{
  "@context": "../../../../../spec/context/v0.5.jsonld",
  "id": "https://uofa.net/nagaraja/cou1",
  "type": "UnitOfAssurance",
  "conformsToProfile": "https://uofa.net/vocab#ProfileComplete",
  "name": "Nagaraja COU1 — Non-cannulated pedicle screw compression-bending credibility assessment",
  "description": "V&V 40 credibility assessment for FEA prediction of ASTM F1717 static compression-bending performance of a non-cannulated 7.5 mm pedicle screw construct. COU1 is the validation activity itself — the FEA model ensemble (FDA, Ansys, DePuy Synthes) is compared against N=11 experimental constructs across two laboratories. All 13 V&V 40 factors assessed; one factor (Test conditions) below required level due to single test condition.",
  "bindsRequirement": "https://uofa.net/nagaraja/req/mechanical-integrity",
  "bindsClaim": "https://uofa.net/nagaraja/claim/cou1-noncannulated-adequacy",
  "bindsModel": "https://uofa.net/nagaraja/model/ansys-abaqus-ensemble",
  "bindsDataset": [
    "https://uofa.net/nagaraja/data/f1717-bench",
    "https://uofa.net/nagaraja/data/e8-ti6al4v"
  ],
  "hasContextOfUse": {
    "id": "https://uofa.net/nagaraja/cou/cou1-noncannulated",
    "type": "ContextOfUse",
    "name": "COU1: Non-cannulated construct compression-bending prediction",
    "description": "FEA predicts construct stiffness, yield force, and force at 40 mm displacement for the non-cannulated 7.5 mm pedicle screw design under ASTM F1717 static compression-bending. Validated by direct comparison to bench testing (N=11 constructs across two laboratories). Model influence MEDIUM (testing confirms results); decision consequence MEDIUM (pedicle screw fracture leads to revision surgery, not death).",
    "intendedUse": "Demonstrate that the FEA modeling framework reproduces experimental compression-bending behavior of a non-cannulated pedicle screw construct within pre-established acceptance bounds (<10% QoI difference, E/uval < 1.96).",
    "deviceClass": "Class II",
    "modelInfluence": "Medium",
    "decisionConsequence": "Medium"
  },
  "hasValidationResult": [
    "https://uofa.net/nagaraja/validation/mesh-convergence",
    "https://uofa.net/nagaraja/validation/numerical-solver-error",
    "https://uofa.net/nagaraja/validation/level1-qoi-comparison",
    "https://uofa.net/nagaraja/validation/level2-asme-vv20-comparison",
    "https://uofa.net/nagaraja/validation/sensitivity-analysis",
    "https://uofa.net/nagaraja/validation/monte-carlo-uq"
  ],
  "wasDerivedFrom": "https://doi.org/10.1016/j.ymeth.2024.03.003",
  "wasAttributedTo": "https://uofa.net/org/nagaraja-grau-inc",
  "generatedAtTime": "2024-03-08T00:00:00Z",
  "hash": "sha256:c0c3c30b766833b5581cea440871dfeae07e4745dbd6d55fd47797fff27e2727",
  "signature": "ed25519:6492cb6e175eba273a22cd3a5f905c8932b93686fe3aa61ce092aa3cf95443c834f694c0f5e54f57aae6149d13615e383bf06a09839f6d9f075307074e7e7e04",
  "signatureAlg": "ed25519",
  "canonicalizationAlg": "json-sortkeys/v1",
  "hasCredibilityFactor": [
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/software-quality-assurance",
      "type": "CredibilityFactor",
      "factorType": "Software quality assurance",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): commercial FEA solvers (Ansys 2019R1, Abaqus 6.14) widely used in medical device industry with active SQA documentation; anomaly lists reviewed by each lab. [Nagaraja Table 1, SQA]",
      "rationale": "Three labs (FDA, Ansys, DePuy Synthes) used commercial solvers with documented SQA processes. No major anomalies relevant to compression-bending simulation reported in vendor anomaly lists.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/numerical-code-verification",
      "type": "CredibilityFactor",
      "factorType": "Numerical code verification",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): each lab ran benchmark verification problems (cantilever beam bending, contact-pair convergence) before producing COU results. [Nagaraja Table 1, NCV]",
      "rationale": "All three labs verified solver performance against analytical benchmarks within their internal verification suites prior to model application.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/discretization-error",
      "type": "CredibilityFactor",
      "factorType": "Discretization error",
      "requiredLevel": 2,
      "achievedLevel": 2,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (b): grid convergence observed via three mesh refinement levels per lab; QoI variation <2% between fine and finest meshes. Formal Richardson extrapolation not performed. [Nagaraja §2.3, Table 1]",
