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Case for Quality Library - Appendix B - Site navigation and instructions
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Category B:How Do You translate Customer
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Category B:How Do You translate Customer
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Table of ContentsPractices to Translate Customer Requirements into CtQs
1. Quality Functional Deployment model, QFD2. Requirements Cascade3. Key Tools4. Risk Management5. Quality Tree model6. Design and Process CTQs7. CTQ Cascade model8. CTQ Flow-down model9. Managing Requirements10. Critical Parameter Management Process Model11. Critical Quality Attributes (CQA) Model
1. Quality Functional Deployment model, QFD2. Requirements Cascade3. Key Tools4. Risk Management5. Quality Tree model6. Design and Process CTQs7. CTQ Cascade model8. CTQ Flow-down model9. Managing Requirements10. Critical Parameter Management Process Model11. Critical Quality Attributes (CQA) Model
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Quality Function DeploymentModel
BCompany:
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Tool/Method/Example Summary Tool/Example Name: Quality Function Deployment (QFD)
General Description:Process to translate Qualitative Customer requirements into Weighted &Prioritized Quantitative Design, Engineering and Manufacturing requirements
Glossary of terms: House of Quality – Common QFD matrix used to translate Qualitative
Customer Requirements into Quantitative Design requirements VOC – Voice of Customer
Typical Uses: New Product Development
Relevant FDA Regulations: 21 C.F.R. §§ 820.30(c) Design Input, (d) Design Output
Medical Devices 10,001 + employees Global
Tool/Example Name: Quality Function Deployment (QFD)
General Description:Process to translate Qualitative Customer requirements into Weighted &Prioritized Quantitative Design, Engineering and Manufacturing requirements
Glossary of terms: House of Quality – Common QFD matrix used to translate Qualitative
Customer Requirements into Quantitative Design requirements VOC – Voice of Customer
Typical Uses: New Product Development
Relevant FDA Regulations: 21 C.F.R. §§ 820.30(c) Design Input, (d) Design Output
Practices to Translate Customer Requirements into CtQs
FCompany:
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Tool/Method/Example Summary Tool/Example Name: House of Quality (HofQ)
General Description:HofQ is a template used to Cascade requirements when utilizing QFD, including: Customer requirements vs. Design requirements Design requirements vs. Engineering design Engineering design vs. Product Characteristics Product characteristics vs. Manufacturing operations requirements Manufacturing operations requirements vs. Production/ controls
Glossary of terms: QFD, Quality Function Deployment, links the needs of the customer with product design,
manufacturing and service functions. Typical Uses:
HofQ is utilized during the design process to better understand 'true' customer needs and what‘value’ means from the customer's perspective
Relevant FDA Regulations: Applicable throughout design controls (21 C.F.R. § 820.30)
Hospital & Health Care 10,001 + employees Global
Tool/Example Name: House of Quality (HofQ)
General Description:HofQ is a template used to Cascade requirements when utilizing QFD, including: Customer requirements vs. Design requirements Design requirements vs. Engineering design Engineering design vs. Product Characteristics Product characteristics vs. Manufacturing operations requirements Manufacturing operations requirements vs. Production/ controls
Glossary of terms: QFD, Quality Function Deployment, links the needs of the customer with product design,
manufacturing and service functions. Typical Uses:
HofQ is utilized during the design process to better understand 'true' customer needs and what‘value’ means from the customer's perspective
Relevant FDA Regulations: Applicable throughout design controls (21 C.F.R. § 820.30)
Practices to Translate Customer Requirements into CtQs
ACompany: Medical Devices 1001-5000 employees North America
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Tool/Method/Example Summary Tool/Example Name: QFD
General Description:QFD is used to translate customer needs (whats) into system parameters (hows)and to identify those system parameters which have the biggest impact oncustomer satisfaction
Glossary of terms: House of Quality: Also called QFD [Quality Function Deployment] is tool used
to systematically translate customer requirements into quantitativeparameters that can be used to develop a concept and select a productsolution.
Typical Uses: QFD is used translate needs statements into measureable requirements
Relevant FDA Regulations: Applicable to (21 C.F.R. § 820.30)
Tool/Example Name: QFD
General Description:QFD is used to translate customer needs (whats) into system parameters (hows)and to identify those system parameters which have the biggest impact oncustomer satisfaction
Glossary of terms: House of Quality: Also called QFD [Quality Function Deployment] is tool used
to systematically translate customer requirements into quantitativeparameters that can be used to develop a concept and select a productsolution.
Typical Uses: QFD is used translate needs statements into measureable requirements
Relevant FDA Regulations: Applicable to (21 C.F.R. § 820.30)
Practices to Translate Customer Requirements into CtQs
ACompany: Medical Devices 1001-5000 employees North America
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Practices to Translate Customer Requirements into CtQs
ACompany: Medical Devices 1001-5000 employees North America
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Core Process Using Quality FunctionDeployment
• House of Quality used to Cascade requirements– Customer requirements vs. Design requirements– Design requirements vs. Engineering design– Engineering design vs. Product Characteristics– Product characteristics vs. Manufacturing
operations requirements– Manufacturing operations requirements vs.
Production/ controls• Consider the “Other Voices” – Business & Process
• House of Quality used to Cascade requirements– Customer requirements vs. Design requirements– Design requirements vs. Engineering design– Engineering design vs. Product Characteristics– Product characteristics vs. Manufacturing
operations requirements– Manufacturing operations requirements vs.
