Public Welfare—Design of Medical Equipment
Case 150
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It was not ethical for Engineer A to indicate that if prompt measures are not taken to correct the problem, he will be compelled to report the matter to an appropriate federal regulatory agency. Instead, Engineer A should have sought to determine what internal steps are being taken to address the concerns. However, if after making additional inquiries, Engineer A determined that no meaningful action was being taken to address the issue, Engineer A should have explored internal mechanisms within MedTech to seek further recourse regarding this issue. Only if such efforts did not produce satisfactory results should Engineer A consider exploring external avenues for action.
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This case presents one of the classical ethical dilemmas faced by engineers, which is the fundamental conflict between the obligation to hold paramount the public health and safety and some another key provision of the NSPE Code of Ethics—here the obligation to act for each employer or client as “faithful agent or trustee.” As is often the case with these types of situations, sometimes mitigating factors and circumstances impact upon one’s understanding of this conflict (e.g., the knowledge held by the engineer, the risks involved, level of personal involvement, actions taken and not taken by individual the engineer/employer, and other factors).
The NSPE Board of Ethical Review has considered a variety of cases involving similar considerations. Among one of the earlier cases of this type was BER Case No. 76-4. In that case, the XYZ Corporation was advised by a State Pollution Control Authority that it had 60 days to apply for a permit to discharge manufacturing wastes into a receiving body of water. XYZ Corporation was also advised of the minimum standard that must be met. In an effort to convince the authority that the receiving body of water, after receiving the manufacturing wastes, would still meet established environmental standards, the corporation employed Engineer Doe to perform consulting engineering services and submit a detailed report. After completion of his studies but before completion of any written report, Engineer Doe concluded that the discharge from the plant would lower the quality of the receiving body of water below established standards. He further concluded that corrective action would be very costly. Engineer Doe verbally advised the XYZ Corporation of his findings. Subsequently, the corporation terminated the contract with Engineer Doe with full payment for services performed and instructed Engineer Doe not to render a written report to the corporation. Thereafter, Engineer Doe learned that the authority had called a public hearing and th...
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Engineer A, an experienced professional engineer, is employed by MedTech, a company that manufacturers medical equipment. A key company product is respirators that are used in hospitals. Engineer B, a company colleague of Engineer A, asks Engineer A to evaluate a respirator designed by MedTech for infant use. Following his review, although not an expert on respirators, Engineer A determines that a relief valve intended to protect against overpressure being applied to the infant’s lungs may have been incorrectly placed so that under certain circumstances, an infant could potentially experience dangerously high pressure levels—although no incidents have been reported. Correcting the error would involve stopping the manufacturing process for part of a week to correct problem. Engineer A brings the issue and his proposed solution to the attention of the appropriate manager, who is not an engineer, and Engineer A assumes that the matter will be taken care of immediately. However, a month later Engineer A learns from Engineer B that nothing has been done to correct the issue. Hundreds of new respirators are now on the market, and Engineer A is concerned about the increasing likelihood of a tragic event. Engineer A again urges the manager to take immediate action. When the manager indicates that the matter is still being looked into by a design team, Engineer A indicates that if prompt measures are not taken to correct the problem, he will be compelled to report the matter to an appropriate federal regulatory agency.
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Was it ethical for Engineer A to indicate that if prompt measures are not taken to correct the problem, he will be compelled to report the matter to an appropriate federal regulatory agency?
Similar Cases
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Find Similar CasesD-tuple Component Breakdown
50
Total Entities9/9
Components Populated9/9
With EmbeddingsCombined Embedding
Roles
R
w=0.12
384D
Engineer A Employee Engineer
Evaluated the infant respirator at Engineer B's request, identified a possibly misplaced relief valve that could...
Engineer B Colleague Engineer
Asked Engineer A to evaluate the infant respirator designed by MedTech and later informed Engineer A that nothing...
MedTech Manager
Received Engineer A's report of the relief valve issue and proposed solution, took no corrective action for a month...
MedTech Employer
Employs Engineer A and Engineer B, manufactures the infant respirator with the possibly misplaced relief valve, and...
