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Requirements Into CtQs
Practices To Translate Customer

Category B:
How Do You translate Customer
Requirements into CtQs?

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Practices to Translate Customer Requirements into CtQs

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Table of Contents
Practices to Translate Customer Requirements into CtQs
1. Quality Functional Deployment model, QFD
2. Requirements Cascade
3. Key Tools
4. Risk Management
5. Quality Tree model
6. Design and Process CTQs
7. CTQ Cascade model
8. CTQ Flow-down model
9. Managing Requirements
10. Critical Parameter Management Process Model
11. Critical Quality Attributes (CQA) Model
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Requirements Into CtQs

Model
Quality Function Deployment
Practices to Translate Customer Requirements into CtQs

B
Company:  Medical Devices
 10,001 + employees
 Global

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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
Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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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)
Practices to Translate Customer Requirements into CtQs

A
Company:  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 on
customer satisfaction

 Glossary of terms:
 House of Quality: Also called QFD [Quality Function Deployment] is tool used
to systematically translate customer requirements into quantitative
parameters that can be used to develop a concept and select a product
solution.
 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

A
Company:  Medical Devices
 1001-5000 employees
 North America

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Practices to Translate Customer Requirements into CtQs

A
Company:  Medical Devices
 1001-5000 employees
 North America

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Core Process Using Quality Function


Deployment
• 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

A
Company:  Medical Devices
 1001-5000 employees
 North America

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QFD Tool example QFD HOUSE 1

ROOF: CORRELATION
P M Star rating of facilty
R E
event satisfaction score
E A
C
D S # customer complaints
T
I U
Q # cu feet per person
C R
'
T E # entrée options
S
I S
noise level
V
E = taste rating

Direction of
ROOF Improvement

CORRELATION ROOM 4 PREDICTIVE MEASURES =CTQ'S

Strong Synergy ++ RELATIONSHIP KEY

event satisfaction score


+

# customer complaints
Synergy Strong 9 Competition Key:

# cu feet per person


X

Star rating of facilty


Weak Conflict Medium 3

# entrée options
Machine Machine Machine
High Conflict XX Weak 1 1 2 3
taste rating
noise level

Importance
Customers' Desired Outcomes CUSTOMER PERCEPTION:
SATISFACTION LEVEL
Primary Want Secondary Want 1 2 3 4 5
Excellent
Compan
y Party good food 9 9 3 9 9 5.0
good music 3 3 3 9 9 3.0

able to converse without


screaming 1 9 3 9 1.0
easy to mingle around 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


HOW IMPORTANT
% Importance 17 6 14 3 9 28 23
Practices to Translate Customer Requirements into CtQs

A
Company:  Medical Devices
 1001-5000 employees
 North America

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The 5 Core Principles


1. Product design is simply the successive refinement of requirements
All specifications are simply means to communicate requirements to the next level of
hierarchy through an unbroken cascade.
2. Nothing is more important to success than managing requirements
Requirements must be complete, concise, unambiguous, measurable and wholly transparent
to all participants. They are the basis for schedules, reviews, testing, metrics, regulatory
submissions, customer satisfaction, and continuous improvement.
3. Mitigations and residual risks are requirements that must be managed
All failure modes, including use error & foreseeable misuse, must be traced to hazardous
situations & all hazardous situations must be traced to potential harms.
4. Evidence of conformance must identify the design configuration
Prototypes are cost, not progress. Learning is progress. Configurations used for verification
must include assessments showing the configuration tested is equivalent to the design being
released.
5. Program Management relies on standard work and objective metrics
# +Δ requirements, # +Δ protocols w/GR&R, # +Δ protocols run, % +Δ req verified, % +Δ
processes w/capability estimated, % +Δ processes w/capability verified. Chronological hours
since 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.
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Requirements Into CtQs

Requirements Cascade
Practices to Translate Customer Requirements into CtQs

A
Company:  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 requirements
are 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

A
Company:  Medical Devices
 1001-5000 employees
 North America

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Requirements Cascade
y Requirement

f( )
x REQ 1 REQ 2 REQ 3

REQ 1-1 REQ 1-2 REQ 1-3 REQ 1-4 REQ 1-1 REQ 1-2

REQ 1-1 REQ 1-2 REQ 1-3


3 elements of a cascade
• Parent requirement [y]
• Child requirement [x] • Y Requirements guide concept
• Transfer function [f()] development and selection
• Concepts dictate transfer functions
From “The METHOD,” multiple copyrights
2006-2013 • Design worksheets determine Xs
Practices to Translate Customer Requirements into CtQs