Production/ controls• Consider the “Other Voices” – Business & Process
Practices to Translate Customer Requirements into CtQs
ACompany: Medical Devices 1001-5000 employees North America
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ROOF
Strong Synergy ++Synergy + Strong 9 Competition Key:
Weak Conflict X Medium 3
High Conflict XX Weak 1Machine
1Machine
2Machine
3
Customers' Desired Outcomes
Primary Want 1 2 3 4 5
ExcellentCompany Party 9 9 3 9 9 5.0
3 3 3 9 9 3.0
1 9 3 9 1.0
9 3 9 1.0
CTQ Priority 55 18 45 9 30 90 72 0 0 0 0 0 0 0 0 0 0 319% Importance 17 6 14 3 9 28 23
PREDICTIVE
MEASURES
=
CTQ'S
HOW IMPORTANT
Direction ofImprovement
CORRELATION ROOM 4
# cu
stom
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ompl
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# en
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cu fe
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RELATIONSHIP KEY
tast
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nois
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Impo
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taste rating
Secondary Want even
t sat
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ore
Star
ratin
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faci
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# entrée options
event satisfaction score
# customer complaints
# cu feet per person
Star rating of facilty
QFD HOUSE 1
good foodgood music
able to converse withoutscreamingeasy to mingle around
noise level
ROOF: CORRELATION
CUSTOMER PERCEPTION:SATISFACTION LEVEL
PREDICTIVE MEASURES =CTQ'S
QFD Tool example
ROOF
Strong Synergy ++Synergy + Strong 9 Competition Key:
Weak Conflict X Medium 3
High Conflict XX Weak 1Machine
1Machine
2Machine
3
Customers' Desired Outcomes
Primary Want 1 2 3 4 5
ExcellentCompany Party 9 9 3 9 9 5.0
3 3 3 9 9 3.0
1 9 3 9 1.0
9 3 9 1.0
CTQ Priority 55 18 45 9 30 90 72 0 0 0 0 0 0 0 0 0 0 319% Importance 17 6 14 3 9 28 23
PREDICTIVE
MEASURES
=
CTQ'S
HOW IMPORTANT
Direction ofImprovement
CORRELATION ROOM 4
# cu
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# en
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RELATIONSHIP KEY
tast
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taste rating
Secondary Want even
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# entrée options
event satisfaction score
# customer complaints
# cu feet per person
Star rating of facilty
QFD HOUSE 1
good foodgood music
able to converse withoutscreamingeasy to mingle around
noise level
ROOF: CORRELATION
CUSTOMER PERCEPTION:SATISFACTION LEVEL
PREDICTIVE MEASURES =CTQ'S
Practices to Translate Customer Requirements into CtQs
The 5 Core Principles1. Product design is simply the successive refinement of requirements
All specifications are simply means to communicate requirements to the next level ofhierarchy through an unbroken cascade.
2. Nothing is more important to success than managing requirementsRequirements must be complete, concise, unambiguous, measurable and wholly transparentto all participants. They are the basis for schedules, reviews, testing, metrics, regulatorysubmissions, customer satisfaction, and continuous improvement.
3. Mitigations and residual risks are requirements that must be managedAll failure modes, including use error & foreseeable misuse, must be traced to hazardoussituations & all hazardous situations must be traced to potential harms.
4. Evidence of conformance must identify the design configurationPrototypes are cost, not progress. Learning is progress. Configurations used for verificationmust include assessments showing the configuration tested is equivalent to the design beingreleased.
5. Program Management relies on standard work and objective metrics# +Δ requirements, # +Δ protocols w/GR&R, # +Δ protocols run, % +Δ req verified, % +Δprocesses w/capability estimated, % +Δ processes w/capability verified. Chronological hourssince last formal customer feedback, fever chart $$ vs plan.
ACompany: Medical Devices 1001-5000 employees North America
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1. Product design is simply the successive refinement of requirementsAll specifications are simply means to communicate requirements to the next level ofhierarchy through an unbroken cascade.
2. Nothing is more important to success than managing requirementsRequirements must be complete, concise, unambiguous, measurable and wholly transparentto all participants. They are the basis for schedules, reviews, testing, metrics, regulatorysubmissions, customer satisfaction, and continuous improvement.
3. Mitigations and residual risks are requirements that must be managedAll failure modes, including use error & foreseeable misuse, must be traced to hazardoussituations & all hazardous situations must be traced to potential harms.
4. Evidence of conformance must identify the design configurationPrototypes are cost, not progress. Learning is progress. Configurations used for verificationmust include assessments showing the configuration tested is equivalent to the design beingreleased.
5. Program Management relies on standard work and objective metrics# +Δ requirements, # +Δ protocols w/GR&R, # +Δ protocols run, % +Δ req verified, % +Δprocesses w/capability estimated, % +Δ processes w/capability verified. Chronological hourssince last formal customer feedback, fever chart $$ vs plan.
You are currently viewing a featured section of AdvaMed's Case for Quality Library. To view AdvaMed's Case for Quality website, click HERE. To view the full slide deck of AdvaMed's Design Control recommendations, click HERE.
Practices to Translate Customer Requirements into CtQs
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ACompany: Medical Devices 1001-5000 employees North America
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Tool/Method/Example Summary Tool/Example Name: Requirements Cascade DHF/DMR
General Description:A graphical representation of a requirements cascade where parent requirementsare translated to child requirements via a transfer function.
Glossary of terms: Transfer Function is a mathematical representation of the relationship
between a set of design factors and output variables. Typical Uses: Translates the sensitivities of the top-level requirement to lower-level
requirements through a relationship equation Relevant FDA Regulations: Applicable throughout the design control (21 C.F.R. § 820.30) and linkages to
DHF (21 C.F.R. § 820.30(j))
Tool/Example Name: Requirements Cascade DHF/DMR
General Description:A graphical representation of a requirements cascade where parent requirementsare translated to child requirements via a transfer function.
