hsDNA Podcast: Recent Episodes

Justin Starbird

The hsDNA Podcast is a conversation style discussion focused on human-centered product design. Justin Starbird hosts the hsDNA Podcast to touch on topics like combining researchers, human factors engineers, designers, engineers, marketing and manufacturing experts to create a team specifically tailored to client’s needs. At HS Design, the team works in the medical life science, surgical and consumer healthcare space to create patient-centric solutions. Conversations with the HSD Team, Clients & experts talk technology, business development, and best practices for medical product development.

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Most startups do not succeed.Whether that means liquidating all assets or missing projected deadlines, it's a disheartening fact. Choosing the right collaborative team to complement your startup's needs and competencies could be one key to success.For more than 40 years, HSD has been educating and guiding entrepreneurs through growth and development processes, sharing expertise, capabilities, and networks that have supported the creation of more than 400 successful products.In this podcast, Tor Alden, Global VP/GM Design, Development, and Human Factors for HS Design, a SteriPack company, discusses tips on how to choose the right partner for your startup with “5 Traps Startups Need to Watch Out for When Engaging with a Product Design Firm”.

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Martin Bakstad, the Director of the European Division for Design and Development for SteriPack, joins host Justin Starbird on the latest episode of hsDNA.

SteriPack is a contract manufacturer that helps blue-chip companies of this world and with their medical device and pharmaceutical industries. SteriPack preforms contract manufacturing services for class 1, 2, 3 devices and medical class 1, 2, 3 including molding, cleaning, and packaging that helps companies see their concepts through to commercialization and manufacturability.

Martin shared that working through the pandemic was “actually surprisingly easy. Everybody just got the status around working on Microsoft Teams and realized that there was no option to travel. Historically, we were traveling and spending a lot of time, effort and money to meet in-person. Now that there was only one option, white it can never replace a face-to-face meeting, we learned that a lot of people have also loved working from home. It cut out all the travels to and from work which made us more efficient as well.”

Recently his team was also recognized with the 2022 Gold Edison Award for their efforts on the novel Xpress Collect device to test for COVID-19.

As Martin explained, “Xpress Collect is a device that takes away the labor on the backside after testing (for COVID-19). From when the person has been tested, all the way through to a result, is what ur team has optimized with this product. It's a simple device where you take a dry-test and then you liquid without removing the swab which enables you to run high numbers through an automated system. It's novel in the terms that it revolutionized the way that the lab operates because there is literally very little manual labor involved in this.”

Listen as Justin and Martin discuss the challenges and success that came out of working with a global team to solve a pandemic issue with future plans to apply to other testing needs.

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Listen to the latest episode of hsDNA, as Michael Quinn, the VP of Design & Engineering for HS Design, joins host Justin Starbird to talk about how being agile and adhering to regulatory constraints is sometimes in conflict.

As everyone knows, the medical device development and manufacturing space is highly regulated. Everything has to have a process. Some people may hear agile and think programming or software, but the truth is you have to apply a process to every aspect of the design, build, and testing of a new product. As a result, it creates an enormous amount of structure that needs to be built. As Mike shares, "There's conflict between that agile methodology of development and the regulations on how to do development and that's where we're really walking a tightrope or a razor's edge between the two."

Mike discusses this conflict with Justin to explain how the HS Design Team has turned these areas that were once headaches, into opportunities.

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Today, we're talking to Bobby Boyer, Director of Product Development for HSD, and talking about the process of strategy and planning. Over the years, the capabilities of HSD have certainly widened, and the scope is a little bit bigger than it has been, but in the true sense, not much has changed either. HSD is still very attentive to the details of the customer, what their needs are, and making sure to build the best product possible.

The HSD process for strategy and planning is applied to a range of customers. From startups, that have an idea, all the way to Fortune 100 companies that have already created the idea and are about to send it to manufacturing. The process is dependent on what the clients needs are.

Creating prototypes, getting the industrial design, mechanical engineering factors aspect, are all incorporated into that design. If customers need the backend, which goes into manufacturing, then HSD also provides a design for manufacturing, packaging options, design for packaging, and labeling.

Listen as Bobby walks host Justin Starbird through each element and collaboration. You are listening to "hsDNA."