      "rationale": "Each lab independently ran mesh-convergence sweeps. Construct stiffness and yield force converged to within 2% across the two finest mesh densities. Richardson extrapolation deferred per V&V 40 (b) gradation.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/numerical-solver-error",
      "type": "CredibilityFactor",
      "factorType": "Numerical solver error",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): convergence-tolerance sensitivity studies performed; nonlinear solver iterations checked for residual decay. [Nagaraja Table 1, NSE]",
      "rationale": "Each lab tightened convergence tolerances by an order of magnitude as a sensitivity check; QoI changes were below experimental measurement noise.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/use-error",
      "type": "CredibilityFactor",
      "factorType": "Use error",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): independent peer review of inputs/outputs by a second engineer at each laboratory before submission to the round-robin comparison. [Nagaraja §2.5]",
      "rationale": "Round-robin comparison across three independent labs provides cross-validation of input setup and output extraction. Discrepancies between labs were reconciled via shared input files and joint review.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/model-form",
      "type": "CredibilityFactor",
      "factorType": "Model form",
      "requiredLevel": 2,
      "achievedLevel": 2,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (b): influence of key assumptions explored — frictional contact between rod-screw, bonded threads vs frictional threads, elastoplastic Ti-6Al-4V material model. [Nagaraja §2.3-2.4]",
      "rationale": "Three contact assumptions evaluated. Bonded-thread approximation produced QoIs within 3% of frictional thread; elastoplastic material model with measured Ti-6Al-4V stress-strain curve used.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/model-inputs",
      "type": "CredibilityFactor",
      "factorType": "Model inputs",
      "requiredLevel": 2,
      "achievedLevel": 2,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (b): four-parameter sensitivity analysis (yield strength, modulus, friction coefficient, mesh refinement) plus 30-point Latin-hypercube Monte Carlo UQ on three parameters. [Nagaraja §2.4.1.3]",
      "rationale": "Sensitivity ranking: yield strength (highest), elastic modulus, friction coefficient. Monte Carlo UQ on three parameters produced output uncertainty (Uval) ~3.7% of construct stiffness across the three QoIs.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/test-samples",
      "type": "CredibilityFactor",
      "factorType": "Test samples",
      "requiredLevel": 2,
      "achievedLevel": 2,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (b): N=11 construct samples; nominal geometric range only (no intentional variation in screw diameter, rod diameter, polyaxial angle). [Nagaraja §2.4.1.2, Table 1]",
      "rationale": "Eleven non-cannulated constructs assembled to nominal dimensions and tested per ASTM F1717. Sample count exceeds typical N≥6 recommended for spinal device testing.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/test-conditions",
      "type": "CredibilityFactor",
      "factorType": "Test conditions",
      "requiredLevel": 3,
      "achievedLevel": 1,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c) intended; Goal (a) achieved: single test condition (ASTM F1717 static compression-bending at 25 mm/min, room temperature, dry). Range, repeats, and uncertainty quantification of test conditions limited. [Nagaraja Table 1, §2.4.1.2]",
      "rationale": "BELOW TARGET. Authors acknowledge in §4: 'the sample size chosen for experimental testing may not meet a statistically relevant sample size' — encoded as a factor-level shortfall here. The N=11 sample size partly compensates per ASTM spinal device convention. The shortfall is documented in the decision rationale rather than blocking acceptance.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/equivalency-of-input-parameters",
      "type": "CredibilityFactor",
      "factorType": "Equivalency of input parameters",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): types and ranges of all inputs (material properties, geometry, boundary conditions, contact) equivalent between FEA model and experimental setup. [Nagaraja Table 1]",