Glossary of terms: Transfer Function is a mathematical representation of the relationship
between a set of design factors and output variables. Typical Uses: Translates the sensitivities of the top-level requirement to lower-level
requirements through a relationship equation Relevant FDA Regulations: Applicable throughout the design control (21 C.F.R. § 820.30) and linkages to
DHF (21 C.F.R. § 820.30(j))
Practices to Translate Customer Requirements into CtQs
Requirement
REQ 1 REQ 2 REQ 3
f( )y
x
Requirements CascadeACompany: Medical Devices
1001-5000 employees North America
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REQ 1-1 REQ 1-2 REQ 1-3 REQ 1-4
REQ 1-1 REQ 1-2 REQ 1-3
REQ 1-1 REQ 1-2
3 elements of a cascade• Parent requirement [y]• Child requirement [x]• Transfer function [f()]
• Y Requirements guide conceptdevelopment and selection
• Concepts dictate transfer functions• Design worksheets determine XsFrom “The METHOD,” multiple copyrights
2006-2013
Practices to Translate Customer Requirements into CtQs
ACompany: Medical Devices 1001-5000 employees North America
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Practices to Translate Customer Requirements into CtQs
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Key tools used By Phase
Concept– VOC
gathering
Definition• Monte Carlo
Models• KJ VOC
Analysis• QFD / HoQ• Concept Eval
& Selection -Pugh Matrix
Development• Critical Parameter
Management• Design /
Application FMEA• Measurement
Systems Analysis(MSA)
• Screening /Advanced DOE’s
• Transfer Functions: Defined, Ranked& Prioritized
• Monte Carlosimulations
Qualification• Critical Parameter
Management• Design Capability
Assessment• Mfg Capability
Assessment
BCompany: Medical Devices 10,001 + employees Global
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Concept– VOC
gathering
Definition• Monte Carlo
Models• KJ VOC
Analysis• QFD / HoQ• Concept Eval
& Selection -Pugh Matrix
Development• Critical Parameter
Management• Design /
Application FMEA• Measurement
Systems Analysis(MSA)
• Screening /Advanced DOE’s
• Transfer Functions: Defined, Ranked& Prioritized
• Monte Carlosimulations
Qualification• Critical Parameter
Management• Design Capability
Assessment• Mfg Capability
Assessment
Practices to Translate Customer Requirements into CtQs
Company:
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Tool/Method/Example Summary Tool/Example Name: Focus Groups, Feature Ranking, Online Survey, Feature Value-
Cost Analysis, Spider Maps, Conjoint Analysis
General Description:Tools to establish customer requirements and to rank them based on value points, costetc.
Glossary of terms: Importance scaling, sorting and scaling, forced ranking, feature trade-off Scatter
Plot, “Must Haves”, “Jewels”, “Peanuts”, “Black Hole” Typical Uses:
Tools to determine and analyze customer requirements (“VOC”) Relevant FDA Regulations:
N/A Relevant FDA Regulations:
These tie the VOC and marketing requirements to design inputs, including part riskclassification determination of CtQ in the design controls process.
I Medical Devices 10,001 + employees Global
Tool/Example Name: Focus Groups, Feature Ranking, Online Survey, Feature Value-Cost Analysis, Spider Maps, Conjoint Analysis
General Description:Tools to establish customer requirements and to rank them based on value points, costetc.
Glossary of terms: Importance scaling, sorting and scaling, forced ranking, feature trade-off Scatter
Plot, “Must Haves”, “Jewels”, “Peanuts”, “Black Hole” Typical Uses:
Tools to determine and analyze customer requirements (“VOC”) Relevant FDA Regulations:
N/A Relevant FDA Regulations:
These tie the VOC and marketing requirements to design inputs, including part riskclassification determination of CtQ in the design controls process.
Practices to Translate Customer Requirements into CtQs
ICompany:
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Medical Devices 10,001 + employees Global
toc
How Do You Translate CustomerRequirements into CtQs?
Through The Use of State of the Art Tools for Each DfX Pillar &A Phased Discipline approach to Design and Product Realization
DF CE = Customer Experience
DF R = Reliability
DF M = Manufacturability
DF S = Serviceability
DF C = Cost
DF “X”DF “X”
Practices to Translate Customer Requirements into CtQs
Company:
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Tool/Method/Example Summary Tool/Example Name: Part Risk Classification, DFMEA, PFMEA, Pareto Analysis, Cause-and-Effect
Diagram, 2x5xWhy
General Description:Tools to classify parts as part of design outputs, identify critical to quality characteristics (CtQs),flow down of CtQs for part and process to manufacturing and suppliers via design transfer.
Glossary of terms: Product attributes critical to quality (parts, modules, features), Common failure modes, Top
risks of product failure Typical Uses:
To identify critical to quality features or process characteristics that are critical determinantsof quality, failure modes, risk management and risk mitigation
Relevant FDA Regulations: 21 C.F.R. §§ 820.30, 820.50, 820.70
Relevant FDA Regulations: These tie to design for customer experience, manufacturability, reliability, serviceability, and
value engineering. They also tie to process and product quality assurance, design innovationand software quality assurance.
I Medical Devices 10,001 + employees Global
Tool/Example Name: Part Risk Classification, DFMEA, PFMEA, Pareto Analysis, Cause-and-EffectDiagram, 2x5xWhy
General Description:Tools to classify parts as part of design outputs, identify critical to quality characteristics (CtQs),flow down of CtQs for part and process to manufacturing and suppliers via design transfer.
Glossary of terms: Product attributes critical to quality (parts, modules, features), Common failure modes, Top
risks of product failure Typical Uses:
To identify critical to quality features or process characteristics that are critical determinantsof quality, failure modes, risk management and risk mitigation
Relevant FDA Regulations: 21 C.F.R. §§ 820.30, 820.50, 820.70
Relevant FDA Regulations: These tie to design for customer experience, manufacturability, reliability, serviceability, and
value engineering. They also tie to process and product quality assurance, design innovationand software quality assurance.
