| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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9 | Initial Risk | Residual Risk | ||||||||||||||||||||||||
10 | Risk ID | Hazards | Foreseeable Sequence of Events | Hazardous Situations | Harms | Severity | PO | Risk Level | Risk Controls (Mitigation(s)) | Control Verifications | Control implemented? (Y/N) | Severity | PO | Risk Level | Initial Benefit Risk Assessment (BRA) (only required for risk that are orange or red) | |||||||||||
11 | R-Technical-1 | Electrical Shock | Repeated use and cleaning can lead to failure of insulation on electrical components. | An uninsulated, electrical component is openly exposed, meaning that it can come into contact with user/patient skin and deliver an electrical shock. | Patient or user is burned by electrical shock. | 4 | 2 | 8 | Device case is design so electrical components have layer of insulation in between user contacting surfaces | Repeated cleaning testing with inspection for insulation damage. IEC 60601 (electrical safety) 3rd party evaluation and testing | N | 4 | 1 | 4 | N/A | |||||||||||
12 | R-Technical-2 | Rotational Component Malfunction | Failure of rotational components (motor, gears) to respond to signal input from letting go of the button (the button is stuck) and rotation does not stop | The rotation of the needle is not able to be stopped at the end of the procedure and damages the breast upon removal. | Upon removal of the needle, the patient experiences pain, tissue damage, and a larger wound | 3 | 1 | 3 | Failsafe switch incorporated into the device, that turns of all electrical mechanisms as soon as it is activated. | The device will be tested numerous times in order to determine the number of times the device can be used before component malfunction. IEC 60601-1 service life test | N | 3 | 1 | 3 | N/A | |||||||||||
13 | R-Technical-3 | Vibrational Component Malfunction | Failure of vibrational components (motor) to respond to signal input from letting go of the button (the button is stuck) and rotation does not stop | The vibration of the needle is not able to be stopped at the end of the procedure and damages the breast upon removal. | Upon removal of the needle, the patient experiences pain, tissue damage, and a larger wound | 3 | 1 | 3 | Failsafe switch incorporated into the device, that turns of all electrical mechanisms as soon as it is activated. | The device will be tested numerous times in order to determine the number of times the device can be used before component malfunction. IEC 60601-1 service life test | N | 3 | 1 | 3 | N/A | |||||||||||
14 | R-Technical-4 | Linear Component Malfunction | Failure of linear components (motor, gears) to respond to signal input from letting go of the button (the button is stuck) and rotation does not stop | The linear motion of the needle is not able to be stopped at the end of the procedure and damages the breast upon removal. | Upon removal of the needle, the patient experiences pain, tissue damage, a larger wound, or additional needle puncture sites | 3 | 2 | 6 | Failsafe switch incorporated into the device, that turns of all electrical mechanisms as soon as it is activated. | The device will be tested numerous times in order to determine the number of times the device can be used before component malfunction. IEC 60601-1 service life test | N | 3 | 1 | 3 | N/A | |||||||||||
15 | R-Technical-5 | Improperly secured needle | Part of/entire needle can be broken off due to force of passes, dislodged due to excessive movement, and/or improper securement of the needle to the device. | The needle breaks off into the patient's breast during the procedure. | The retained needle may cause pain, injury, and may require surgery to remove the needle, followed by appropriate care. | 3 | 3 | 9 | Design the single use cartridge to be luer lock compatible so that the needles can be properly secured to the device during the procedure. | A semi-automatic test on the Luer Lock bore connectors will be performed using a zwicki Line testing machine with torsion drive. ISO 80369 Luer-lock compatibility test | N | 3 | 1 | 3 | N/A | |||||||||||
