- Ophthalmology
- Article
- Reading time: 12 min
End-to-end development of ophthalmic subsystems
In ophthalmic development projects, functionality, the regulatory strategy and the timeline take center stage early on. Yet one question often remains in the background: How much needs to be defined before a manufacturing partner joins the project?
Why the decisions with the greatest impact are made before design freeze
A typical case: An ophthalmic OEM is developing a patient-contacting subsystem for a laser-based treatment. Its function has been defined. The material, geometry and manufacturing process have not yet been finalized, nor have the requirements for cleanliness, ergonomics and validation readiness.
At this stage, it may seem natural to finalize the design internally first and approach a manufacturing partner only once the specification is complete. This approach follows an understandable logic: first finalize the drawing, then award the contract.
However, this sequence pushes unresolved questions into a phase in which answering them becomes expensive. Late design changes, revision cycles after the initial prototypes, additional validation steps and regulatory rework consume development time that was still available at the start of the project.
Developing an ophthalmic subsystem is therefore not so much a manufacturing challenge as a development challenge. It follows a different logic, one that starts much earlier.
More procedures, higher requirements, more complex subsystems
The pressure to reconsider this sequence is increasing as the market and procedure volumes grow.
Cataract surgery alone accounts for around 30 million procedures worldwide each year. By 2030, the total number of ophthalmic procedures is expected to reach approximately 63.1 million [cf. Market Scope 2025 Ophthalmic Surgical Instruments Market Report].
As procedure volumes increase, so does the need for reliably available single-use products and subsystems. Smaller incisions, more precise fluidics, and new laser-based, refractive and vitreoretinal procedures also increase the demands placed on materials, tolerances and process control.
The regulatory framework is also becoming more demanding. Both the European Medical Device Regulation (EU) 2017/745 (MDR) and FDA requirements call for validation, documentation and traceability to be considered consistently from the development stage onward. Meeting these requirements is heavily influenced by material selection, connection design and the configuration of manufacturing processes. They must therefore be integrated into design and development decisions at an early stage.
The market shows how OEMs are responding. Manufacturers are specifically seeking development partners with single-use expertise who combine engineering expertise, materials expertise, and quality and regulatory capabilities.
Where the Engineering Gap arises
What OEMs are looking for here is not a given in established supplier structures. In practice, the development and manufacturing of complex subsystems are often distributed among several specialist suppliers. One partner extrudes the tubing, another handles injection molding, while others manufacture optical components or assemble the unit. Each of these services may be technically well controlled in its own right, but the critical questions arise at the interfaces.
Each party initially optimizes only its own manufacturing step, not the entire pathway. As a result, the development process becomes fragmented. Interfaces multiply, coordination takes place bilaterally rather than across the entire process, and iteration loops emerge wherever requirements come together only at a late stage. This gap between the individual process step and the overall system is also referred to as the Engineering Gap.
This becomes particularly critical at the transition from concept to volume production. Decisions made early in the design process do not reveal their impact until later: from a technical perspective, when it becomes clear whether the assembly can be manufactured and joined reproducibly; and from a regulatory perspective, during validation and documentation. Those who make these decisions without considering both aspects often recognize the consequences only once corrections have become costly.
The consequences are particularly serious in ophthalmic applications. Requirements for material compatibility, precision and particulate control are extremely high. A functional component on its own is therefore not enough. What matters is whether all components work together reliably as an assembly under real manufacturing and use conditions.
End-to-end as a development principle
This is precisely where end-to-end development comes in: a seamless approach in which functional requirements, material selection, design, manufacturing processes, assembly, and quality and regulatory requirements are aligned from the early concept phase through validated volume production.
The key is not the breadth of the service portfolio. An end-to-end partnership does not mean offering as many services as possible; it means viewing the development steps as an interconnected system. The choice of material affects the tendency to generate particles and sterilizability, geometry affects ease of assembly, and the choice of process determines how readily it can be validated. Optimization within a single manufacturing step may therefore create new requirements elsewhere.
A subsystem partner therefore looks beyond its own manufacturing step to the OEM's entire value chain. It must understand the role the assembly will play in the final system, how it will be handled in the clinical environment, what evidence the OEM requires and how manufacturing can be scaled throughout the product life cycle.
This approach comes into play not during manufacturing, but in the early development phase.
Design flexibility before design freeze
In practice, this means evaluating material, design and manufacturing process together while all three can still be changed. For patient-contacting components, this may involve choosing between silicone and thermoplastic elastomers. The decisive factor is not a material preference, but the balance between function, biocompatibility, processability, cost and regulatory suitability.