Practices to Translate Customer Requirements into CtQs
ICompany:
nextbackmain home
Medical Devices 10,001 + employees Global
toc
Supplier assurance – how to work with suppliers & flow downof CtQ’s
Process assurance – how to do process control and processvalidation of automated test systems
Product assurance – how to conduct post market surveillanceand enhance the customer experience
Design cycle and innovation assurance – how to control designprocesses (e.g., CMMI)
Software validation & assurance – how to ensure product SWis robust and bug-free
A Five Pillar QA Program Supports GoodDesign and DfX Practices
Supplier assurance – how to work with suppliers & flow downof CtQ’s
Process assurance – how to do process control and processvalidation of automated test systems
Product assurance – how to conduct post market surveillanceand enhance the customer experience
Design cycle and innovation assurance – how to control designprocesses (e.g., CMMI)
Software validation & assurance – how to ensure product SWis robust and bug-free
Practices to Translate Customer Requirements into CtQs
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Tool/Method/Example Summary Tool/Example Name: Risk Management, CTQ monitoring program
General Description:CTQ monitor program to predict and prevent unfavorable behavior
Glossary of terms: Risk Management, Fault Tree Analysis, Design FMEA, Use FMEA, Critical To
Quality, In Process Monitoring, Response Flow
Typical Uses: Patient Safety, Process Control, predict and prevent unfavorable behavior
Relevant FDA Regulations: 21 C.F.R. §§ 820.30 & 820.70
CCompany: Medical Devices 10,001 + employees Global
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Tool/Example Name: Risk Management, CTQ monitoring program
General Description:CTQ monitor program to predict and prevent unfavorable behavior
Glossary of terms: Risk Management, Fault Tree Analysis, Design FMEA, Use FMEA, Critical To
Quality, In Process Monitoring, Response Flow
Typical Uses: Patient Safety, Process Control, predict and prevent unfavorable behavior
Relevant FDA Regulations: 21 C.F.R. §§ 820.30 & 820.70
Practices to Translate Customer Requirements into CtQs
CCompany: Medical Devices 10,001 + employees Global
nextbackmain hometoc
Risk Management is integrated into designand development processas part of the PLCP.
Product Hazard Analysis uses:• Fault Tree Analysis• Design FMEA• Use FMEA
Level 3 represents unacceptable harm andlevel 0,1, & 2 drive verification & validationconfidence statements which must be met.
Risk Management is integrated into designand development processas part of the PLCP.
Product Hazard Analysis uses:• Fault Tree Analysis• Design FMEA• Use FMEA
Level 3 represents unacceptable harm andlevel 0,1, & 2 drive verification & validationconfidence statements which must be met.
Product Risk Index Matrix
Occ
urre
nce
of H
arm
5 1 2 2 3 3
4 1 1 2 3 3
3 0 1 2 2 3
2 0 0 1 2 2
1 0 0 0 1 2
1 2 3 4 5
Severity of Harm
Practices to Translate Customer Requirements into CtQs
What? CTQ is a potentially vulnerable failure mode or process that iskey to assure patient safety
Why? CTQ monitor program is recommended to predict and preventunfavorable behavior
CTQ Screening:- Failure Mode with high severity and RI (RI: 2 /Severity: 4/5) –link to Risk Managementprocesses.
- Vulnerable process - High Scrap, NCEPs and/or Complaints- Potentially affects patient safety
1. Perform a failuremode screeningaccording to the CTQdecision flow andcreate a preliminarylist
Options
CCompany: Medical Devices 10,001 + employees Global
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CTQ Screening:- Failure Mode with high severity and RI (RI: 2 /Severity: 4/5) –link to Risk Managementprocesses.
- Vulnerable process - High Scrap, NCEPs and/or Complaints- Potentially affects patient safety
1. Perform a failuremode screeningaccording to the CTQdecision flow andcreate a preliminarylist
2. Discard and selectCTQs with properrationale
3. Propose andanalyze ideas formaking more robusteach selected CTQ
4. Create animplementation planfor the ideas selected
5. Follow up andupdate plan
IPM
Response Flow
Practices to Translate Customer Requirements into CtQs
• Translates User Needs into Design Inputso Assess Riskso Initiate Market Specificationo Develop product specifications
• Develop prototypes
o Identify possible design concepts, Test methods, designprototypes, evaluate prototypes
• Develop equipment & processo Assess process technology, develop and execute
equipment strategy• Define Supply Chaino Define supplier plan, define concept builds, establish
supply chain strategy
Translating User Needs into Design InputsCCompany: Medical Devices
10,001 + employees Global
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• Translates User Needs into Design Inputso Assess Riskso Initiate Market Specification
oDevelop product specifications
•o Identify possible design concepts, Test methods, design
prototypes, evaluate prototypes• Develop equipment & processo Assess process technology, develop and execute
equipment strategy• Define Supply Chaino Define supplier plan, define concept builds, establish
supply chain strategy You are currently viewing a featured section of AdvaMed's Case for Quality Library. To view AdvaMed's Case for Quality website, click HERE. To view the full slide deck of AdvaMed's Design Control recommendations, click HERE.
Practices to Translate Customer Requirements into CtQs
Tool/Method/Example Summary Tool/Example Name: Active Requirements Management (RM) Tool
General Description:This tool is utilized to ensure that the various (inputs) requirements are translatedinto predictive, measureable performance values. These outputs can be tracked onthe CTQ Scorecard. The Risk Flow Down model is utilized to ensure that risksassociated with a specific requirement have the appropriate mitigations.
