MedDevice by Design with Mark Drlik and Ariana Wilson
Resources

Clinical Ventilator Development Explained

YouTube video thumbnail

Understanding how clinical ventilator development differs from commercial ventilator design is essential for teams planning early studies. In this MedDevice by Design episode, Ariana and Mark break down the engineering, safety, usability and reliability needs that shape a clinical prototype. They also compare these decisions with the expectations for a commercial device. The discussion provides practical insight into how the clinical ventilator development process supports targeted data collection while remaining safe and effective.

A clinical study device often has a narrow intended use. The team may be evaluating a single feature that supports lung recruitment or another novel capability. This narrow frame influences the user population and environment of use. It also limits which features must be active in the device. Commercial ventilators, in contrast, need a broad feature set that supports a wide range of modes and clinical settings. Ariana notes that commercial systems must remain competitive in the market, which means complex flow control, weaning support and additional modes.

Safety expectations differ as well. A clinical device needs safety systems only for the functionality under evaluation. Biocompatibility testing may not be required for surfaces that will not contact patients during the study. A commercial ventilator, however, must meet full regulatory and regional requirements, including tests for electrical safety and standards such as 60601-1-3 or 60601-1-4, depending on the intended market.

Human factors work also changes. Clinical studies may rely on formative evaluations. Commercial devices usually require a full summative that includes various user groups and languages. Since summatives are expensive for high risk devices like ventilators, it makes sense to limit them during early clinical exploration.

Reliability strategies vary too. Clinical prototypes can rely on on-site support from the development team to address failures. Commercial devices need formal reliability testing, shelf life work for consumables and a defined approach to component durability.

Ariana and Mark close by comparing design for manufacturing activities. Commercial systems need cost optimization and volume assembly planning. Clinical devices do not.

One engineer works hands-on with this board's internals, carrying it from design through bring-up

When one team designs, lays out, and brings up a board, knowledge sticks. Splitting that work across specialists looks efficient but creates the risk it’s meant to avoid.

AI coding agents support this engineer as he reviews code and a workflow diagram on a call

AI coding agents like Claude and Codex are helping EE teams turn concepts into tested hardware in weeks, not months, without adding a new vendor or software dependency.

An EE partner explains an electrical architecture decision to the client team during design review

Choosing an EE partner is a program risk decision, not a staffing decision. Early architecture choices carry through to certification, and the wrong partner can cost far more than their hourly rate suggests.

PCB stack-up planning happens here, as an engineer reviews routed copper layers on a wide monitor

PCB stack-up shapes signal integrity, EMC performance, and manufacturability long before layout begins. Getting layers and reference planes right avoids costly redesigns later.