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Designing for Serviceability

The key to improved medical device reliability and patient care

Mufid Majnun/Unsplash

Heidi Drafall
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Agiliti

Wed, 01/14/2026 - 12:03
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Medical devices are engineered to solve complex clinical problems, yet many enter the field without a full accounting for what happens after deployment. Hospitals depend on equipment that performs consistently. But even with strong designs, virtually all devices will eventually require preventive maintenance, troubleshooting, or repair. When serviceability becomes an afterthought, healthcare organizations face longer downtime, higher maintenance costs, and unnecessary strain on clinical operations.

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After nearly 25 years in medical device quality, design, and manufacturing, I’ve seen how early design decisions shape the entire life cycle of a device. The difference often comes down to one idea: to engineer for serviceability from the start. When manufacturers understand the realities of field maintenance and collaborate with the technicians who support these devices every day, equipment becomes easier to service, safer to operate, and more reliable over time.

Serviceability should be a design input, not a design afterthought

In a hospital environment, any delay in device availability affects patient treatment and throughput. A ventilator that takes hours to disassemble or a bed frame with inaccessible components can create avoidable bottlenecks for clinical teams.

True field-ready design means anticipating predictable wear, environmental stressors, and the practical realities of how technicians access and repair equipment. Similar to feedback from clinical users, input from service technicians should shape design requirements and truly be a design input.

For example, a device that requires a specialized tool and extensive panel removal to reach a frequently serviced component will take longer to repair than one with accessible panels or streamlined fasteners. Thoughtful design can reduce maintenance time from hours to minutes. The requirement to be considered during design could center on ease of access to components, or time to service.

These choices directly affect patient care delivery. Faster maintenance and repairs keep devices in service and support operational continuity. Intuitive, accessible devices also reduce the risk of accidental damage during servicing, which can improve total cost of ownership.

Bringing engineering and service teams together

One of the most effective strategies in medical device development is closer collaboration between design engineers and field service technicians. Service teams have thousands of hours of insight into how devices perform under real clinical conditions. They understand which components commonly fail, which designs slow down repairs, and where small design adjustments could make a major difference.

During the years spent researching and developing a new hospital bed frame, our engineering team partnered with technicians early in the design cycle to evaluate accessibility, fastener choices, maintenance intervals, and component placement. After documenting the serviceability of the first prototype, technicians provided feedback that led to several design enhancements. These refinements reduced required tools, simplified component access, and improved testing efficiency.

The device’s clinical purpose didn’t change, but its serviceability improved significantly. The result was shorter repair times, fewer opportunities for error, and greater uptime over the bed’s lifespan. This type of collaboration should be standard practice.

How serviceability supports reliability and patient safety

Serviceability is often framed as a convenience or cost-efficiency consideration. In reality, it has a direct and measurable relationship to patient safety.

Device availability is also a safety factor. When devices stay out of service for extended periods, clinicians may be forced to reschedule procedures, and delays in care may result in negative patient outcomes. Streamlined access keeps essential equipment where it belongs: supporting patient care.

Quality across the life cycle

Defining device servicing is a regulatory requirement. If done well, it can be defined in a way that ensures every service event is performed consistently, safely, and in alignment with regulatory expectations.

Serviceability elements include:
• Documented procedures for troubleshooting, repairing, and verifying performance
• Defining required training or competency of those performing service
• Clear part and tool specifications, especially for safety-critical components
• Risk management processes that evaluate servicing hazards and incorporate appropriate mitigation

These principles help ensure consistent service quality throughout the device life cycle.

Designing for cost and operational efficiency

Hospitals are under increasing pressure to reduce costs and optimize resources. Serviceability plays a significant role in managing maintenance budgets and operational efficiency. Devices designed for efficient service require fewer specialized tools, helping to reduce repair time and allowing devices to stay in circulation longer.

A device that’s difficult to maintain becomes more expensive over its lifetime, even if its initial purchase price is low. Conversely, a well-designed, serviceable device often pays for itself with a longer lifespan, consistent performance, and fewer operational disruptions.

Engineering for dependability

As healthcare technology becomes more complex, equipment design must evolve alongside it. Prioritizing serviceability early in development strengthens quality, improves serviceability, and better supports the clinicians who depend on these devices every day.

Manufacturers who embrace this mindset help hospitals minimize downtime, reduce costs, and ensure that devices are available for patients. Providers benefit from devices that are easier to maintain, easier to verify, and easier to keep in service. Patients benefit from equipment that remains safe, accurate, and available when needed most.

In an industry where every minute matters, designing for serviceability isn’t optional. It’s a core element of quality and a critical part of ensuring that medical devices remain dependable throughout their life cycle.

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