Glossary of terms (specific to this tool/example): None unique
Typical Uses: These tools can be utilized during the design process to ensure requirements
are adequately translated to quantify performance values.
Relevant FDA Regulations: 21 C.F.R. §§ 820.30 design controls & FDA Preamble – comment 72.
Hospital & Health Care 10,001 + employees Global
Company:Fnextbackmain hometoc
Tool/Example Name: Active Requirements Management (RM) Tool
General Description:This tool is utilized to ensure that the various (inputs) requirements are translatedinto predictive, measureable performance values. These outputs can be tracked onthe CTQ Scorecard. The Risk Flow Down model is utilized to ensure that risksassociated with a specific requirement have the appropriate mitigations.
Glossary of terms (specific to this tool/example): None unique
Typical Uses: These tools can be utilized during the design process to ensure requirements
are adequately translated to quantify performance values.
Relevant FDA Regulations: 21 C.F.R. §§ 820.30 design controls & FDA Preamble – comment 72.
Practices to Translate Customer Requirements into CtQs
• Active RM allows flowing up process capability andpredicted performance to customer requirements
Market Req.
Product Req. + “Why” +Performance
Assembly Req. + Performance
Component Req. +Performance
Process Req + “Why” + Capability
Requirements Management (RM) Tools to Support PDP
Market Req.
Product Req.
Assembly Req.
Component Req.
Process Req.
Hospital & Health Care 10,001 + employees Global
Company:Fnextbackmain hometoc
Market Req.
Product Req. + “Why” +Performance
Assembly Req. + Performance
Component Req. +Performance
Process Req + “Why” + Capability
Market Req.
Product Req.
Assembly Req.
Component Req.
Process Req.
CTQ Flow down/up:What, Why, How, Cost?
CTQ Flow down/up:What
Practices to Translate Customer Requirements into CtQs
Hospital & Health Care 10,001 + employees Global
Company:Fnextbackmain hometoc
Practices to Translate Customer Requirements into CtQs
Hospital & Health Care 10,001 + employees Global
Company:Fnextbackmain hometoc
• FMEA table generated
• Requirement at each level of the flow down can have a failure
mode.
– Causes and Effects linked
– Transfer Functions
• Risks are connected to requirements and to each other
Risk Flow Down• FMEA table generated
• Requirement at each level of the flow down can have a failure
mode.
– Causes and Effects linked
– Transfer Functions
• Risks are connected to requirements and to each other
Practices to Translate Customer Requirements into CtQs
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Company:
nextbackmain hometocD Medical Devices
10,001 + employees Global
Tool/Method/Example Summary Tool/Example Name: Quality Tree
General Description:Shows the flow down of customer requirements into Functional requirements, Design,and Process requirements in a hierarchical graphic format to help identify CTQs.
Glossary Of Terms: Functional Requirements – description or metrics that the device’s needs to perform
(functional output needs). Design Requirements – description or metrics that the device’s design to meet the functional
requirements. Process Requirements -description or metrics relative to how the device’s is manufactured to
meet the design and functional requirements.
Typical Uses: To help identify the flow down of requirements into critical design or process
outputs needed. CTQ’s and important aspects of the product are typically shownon this chart.
Relevant FDA Regulations : 21 C.F.R. §§ 820.30 (b), (c), (d), (e), and (f)
Tool/Example Name: Quality Tree
General Description:Shows the flow down of customer requirements into Functional requirements, Design,and Process requirements in a hierarchical graphic format to help identify CTQs.
Glossary Of Terms: Functional Requirements – description or metrics that the device’s needs to perform
(functional output needs). Design Requirements – description or metrics that the device’s design to meet the functional
requirements. Process Requirements -description or metrics relative to how the device’s is manufactured to
meet the design and functional requirements.
Typical Uses: To help identify the flow down of requirements into critical design or process
outputs needed. CTQ’s and important aspects of the product are typically shownon this chart.
Relevant FDA Regulations : 21 C.F.R. §§ 820.30 (b), (c), (d), (e), and (f)
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocD Medical Devices
10,001 + employees Global
Developing the Quality Tree
• Quality Tree should be developed by the team
• The project customer requirements, Engineering documentation andknowledge of the team are key inputs
• In sequence the following activities should occur Critical Customer Requirements are identified by the end of the Feasibility Functional Requirements are identified by the end of the Feasibility Design Requirements are identified in the Development Stage or earlier Process Requirements are identified in the Development Stage or earlier
• Quality Tree should be developed by the team
• The project customer requirements, Engineering documentation andknowledge of the team are key inputs
• In sequence the following activities should occur Critical Customer Requirements are identified by the end of the Feasibility Functional Requirements are identified by the end of the Feasibility Design Requirements are identified in the Development Stage or earlier Process Requirements are identified in the Development Stage or earlier
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocD Medical Devices
10,001 + employees Global
Quality Tree Format
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocD Medical Devices
10,001 + employees Global
Selecting Your CTQs• Once the full Quality Tree has been completed, the
team needs to make intelligent choices on whichCharacteristics should be labeled CTQ's.
• The Bottom line is assurance of quality as it relatesto Critical Customer Requirement(s)
• American Society for Quality (ASQ) definesassurance of quality as the planned and systematicactivities implemented in a quality system so thatquality requirements for a product or service will befulfilled.
• Once the full Quality Tree has been completed, theteam needs to make intelligent choices on whichCharacteristics should be labeled CTQ's.
• The Bottom line is assurance of quality as it relatesto Critical Customer Requirement(s)
• American Society for Quality (ASQ) definesassurance of quality as the planned and systematicactivities implemented in a quality system so thatquality requirements for a product or service will befulfilled.
