Taxonomy: Biomedical Engineering Design
1) The Generic Design Process
a. Clarification and Specification
b. Conceptual
c. Detailed
d. Embodiment/Synthesis
e. Validation
2) Design Tools
a. Brainstorming and Idea Generation Techniques
b. Conventional Solution Searches
c. Function Analysis
d. Elementary Decision-Making Techniques
e. Objective Trees
f. Quality Function Deployment Diagrams
g. TRIZ
h. Concept mapping and related techniques
i. Innovation Workbench
j. other
3) Design Management, Documentation, and Reporting
a. Design Team Construction and Management
i. Definition of a team
ii. Team Characteristics
iii. Team success factors
iv. Team Leader
v. Design Team
1. Core Product Team
2. Working Design Team
b. Documentation Techniques and Requirements
c. Databases, based on Access and Excel
d. Reporting Techniques: Presentations, Posters, and Reports
4) Product Definition
a. Customer Surveys
b. Company Needs
c. Company Competencies
d. Outside Competencies
e. Product Fit
f. Technology Match
g. Product Differentiation
h. Product Life Cycle
i. Quality Function Deployment
5) Product Documentation
a. Documents
i. The Business Proposal
1. Project overview, objectives, milestones, schedule
2. Market need and market potential
3. Product Proposal
4. Strategic fit
5. Risk analysis and research plan
6. Economic analysis
7. Core project team
ii. Product specification
1. Accuracy requirements
2. Reliability goal
3. Safety issues
4. Requirements to meet standards
5. Anticipated environment
6. Overall functional specification
7. Human factors considerations
8. other
iii. Design specification
1. Cost budgets
2. Size and packaging
3. Power budget
4. Details of above product specification
iv. Software quality assurance plan
1. Purpose
2. Reference documents
3. Management
4. Documentation
5. Standards, practices, conventions, metrics
6. Review and audits
7. Test
8. Problem reporting and corrective action
9. Tools techniques, and methodologies
10. Code control
11. Media control
12. Supplier control
13. Records collection, maintenance, and retention
14. Training activities
15. Risk management
16. Other
v. Software requirements specification
1. Purpose
2. Scope of product
3. Definitions
4. References
5. Overview
6. Product perspective
7. Product functions
8. User characteristics
9. General constraints
10. Assumptions and dependencies
11. Specific requirements
vi. Software design description
1. Decomposition description
2. Interface description
3. Detailed design description
4. Detailed design description
b. Records
i. Design history file
1. Design reviews
2. Design verification
ii. Design master record
1. Design specifications
2. Production process specifications
3. Quality assurance procedures
4. Packaging and labeling specifications
5. Installation, maintenance and servicing procedures
iii. Device history record
iv. Technical documentation file
6) Product development
a. Hardware and software techniques
i. Block diagram
ii. Redundancy
1. active
2. standby
iii. Component selection
1. fitness for use
2. reliability
3. history
4. safety
5. mean time to failure
iv. Component derating
v. Safety margin
vi. Load protection
vii. Environmental protection
viii. Product misuse
ix. Design for variation
x. Design of experiments
xi. Software engineering management
1. Planning
2. Estimating
3. Tracking progress
xii. Choice of model
1. High concern
a. Waterfall
b. Incremental delivery
c. Spiral
d. Cleanroom
2. Low concern
a. Design to schedule
b. Evolutionary delivery
c. Code and fix
xiii. Choice of design method
1. Top-down
2. Data-driven
3. Object-oriented
xiv. Choice of programming language
1. Data typing needs
2. Exception handling
3. Compilation
4. Memory limitations
xv. Software development activities
1. Reviews
2. Walkthroughs and inspections
3. unit and system testing
xvi. Software requirements analysis
