Accelerating MedTech | Test Engineering to Safeguard Design Integrity

Image depicting a test engineering focus on a digital display

Bringing a medical device from concept to market is a complex process. Beyond a great idea, it requires expert engineering, rigorous validation, regulatory compliance, and precision manufacturing—all while adapting to compressed timelines. For innovators, MedTech development hurdles can feel overwhelming without the right support. Adding multidisciplinary engineering expertise to your team is essential to eliminate roadblocks and accelerate your journey to market.

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In this series, we address four critical questions for MedTech developers: 

  1. How does engineering expertise accelerate development and drive success?
  2. How does test engineering safeguard design integrity?
  3. How does engineering ensure regulatory readiness and compliance?
  4. How does automation enhance device manufacturing?

This blog—the second in our series on Accelerating MedTech Development—helps to answer the second question above. We look at how test engineering integrated into the product development lifecycle, actively preserves design integrity, ensuring product standards remain uncompromised despite complex design and regulatory demands.

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MEDTECH TEST ENGINEERING: Safeguarding Design Integrity, Compliance, and Patient Safety

MedTech devices are required to deliver consistent performance, adhere to stringent regulatory standards, and function reliably in real-world environments—all while maintaining cost-efficiency and timely market entry. Here, design integrity refers to a device’s ability to fulfill its intended purpose consistently, delivering dependable outcomes while meeting safety standards. Compromising design integrity at any point can delay regulatory approval or lead to costly recalls.

To mitigate these risks, test engineering provides a structured, proactive framework to identify and resolve issues early, strengthening a product’s reliability and compliance.

Image depicting a test engineer doing hardware analysis
Success through early integration of hardware testing

Early Test Integration & Risk Analysis for Baseline Metrics and Design Validation

Integrating Test Engineering from the Start

Integrating test engineering early in the design process establishes a proactive strategy to safeguard design integrity, ensuring that critical design elements are protected from the outset. For complex or high-risk MedTech devices, embedding test engineering into the Design Failure Mode and Effects Analysis (DFMEA) process enables targeted, risk-based testing aligned with potential failure modes. This approach not only strengthens device reliability but also ensures compliance with regulatory standards.

By incorporating test protocols from the beginning, teams can set baseline performance metrics, conduct stress testing, and validate that initial design choices align with both regulatory requirements and user needs. Early testing insights refine design parameters and shape downstream testing, creating a cohesive development process that reinforces product quality, reliability, and compliance.

Expected Service Life of a Medical Device
Failure distribution analysis to identify highest risk systems

Identifying High-Priority Risks with a Collaborative Approach

When integrated early in the design phase, test engineering focuses on addressing the highest-priority risks identified through a comprehensive risk assessment. For instance, design engineers may need to address specific concerns with electronic sensors, signal quality, environmental durability, or long-term usability to meet stringent regulatory requirements. 

By working closely with the design team, test engineers establish a framework for targeted testing across the product development lifecycle, reducing the risk of late-stage failures and enhancing device resilience, compliance, and patient safety.

Case Study

Preserving design integrity and compliance for a Wearable ECG System

V&V testing to preserve design integrity with a wearable ECG system
Image courtesy of Cardiac Insight depicting a patient with the wearable ECG device
Challenges Test Solutions Results
  • Design and validate a wearable, low-power ECG monitoring system that reliably captures and transmits cardiac data over a seven-day period.
  • Achieve regulatory compliance, accurate ECG signal capture, and seamless data transfer for clinical review, while ensuring patient comfort and durability through environmental changes.
  • Signal testing optimized the ECG circuit for low power and validated intelligent power management for continuous monitoring.
  • Battery capacity and power consumption were tested under simulated conditions to meet seven-day monitoring requirements.
  • V&V testing minimized interference and enhanced signal clarity with a high-precision ECG amplifier and noise filtering.
  • Compliance-focused testing ensured alignment with IEC 60601, AAMI, and ISO 10993 standards, verifying safety, biocompatibility, and durability.
AC’s integrated MedTech engineering and V&V test solutions enabled the Cardea SOLO ECG device to meet stringent performance, regulatory, and clinical standards, preserving data integrity across diverse conditions for a full seven-day monitoring period.
Concept image showing Test Engineering for development
Improving design with testing throughout the PD life cycle