A
Company:  Medical Devices
 1001-5000 employees
 North America

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Requirements Into CtQs

Key Tools
Practices to Translate Customer Requirements into CtQs

B
Company:  Medical Devices
 10,001 + employees
 Global

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Key tools used By Phase


Concept Definition Development Qualification
– VOC • Monte Carlo • Critical Parameter • Critical Parameter
gathering Models Management Management
• KJ VOC • Design / • Design Capability
Analysis Application FMEA Assessment
• QFD / HoQ • Measurement • Mfg Capability
• Concept Eval Systems Analysis Assessment
& Selection - (MSA)
Pugh Matrix • Screening /
Advanced DOE’s
• Transfer Functions
: Defined, Ranked
& Prioritized
• Monte Carlo
simulations
Practices to Translate Customer Requirements into CtQs

I
Company:  Medical Devices
 10,001 + employees
 Global

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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, cost
etc.
 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 risk
classification determination of CtQ in the design controls process.
Practices to Translate Customer Requirements into CtQs

I
Company:
 Medical Devices
 10,001 + employees
 Global

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How Do You Translate Customer


Requirements 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 “X”

DF CE = Customer Experience

DF R = Reliability

DF M = Manufacturability

DF S = Serviceability

DF C = Cost
Practices to Translate Customer Requirements into CtQs

I
Company:  Medical Devices
 10,001 + employees
 Global

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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 determinants
of 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 innovation
and software quality assurance.
Practices to Translate Customer Requirements into CtQs

I
Company:
 Medical Devices
 10,001 + employees
 Global

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A Five Pillar QA Program Supports Good


Design and DfX Practices
Supplier assurance – how to work with suppliers & flow down
of CtQ’s
Process assurance – how to do process control and process
validation of automated test systems
Product assurance – how to conduct post market surveillance
and enhance the customer experience
Design cycle and innovation assurance – how to control design
processes (e.g., CMMI)
Software validation & assurance – how to ensure product SW
is robust and bug-free
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Requirements Into CtQs

Risk Management
Practices to Translate Customer Requirements into CtQs

C
Company:  Medical Devices
 10,001 + employees
 Global

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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
Practices to Translate Customer Requirements into CtQs

C
Company:  Medical Devices
 10,001 + employees
 Global

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Risk Management is integrated into design


and development process
as part of the PLCP.

Product Hazard Analysis uses:


• Fault Tree Analysis
• Design FMEA
• Use FMEA

Level 3 represents unacceptable harm and


level 0,1, & 2 drive verification & validation
confidence statements which must be met.

Product Risk Index Matrix


5 1 2 2 3 3
Occurrence of Harm

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

C
Company:  Medical Devices
 10,001 + employees
 Global

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Why? CTQ monitor program is recommended to predict and prevent


unfavorable behavior

What? CTQ is a potentially vulnerable failure mode or process that is


key to assure patient safety
CTQ Screening:
1. Perform a failure - Failure Mode with high severity and RI (RI: 2 /
mode screening Options Severity: 4/5) –link to Risk Management
according to the CTQ processes.
decision flow and
- Vulnerable process - High Scrap, NCEPs and
create a preliminary
list /or Complaints
- Potentially affects patient safety

 IPM
2. Discard and select
5. Follow up and CTQs with proper
update plan rationale

 Response Flow
4. Create an 3. Propose and
analyze ideas for
implementation plan
making more robust
for the ideas selected
each selected CTQ
Practices to Translate Customer Requirements into CtQs

C
Company:  Medical Devices
 10,001 + employees
 Global

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Translating User Needs into Design Inputs


• Translates UserNeeds Needsinto into Design Inputs
• Translates User Design Inputs
o Assess Risks
Initiate Market Specification
o Develop
Initiate Market
productSpecification
specifications
o Develop product specifications
• Develop prototypes

o Identify possible design concepts, Test methods, design
o Identify possible design concepts, Test methods, design
prototypes, evaluate prototypes
prototypes, evaluate prototypes
• Develop equipment & process
• Develop equipment & process
o Assess process technology, develop and execute
o Assess process technology, develop and execute
equipment strategy
equipment strategy
• Define Supply Chain
• Define Supply Chain
o Define supplier plan, define concept builds, establish
o Define supplier plan, define concept builds, establish
supply chain strategy
supplyYouchain strategy
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

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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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 translated
into predictive, measureable performance values. These outputs can be tracked on
the CTQ Scorecard. The Risk Flow Down model is utilized to ensure that risks
associated 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

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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Requirements Management (RM) Tools to Support PDP

• Active RM allows flowing up process capability and


predicted performance to customer requirements

Market Req. Market Req.