xvii. Software hazards analysis
xviii. Requirements traceability
xix. Software architectural design
xx. Detail design
xxi. Implementation
xxii. Integration
b. Structured and unstructured design techniques
i. Innovation workbench – database and conflict map based
ii. Axiomatic design
iii. Structured design
iv. Generic design
v. Redesign
vi. Reverse engineering
7) Computer-aided design
a. Definitions
i. CAD: computer-aided design
ii. CAM: computer-aided manufacturing
iii. CAE: Computer aided engineering
iv. FEM: Finite element method
b. The computer-aided design process
c. Components of CAD/CAM/CAE systems
i. Hardware
ii. Hardware configuration
iii. Software components
d. Windows-based CAD systems
e. Rapid prototyping
8) Human Factors Issues
a. Human Factors definition
i. The human element
ii. The hardware element
iii. The software element
b. Human Factors Process
i. Planning
ii. Analysis
iii. User studies
1. Observations
2. Interviews
3. Focus groups
4. Task analysis
5. Benchmark usability testing
6. User profile
7. Advisory panels
c. Safety
d. Documentation
e. Anthropometry
i. Functional dimensions
ii. Psychological elements
iii. Workstation design considerations
f. Labeling
g. Software
h. Feedback
i. Prompts
j. Defaults
k. Error Management/Data Protection
9) Industrial Design
a. Usability Goals
b. Design of User Interface Concepts
i. Development of conceptual model
ii. Development of interface structure
iii. Development of interaction style
iv. Development of screen templates
v. Development of hardware layout
vi. Development of screenplay
vii. Refinement
viii. Final design
c. Model the User Interface
d. Test the User Interface
e. Specify the User Interface
i. Style guide
ii. Screen hierarchy map
iii. Screenplay
iv. Specification prototype
v. Hardware layouts
f. Additional Industrial Design Considerations
i. Consistency and simplicity
ii. Safety
iii. Environmental/organizational considerations
iv. Documentation
v. Alarms and signals
vi. Displays
vii. Interactive control
viii. Feedback
ix. Error management/data protection
10) Biomaterials and Materials Selection
a. Historical introduction
b. The FDA and Biocompatibility
c. International Regulatory Efforts, ISO standards
d. Device Category and Choice of Test Program
e. Preparation of Extracts
f. Biological Control Tests
i. Microbiological control tests
ii. Tests for endotoxins
iii. Tests for nonspecific toxicity
g. Tests for Biological Evaluation
i. Cytotoxicity
ii. Sensitization
iii. Skin irritation
iv. Intracutaneous reactivity
v. Acute systemic toxicity
vi. Genotoxicity
vii. Implantation
viii. Hemocompatability
ix. Subchronic and chronic toxicity
x. Carcinogenicity
h. Alternative Test Methods
11) Safety engineering: Devices and Processes
a. FDA and other mandates
b. Safety checklists
i. Eliminate by design
ii. Guard against
iii. Warn the user
iv. Train the user
v. Mandate personal protective equipment
vi. Other
c. Accident investigation
d. Process Improvement
e. Tools and Techniques used in safety engineering
i. Designsafe
ii. Inherently safer design
iii. Anticipatory failure determination
iv. Failure modes and effects software
v. Cause and effect diagrams
vi. Accident reporting and investigation
1. MAUDE
2. VA system
12) Prototyping and Testing
a. Prototyping
i. Types of prototypes
1. Low-fidelity
2. High-fidelity
3. Exploratory
4. Experimental
5. Operational
6. Horizontal
7. Vertical
8. Diagonal
9. Global
10. Local
ii. The prototyping process
b. Testing
i. Definitions
ii. Parsing test requirements
iii. Test protocol
iv. Sample size and test length
c. Types of Testing
i. Verification
ii. Validation
iii. Black box
iv. White box
v. Hardware
vi. Software
vii. Functional
viii. Robustness
ix. Stress
x. Safety
xi. Regression
13) Quality Control and Improvement, Reliability, and Liability
a. Reliability versus Unreliability
