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Medical Devices

Risk and usability,
kept in step.

The usability engineering file and the risk management file describe the same hazards from two directions. They drift apart one edit at a time, and traceability is the work of keeping them together.

Last reviewed 30 October 2026 · Engineering guidance, not legal or regulatory advice.
All Medical Devices →
Pixel illustration for Usability & Risk Documentation: a test bench with different sample blocks and inspected result cards.

Two files, one set of hazards

A usability engineering file is the record required by IEC 62366-1 showing how a device’s user interface was designed and evaluated for safety: the use specification, user interface characteristics related to safety, known use problems, hazard-related use scenarios, the formative evaluations and the summative evaluation. ISO 14971 sets out the risk management process, and its risk management file holds the hazards, hazardous situations, risk controls and verification.

The two are meant to connect. A hazard-related use scenario in the usability file should appear as a hazardous situation in the risk file, its risk control should be a design or labelling change, and the summative evaluation should verify that control. In practice the files are kept by different people in different tools, and the links break.

Traceability is where AI earns its place: reading both files, proposing the links, and flagging every scenario without a risk entry, every control without verification and every formative finding that never reached the risk file.

What it handles

01

Trace matrix

Use scenarios, hazards, controls and verification linked across the usability and risk files, with each proposed link marked for an engineer to accept.
02

Gap detection

Scenarios with no risk entry, controls with no verification, and IFU warnings that point to no hazard, listed by severity.
03

Study synthesis

Formative study notes and recordings summarised into observed use errors and difficulties, each cited to the session and participant it came from.
04

Not: risk acceptability

Estimating severity and probability and deciding whether residual risk is acceptable are judgements for the risk management team under your policy. The system never scores risk.

How a gap is raised

TRACE PATH
  1. 01
    Usability file

    IEC 62366-1 records

  2. 02
    Risk file

    ISO 14971 records

  3. 03
    Propose links

    scenario to hazard to control

  4. 04
    Engineer accepts

    or rejects with a reason

  5. 05
    Trace matrix

    versioned with both files

  6. 06 · Branch / escalation
    Gap raised

    unlinked or unverified

Solid: the trace pathDashed: gaps sent to the file owner
Links are proposed, never assumed. Every accepted link and every rejection is recorded against the engineer who made it.
Questions

Questions about Usability & Risk Documentation.

What is a usability engineering file?

It is the collection of records IEC 62366-1 requires to show the usability engineering process was followed: the use specification, user interface characteristics related to safety, known use problems, hazard-related use scenarios, the user interface evaluation plan, formative evaluations and the summative evaluation. It can be a single document or a set of linked records, as long as it is traceable.

How does IEC 62366 relate to ISO 14971?

IEC 62366-1 applies the ISO 14971 risk management process to the user interface. Use-related hazards identified in usability work feed the risk analysis, risk controls often take the form of interface or labelling changes, and the summative evaluation verifies that those controls work. That two-way dependency is why the files need to stay traceable to each other.

Can AI do ISO 14971 risk management?

It can support it: proposing hazards from similar devices and complaint data, checking traceability and finding gaps. It should not estimate risk or decide acceptability, which ISO 14971 places with the manufacturer’s risk management process and its criteria. We build the support layer and leave every risk judgement and signature with your engineers.

Shipped & in build

Real work. Check it yourself.

What we built, what stage it is at, and a link to the live thing wherever there is one.

The updated yourOS homepage: Roxy’s open ring surrounded by bento cards for calls, voice, translation, building, design, apps and more.
The yourOS homepage on a phone, with its compact navigation, welcome film button and bento cards.
youros.tech — the homepage bento hero
Our own · coming soon

yourOS

yourOS is an operating system with an AI at its heart. You talk to it like a person, out loud or typed. It makes your calls, plans your days and works on your projects with a crew of agents, on your own private server. Our own product, built from the first commit; the waitlist is open.

What we built
  • Operating system
  • Roxy
  • Agent crew
  • Voice calls
  • App store
  • Website
Meet yourOS →
The Sonora homepage on desktop: a full-bleed dune landscape behind the headline “Transform Your Life with Sound”, with App Store and Google Play download buttons.
The Sonora homepage on a mobile viewport, showing the same hero reflowed to a single column.
sonora.com — homepage, 1440×900
Live · iOS · Android

Sonora

Website, backend and app assets for Sonora, a free AI sound-therapy app on iOS and Android published by Cognitive AI.

What we built
  • Website
  • Backend
  • App assets
Read the case study →
The updated Podswap homepage on desktop: “Grow on Instagram and TikTok for free, with real engagement from creators your size”, beside a tilted wall of exchange, tool and guide cards on a violet gradient.
The updated Podswap homepage on a phone, with its floating navigation, Instagram and TikTok engagement headline and tilted tool cards.
podswap.app — homepage, 1440×900
Five platforms

Podswap

Brand, website, prototype, apps on five platforms, the AI backend and the algorithm-intelligence pipeline for Podswap, a social growth engine that runs without a human in the loop.

What we built
  • Brand
  • Website
  • Prototype
  • Apps on five platforms
  • AI backend
  • Algorithm pipeline
Read the case study →
The unOpen.AI homepage introducing Roxy, a private AI assistant that remembers who you are.
The unOpen.AI homepage on a mobile viewport.
unopen.ai — homepage, 1440×900
Prototype · closed beta

unOpen.AI

In closed beta: Roxy, a private AI assistant with permanent memory running on infrastructure the user owns. Brand, site, product, backend and conversational design.

What we built
  • Brand
  • Site
  • Product
  • Backend
  • Conversational design
Read the case study →
coherence.com on desktop, headed "Intelligence that moves in phase with people".
coherence.com on a mobile viewport, reflowed to a single column.
coherence.com — homepage, 1440×900
Live

Coherence

Live at coherence.com: brand identity generated with AI agents we directed, the motion system and website for the group behind Sonora, AboutAI, WakeUp and MudShadows. Agent work remains in build.

What we built
  • Brand identity
  • Motion system
  • Live website
  • Agent work — in build
Read the case study →
The new Domain Booth homepage on desktop: the headline “Premium Domains. Serious Buyers. Proven Results.” beside the animated DB monogram.
The new Domain Booth homepage on a phone, reflowed to a single column.
Our build of the Domain Booth homepage — 1440×900
Live

Domain Booth

Live at domainbooth.com for DomainBooth, a premium domain brokerage: a new animated mark, every page redesigned and rebuilt with designed mobile layouts, and a custom CMS for its sales record, featured names, press and enquiries.

What we built
  • Animated mark
  • Every page redesigned
  • Designed mobile layouts
  • Custom CMS
Read the case study →
Who we have built for

Twenty-one years. Names you know.

See all of our work →
  • BBC Good Food logo
  • Charities Aid Foundation logo
  • GAME logo
  • NatWest logo
  • Next logo
  • NSPCC logo
  • Tesco logo
  • Worldpay logo
  • Samsung logo
  • Sony logo
  • Land Rover logo
  • UAP Limited logo
  • Netflix logo
  • Amazon Prime Video logo
  • Mercedes-Benz dealerships logo
  • San Miguel logo
  • Biovene Barcelona logo
  • Seventy7 logo
  • Littlewoods logo
  • Smile logo
  • The Co-operative Bank logo
Let’s talk

Every hazard,
traced both ways.

We start by running the trace check on one device’s usability and risk files and showing you the gaps.

30-minute technical call · no deck