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On the latest episode of hsDNA, host Justin Starbird is joined by Tor Alden, Global Design Development and Human Factor Lead of HS Design, now a SteriPack company, and Mary Beth Privitera, Principal of Human Factors Engineering for HS Design.

There are a couple of things that are happening in the marketplace that are directly relevant to successful design in the medical device space. Users are getting more complex as they get more used to easy-to-use products in their daily lives. They expect it in their workplace as well, and medical devices fall into that genre.

As Mary Beth points out, "Another thing that's happening is that the regulatory agencies are really looking for strong device design that's validated through usability testings. It's one of the things where if you wait too long and you don't have a significant design, then you run into trouble just in getting over that hurdle. At the heart of it, I think good design is becoming increasingly a customer expectation for medical device users."

Listen as Tor and Mary Beth share their insights and boots-on-the-ground experience of what goes into making an award winning medical device project commercially successful.

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At HSD, we are fortunate to work with companies of all sizes. Some of our favorites are start-ups that are just out of the gate. Our passion is working with and teaching entrepreneurs what it takes to start a business and take a product from a concept all the way to commercialization.

On this episode of the podcast, hsDNA, Bobby Boyer, Director of Product Development joins Justin Starbird to talk about education and the overlaps between teaching and working with startups. In addition to his role here at HSD, Bobby is also an adjunct Professor at Rutgers University where he works with students to walk through the steps necessary to be successful as well as the pitfalls to avoid. We teach as we do here at HSD and continue to be committed to teaching everything from concept to human factors to patent processing and beyond!

Listen now!

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What is the state of medical device design going into 2021? Tor Alden, Principal of HS Design in Morristown, NJ joins host Justin Starbird to discuss as they open Season 2 of the hsDNA Podcast.

Tor shared that, having been been in consultancy for over 20 years, he thought he had seen it all. From corporate outsourcing trends, internalization, recessions, and booms, he had never saw a plague. Now he has! As he looked back on the year, Tor said, "The interesting thing beyond-- if you take COVID out of this year, HSD really had a fantastic year, we have been busy, we've moved into our new building so we've got more space, and we won an IDEA, International Design Award as well."

In Tor's experience from the year, "the real learning curve was how do we (HSD Team) interact with that big Brady Bunch of screen in front of us? Just seeing, how do we get that collaborative-ness. We've done it, but I am fearful in the future for new employees that come on board, they don't get that culture that you have, and you see... how does the industry as a whole or even us continue our HSD culture if we can't get together and interact together?

"We've been spending a lot of time and effort and money on trying to do that virtually. Hopefully we're successful, we hold (together) again. Pity if we can't have more fun and now it’s a little bit tedious. I think the good news is everybody's very caring about each other. Everybody's taking care of each other."

That is what has made HSD so successful this year, has been their ability to hold it together.

Listen as Tor walks us through what the rest of 2020 looks like and what to expect in 2021.

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Process of conducting a human factors validation study and the requirements

As Mary Beth Privitera stated on the most recent edition of the hsDNA podcast, this is one human factors methodology where the agency has done a really good job of communicating what their expectations are. It is also the one method that has some significant rules that must be adhered to in order to have an adequate validation test. The test runs like the other human factors studies where you are going to generate a protocol, you're going to go through the logistics, conduct testing, conduct the root cause analysis and report.

That said, there are some specific requirements that have to be included. For example, if it was a product that was intended to be used by pediatric users and adults, then you'd have 15 pediatric users and 15 adult users that would be in the test. You have to have the final product. The final product must be functional. It must be representative of what's going to go out into the field.

As Mary Beth points out, "The one difference between a validation test, which is also sometimes called a summative versus a formative test are that in a formative test, you don't have a lot of those rules. You can do a little, there's a little bit more wiggle room, but in the validation test, you've got to adhere by strict rules."

"Another strict rule that I didn't mention in the book which is important is that as a human factors evaluator, I cannot interact or assist the user unless I record that I did. It's sort of, I want to be a fly on the wall during this test and let them just use the device and then watch them. Then when they become challenged, I prompt them to say, what would you do if this was a real case? Then eventually, I can intercept or intervene, but I have to mark that and note that. Oftentimes when you do intervene, then that becomes a use error and that gets noted. It's definitely a process that is got a little bit more control to it that must be adhered to."