Product Req. Product Req. + “Why” +


Performance
Assembly Req.
Assembly Req. + Performance
Component Req.
Component Req. +Performance
Process Req.
Process Req + “Why” + Capability

CTQ Flow down/up: CTQ Flow down/up:


What What, Why, How, Cost?
Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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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


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Requirements Into CtQs

Quality Tree Model


Practices to Translate Customer Requirements into CtQs

D
Company:  Medical Devices
 10,001 + employees
 Global

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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 shown
on this chart.
 Relevant FDA Regulations :
 21 C.F.R. §§ 820.30 (b), (c), (d), (e), and (f)
Practices to Translate Customer Requirements into CtQs

D
Company:  Medical Devices
 10,001 + employees
 Global

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Developing the Quality Tree


• Quality Tree should be developed by the team

• The project customer requirements, Engineering documentation and


knowledge 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

D
Company:  Medical Devices
 10,001 + employees
 Global

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Quality Tree Format


Practices to Translate Customer Requirements into CtQs

D
Company:  Medical Devices
 10,001 + employees
 Global

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Selecting Your CTQs


• Once the full Quality Tree has been completed, the
team needs to make intelligent choices on which
Characteristics should be labeled CTQ's.
• The Bottom line is assurance of quality as it relates
to Critical Customer Requirement(s)
• American Society for Quality (ASQ) defines
assurance of quality as the planned and systematic
activities implemented in a quality system so that
quality requirements for a product or service will be
fulfilled.
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Requirements Into CtQs

Design and Process CTQs


Practices to Translate Customer Requirements into CtQs

E
Company:  Medical Devices
 1001-5000 employees
 Global

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Design and Process CTQs


Critical to
Customer Critical to Critical to
Process Requirements
Customer
(CtC)
Drivers
Design (CtD) Process (CtP)

VOC KOL Product Design Process


Development Specification Requirements
Market Review
Assessment Procedures/ Product Use Design Risk Process Risk
Key Activities

Cases Assessment Assessment


QFD
Prototype Design Process
Verification Validation
product

QFD

CtQ
Practices to Translate Customer Requirements into CtQs

E
Company:  Medical Devices
 1001-5000 employees
 Global

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Translating Customer Requirements to CtQs:


• The many customer requirements are distilled down to
the Critical to Customer (CtC) – VoC, KOL, Market
Assessments, product review
• The CtC are translated down to Key Drivers by the use of
DFQ 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

E
Company:  Medical Devices
 1001-5000 employees
 Global

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CtQ in Product Development


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Requirements Into CtQs

CTQ Cascade Model


Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade

Customer Needs and Requirements


User Issues

User Needs/Requirements

Functions to Meet User Needs


Concepts to Meet the Functions
Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade
Customer Needs and Requirements

Product Requirements
Measureable Performance
Requirements
Architecture: Subcomponents?

Attributes/ Properties/ Specifications


Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade
Customer Needs and Requirements

Product Requirements

Process Requirements

Raw Material Properties,


Specifications , Sources of Variation
Critical Process Variables,
Requirements
Equipment Requirements,
Sources of Variation
Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade
Customer Needs and Requirements

Product Requirements

Process Requirements

Risk Mitigation Strategies and Controls

Risks

Mitigations, Controls

Improve Chances of Success Proactively


Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade
Customer Needs and Requirements

Product Requirements

Process Requirements

Risk Mitigation Strategies and Controls


Verification and Validation

Specifications, Critical Testing


Practices to Translate Customer Requirements into CtQs

F
Company:  Hospital & Health Care
 10,001 + employees
 Global

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CTQ Cascade
Customer Needs and Requirements

Product Requirements

Process Requirements

Risk Mitigation Strategies and Controls


Verification and Validation
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Requirements Into CtQs

CTQ Flowdown Model


Practices to Translate Customer Requirements into CtQs

G
Company:  Medical Devices
 5001-10,000 employees
 Global

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Critical to Quality (CTQ) Flow down