Federal Regulatory Agency
Named only prospectively as the appropriate body to which Engineer A states he will be compelled to report the...
MedTech Design Team
Identified by the manager as still looking into the relief valve matter a month after Engineer A raised it.
NSPE Board of Ethical Review
Adjudicates the present case by weighing the conflict between holding paramount the public health and safety and...
7 entities
Principles
P
w=0.2
384D
Public Welfare in Respirator Defect
Engineer A identifies a relief valve placement that could expose an infant to dangerously high pressure, brings the...
Faithful Agent Duty to MedTech
The Board frames Engineer A's duty to act as a faithful agent or trustee of his employer MedTech as the value in...
Public Safety Paramount in Respirator Case
Engineer A properly raised the relief valve safety issue regarding the infant respirator, and the Board affirms his...
Internal Recourse Before External Reporting
The Board states that more reasonable and appropriate internal mechanisms within MedTech could and should have been...
4 entities
Obligations
O
w=0.15
384D
Engineer A Internal Recourse Duty
Engineer A should explore reasonable and appropriate internal mechanisms within MedTech to seek further recourse on...
Engineer A Conditional Reporting Duty
Engineer A will be compelled to report the respirator relief valve defect to an appropriate federal regulatory...
Engineer A Faithful Agent Duty
Engineer A must act as a faithful agent or trustee of his employer MedTech while pursuing his public safety concern...
Engineer A Public Safety Duty
Engineer A must hold paramount the safety, health, and welfare of the public by acting on the identified relief...
4 entities
States
S
w=0.1
384D
Manufacturing Stoppage Correction Cost
Internal Mechanisms Available MedTech
Pending Internal Corrective Action
Competing Duties Conflict Engineer A
Engineer A Good Faith Belief
Infant Respirator Overpressure Risk
Engineer A Incomplete Information
Engineer A Respirator Expertise Gap
Unquantified Valve Placement Risk
9 entities
Resources
Rs
w=0.1
384D
NSPE Code of Ethics
NSPE Code of Ethics (topic: paramount public health and safety and the duty to act as a faithful agent or trustee...
BER Case No. 76-4
BER Case No. 76-4 (topic: an engineer's obligation to report findings on environmental discharge standards to a...
2 entities
Actions
A
w=0.1
384D
Continued Investigation Decision
Corrective Action Omission
Design Safety Review
Evaluation Request
Internal Safety Reporting
Renewed Internal Escalation
External Reporting Threat
7 entities
Events
E
w=0.08
384D
Design Flaw Discovery
Inaction Discovery
Defective Product Distribution
Regulatory Permit Notice
Non-Compliance Finding
Public Hearing Announcement
6 entities
Capabilities
Ca
w=0.07
384D
Engineer A Internal Escalation
Engineer A pressed the responsible manager within company channels, first raising the issue with a proposed solution...
MedTech Design Team Design Competence
The Board notes that MedTech's investigation of the relief valve concern was presumably being conducted by...
Engineer A Design Evaluation
Engineer A evaluated the infant respirator at Engineer B's request and determined that the relief valve may have...
Engineer A Risk Assessment
Engineer A characterized the overpressure hazard to an infant's lungs and weighed the increasing likelihood of a...
Engineer A Disclosure
Engineer A communicated the relief valve defect and his proposed solution to the appropriate manager and stands...
Engineer A Reporting Threshold Judgment
Engineer A judged the conditional threshold at which external reporting becomes compelled, indicating he will report...
NSPE Board Precedent Reasoning
The Board retrieves the earlier BER Case No. 76-4, recounts its holding, and distinguishes it from the present case...
NSPE Board Ethical Reasoning
The Board weighs the fundamental conflict between the obligation to hold paramount the public health and safety and...
Engineer A Ethical Balancing
The Board holds that Engineer A should balance his legitimate concerns with other legitimate factors, including...
9 entities
Constraints
Cs
w=0.08
384D
Engineer A Premature External Reporting
Engineer A must not threaten to report the respirator relief valve matter to governmental authorities before...
MedTech Uncorrected Valve Defect Boundary
MedTech must not leave the possibly misplaced relief valve uncorrected while continuing to manufacture and market...
2 entities
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