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Clinical & Trials [Clinical Evidence](/ecosystems/clinical-evidence)

# Use Error

User action or lack thereof that leads to a different result than intended by the manufacturer or expected by the user.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

Per  [IEC 62366-1](/terms/iec-62366-1), a use error is a user action or lack thereof while using a medical device that leads to a different result than that intended. It is not necessarily user 'error' - it often reflects design issues. 

What the regulation says

Regulators emphasize that medical device manufacturers must identify and mitigate use errors throughout the product lifecycle. The FDA, in its guidance "Applying Human Factors and Usability Engineering to Medical Devices," and the EU  [MDR](/terms/mdr-reporting), in Annex I, Section 14.2, highlight the importance of designing devices to minimize use error and ensure  [safe](/terms/safe-note) and effective operation. 

## What this means in practice

Use errors are addressed via design changes, mitigations, training, or  [labeling](/terms/labeling), evaluated through formative and summative usability studies. 

## Examples

-   A healthcare professional accidentally presses the wrong button on an infusion pump due to similar button shapes and proximity, leading to an incorrect dose delivery.
-   A patient fails to properly assemble a home-use medical device because the instructions for use are unclear and lack sufficient visual aids.
-   During a surgical procedure, a surgeon misinterprets an alarm on a monitoring device due to ambiguous auditory cues, potentially delaying critical intervention.

Common pitfalls

-   • Assuming use errors are solely due to user incompetence rather than design flaws can lead to ineffective risk mitigation. 
-   • Failing to adequately document the analysis of use errors and their resolution can result in non-compliance during audits. 
-   • Ignoring the potential for use errors in labeling or training materials can leave manufacturers vulnerable to regulatory scrutiny. 

## Frequently asked questions

How does IEC 62366-1 define a use error? 

[IEC 62366-1](/terms/iec-62366-1) defines a 'use error' as an act or omission of an act that results in a different outcome than that intended by the manufacturer or user. It clarifies that this does not necessarily imply user fault, but rather a deviation from the expected outcome. 

What is the distinction between a 'use error' and a 'user error'? 

How are use errors typically identified during device development? 

## Cross-references

### See also

Closely related context worth reading.

-   [
    
    Use-Related Risk Analysis(URRA) 
    
    
    
    ](/terms/urra)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Clinical & Trials

Human Factors Engineering(HFE) 

Engineering discipline focused on safe and effective device use by intended users.





](/terms/human-factors)[

Standards

IEC 62366-1

Application of usability engineering to medical devices.





](/terms/iec-62366-1)

### Risk & Usability Deep Dive

· From this learning path 

[

Quality & Risk

Summative vs. Formative Evaluation

Iterative usability studies (formative) vs. final validation testing (summative) of a device's user interface.

Adjacent lesson 

](/terms/summative-formative?from=risk-and-usability)[

Quality & Risk

Use Specification

Defined description of intended users, uses, use environments, and patient populations for a device.

Adjacent lesson 

](/terms/use-specification?from=risk-and-usability)[

Standards

ISO 14971

International standard for the application of risk management to medical devices.





](/terms/iso-14971?from=risk-and-usability)[

Regulatory

Labeling

All written, printed, or graphic matter on or accompanying a device.





](/terms/labeling?from=risk-and-usability)

### More in Clinical & Trials

· Same category 

[

Clinical & Trials

Adaptive Trial Design

Trial design that pre-specifies opportunities to modify aspects (sample size, arms, endpoints) based on interim data.





](/terms/adaptive-trial)[

Clinical & Trials

Adverse Event(AE) 

Any untoward medical occurrence in a subject, whether or not related to the device.





](/terms/adverse-event)

Cited by

Where this term appears across MedTech Terms.

Learning paths (1)

-   [Risk & Usability Deep Dive](/paths/risk-and-usability)Lesson 7 of 9 

Ecosystems (1)

-   [Clinical Evidence](/ecosystems/clinical-evidence)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

ISO· 2 FDA· 1 

1.  [1 
    
    IEC 62366-1
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/standard/63179.html)
2.  [2 
    
    ISO 14155 Standard Page
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/standard/71690.html)
3.  [3 
    
    FDA - Clinical Trials and Human Subject Protection
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/science-research/science-and-research-special-topics/clinical-trials-and-human-subject-protection)

Inline markers like \[1\]  jump to the matching reference above.

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On this term

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Updated

5/5/2026

[Compare with another term](/compare?a=use-error)

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Card Lesson Quiz

User action or lack thereof that leads to a different result than intended by the manufacturer or expected by the user.

-   · Use errors are addressed via design changes, mitigations, training, or labeling, evaluated through formative and summative usability studies. 
-   · It is not necessarily user 'error' - it often reflects design issues. 

Remember this

Watch out: Assuming use errors are solely due to user incompetence rather than design flaws can lead to ineffective risk mitigation.

Related terms

-   [Human Factors Engineering(HFE) ](/terms/human-factors)
-   [IEC 62366-1 ](/terms/iec-62366-1)

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