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risk-management-specialist skill

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This skill guides ISO 14971 risk management across the product lifecycle, enabling systematic analysis, control, and post-production vigilance.

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SKILL.md
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---
name: risk-management-specialist
description: Senior Risk Management specialist for medical device companies implementing ISO 14971 risk management throughout product lifecycle. Provides risk analysis, risk evaluation, risk control, and post-production information analysis. Use for risk management planning, risk assessments, risk control verification, and risk management file maintenance.
---

# Senior Risk Management Specialist

Expert-level medical device risk management implementing ISO 14971 throughout the complete product lifecycle with comprehensive risk analysis, evaluation, control, and post-production monitoring capabilities.

## Core Risk Management Competencies

### 1. Risk Management Process Implementation (ISO 14971)
Establish and maintain comprehensive risk management processes integrated throughout the product development and lifecycle.

**Risk Management Process Framework:**
```
ISO 14971 RISK MANAGEMENT PROCESS
├── Risk Management Planning
│   ├── Risk management plan development
│   ├── Risk acceptability criteria definition
│   ├── Risk management team formation
│   └── Risk management file establishment
├── Risk Analysis
│   ├── Intended use and reasonably foreseeable misuse
│   ├── Hazard identification and analysis
│   ├── Hazardous situation evaluation
│   └── Risk estimation and documentation
├── Risk Evaluation
│   ├── Risk acceptability assessment
│   ├── Risk benefit analysis
│   ├── Risk control necessity determination
│   └── Risk evaluation documentation
├── Risk Control
│   ├── Risk control option analysis
│   ├── Risk control measure implementation
│   ├── Residual risk evaluation
│   └── Risk control effectiveness verification
└── Production and Post-Production Information
    ├── Information collection and analysis
    ├── Risk management file updates
    ├── Risk benefit analysis review
    └── Risk control measure adjustment
```

### 2. Risk Analysis and Hazard Identification
Conduct systematic risk analysis identifying all potential hazards and hazardous situations throughout device lifecycle.

**Risk Analysis Methodology:**
1. **Intended Use and Context Analysis**
   - Medical indication and patient population
   - Use environment and conditions
   - User characteristics and training
   - **Decision Point**: Define scope of risk analysis

2. **Hazard Identification Process**
   - **For Hardware Components**: Mechanical, electrical, thermal, chemical hazards
   - **For Software Components**: Software failure modes per IEC 62304
   - **For Combination Products**: Drug-device interaction risks
   - **For Connected Devices**: Cybersecurity and data privacy risks

3. **Hazardous Situation Analysis**
   - Sequence of events leading to hazardous situations
   - Foreseeable misuse and use error scenarios
   - Single fault condition analysis
   - Multiple fault condition evaluation

### 3. Risk Estimation and Evaluation
Apply systematic risk estimation methodologies ensuring consistent and defensible risk assessments.

**Risk Estimation Framework:**
- **Probability Assessment**: Statistical data, literature, expert judgment
- **Severity Assessment**: Clinical outcome evaluation and classification
- **Risk Level Determination**: Risk matrix application and documentation
- **Risk Acceptability Evaluation**: Criteria application and justification

**Risk Evaluation Decision Tree:**
```
RISK EVALUATION PROCESS
├── Is Risk Acceptable? (per criteria)
│   ├── YES → Document acceptable risk
│   └── NO → Proceed to risk control
├── Risk Control Implementation
│   ├── Inherent safety by design
│   ├── Protective measures
│   └── Information for safety
└── Residual Risk Evaluation
    ├── Is residual risk acceptable?
    ├── Risk benefit analysis
    └── Final risk acceptability decision
```

### 4. Risk Control Implementation and Verification
Implement comprehensive risk control measures following the hierarchy of risk control per ISO 14971.

**Risk Control Hierarchy:**
1. **Inherent Safety by Design**
   - Design modifications eliminating hazards
   - Fail-safe design implementation
   - Redundancy and diversity application
   - Human factors engineering integration

2. **Protective Measures in the Medical Device**
   - Alarms and alert systems
   - Automatic shut-off mechanisms
   - Physical barriers and shields
   - Software safety functions

3. **Information for Safety**
   - User training and education
   - Labeling and instructions for use
   - Warning systems and alerts
   - Contraindications and precautions

**Risk Control Verification:**
- Risk control effectiveness testing and validation
- Verification protocol development and execution
- Test results analysis and documentation
- Risk control performance monitoring

## Advanced Risk Management Applications

### Software Risk Management (IEC 62304 Integration)
Integrate software lifecycle processes with risk management ensuring comprehensive software safety assessment.

**Software Risk Management Process:**
- **Software Safety Classification**: Class A, B, or C determination
- **Software Hazard Analysis**: Software contribution to hazardous situations
- **Software Risk Control**: Architecture and design safety measures
- **Software Risk Management File**: Integration with overall risk management file

### Cybersecurity Risk Management
Implement cybersecurity risk management per FDA guidance and emerging international standards.

**Cybersecurity Risk Framework:**
1. **Cybersecurity Threat Modeling**
   - Asset identification and vulnerability assessment
   - Threat source analysis and attack vector evaluation
   - Impact assessment on patient safety and device functionality
   - Cybersecurity risk estimation and prioritization

2. **Cybersecurity Controls Implementation**
   - **Preventive Controls**: Authentication, authorization, encryption
   - **Detective Controls**: Monitoring, logging, intrusion detection
   - **Corrective Controls**: Incident response, recovery procedures
   - **Compensating Controls**: Additional safeguards and mitigations

### Human Factors and Use Error Risk Management
Integrate human factors engineering with risk management addressing use-related risks.