b. Quality versus Reliability
c. Definition of Reliability
d. History of Reliability
e. Types of Reliability
i. Electronic
1. Infant mortality
2. Useful life
3. Wearout
ii. Mechanical
1. Frictional
2. Shrinkage
3. Fatigue
4. Surface erosion
5. Corrosion
6. Creep
7. Material strength deterioration
iii. Software
1. Specification errors
2. Design errors
3. Typographical errors
4. Omission of symbols
f. Device Reliability
i. Infant mortality
ii. Useful life
iii. Wearout
g. Optimizing Reliability
h. Reliability's Effect on Medical Devices
i. Product Liability
i. Negligence
ii. Strict liability
iii. Breach of warranty
1. Implied warranty
2. Exclusion of warranty
iv. Defects
1. Customer expectations
2. Presumed seller knowledge
3. Risk-benefit balancing
4. State of the art
5. Unavoidably unsafe products
6. Manufacturing or production defects
7. Design defects
8. Defective warnings or instructions
v. Failure to warn of dangers
vi. Conduct of plaintiff
vii. Conduct of defendant
viii. Defendant-related issues
1. Negligent misuse of product
2. Negligent selection of product
3. Failure to inspect
4. Use of product with knowledge of defect
ix. Manufacturer’s and physician’s responsibilities
14) The Food and Drug Administration
a. History of Device Regulation
b. Device Classification
i. Class I devices
ii. Class II devices
iii. Class III devices
c. Registration and Listing
d. The 510(k) Process
i. Determining substantial equivalency
ii. Preparation of a 510(k)
1. Types of 510(k)s
a. Identical devices
b. Equivalent but not identical
c. Complex devices or major differences in technological characteristics
d. Software-controlled devices
2. Format for 510(k)
e. PMA Application
i. The PMA process
ii. Contents of a PMA
f. Investigational Device Exemptions (IDE)
i. Institutional Review Boards
ii. IDE format
iii. HIPAA
g. Good Laboratory Practices (GLP)
h. Good Manufacturing Practices (GMP)
i. Human Factors
j. Design Control
k. The FDA and Software
l. Software Classification
m. The FDA Inspection
n. Advice on Dealing with the FDA
o. Manufacturer and User Facility Device Experience Database (MAUDE)
15) Licensing, Patents, Copyrights, and Trade Secrets
a. Patents
i. Patent qualifications
1. Subject matter
a. Process or method
b. Machine or apparatus
c. Article of manufacture
d. Composition of matter
e. New and useful improvement
2. Usefulness
3. Novelty
4. Nonobviousness
5. Improvement of an existing invention
6. A design
ii. The patent process
iii. Patent claims
iv. Protection of inventor rights
v. Patent infringement
vi. Cautions
1. Nondisclosure forms
2. Disclosure forms
3. Rights of the employer
4. Rights of the institution
5. Technology transfer offices
b. Copyrights
i. Requirements
1. Fixation
2. Originality
3. Minimal Creativity
ii. Coverage
1. Literary works
2. Motion pictures
3. photographs, sculptures, graphic works
4. Pantomimes, choreographic works
5. Architectural works
iii. Process
1. Notice
2. Registration
3. Duration
4. Protection
5. Infringement
c. Trademarks
i. Selection of a trademark
ii. The trademark process
iii. Registration
iv. Protection
d. Trade Secrets
i. Definition
ii. Employer v employee ownership
iii. Risks of trade secrets
iv. Protecting trade secrets
1. Non-disclosure documents
2. Legal damages suit for economic injury
3. Physical and computer security
v. Use of trade secrets in conjunction with patents and copyrights
16) Premarket Testing and Validation
a. Standard Tests
i. Cycle testing
ii. Typical use testing
iii. 10x10 testing
b. Allocation of Software Testing
c. Verification and Validation Test Method Commonality
d. Validation and Test Overview
i. Techniques, methodologies and test approach
ii. Software testing requirements
iii. Verification and validation reporting
e. The Essentials of Software Testing
f. Drug Development
g. Clinical Trials
i. Animal studies
