99.999% reliability sounds impressive — until you’re the design team tasked with achieving it

January 6, 2026
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FDA’s 5-9 reliability requirement for emergency-use drug delivery devices is clear: one failure in 100,000 uses. The stakes are high.

The industry usually have strong tools for requirements management and system engineering to set up compliant specifications. We also have good and reasonably clear guidelines for testing and proving performance – to some extent straight from FDA.

But here’s the pain point:

  • Running large-scale reliability tests is expensive and time-consuming.
  • If results fall short, you’re forced into costly iterations, delays, or bolting on extra testing.

This can keep quite a few organisations up at night…

The real gap?


Moving systematically and repaeatably from a good, professional specification to a design that passes rigorous testing. Most tools at this stage - FTA, DFMEA - are retrospective. They need a quite mature design before they add value. That means iteration is almost inevitable, even if you don’t make any real mistakes or oversights along the way.

What’s missing is a framework and tools to bridge the gap — to help design teams engineer reliability into the mechanical design from day one. Because the mechanical design is the bridge. The question is: how do we build and dimension it? How do we do it systematically and repeatable?

See our video on design dimensioning and sensitivity

See how the Robust Design mindset (and RD8 tools) aid to predict quality: https://www.rd8.tech/guides/tolerance-stack-up/step-4.

My experience is that industry has a real need here, but a lot of companies are struggling to find their answers.

This topic is something we are hard at work at – we have created a highly operational framework and toolbox from our project portfolio.

Reach out to our Drug Delivery Expert team to get a structured dialogue for how to achieve 5-9 Reliability. The benefits for both companies and patients are real.