Stage-by-Stage Testing for Verification and Validation (V&V)

Verification and Validation (V&V) are core processes that confirm a medical device meets design specifications (Verification) and fulfill real-world user needs (Validation). Test engineering supports V&V by developing and executing targeted tests that assess device safety, functionality, and compliance at each stage, ensuring that every design element aligns with regulatory and operational requirements.

V&V Stage Focus Example of Test Role
User Requirements
Validates usability and safety meet essential user needs
Usability tests for a wearable glucose monitor confirm ease of use, comfort, and reliable readings for patient operation.
Design Requirements
Ensures technical specifications align with user needs and regulatory standards.
System tests for an AED validate battery life and shock delivery per IEC 60601, ensuring emergency readiness.
High-Level Design
Verifies reliable subsystem interactions to support device functionality.
Integration tests for an ECG device ensure sensors and processors provide continuous, accurate monitoring.
Detailed Design
Confirms component durability and regulatory compliance to support safety.
Battery tests for a pacemaker validate durability and biocompatibility for long-term implant use under ISO standards.
Prototyping
Assesses overall functionality and usability in real-world settings.
Final tests on a home diagnostic device ensure accurate readings and ease of use for non-clinical users.

This V&V approach aligns testing with development phases, facilitating continuous refinement while reinforcing design integrity. Testing checkpoints across Unit, Integration, System, and Acceptance Testing levels enable early issue detection, incremental improvements, and risk mitigation at each development stage, guiding the product toward reliable market readiness.

Test Engineering Tailored for MedTech Compliance Standards

Compliance with FDA, ISO, and IEC standards is essential for medical devices to ensure safety, efficacy, and reliability. Test engineering plays a crucial role in meeting regulatory requirements, such as:

Standard Purpose Example of Test Role
ISO 13485
Quality management system for consistent product quality.
Process validation ensures each manufacturing step consistently meets quality criteria.
ISO 14971
Framework for identifying and mitigating device risks.
Failure Mode and Effects Analysis (FMEA) identifies and prioritizes potential failure modes early in development.
IEC 60601
Ensures electrical safety and EMC compliance for medical devices.
Electrical safety and EMC tests validate insulation, grounding, and compatibility with other medical equipment.
IEC 62304
Regulates software lifecycle processes for medical device software safety.
Software reliability testing assesses fault tolerance, ensuring software performs safely and consistently.
IEC 62366
Guides usability engineering to minimize user errors and improve device intuitiveness.
Usability testing confirms the device interface is intuitive and minimizes the risk of operational errors in clinical settings.

Standards like these form the regulatory foundation for medical device test engineering, ensuring that each protocol and test outcome meets rigorous safety, usability, and functionality criteria.

Strategic test engineering supports Process Failure Mode and Effects Analysis (PFMEA) in manufacturing by supplying essential data to identify and reduce risks in production. This approach helps preserve the design’s integrity through to the final product, minimizing variability and non-compliance.

By working closely with the design team, test engineers establish a framework for targeted testing across the product development lifecycle, reducing the risk of late-stage failures and enhancing device resilience, compliance, and patient safety.

Looking to Advance MedTech with Strategic Test Engineering?

Test engineering is more than a verification step; it’s a proactive approach to sustaining MedTech design integrity. By integrating testing from the beginning and maintaining rigorous protocols throughout development, teams can produce compliant, reliable devices optimized for real-world use.

Discover strategic testing solutions that support your product’s journey from concept to market, ensuring safety, compliance, and lasting reliability.

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