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Every human factors design firm, in a way, are going to have some area that's dedicated personnel for risk analysis of potential and existing projects. The authors that contributed to this section of the book Applied Human Factors In Medical Device Design, Sophia Kalita and Melissa Lemke, were phenomenal in walking through the process, what to look for, and what is important to mitigate risk.

As Mary Beth Privitera stated on the most recent episode of hsDNA, "Safety-related risks. I know that it's not one of the most exciting topics but it's certainly one of the most important topics that we've talked about and reviewed. It's one of those approaches that's just inherent, regardless of the medical device. There's always some level of risk and risk that has to be managed. There's quite a number of international standards on risk identification and what that process is to mitigate the risk. The medical device industry has to address the risk and that includes human factors.

Specifically, just in what is the use-related risk analysis. What's the root cause of those problems? Then, once the product's released, how am I going to survey the product as it's being used and what am I going to do about it? How am I going to get that customer input back into the design process?"

Without going through and doing that risk analysis, you're going to have to understand that root cause. First is identifying it and then looking for that root cause of what's going to go on. Mary Beth continued and explained, "Lastly, was the chapter that I authored in regards to no use error and post-market surveillance. That just points down to all of the databases and the research that's available for us to look at."

Our lives would be in peril if risks factors were not incorporated in the release of a device and its' inherent concept. For that, we can be thankful that there are measures in place that help evaluate what is important, what is not, and ways to move forward.

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Formative Evaluation, Design and Reporting - Applied Human Factors In Medical Device Design Book Preview | PART 4

Design is the best way to mitigate risks associated with use errors. This section, it's really about human factors in design. When we think about human factors, we always think about the testing. We don't necessarily think about design and how human factors fit into design. The fact of the matter is that if human factors aren't applied in design, then testing is really problematic.

If you look at that historical legacy of work, what is the root of all human factor? It actually goes back to 1997 in this publication that the FDA put out, it was titled Do It By Design. its ethos and its values still ring true and in fact, there's some really nice risk analysis to say, "Hey, you know what, design is the best way to mitigate your risk associated with use errors," said author Dr. Mary Beth Privitera.

This section, covers how human factors is applied in device design, in general, and then it gives a nice overview with specific considerations in designing combination products and then instructions for you. According to Mary Beth, "it is probably one of the most important chapters or sections within the entire book."

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Every day the world is waking up to a new reality. How are businesses pivoting? What changes are they making to not get left behind? During every great set-back there is an enormous opportunity to learn and make giant steps forward. In the medical device design and development space, the set backs have resulted in need to make changes to what was status quo. Listen to Tor Alden & Mary Beth Privitera talk in great detail about how Human Factors studies are changing every day and what is necessary to overcome.

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Ian Culverhouse of Rebus Medical and Melissa Lemke of Agilis Consulting Group join Justin Starbird and Dr. Mary Beth Privitera, Principal of HFE/Research for HS Design and the Co-Chair of AAMI Human Engineering Committee to talk about their contributions to the new book Applied Human Factors in Medical Device Design.

Ian discussed how "...contextual inquiry is a really, really powerful technique that looks beyond looking just at the device at a task level, but it looks to better understand the world in which that device or the system would used in."

Melissa talked at length about how "task analysis is one of the most important and beneficial human factors tools that we have to work with. It's a systematic hierarchical breakdown of user performance, or device used steps. Importantly, we take a step back from thinking about the device user interface and we look at it from the user perspective. We start documenting what are the user interactions that are required to reach some outcome, perform some function or use the features of the product or device.

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Bobby Boyer returns to the hsDNA Podcast to join host Justin Starbird to talk about the importance of a product champion when developing a project.

Listen as Bobby explains how... "The product champion is someone that is devoted to the success of the product itself. They are going to be the ones that are driving the decision to make sure that the product is the best it can be. A lot of times that means they have to juggle a lot of different things. They have to juggle between the aesthetics, which the designers care a lot about. They have to deal with the mechanical systems where it needs to function properly. Same thing with the electrical aspects.”