Practices to Translate Customer Requirements into CtQs
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Design and Process CTQs
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Company:
nextbackmain hometocE Medical Devices
1001-5000 employees Global
Design and Process CTQs
CustomerRequirements
Critical toCustomer
(CtC)Drivers Critical to
Design (CtD)Critical to
Process (CtP)
VOC
MarketAssessment
KOL
ReviewProcedures/Cases
Prototype
product
QFD
ProductDevelopment
Product Use
QFD
DesignSpecification
Design RiskAssessment
DesignVerification
ProcessRequirements
Process RiskAssessment
ProcessValidation
Process
VOC
MarketAssessment
KOL
ReviewProcedures/Cases
Prototype
product
QFD
ProductDevelopment
Product Use
QFD
DesignSpecification
Design RiskAssessment
DesignVerification
ProcessRequirements
Process RiskAssessment
ProcessValidation
CtQ
Key
Activ
ities
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocE Medical Devices
1001-5000 employees Global
Translating Customer Requirements to CtQs:• The many customer requirements are distilled down to
the Critical to Customer (CtC) – VoC, KOL, MarketAssessments, product review
• The CtC are translated down to Key Drivers by the use ofDFQ and ranking
• Drivers are translated into Product Requirements• Product Requirements are translated into Product
Specifications (Critical to Design – CtD).• CtD are approved by the Project Approval Board and
reviewed at Gates 2 through 4 and During Design Reviews• CtD will drive the process development and the Critical to
Process (CtP) parameters to assure product design
• The many customer requirements are distilled down tothe Critical to Customer (CtC) – VoC, KOL, MarketAssessments, product review
• The CtC are translated down to Key Drivers by the use ofDFQ and ranking
• Drivers are translated into Product Requirements• Product Requirements are translated into Product
Specifications (Critical to Design – CtD).• CtD are approved by the Project Approval Board and
reviewed at Gates 2 through 4 and During Design Reviews• CtD will drive the process development and the Critical to
Process (CtP) parameters to assure product design
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocE Medical Devices
1001-5000 employees Global
CtQ in Product Development
Practices to Translate Customer Requirements into CtQs
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CTQ Cascade Model
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Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
User Issues
Customer Needs and Requirements
User Issues
Functions to Meet User Needs
Concepts to Meet the Functions
User Needs/Requirements
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
Product RequirementsMeasureable Performance
Requirements
Customer Needs and Requirements
Architecture: Subcomponents?
Attributes/ Properties/ Specifications
Measureable PerformanceRequirements
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
Process Requirements
Product Requirements
Customer Needs and Requirements
Process Requirements
Critical Process Variables,Requirements
Equipment Requirements,Sources of Variation
Raw Material Properties,Specifications , Sources of Variation
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
Process Requirements
Product Requirements
Customer Needs and Requirements
Risk Mitigation Strategies and Controls
Process Requirements
Risks
Mitigations, Controls
Improve Chances of Success Proactively
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
Product Requirements
Customer Needs and Requirements
Verification and Validation
Specifications, Critical Testing
Risk Mitigation Strategies and Controls
Process Requirements
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocF Hospital & Health Care
10,001 + employees Global
CTQ Cascade
Product Requirements
Customer Needs and Requirements
Verification and Validation
Risk Mitigation Strategies and Controls
Process Requirements
Practices to Translate Customer Requirements into CtQs
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CTQ Flowdown Model
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Company:
nextbackmain hometocG Medical Devices
5001-10,000 employees Global
Voice ofCustomer
Function
Parts
Critical to Quality (CTQ) Flow down
Parts
Dimensions
Capability
Match Capability Vs. Goal
Launch
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocG Medical Devices
5001-10,000 employees Global
CTQ Flow DownMarketing RegulatoryRepairs
Therapy system shall deliver the prescribed negative pressure to the wound site whenpowered onVoice of the Customer
(User needs)
Technical Requirements Therapy unit shall maintain pressure within ±x mmHg of target pressureAccess Risk levelfrom Top Down*and Usability *perspective
ClinicalPost MarketSurveillance
ComplaintsFocus Groups
48
Technical Requirements
CTQ Characteristics
Part Drawings – (Link toDFMEA for Risk)
Therapy unit shall maintain pressure within ±x mmHg of target pressure
Therapy Unit, Canister, Dressing (e.g. drape), System Interactions (sub-assembly)
Drape adhesive propertiesPump Flow ratePump Diaphragm characteristics
Canister – Unit interface
Access Risk levelfrom Top Down*and Usability *perspective
Link to DFMECAfor Risk
Carry over toPFMEA
Link CTQs identified to Risk
•Top Down: evaluates the potential risks from the system level perspective, before finalizing the design. Mitigations from Top down should be used as an input tothe design.
• Usability risk analysis: evaluates the potential hazards related to the use or misuse of the product.
Practices to Translate Customer Requirements into CtQs
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Managing Requirements
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Company:
nextbackmain hometoc
Managing Requirements
ComponentReqs
H Medical Devices 10,001 + employees Global
Design ReviewTrace to Design
Outputs
ProcessPlanning
Matrix
Practices to Translate Customer Requirements into CtQs
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Critical Parameter ManagementProcess Model
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Critical Parameter ManagementProcess Model
Company:
nextbackmain hometocK Medical Devices
10,001 + employees Global
MaterialSpecifications
ProductSpecifications
UFMEADFMEA
DesignQualifications& Validations
CustomerInput
PDP Process
Process Development
FeedbackLoops
InputCPM Process Model – Value Stream
CustomerComplaints
InspectionResults
TestingResults
Non-conformance
Reporting
ScrapReporting
PFMEAProcess &Assembly
Specifications
ProcessQualifications& Validations
Control & Monitoring
Risk Identification& Mitigation
Process Development
Critical Parameters are identified in Design and translatedthroughout the QMS and ultimately is used to focus control &monitoring and prioritized feedback loops.