16 | R-Technical-6 | Device is difficult to sterilize | Improper device sterilization and tissue cross contamination causes infection during the device's use on a new patient. | During the procedure, the single use cartridge is not airtight. This causes previous patient's tissue to come into contact with the device. Therefore when the device is used on a new patient, there is a chance of this contaminant tissue coming into contact with the new patient's tissue. | The patient experiences an immune response and the wound site becomes infected, and the infection may spread to the rest of the patient's body if timely care is not provided. | 3 | 5 | 15 | Design an airtight single use cartridge that is able to connect the disposable syringe and needle. | We will be outsourcing sterilization testing to Charles River Laboratories. ISO/TS 22456:2021 Sterilization test | N | 3 | 3 | 9 | The probability of occurrence is occasional (1 in 10,000) and infection is an issue that can be resolved with a round of antibiotics. On the other hand, the risk of the cancer progressing without a proper diagnosis could be fatal, with a 25% increased risk of death for every 60 days of delayed treatment for late-stage breast cancer for women in Uganda.. | |||||||||||
17 | R-Operability-1 | Motion of the needle makes it difficult to control the device | The clinician loses their grip on the device/the patient moves unexpectedly causing them to lose control of the device. | The loss of device control results in the needle rupturing a major blood vessel and increasing agitation/damage of surrounding tissue. | The patient experiences excessive bleeding (hematoma/hemorrhage) that will require further treatment and care. | 3 | 3 | 9 | Incorporate a damping system near the grip of the device to minimize shaking of the device near the clinician's grip | A semi-automatic test on the Luer Lock bore connectors on the cartridge will be performed using a zwicki Line testing machine with torsion drive. ISO 80369 Luer-lock compatibility test | N | 3 | 2 | 6 | N/A | |||||||||||
18 | R-Operability-2 | Difficulty in maintaining grip of the device | The needle punctures a region of the patient or the operator that is not the lesion of interest due to losing grip on the device and/or accidental disturbances. | The needle sticks the user or the patient in an area that is not the lesion, drawing blood. | The patient or user is injured, and there is a risk of contamination if the needle enters different people. There may be blood loss and stitches may even be required. | 2 | 5 | 10 | Develop a rubber ergonomic grip to help clinicians hold the device securely. | A randomized clinical survey with a high sample size will investigate the amount of control offered by this grip. ISO 6385:2016 Ergonomics test | Y | 2 | 1 | 2 | N/A | |||||||||||
19 | R-Operability-3 | Device is difficult to aim during insertion | The clinician aims the device perpendicularly to the breast, causing the needle to puncture the lungs. | The needle goes too far into the breast and enters the lungs. | The patient's lung collapses. | 5 | 1 | 5 | Implement a level angle gauge into the device to help more clearly indicate the angle of insertion to the clinician. | Test different angles and determine if the level angle gauge responds, in accordance with ISO/TR 230-11:2018 to test the geometric accuracy | N | 5 | 1 | 5 | N/A | |||||||||||
20 | R-Patient-1 | Agitational motion could loosen cancer cells from the tumor microenvironment | During the procedure, the excess localized agitation of the needle in the tumour causes cancerous cells to break of from the tumour and enter the bloodstream. | The loosened cancer cells from the tumor microenvironment are able to spread into neighboring tissue and blood vessels, increasing the likelihood of metastasis. | Increased spread of tumour cells can cause metastasis of the cancer, thereby causing patient symptoms to severely worsen. | 5 | 1 | 5 | Mandatory training showing the controls and handling of the device is required prior to purchasing and using device to ensure minimal harm to the patient. | Determine whether the use of the device increases metastasis in animal models significantly. | N | 5 | 1 | 5 | N/A | |||||||||||
21 | R-Patient-2 | Agitational motion increases agitation to more tissue than just the lesion | The agitational motion of the needle increases agitation to the breast tissue | As the needle is moving in the breast, more tissue is being damaged | The patient experiences inflammation, pain, bruising | 2 | 5 | 10 | Mandatory training showing the controls and handling of the device is required prior to purchasing and using device to ensure minimal harm to the patient. | Determine whether the use of the device causes inflammation, pain, and bruising in animal models significantly. | N | 2 | 4 | 8 | The probability of occurrence is remote (1 in 100,000) and trauma/bruising is an issue that can be resolved with painkillers. On the other hand, the risk of the cancer progressing without a proper diagnosis could be fatal, with a 25% increased risk of death for every 60 days of delayed treatment for late-stage breast cancer for women in Uganda. | |||||||||||
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