The product champion needs to look at the project from the business side of things as well. This is super important for startups as well as those in the Fortune 100 where the stake holder expectations can be heavy. The product champion is also tasked with keeping the cost down and keeping the user needs in mind.

At the end of the day, the product champion is really the one individual that is devoted to working on all those pieces and understanding that, at the end of the day it's going to meet all of those needs all together and create the best product possible.

Read more about the Product Champion here (https://hs-design.com/blog/product-champion/)

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Dr. Mary Beth Privitera, Research and Human Factors Principal at HS Design and Co-Chair of the AAMI Human Engineering Committee joins Justin Starbird to kickoff a 7-part podcast series on this episode of hsDNA. She speaks with Justin to give an overview of section one where she defines Human Factors and how to use the new resource book.

The goal and challenge was to create one title which would clear the air and provide direction while highlighting the major areas within the practice of human factors.

Buy her new book (https://Amazon.com)

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Dr. Mary Beth Privitera, Research and Human Factors Principal at HS Design and Co-Chair of the AAMI Human Engineering Committee joins hsDNA to introduce her new book titled “Applied Human Factors in Medical Device Design.”

The book began with a recognition of the new human factors guidance coming out between the FDA, MHRA, and the IUC and understanding how it all fits together. It dawned on Dr. Privitera that there wasn't a comprehensive methodology.

Applied Human Factors in Medical Device Design describes the contents of a human factors toolbox with in-depth descriptions of both empirical and analytical methodologies. The book begins with an overview of the design control process, integrating human factors as directed by AAMI TIR 59 and experienced practice. It then explains each method, describing why each method is important, its potential impact, when it's ideal to use, and related challenges. Also discussed are other barriers, such as communication breakdowns between users and design teams. This book is an excellent reference for professionals working in human factors, design, engineering, marketing and regulation. -->Focuses on meeting agency requirements as it pertains to the application of human factors in the medical device development process in both the US and the European Union (EU) -->Explains technology development and the application of human factors throughout the development process -->Covers FDA and MHRA regulations -->Includes case examples with each method

The goal and challenge was to create one title which would clear the air and provide direction while highlighting the major areas within the practice of human factors.

You can BUY HER NEW BOOK HERE (https://Amazon.com)

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When discussing the topic of certification for a design firm, certification does not mean a lack of creativity. Good design firms have been able to tailor quality systems, standard operating procedures, and work instructions to reflect the type of work that needs to be completed. The process you have to go through to get to proper certification is quite rigorous and there are many elements that go into creating, maintaining and showing compliance to the quality systems.

It is imperative for any quality manager, especially at a creative firm, to look at the ISO standard and tailor their processes to not only be compliant but to be useful to the development teams and their clients. While that overhead will naturally be absorbed into the hourly rate or retainer, in the long run, certification actually makes things less expensive.

The reason why a design firm, like HS Design maintains ISO 13485 certification is because it brings a tremendous amount of value to our clients. Listeners may have heard of the term “right the first time.” When you are talking product development, engineers chuckle because there are always multiple design iterations. But there are design iterations and then there are major setbacks.

You can read more about the importance of ISO 13485 here (https://hs-design.com/blog/hsdna-iso-13485/)

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Tor Alden, Principal of HS Design, comes back to the hsDNA Podcast to talk about his passion for design. From the outside, Tor says that... “it seems obvious that design would be nearly as important as function. Yet for a long time, industrial design has always been considered an afterthought because either engineering or marketing would work to contain or put boundaries on what was possible. At its worst, design became an “add-on” for if there was extra money in the budget then design could put some styling on or get a different look just for the sake of differentiation. It was not a core piece of the puzzle.”

Today, Tor talks about the design inclusively of industrial design, UI, but more importantly, the user experience, and that product is perceived from the out of box experience all the way to its end of life of the product.

Read about the importance of design here (https://hs-design.com/blog/importance-of-design/)

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Michael Quinn VP of Design & Engineering of HS Design joins host Justin Starbird to talk Six Sigma. Certainly, this topic has many different meanings. Michael is here to clear up what Six Sigma IS and how does that apply to design and innovation for device design. He also shares how HS Design implements Six Sigma into their process.