Voice of
Customer
Function

Parts

Dimensions

Capability

Match Capability Vs. Goal

Launch
Practices to Translate Customer Requirements into CtQs

G
Company:  Medical Devices
 5001-10,000 employees
 Global

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CTQ Flow Down


Post Market Clinical Marketing Focus Groups Repairs Complaints Regulatory
Surveillance

Therapy system shall deliver the prescribed negative pressure to the wound site when
Voice of the Customer powered on
(User needs)
Access Risk level
Technical Requirements Therapy unit shall maintain pressure within ±x mmHg of target pressure from Top Down*
and Usability *
perspective

Part Drawings – (Link to Therapy Unit, Canister, Dressing (e.g. drape), System Interactions (sub-assembly) Link to DFMECA
for Risk
DFMEA for Risk)
Carry over to
Pump Flow rate Drape adhesive properties Canister – Unit interface PFMEA
CTQ Characteristics Pump Diaphragm characteristics

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 to
the design. 48
• Usability risk analysis: evaluates the potential hazards related to the use or misuse of the product.
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Requirements Into CtQs

Managing Requirements
Practices to Translate Customer Requirements into CtQs

H
Company:  Medical Devices
 10,001 + employees
 Global

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Managing Requirements

Component
Reqs

Design Review
Trace to Design
Outputs

Process
Planning
Matrix
Practices To Translate Customer
Requirements Into CtQs

Critical Parameter Management


Process Model
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Practices to Translate Customer Requirements into CtQs

K
Company:  Medical Devices
 10,001 + employees
 Global

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CPM Process Model – Value Stream


Input
Customer
Feedback
Loops
Input

PDP Process
Design
Product UFMEA Material
Qualifications
Specifications DFMEA Specifications

Process Development
& Validations

Process & Process


Customer
Assembly PFMEA Qualifications
Complaints
Specifications & Validations

Risk Identification
Non-
Inspection Scrap Testing
conformance
Results Reporting Results
Reporting

& Mitigation
Control & Monitoring
Critical Parameters are identified in Design and translated
throughout the QMS and ultimately is used to focus control &
monitoring and prioritized feedback loops.
Practices to Translate Customer Requirements into CtQs

K
Company:  Medical Devices
 10,001 + employees
 Global

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CPM Process Model – Identification Targets - QE


Customer Each Quality Engineer has
been retrospectively
Input

Design
identifying their
Product
Specifications
UFMEA
DFMEA
Material
Specifications
Qualifications
& Validations Critical Parameters for their
assigned products
Process & Process
Customer
Assembly PFMEA Qualifications
Complaints
Specifications & Validations

Non-
Inspection Scrap Testing

The identified Critical Parameters are


conformance
Results Reporting Results
Reporting

then:
1. Assessed for capability Starting with complaints and
2. Mitigations defined working to the left, critical
3. Improvement plans created safety, performance and
4. Controls & Monitors implemented compliance parameters
identified
Practices to Translate Customer Requirements into CtQs

K
Company:  Medical Devices
 10,001 + employees
 Global

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CPM Process Model – Identification Targets - DA


Customer In a Prospective manner –
the development team, led
Input

Design
by DA, identifies their Critical
Product
Specifications
UFMEA
DFMEA
Material
Specifications
Qualifications
& Validations Parameters and rigorously
tests them.
Process & Process
Customer
Assembly PFMEA Qualifications
Complaints
Specifications & Validations

Starting with Customer Input


and working to the right, Inspection
Results
Scrap
Reporting
Testing
Results
Non-
conformance
Reporting

critical safety, performance


and compliance parameters The identified Critical Parameters are then:
1. Assessed for capability
identified
2. Risk assessed & Mitigations defined
3. Specifications created
4. Designs made robust
Transfer Function
5. Tested and optimized
CPyoutput = f(xinput) 6. Deployed to commercialization
Practices to Translate Customer Requirements into CtQs

K
Company:  Medical Devices
 10,001 + employees
 Global

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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.
Customer
Input

Design
Product UFMEA Material
Qualifications
Specifications DFMEA Specifications
& Validations

Process & Process


Customer
Assembly PFMEA Qualifications
Complaints
Specifications & Validations

Non-
Inspection Scrap Testing
conformance
Results Reporting Results
Reporting
Practices to Translate Customer Requirements into CtQs

K
Company:  Medical Devices
 10,001 + employees
 Global

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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 the


critical parameter and controls with
adjustments made as necessary.
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Requirements Into CtQs

Critical Quality Attributes Model


Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identification of Critical Quality


Attributes
1. Design Controls process (per QSR): Ensures that
Design
Design Inputs (including DI acceptance criteria) are
developed
developed that comprehensively meet the
equirements of the Intended Use and User Needs.
rrequirements

22.. Risk Management process (per ISO 14971): R eviews


Reviews
Design
Design Inputs to ensure that sufficient Design
Design Inputs
have
have been identified to address
address identified
identified Hazards.

