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risk-management-specialist

Medical device risk management specialist implementing ISO 14971 throughout product lifecycle. Provides risk analysis, risk evaluation, risk control, and post-production information analysis.

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Files included (7)

  • SKILL.md7.4 KB
  • references/extended-risk-domains.md17.0 KB
  • references/iso14971-implementation-guide.md14.1 KB
  • references/risk-analysis-methods.md13.0 KB
  • references/risk-process.md13.1 KB
  • references/templates-and-tools.md7.2 KB
  • scripts/risk_matrix_calculator.py13.9 KB

SKILL.md (original)

Review the instructions the agent will receive before you install.

Risk Management Specialist

ISO 14971:2019 risk management implementation throughout the medical device lifecycle — planning, hazard analysis, risk evaluation, risk control, residual-risk assessment, and post-production monitoring — extended for AI/ML, cybersecurity (IEC 81001-5-1), supply chain, and cross-framework alignment (NIST CSF, DORA, NIS2).

Core Capabilities

  • Risk management planning — scope, 5x5 acceptability matrix, RACI, verification and post-production planning
  • Risk analysis & evaluation — hazard identification across 9 categories, P1-P5 / S1-S5 estimation, ALARP, benefit-risk triggers
  • Risk control — priority hierarchy (inherent safety → protective measures → information for safety), verification methods, residual-risk evaluation
  • Post-production monitoring — information sources, review triggers, RM-file update procedures, periodic review
  • Extended domains — AI/ML risk (bias, drift, adversarial inputs), health-software cybersecurity, supply chain risk, cross-framework mapping

When to Use

  • Implementing ISO 14971:2019 across the device lifecycle
  • Building a hazard analysis / risk register using FMEA, FTA, HAZOP, or Use Error Analysis
  • Evaluating residual risk and demonstrating ALARP or benefit-risk acceptability
  • Extending risk management to AI/ML devices, cybersecurity, or supply chain
  • Setting up post-production risk monitoring and Risk Management File update triggers

Clarify First

Before running the risk assessment, settle the inputs below. When one is missing or vague and would change the result, ask about it; when it wouldn't, use a sensible default and say which one you used.

  • Device and intended use: what it is and its use context (drives the hazard categories and benefit-risk analysis).
  • Lifecycle stage: planning, hazard analysis, risk control, or post-production (picks the workflow).
  • Acceptability criteria: the 5x5 matrix thresholds and ALARP definition (determines the risk-evaluation outcomes).

Ask about the two or three inputs that matter most for this request, not the whole list. If the user wants a result straight away, produce it and state your assumptions at the top.

Quick Start

# ISO 14971 risk level (probability × severity, 1-5 each)
python scripts/risk_matrix_calculator.py --probability 3 --severity 4

# FMEA Risk Priority Number (severity / occurrence / detection, 1-10 each)
python scripts/risk_matrix_calculator.py --fmea --severity 8 --occurrence 4 --detection 3

# Guided interactive assessment, or list the full criteria scales
python scripts/risk_matrix_calculator.py --interactive
python scripts/risk_matrix_calculator.py --list-criteria

References

Load the reference that matches the task — keep this file lean and pull detail on demand:

  • references/risk-process.md — full ISO 14971 process: planning, analysis, evaluation, control, and post-production workflows; 5x5 acceptability matrix; probability/severity criteria; hazard checklist; and the decision frameworks. Read when executing any lifecycle stage.
  • references/risk-analysis-methods.md — FMEA, FTA, HAZOP, Use Error Analysis, and software hazard analysis methods. Read when choosing and applying a hazard-analysis technique.
  • references/iso14971-implementation-guide.md — complete ISO 14971:2019 implementation framework with templates. Read for clause-level implementation detail.
  • references/templates-and-tools.md — Hazard Analysis / FMEA worksheets, Risk Management Report template, full risk_matrix_calculator.py flag reference, troubleshooting table, and success criteria. Read when documenting assessments or diagnosing tool issues.
  • references/extended-risk-domains.md — AI/ML risk categories and methodology, IEC 81001-5-1 cybersecurity integration, supply chain risk, post-market monitoring automation, combined safety-security FMEA, and NIST CSF / DORA / NIS2 cross-framework mapping. Read for connected, software, or AI-enabled devices.

Scope & Limitations

In Scope:

  • ISO 14971:2019 risk management process implementation (planning, analysis, evaluation, control, residual risk, production/post-production)
  • 5x5 risk matrix calculation and FMEA RPN scoring
  • Hazard analysis methodology guidance (FMEA, FTA, HAZOP, Use Error Analysis, PHA)
  • Risk control hierarchy application and verification planning
  • Benefit-risk analysis framework
  • Post-production risk monitoring and risk file update triggers
  • AI/ML-specific risk management extensions (model bias, drift, adversarial inputs)
  • Cybersecurity risk integration per IEC 81001-5-1
  • Supply chain risk assessment methodology
  • Cross-framework risk mapping (ISO 14971, NIST CSF, DORA, NIS2)

Out of Scope:

  • Clinical investigation design or execution (risk management informs clinical strategy but does not execute studies)
  • Software hazard analysis per IEC 62304 (the skill references software risk but detailed software lifecycle management requires IEC 62304 expertise)
  • Biocompatibility testing or ISO 10993 evaluation (the skill identifies biological hazards but does not execute biocompatibility testing)
  • Cybersecurity penetration testing or vulnerability scanning (use infrastructure-compliance-auditor for technical security testing)
  • CAPA root cause analysis execution (use capa-officer for 5-Why, Fishbone, FTA, FMEA-based root cause investigation)
  • Regulatory submission of risk management files (use regulatory-affairs-head for submission strategy and packaging)

Integration Points

SkillIntegration
quality-manager-qms-iso13485Risk management (Clause 7.1) integrates with QMS product realization planning; risk file is part of the Design History File
capa-officerPost-market risk signals may trigger CAPA; CAPA root cause analysis methods (FMEA, FTA) overlap with risk analysis techniques
regulatory-affairs-headRisk management file is required for FDA submissions and EU MDR Technical Documentation; benefit-risk analysis supports clinical evaluation
quality-documentation-managerRisk management file and records must be controlled per document control procedures (Clause 4.2)
fda-consultant-specialistFDA cybersecurity guidance (2025 update) requires integration of security risks into ISO 14971 processes for premarket submissions
infrastructure-compliance-auditorTechnical security controls validated by the infrastructure auditor serve as risk mitigations for cybersecurity threats in the risk assessment
nist-csf-specialistNIST CSF risk assessment (ID.RA) maps to ISO 14971 hazard identification and risk estimation; unified risk register possible

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