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocK Medical Devices
10,001 + employees Global
CPM Process Model – Identification Targets - QE
MaterialSpecifications
ProductSpecifications
UFMEADFMEA
DesignQualifications& Validations
CustomerInput
Each Quality Engineer hasbeen retrospectivelyidentifying theirCritical Parameters for theirassigned products
CustomerComplaints
InspectionResults
TestingResults
Non-conformance
Reporting
ScrapReporting
PFMEAProcess &Assembly
Specifications
ProcessQualifications& Validations
Starting with complaints andworking to the left, criticalsafety, performance andcompliance parameters
identified
The identified Critical Parameters arethen:
1. Assessed for capability2. Mitigations defined3. Improvement plans created4. Controls & Monitors implemented
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocK Medical Devices
10,001 + employees Global
CPM Process Model – Identification Targets - DA
Customer
MaterialSpecifications
ProductSpecifications
PFMEA
UFMEADFMEA
Process &Assembly
DesignQualifications& Validations
ProcessQualifications
CustomerInput
In a Prospective manner –the development team, ledby DA, identifies their CriticalParameters and rigorouslytests them.
CustomerComplaints
InspectionResults
TestingResults
Non-conformance
Reporting
ScrapReporting
PFMEAAssemblySpecifications
Qualifications& Validations
Starting with Customer Inputand working to the right,
critical safety, performanceand compliance parameters
identifiedThe identified Critical Parameters are then:1. Assessed for capability2. Risk assessed & Mitigations defined3. Specifications created4. Designs made robust5. Tested and optimized6. Deployed to commercialization
Transfer Function
CPyoutput = f(xinput)
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocK Medical Devices
10,001 + employees Global
CTQ’s (How Determined)• Review of field complaints for high severity items
impacting the patient.• Consulted with Product Surveillance for assistance with
interpreting complaints.• Cross-functional review of what constitutes high severity
complaints.
• Review of field complaints for high severity itemsimpacting the patient.
• Consulted with Product Surveillance for assistance withinterpreting complaints.
• Cross-functional review of what constitutes high severitycomplaints.
CustomerComplaints
MaterialSpecifications
ProductSpecifications
InspectionResults
TestingResults
Non-conformance
Reporting
ScrapReporting
PFMEA
UFMEADFMEA
Process &Assembly
Specifications
DesignQualifications& Validations
ProcessQualifications& Validations
CustomerInput
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocK Medical Devices
10,001 + employees Global
Example Product Deployment of CPM
• Critical Product and Process Parameters Capability and state of control
• Gap analysis Where we are now Improvement plans to achieve desired “State of Control”
• CPM will involve a reoccurring review of thecritical parameter and controls withadjustments made as necessary.
• Critical Product and Process Parameters Capability and state of control
• Gap analysis Where we are now Improvement plans to achieve desired “State of Control”
• CPM will involve a reoccurring review of thecritical parameter and controls withadjustments made as necessary.
Practices to Translate Customer Requirements into CtQs
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Critical Quality Attributes Model
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Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Identification of Critical QualityAttributes
1. Design Controls process (per QSR): Ensures thatDesign Inputs (including DI acceptance criteria) aredeveloped that comprehensively meet therequirements of the Intended Use and User Needs.
2. Risk Management process (per ISO 14971): ReviewsDesign Inputs to ensure that sufficient Design Inputshave been identified to address identified Hazards.
3. Design Controls process (per QSR): Ensures thatDesign Outputs (including quality attributes) aredeveloped that comprehensively meet therequirements of the Design Inputs.
1. Design Controls process (per QSR): Ensures thatDesign Inputs (including DI acceptance criteria) aredeveloped that comprehensively meet therequirements of the Intended Use and User Needs.
2. Risk Management process (per ISO 14971): ReviewsDesign Inputs to ensure that sufficient Design Inputshave been identified to address identified Hazards.
3. Design Controls process (per QSR): Ensures thatDesign Outputs (including quality attributes) aredeveloped that comprehensively meet therequirements of the Design Inputs.
Figure 2: Risk Management focus
MedicalDevice
Hazards
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Critical Quality Attributes Critical Quality Attributes are product design specifications and are documented in
the DHF as:1. Design input acceptance criteria (in the Design I/O document) and/or2. Design output specifications/tolerances (in the DMR)
Intended Use/User Need
DI # DesignInput
DI Acceptance criteria DI Acceptancecriteria Justification
DO # Design Outputs(PN/ Feature)
1 1-1 xxxx Design Input Acceptancecriteria 1-1
xxxx xxxx 1-1-1 Design PN/Feature 1-1-1
1-1-2 Design PN/Feature 1-1-2
Design Spec/tolerance 1-1-1-1Design Spec/tolerance 1-1-1-2Design Spec/tolerance 1-1-1-3
Design Spec/tolerance 1-1-2-1Design Spec/tolerance 1-1-2-2Design Spec/tolerance 1-1-2-3
DMR (Design)1. Product drawings2. Label text & artwork3. Material specs4. Software code5. Product test specs
“Refinement of Design Input”(Product performance criteria)
Design Outputs
DIO Document
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Design Input Acceptance Criteria Design Output Specs/Tolerances
Implant fixation force Implant actuation
sound Drill heat
(temperature) Drill metal debris rate
1. Implant thickness, Device color2. Product identification text on device3. Implant material4. Software platform/revision5. Drill torque, Voltage output, Sterility
Assurance Level, Device weight,Video resolution
1. Implant tip radius, Internalcomponent position
2. Warning text on device and IFU3. Internal component material4. Software code for voltage
calibration5. Internal power supply test
voltage, Software checksum,Implant hardness
Example Critical Quality Attributes
Design Outputs
Implant fixation force Implant actuation
sound Drill heat
(temperature) Drill metal debris rate
1. Implant thickness, Device color2. Product identification text on device3. Implant material4. Software platform/revision5. Drill torque, Voltage output, Sterility
Assurance Level, Device weight,Video resolution
1. Implant tip radius, Internalcomponent position
2. Warning text on device and IFU3. Internal component material4. Software code for voltage
calibration5. Internal power supply test
voltage, Software checksum,Implant hardness
DMR (Design)1. Product drawings2. Label text & artwork3. Material specs4. Software code5. Product test specs
Manufacturing has visibility of allproduct design specs in the DMR
DIO Document
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Critical Quality Attributes– Critical CQA’s are critical product design specifications
• Critical CQA’s are product design specifications where being in-spec is considered “critical”for product quality
– Note: Expectation is that manufactured product will meet all product designspecifications (quality attributes) in the DMR, whether designated as “critical” or not• In accordance with QSR Subpart G, Production and Process Controls• The designation of a product design specification as “critical” merely conveys that the consequences of
being out of spec are severe, so additional focus is prudent during manufacturing, verification, etc.
