.
  • Include warning screens to advise the user of essential conditions that should exist prior to proceeding with device use, such as specific data entry.
  • Use alerts for hazardous conditions, such as a “low battery” alert when an unexpected loss of the device’s operation could cause harm or death.
  • Use device technologies that require less maintenance or are “maintenance free.”

= Information for safety =

For example:

  • Provide written information, such as warning or caution statements in the user manual that highlight and clearly discuss the use-related hazard.
  • Train users to avoid the use error.{{Source-attribution|sentence=yes|Applying Human Factors and Usability Engineering to Medical Devices, U.S. Department of Health and Human Services Food and Drug Administration}}

Changes in the ISO 14971:2019 edition

The third edition of the standard from 2019 differs from 14971:2007 not only by a new chapter structure, but also by focus on the benefit-risk ratio. For this, the concept of (medical) benefit is now defined. In addition, there is a stronger focus on the "information from the production and the downstream phases". Some explanations or appendices from the previous edition are outsourced in ISO / TR 24971:2019.

History

class = "wikitable" font-size = 95%; width = 50%; background-color = transparent

!Year

!Description

align = "center" | 1997EN 1441 was born in Europe from European Committee for Standardization (CEN) with the title "Medical devices - Risk analysis." Which will be the basis for developing ISO 14971
align = "center" | 1998ISO 14971-1
align = "center" | 2000ISO 14971 (1st Edition)
align = "center" | 2007ISO 14971 (2nd Edition)
align = "center" | 2012EN ISO 14971 the European Committee for Standardization (CEN) publishes the harmonized European version with respect to the three European directives associated with the medical sector 93/42/EEC, 98/79/EC, 90/385/EEC
align = "center" | 2019ISO 14971 (3rd Edition) also published simultaneously in Europe as EN ISO 14971: 2019
align = "center" | 2021EN ISO 14971 the European Committee for Standardization (CEN) publishes the harmonized European version with respect to the two European Regulations associated with the medical sector 2017/745 and 2017/746

See also

References

{{Reflist}}