Medical Equipment & Systems

To Select Spo2 probe Six-Sigma

To select Spo2 probe for use

in L&T Medical products

Green Belt:
-Sandip Mohite
Team Members:
-Tejas Bengali

LARSEN & TOUBRO 1/23

Medical Equipment & Systems
To Select Spo2 probe Six-Sigma
Brief History

LARSEN & TOUBRO 2/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
OBJECTIVE:
To select Spo2 Probe

SCOPE:
Selection from alternatives(No
design changes)

DELIVERABLES:
Improve product quality.

LARSEN & TOUBRO 3/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Patient
Monitor

Mother
Board

Navigation Spo2-
Key Pad Modules
Keys Module

Spo2
Sensor

LARSEN & TOUBRO 4/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
VOB/VOC Kano’s Model

Technical
Comfort of use Performance

Aesthetics Ease of Sourcing

Reliability

Biocompatibility
Standard
Cost

patient safety standard

LARSEN & TOUBRO 5/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
PUGH MATRIX
Criteria Weight Datum A B C D
Compliance to Biocompatibility
10 0
Standard
Cost 8 0
Reliability 5 0
Technical Performance 8 0
Strategic Sourcing preference 4 0
Conformance to patient safety
10 0
standard
Aesthetics 4 0
Comfort Level 5 0
Total Score 0

*Present Probe – was used as Datum.

LARSEN & TOUBRO 6/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Patient Safety

LARSEN & TOUBRO 7/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Technical Performance

LARSEN & TOUBRO 8/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
PUGH MATRIX
Criteria Weight Datum A B C D
Compliance to Biocompatibility
10 0 -1 0 0 0
Standard
Cost 8 0 1 1 1 1
Reliability 5 0 0 0 0 1
Technical Performance 8 0 0 0 0 -1
Strategic Sourcing preference 4 0 1 1 -1 1
Conformance to patient safety
10 0 -1 0 0 -1
standard
Aesthetics 4 0 -1 1 1 -1
Comfort Level 5 0 ? ? ? ?
Total Score 0 -12 16 8 -5

LARSEN & TOUBRO 9/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

LARSEN & TOUBRO 10/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

DOE
Experiment was designed to remove all the
biases viz.
1. Previous knowledge
2. Inclination
3. Effect of day
10 Persons and 6 probes selected for experiment.
1. Variety in terms of gender, age.
Rating from 1-10
-1- Least Comfortable
-10- Most Comfortable

LARSEN & TOUBRO 11/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Probes of
different makes
labeled

Black box
To avoid bias

LARSEN & TOUBRO 12/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

LARSEN & TOUBRO 13/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

LARSEN & TOUBRO 14/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
ANOVA

• P- Value Indicates that Person, Probe as well as

interaction (PersonXProbe ) are major contributors.

LARSEN & TOUBRO 15/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
Residual Plots for RATING
Normal Probability Plot of the Residuals Residuals Versus the Fitted Values
99.9
99 2

90 1

Residual
Percent

50 0

10 -1
1
-2
0.1
-2 -1 0 1 2 0.0 2.5 5.0 7.5 10.0
Residual Fitted Value

Histogram of the Residuals Residuals Versus the Order of the Data

2
40
1
Frequency

Residual
30
0
20
-1
10
-2
0
-2.25 -1.50 -0.75 0.00 0.75 1.50 2.25 1 10 20 30 40 50 60 70 80 90 100 110 120
Residual Observation Order

1 and 3. Residuals follow normal distribution.

2. Residuals are symmetrically distributed.
4. Residuals vary randomly with observation order, hence no effect of order.

LARSEN & TOUBRO 16/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Main Effects Plot (data means) for ACTUAL RATING

PERSON PROBE
9
ACTUAL RATING

7
Mean of A

4
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6

Person is more significant than probe

LARSEN & TOUBRO 17/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma
Interaction Plot (data means) for ACTUAL RATING
PERSON
10
1
2
9 3
4
8 5
6
7
7 8
Mean

9
6 10

2
1 2 3 4 5 6
PROBE

Interactions suggest people rate same probe differently. People have their
own perception of comfort level.
LARSEN & TOUBRO 18/23
Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

SN Ratio Analysis
Main Effects Plot (data means) for SN ratios
Human Probe
17
SN ratios

16
Mean of S

15

14

13
1 1 2 3 4 5 6
Signal-to-noise: Larger is better

• Probes 2 and 6 show have high SN Ratio, which suggest

that the variance is minimum in their case.

LARSEN & TOUBRO 19/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Mean Ratings

Comfort
Probe Name Probe No. Level
D 4 6.4
C 1 6.55
E 3 6.7
A 5 6.7
B 6 7.2
Datum 2 7.5

LARSEN & TOUBRO 20/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

B & C are same in terms of comfort level,

Since B has higher score in Pugh Matrix
B is selected

LARSEN & TOUBRO 21/23

Medical Equipment & Systems
To Select Spo2 probe DMADV Six-Sigma

Results

Cost Avoidance of Rs. 2500 per unit.(Cumulative
till July-2010 is Rs 23L)

Qualitative and quantitative Feedback from four
sales regions indicate good customer acceptance
and 20% reduction in initial failures(1-3 months)

LARSEN & TOUBRO 22/23

Medical Equipment & Systems
To Select Spo2 probe Six-Sigma

Thank You

LARSEN & TOUBRO 23/23