33.. Design Con trols process ((per


Controls per QSR): Ensur es that
Ensures
De sign Outputs (including quality attributes) are
Design
developed
developed that comprehensively meet the Medical
requirements
requirements of the Design Inputs. Device
Hazards

Figure 2: Risk Management focus


Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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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/or
2. Design output specifications/tolerances (in the DMR)

DMR (Design)
1. Product drawings
“Refinement of Design Input” 2. Label text & artwork
(Product performance criteria) 3. Material specs
DIO Document 4. Software code
5. Product test specs
Intended Use/ DI # Design DI Acceptance criteria DI Acceptance DO # Design Outputs
User Need Input criteria Justification (PN/ Feature) Design Spec/tolerance 1-1-1-1
Design Spec/tolerance 1-1-1-2
1 1-1 xxxx Design Input Acceptance xxxx xxxx 1-1-1 Design PN/Feature 1-1-1 Design Spec/tolerance 1-1-1-3
criteria 1-1
1-1-2 Design PN/Feature 1-1-2
Design Spec/tolerance 1-1-2-1
Design Spec/tolerance 1-1-2-2
Design Spec/tolerance 1-1-2-3

Design Outputs
Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Example Critical Quality Attributes


Design Input Acceptance Criteria Design Output Specs/Tolerances

1. Implant tip radius, Internal


 Implant fixation force 1. Implant thickness, Device color component position
 Implant actuation 2. Product identification text on device 2. Warning text on device and IFU
sound 3. Implant material 3. Internal component material
 Drill heat 4. Software platform/revision 4. Software code for voltage
(temperature) 5. Drill torque, Voltage output, Sterility calibration
 Drill metal debris rate Assurance Level, Device weight, 5. Internal power supply test
Video resolution voltage, Software checksum,
Implant hardness

DIO Document
DMR (Design)
1. Product drawings
2. Label text & artwork
3. Material specs
Manufacturing has visibility of all 4. Software code
product design specs in the DMR 5. Product test specs
Design Outputs
Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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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 design
specifications (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
Quality
Quality
Attributes Attributes

Verify (Inspect) or Validate Verify (Inspect) or Validate


with more rigor
Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identification and Classification of Critical CQA’s


Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identify Critical CQAs


For a given quality attribute, if a significant departure from design tolerance
is predicted to result in unacceptable product quality (i.e., major customer
dissatisfaction and/or unacceptable risk), that quality attribute is identified
as a CQA.

Note: For most quality attributes, a large, unlimited departure from design
tolerance inevitably results in unacceptable product quality , but this does
not imply that most quality attributes are CQA’s. The main purpose of CQA
identification is to highlight those quality attributes for which a slight
departure from design tolerance has unacceptable consequences.
Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identify Critical CQAs


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, a


significant departure from design tolerance should be defined as
departure 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
Length
Design tolerance
5.20 5.40

5.10 5.50
Significant departure from
Design tolerance
(for CQA identification)

Figure: Significant departure from a linear design tolerance


Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identify Critical CQAs


• For discrete quality attributes, any departure from design tolerance may
be considered a significant departure, but project team personnel should
subjectively decide what constitutes a significant departure.

Example: For an implant, the color specification “green” might be


considered a CQA if manufacturing that implant as any color other than
green (e.g., “blue” or “red”) is predicted to result in unacceptable product
quality.
Practices to Translate Customer Requirements into CtQs

J
Company:  Medical Devices
 10,001 + employees
 Global

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Identify Critical CQAs


For CQA identification purposes, the consequence of a significant departure from
design tolerance (i.e., the failure effect) is determined using any of the following
methods or combination of methods:
1. Judgment of engineering, quality assurance, clinical affairs, and/or marketing
personnel on the project team
2. Inspection of Risk Management File info
3. Inspection and analysis of field data, test data, theoretical models, NC/CAPA
information, standards, regulations, and/or literature for similar products

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