– Critical CQA’s are critical product design specifications• Critical CQA’s are product design specifications where being in-spec is considered “critical”
for product quality
– Note: Expectation is that manufactured product will meet all product designspecifications (quality attributes) in the DMR, whether designated as “critical” or not• In accordance with QSR Subpart G, Production and Process Controls• The designation of a product design specification as “critical” merely conveys that the consequences of
being out of spec are severe, so additional focus is prudent during manufacturing, verification, etc.
Verify (Inspect) or Validate
QualityAttributes
CriticalQuality
Attributes
Verify (Inspect) or Validatewith more rigor
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Identification and Classification of Critical CQA’s
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Identify Critical CQAsFor a given quality attribute, if a significant departure from design toleranceis predicted to result in unacceptable product quality (i.e., major customerdissatisfaction and/or unacceptable risk), that quality attribute is identifiedas a CQA.
Note: For most quality attributes, a large, unlimited departure from designtolerance inevitably results in unacceptable product quality , but this doesnot imply that most quality attributes are CQA’s. The main purpose of CQAidentification is to highlight those quality attributes for which a slightdeparture from design tolerance has unacceptable consequences.
For a given quality attribute, if a significant departure from design toleranceis predicted to result in unacceptable product quality (i.e., major customerdissatisfaction and/or unacceptable risk), that quality attribute is identifiedas a CQA.
Note: For most quality attributes, a large, unlimited departure from designtolerance inevitably results in unacceptable product quality , but this doesnot imply that most quality attributes are CQA’s. The main purpose of CQAidentification is to highlight those quality attributes for which a slightdeparture from design tolerance has unacceptable consequences.
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Identify Critical CQAsFor CQA identification purposes, the concept of a “significant departure”from design tolerance is interpreted as follows:
• For continuous quality attributes with linear design tolerance, asignificant departure from design tolerance should be defined asdeparture up to a factor of 2 from design tolerance (i.e., up to a 100%departure from design tolerance).
Reference: Juran, J.M. and Godfrey, A. B. (Eds.), Juran’s Quality Handbook, 5th edition,New York: McGraw-Hill (1999), Section 22.6-22.7
For CQA identification purposes, the concept of a “significant departure”from design tolerance is interpreted as follows:
• For continuous quality attributes with linear design tolerance, asignificant departure from design tolerance should be defined asdeparture up to a factor of 2 from design tolerance (i.e., up to a 100%departure from design tolerance).
Reference: Juran, J.M. and Godfrey, A. B. (Eds.), Juran’s Quality Handbook, 5th edition,New York: McGraw-Hill (1999), Section 22.6-22.7
5.30
5.20 5.40
5.10 5.50Significant departure from
Design tolerance(for CQA identification)
Design tolerance
Figure: Significant departure from a linear design tolerance
Length
Practices to Translate Customer Requirements into CtQs
Company:
nextbackmain hometocJ Medical Devices
10,001 + employees Global
Identify Critical CQAs• For discrete quality attributes, any departure from design tolerance may
be considered a significant departure, but project team personnel shouldsubjectively decide what constitutes a significant departure.
Example: For an implant, the color specification “green” might beconsidered a CQA if manufacturing that implant as any color other thangreen (e.g., “blue” or “red”) is predicted to result in unacceptable productquality.
• For discrete quality attributes, any departure from design tolerance maybe considered a significant departure, but project team personnel shouldsubjectively decide what constitutes a significant departure.
Example: For an implant, the color specification “green” might beconsidered a CQA if manufacturing that implant as any color other thangreen (e.g., “blue” or “red”) is predicted to result in unacceptable productquality.
Practices to Translate Customer Requirements into CtQs
Company:
backmain hometocJ Medical Devices
10,001 + employees Global
Identify Critical CQAsFor CQA identification purposes, the consequence of a significant departure fromdesign tolerance (i.e., the failure effect) is determined using any of the followingmethods or combination of methods:1. Judgment of engineering, quality assurance, clinical affairs, and/or marketing
personnel on the project team2. Inspection of Risk Management File info3. Inspection and analysis of field data, test data, theoretical models, NC/CAPA
information, standards, regulations, and/or literature for similar products
For CQA identification purposes, the consequence of a significant departure fromdesign tolerance (i.e., the failure effect) is determined using any of the followingmethods or combination of methods:1. Judgment of engineering, quality assurance, clinical affairs, and/or marketing
personnel on the project team2. Inspection of Risk Management File info3. Inspection and analysis of field data, test data, theoretical models, NC/CAPA
information, standards, regulations, and/or literature for similar products
Practices to Translate Customer Requirements into CtQs