1. FDA and IRB guidelines
2. PETA
ii. Human studies
1. FDA and IRB guidelines
2. Medical Ethics
17) System Testing
a. Purpose
b. Failure Definition
c. Types of Testing
i. Event testing
ii. Stress testing
iii. Temperature/humidity testing
iv. Environmental testing
1. Operating temperature/humidity testing
2. Storage temperature/humidity testing
3. Altitude testing
4. Threshold testing
5. Vibration testing
6. ISTA shipping test
v. Electromagnetic interference testing
vi. Life test/reliability demonstration
vii. Customer misuse
1. Fluid spillage
2. Weight test
3. Keyed connectors
viii. Time related
ix. Failure related
18) Regulations Tracking
a. Regulations
i. US regulations
ii. European regulations
b. Standards
i. US standards
1. Software
2. International
3. Types
a. De facto
b. De jure
c. Reference models
d. Product or process
e. Codes of practice
f. Prospective and retrospective standards
c. Coping with Increased Quality Assurance and Regulatory Issues
d. Medical Device Directives
i. Definition of a medical device
ii. The medical device directives process
iii. Directives
1. Active implantable medical directive
2. Medical device directive
3. In vitro diagnostic medical device directive
iv. General and particular Essential requirements
v. Identification of harmonized standards
vi. Identification of a notified body
vii. Declaration of conformity
viii. Application of CE mark
e. ISO 9000 standards
i. Fundamental safety and effectiveness principles
ii. Device classification
iii. Standards and the design process
f. Canadian Regulations
g. Pacific Rim
19) Manufacturing and Quality Control
a. A History of Good Manufacturing Practice (GMP)
b. The GMP Regulation
i. Design controls
ii. Purchasing controls
iii. Servicing controls
iv. Changes in critical device requirements
v. Harmonization
c. Design for Manufacturability (DFM)
d. Design for Assembly (DFA)
e. The Manufacturing Process
i. Preproduction activity
ii. Pilot run build
iii. Production run
iv. Delivery to the customer
20) Product Issues
a. Product Safety and Legal Issues
i. Definition of safety
ii. Safety and reliability
iii. The legal aspects of safety
iv. System safety
v. Hardware safety
1. Component derating
2. Safety margin
3. Load protection
vi. Software safety
vii. Verification and validation of safety
viii. Effective safety programs
b. Accident Reconstruction and Forensics
i. Medical device accidents
ii. Biomechanics and traffic accident investigations
1. Data collection
2. Injury estimation
a. Abbreviated injury scale (AIS)
b. Injury severity scale (ISS)
3. Impact analysis
4. National Highway Transportation Safety Association
5. Stapp conference data
21) Professional Issues
a. BME Related Professional Societies
i. AAMI
ii. ACM
iii. AMIA
iv. BMES
v. IBE
vi. IEEE-EMBS
vii. RESNA
b. Standards Setting Groups
i. AHA
ii. ADA
iii. ASQC
iv. ASTM
v. AAMI
vi. ASME
vii. IEEE
viii. JCAHO
ix. MDMA
x. NFPA
xi. OSHA
xii. UL
c. Professional Engineering Licensure
i. Engineering internship
ii. Registration as a professional engineer
iii. Rules of professional conduct
d. Codes of Ethics
i. IEEE
ii. NSPE
iii. BMES
e. Forensics and Counseling
f. Continuing Education
22) Miscellaneous Issues
a. Learning from Failure
b. Design for Failure
i. Safety considerations
ii. Convenience considerations
c. Product Life Issues
i. Analysis of field service reports
1. Uses of databases
2. Data analysis
ii. Failure analysis of field units
iii. Warranty analysis
iv. Product Testing Issues
23) Future Design Issues
a. NSF DMII
b. National Institute of Biomedical Imaging and Bioengineering
c. The National Institute of Science and Technology
d. DARPA - Defense Advanced Research Project Agency
e. Miscellaneous and Other Areas of Future Design Activity
24) Related topics
a. Institutional safety
b. Entrepreneurship
c. Medical ethics
d. Bio and agricultural engineering