Michael explains, “Six Sigma is a method that provides organizations tools to improve the capability of their business processes. This increase in performance and decrease in process variation helps lead to defect reduction and improvement in the design to commercialization process.”

Not only can Michael speak to the specifics of Six Sigma, he is also Certified Design for Six Sigma (DFSS) Expert engineer and adept at producing need-driven, innovative designs for the medical field.

Read More (https://hs-design.com/blog/michael-quinn-talks-six-sigma-design/)

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Human Factors, at their root, are about helping designers answer, 'how do we interact with products and systems?' and 'how do we interact with ourselves?'

The two most fundamental questions when it comes to how a proposed device will function and be used. "Back in the day, human factors was just a course that we took where we essentially, looking for, how do people interact with the objects?" explained Mary Beth Privitera, Human Factors Principal at HS Design from her office in Cincinnati. Without dating her, MBP shares that when she got her start, “Human Factors Engineering or Human Factor Design were not professions in and of themselves.” She professes we are all as young as we feel!

Today, if you look at human factors professionals, that go get a degree in human factors, it essentially applies theoretical principles, data and methods in order to optimize the design for the purposes of well-being and overall system performance.

The process of understanding Human Factors gets down to when work within the human factors scope is getting done, it's the tools, it is the tasks, it's the environment and taking that all into consideration so that we have a little easier time doing our everyday tasks or when we're on the job or our jobs, the tasks that we have to do related to a job.

Read More (https://hs-design.com/blog/podcast-human-factors-blog/)

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hsDNA Ep2: I have a prototype. It works! Now what?

Bobby Boyer joins host Justin Starbird for the second episode of the “hsDNA Podcast” to talk product development. For start-ups and new companies, this is the beginning of what could be a global game changer!

Product Development Firms can engage with a start-up group at any stage in the process. But HOW a start-up company is engaged to the Product Development Firm, depends on their end goals. For startups specifically, they need to evaluate which stage of commercialization they are in and where they can use the specialization. As Bobby explains, “For example, if a company needs assistance taking their idea or their prototype to development versus another start-up that needs help taking a viable product to a commercialized solution for the end users, will be treated differently at HS Design with different folks helping manage the project.”

For some on the HSD team the excitement comes from the different types of companies that they get to work with. Many times, the startups looking for product development services come out of labs, or from universities. Others come from a tinkerer that's in their garage trying to put together something. Regardless of how they get to a product design firm, when they come in, they don't really know what the development cycle is or how they can bring it out. Bobby Boyer, Director of Product Development for HS Design in New Jersey explains, “These start-ups come in and just say, ‘I have this prototype. It works. What's next?’"

Read more about Product Development (https://hs-design.com/blog/podcast-prototype-works-now/)

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Tor Alden, Principal of HS Design (www.HS-Design.com) in Gladstone, New Jersey is the first guest on the launch of the “hsDNA Podcast” to talk Industrial Design in the medical device space.

Tor joins host Justin Starbird to talk about the big differentiation between industrial design in consumer product development and medical product development. The certification processes and quality are each super important to how products are brought to commercialization and experience success in the market. As a whole, Industrial Design is a wide open and diverse field that touches our lives every day in nearly every activity.

For the very best medical device design firms, they take their clients and projects a step further than that and bring back to the doctors and nurses the updated prototype for what HS Design of New Jersey calls, “formative evaluations” and “formative tests.” Alden explains that, “We will bring these concepts to them, maybe in prototype forms, maybe in a wireframe, depending on the sophistication of the product. It may be a picture, and if it's simple enough, we'll have prototypes for them to hold and talk through. We'll actually get their insight on which is their preferred, and we do that in a quantitative method where we'll have an actual ranking and result of the preferences.”

Listen to Tor share with Justin how the added benefit of going into such depth on the details also helps the project get through the full documentation process (https://hs-design.com/about/process/) that the FDA requires. As Alden explains, “...that really is the differentiation in a nutshell between medical product development and a consumer, for example. If a consumer product fails, the user might get frustrated. In a medical product, the user might die.”

Read more about solving complex problems in the Medical Device Design space (https://hs-design.com/blog/solving-complex-problems-create-state-art-medical-devices/)