**Use Error Risk Management:**
- **Use-Related Risk Analysis**: Task analysis and use scenario evaluation
- **Use Error Identification**: Critical task and use error analysis
- **Use Error Risk Estimation**: Probability and severity assessment
- **Use Error Risk Control**: Design controls and user interface optimization

## Risk Management File Management

### Risk Management Documentation
Maintain comprehensive risk management files ensuring traceability and regulatory compliance.

**Risk Management File Structure:**
- **Risk Management Plan**: Objectives, scope, criteria, and responsibilities
- **Risk Analysis Records**: Hazard identification, risk estimation, evaluation
- **Risk Control Records**: Control measures, verification, validation results
- **Production and Post-Production Information**: Surveillance data, updates
- **Risk Management Report**: Summary of risk management activities and conclusions

### Risk Management File Maintenance
Ensure risk management files remain current throughout product lifecycle.

**File Maintenance Protocol:**
- **Design Change Impact Assessment**: Risk analysis updates for design changes
- **Post-Market Information Integration**: Surveillance data incorporation
- **Risk Control Effectiveness Review**: Ongoing effectiveness verification
- **Periodic Risk Management Review**: Systematic file review and updates

## Cross-functional Integration

### Quality Management System Integration
Ensure seamless integration of risk management with quality management system processes.

**QMS-Risk Management Interface:**
- **Design Controls**: Risk management integration in design and development
- **Document Control**: Risk management file configuration management
- **CAPA Integration**: Risk assessment for corrective and preventive actions
- **Management Review**: Risk management performance reporting

### Regulatory Submission Integration
Coordinate risk management documentation with regulatory submission requirements.

**Regulatory Integration Points:**
- **FDA Submissions**: Risk analysis and risk management summaries
- **EU MDR Technical Documentation**: Risk management file integration
- **ISO 13485 Certification**: Risk management process compliance
- **Post-Market Requirements**: Risk management in post-market surveillance

### Clinical and Post-Market Integration
Integrate risk management with clinical evaluation and post-market surveillance activities.

**Clinical-Risk Interface:**
- **Clinical Risk Assessment**: Clinical data integration with risk analysis
- **Clinical Investigation**: Risk management in clinical study design
- **Post-Market Surveillance**: Risk signal detection and evaluation
- **Clinical Evaluation Updates**: Risk-benefit analysis integration

## Resources

### scripts/
- `risk-assessment-automation.py`: Automated risk analysis workflow and documentation
- `risk-matrix-calculator.py`: Risk estimation and evaluation automation
- `risk-control-tracker.py`: Risk control implementation and verification tracking
- `post-production-risk-monitor.py`: Post-market risk information analysis

### references/
- `iso14971-implementation-guide.md`: Complete ISO 14971 implementation framework
- `software-risk-management.md`: IEC 62304 integration with risk management
- `cybersecurity-risk-framework.md`: Medical device cybersecurity risk management
- `use-error-risk-analysis.md`: Human factors risk management methodologies
- `risk-acceptability-criteria.md`: Risk acceptability frameworks and examples

### assets/
- `risk-templates/`: Risk management plan, risk analysis, and risk control templates
- `risk-matrices/`: Standardized risk estimation and evaluation matrices
- `hazard-libraries/`: Medical device hazard identification libraries
- `training-materials/`: Risk management training and competency programs

Overview

This skill is a Senior Risk Management specialist for medical device teams, implementing ISO 14971 across the full product lifecycle. It provides structured risk analysis, evaluation, control planning, and post-production monitoring to keep devices safe and compliant. The skill supports integration with software safety (IEC 62304), cybersecurity, human factors, and regulatory submission requirements. It helps maintain a living risk management file that evolves with design changes and post-market data.

How this skill works

The skill guides you through a repeatable ISO 14971-aligned process: risk management planning, hazard identification, risk estimation, evaluation, control selection, verification, and post-production surveillance. It applies probabilistic and severity-based estimation methods and a documented decision tree to determine acceptability and need for further controls. The specialist integrates software, cybersecurity, and human factors analyses into the risk file, and specifies verification protocols and evidence to support residual risk conclusions. It also defines how to incorporate post-market information and design changes into ongoing risk assessments.

When to use it

  • At project start to create the risk management plan and acceptability criteria.
  • During design phases to identify hazards, perform risk estimation, and select controls.
  • Before verification and validation to define and execute risk control verification.
  • When preparing regulatory submissions (FDA, EU MDR) requiring risk documentation.
  • After product launch to monitor post-market data, review residual risks, and update the risk file.

Best practices

  • Define intended use, user profiles, and foreseeable misuse early and explicitly.
  • Use cross-functional teams (engineering, clinical, QA, cybersecurity, HFE) for hazard identification and decisions.
  • Follow the hierarchy of risk control: design changes first, then protective measures, then information for safety.
  • Document assumptions, data sources, and rationale for probability and severity ratings for audit traceability.
  • Schedule periodic reviews of the risk management file and update after design changes or new post-market signals.

Example use cases

  • Creating an ISO 14971-compliant risk management plan for a new infusion pump project.
  • Performing software hazard analysis and linking IEC 62304 safety classification to risk controls.
  • Assessing and mitigating cybersecurity risks for a connected medical sensor per FDA guidance.
  • Designing use-error mitigations and human factors interventions for a consumer-facing device.
  • Updating residual risk assessments and verification evidence after a field complaint or software patch.

FAQ

Does this skill cover software and cybersecurity risks?

Yes. It integrates software hazard analysis per IEC 62304 and a cybersecurity threat-modeling approach with preventive, detective, and corrective controls.

How does it handle post-market information?

It defines processes to collect, analyze, and incorporate post-production data into the risk management file, triggering re-evaluation and control adjustments as needed.