      "rationale": "FEA inputs match experimental measurements: ASTM E8 stress-strain curve for Ti-6Al-4V, measured construct geometry from CAD, F1717-prescribed boundary conditions and loading rate.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/output-comparison",
      "type": "CredibilityFactor",
      "factorType": "Output comparison",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): three QoIs (construct stiffness, yield load, force at 40 mm displacement) compared between FEA and experiment using ASME V&V 20 Level I (E/D ratio) and Level II (E/uval) metrics. [Nagaraja §2.4.1.4, §3]",
      "rationale": "Level I E/D values: stiffness 1.5%, yield load 1.1%, force at 40 mm 1.3% — all within the pre-established 10% acceptance criterion. Level II E/uval values within ±1.96 (95% confidence) for all three QoIs.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/relevance-of-the-quantities-of-interest",
      "type": "CredibilityFactor",
      "factorType": "Relevance of the quantities of interest",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): QoIs (stiffness, yield force, force at 40 mm displacement) are identical between the validation activity and the COU. [Nagaraja §2.2]",
      "rationale": "Stiffness, yield, and force at 40 mm are the three QoIs the F1717 standard prescribes for static compression-bending. They are mechanically meaningful for rod-screw construct integrity.",
      "factorStandard": "ASME-VV40-2018"
    },
    {
      "id": "https://uofa.net/nagaraja/cou1/factor/relevance-of-the-validation-activities-to-the-cou",
      "type": "CredibilityFactor",
      "factorType": "Relevance of the validation activities to the COU",
      "requiredLevel": 3,
      "achievedLevel": 3,
      "factorStatus": "assessed",
      "acceptanceCriteria": "Goal (c): the validation point IS the COU. COU1 evaluates the non-cannulated construct, which is also the experimental construct. Perfect overlap between validation and COU by construction. [Nagaraja §2.2]",
      "rationale": "COU1 is the validation activity itself. The bench test specimens are exactly the constructs the FEA predicts. Highest credibility level achievable by definition.",
      "factorStandard": "ASME-VV40-2018"
    }
  ],
  "hasWeakener": [],
  "hasDecisionRecord": {
    "id": "https://uofa.net/nagaraja/decision/cou1-overall",
    "type": "DecisionRecord",
    "actor": "https://uofa.net/org/nagaraja-grau-inc",
    "role": "Credibility assessment team",
    "outcome": "Accepted",
    "rationale": "Model accuracy met pre-established criterion of <10% difference between FEA and experiment for all three QoIs (stiffness 1.5% E/D, yield load 1.1% E/D, force at 40 mm 1.3% E/D). Critical stress location (rod midshaft) matched experimental failure mode. Test-conditions factor shortfall (achievedLevel 1 vs requiredLevel 3) is acknowledged and offset by N=11 sample size which exceeds typical spinal-device testing recommendations.",
    "decidedAt": "2024-03-08T00:00:00Z",
    "hasOffsetRationale": {
      "id": "https://uofa.net/nagaraja/decision/cou1-overall/offset/test-conditions",
      "type": "OffsetRationale",
      "refersToFactor": "https://uofa.net/nagaraja/cou1/factor/test-conditions",
      "justification": "Test-conditions factor shortfall (achievedLevel 1 vs requiredLevel 3) — single ASTM F1717 static compression-bending condition — is offset by N=11 experimental constructs across two laboratories, which exceeds the typical spinal-device testing sample size convention. Nagaraja et al. (2024) §4 acknowledges the limitation explicitly and treats the larger sample size as compensating evidence for the narrow loading-condition coverage."
    }
  },
  "assuranceLevel": "Medium",
  "criteriaSet": "https://uofa.net/criteria/ASME-VV40-2018",
  "credibilityIndex": {
    "@value": "0.92",
    "@type": "xsd:decimal"
  },
  "traceCompleteness": {
    "@value": "0.92",
    "@type": "xsd:decimal"
  },
  "verificationCoverage": {
    "@value": "1.00",
    "@type": "xsd:decimal"
  },
  "validationCoverage": {
    "@value": "1.00",
    "@type": "xsd:decimal"
  },
  "uncertaintyCIWidth": {
    "@value": "0.037",
    "@type": "xsd:decimal"
  },
  "modelRiskLevel": 3,
  "deviceClass": "Class II",
  "couName": "Non-cannulated F1717 compression-bending",
  "decision": "Accepted",
  "hasUncertaintyQuantification": true,
  "hasSensitivityAnalysis": true
}
