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I'm with you...I can see exactly how this can happen. Unfortunately the only thing that can solve the apathetic board and executive management problem(who only see dollar signs) is the actuality, or realistic possibility, of significant financial loss, or loss of their personal freedom(prison) due to the negligence of the system. And a $10 Mil fine for a fault in something that you make $100 Mil off of is not significant. That's $90 Mil profit in their eyes. And they probably get to write it off. Even more unfortunate, is that, in the situation that this happens, the "engineers responsible" will be fired, and the executives will resign with a nice golden parachute, and go on to do the same thing somewhere else. But then you have the company that does do it right, spend the time, and the money to make a truly redundant, fault-tolerant system. But, they come in at a price point 20% higher than their competitor, who doesn't. Which company survives and which doesn't? Sad, but, unfortunately the way it is. I don't know a practical solution either. |
We've been close to undergoing "major" scrutiny (as it was sold to me, it was A Big Deal) from the FDA before. I, personally, just a lowly and underpaid engineer, have saved executive staff from having to sign their names on that noose. I had a manager once who seemed to want to push it that far, to stand idle-by while the walls fell down around us. I, unknowingly at the time, prevented it from happening because I was trying to help our customers. I don't regret that decision, actual patients shouldn't have to suffer because of a management teams ineptitude. I do think about it often, though. I understand this is nebulous, and I'm sorry for that. This is a reality, though.
I guess that's the thing that really gets me, the FDA. We sell FDA approved devices. Where the fuck is the FDA? We send them paperwork and they are happy. I can only form the opinion that they, the FDA, are ill prepared to handle this situation; The actual situation, the "the medical devices industry is a fucking train wreck waiting to happen" situation, and especially so they are ill prepared to handle it at scale. Audits are cursory and almost as a rule non-technical. I suppose it'll take a Toyota-level incident to bring change about.