At the same time, Design for Manufacturing and Design for Assembly are incorporated early in the design process. The aim is a design that enables safe, reproducible and cost-effective manufacturing before the drawing is finalized. For patient-contacting components, this also includes ergonomics: geometry and tactile properties influence handling and thus clinical use.
Cleanliness requirements likewise need to be built into the design from the outset, rather than addressed only during assembly planning. Particulate contamination is a highly sensitive issue in ophthalmic applications.
The appropriate manufacturing and integration processes depend on the specific project. Depending on the requirements, separately manufactured and assembled components or more highly integrated multi-component solutions may be appropriate. An early development partnership makes it possible to compare these options based on functional, manufacturing and regulatory criteria before design freeze limits the solution space.
“In ophthalmic subsystems, material, geometry, assembly and cleanliness are closely interconnected. If these questions are not considered until the design has been completed, many viable options have already been ruled out. The greatest leverage in development therefore comes before design freeze.”
Tobias Festel, Head of Design at RAUMEDIC
From function to a validatable assembly
A completed project in cataract and refractive surgery shows what such early involvement can look like. The actual procedure takes only seconds. The subsystem that enables it is therefore correspondingly critical.
An ophthalmic OEM needed a patient-contacting subsystem for a laser treatment. The assembly had to combine a soft contact area for the eye, an optical lens for fixation, and a tubing connection to generate the vacuum that stabilizes the eye during treatment.
At the start of the project, the material, geometry and manufacturing process had not yet been fully defined. At the same time, multiple materials with different processing requirements had to be combined within a single assembly. Integrating the lens into a molded cone required tight tolerances, while the geometry and material properties of the contact area also determined its ergonomics and handling. RAUMEDIC's in-house process chain covers precisely this combination of different processes within a single assembly.
RAUMEDIC therefore joined the project before the drawing was finalized and coordinated material, geometry and manufacturability as part of the design process. The team developed a two-component injection-molded part for the patient-contacting area. To achieve optimal suction performance at the eye, RAUMEDIC worked with the customer to test a TPE in different geometries and Shore hardness levels. RAUMEDIC manufactured the twin tube for the fluidics in-house and tailored it to the application's handling requirements. The optical lens was bonded into the molded cone, and the joint was designed for a precise and reproducible bonding process.
Another key requirement was cleanliness during assembly. For the particularly sensitive process steps, the standard ISO Class 7 manufacturing environment was not sufficient. RAUMEDIC therefore set up a dedicated area: the relevant steps are performed under laminar flow or in an ISO Class 6 cleanroom environment.
The subsequent processes were also covered within the project: assembly, packaging and sterilization were all handled by a single partner; a rigid blister pack was used for packaging.
This enabled the OEM to resolve outstanding questions concerning materials, geometry and manufacturability before completing the final design. Industrialization and the ability to document production operations and process steps were part of the development process from the outset rather than being addressed at a later stage.
Quality and regulatory affairs as integral components
Product development and regulatory requirements cannot be considered separately. Whether a product and its manufacturing process meet the applicable requirements and can subsequently be successfully qualified and validated depends largely on decisions made during product design concerning material selection, component design and process configuration.
The development partner thus becomes part of the OEM's regulatory evidence chain. In addition to controlled manufacturing processes, it supplies documented material evidence, process data and validation support. The IQ/OQ/PQ approach guides development through to validated volume production. The overview below summarizes the standards and systems that form this framework.
“Regulatory assurance is not a step to be addressed later in a project; it is an integral part of the entire development and manufacturing process. At RAUMEDIC, it is built on a cleanroom manufacturing environment, a certified quality management system and consistently traceable decisions throughout the product lifecycle. This enables us to provide the robust documentation and regulatory evidence our customers need to meet regulatory approval and compliance requirements.”
Grit Pasche, Global Head of Quality & RA at RAUMEDIC
Quality Management Key Facts
Quality management in accordance with ISO 13485 and ISO 15378
Quality assurance system in accordance with EU MDR 2017/745, Annex IX, Chapters I and III
Quality management system implemented in accordance with the FDA QMSR
Project-specific documentation
Cleanroom manufacturing in accordance with ISO 14644, typically in ISO Class 7, with ISO Class 6 for cleanliness-critical manufacturing and packaging steps
GMP-oriented manufacturing
Packaging of sterile medical devices in accordance with ISO 11607
Sterilization with qualified external partners in accordance with ISO 11135, ISO 11137 and customer requirements
Risk management aligned with ISO 14971
Risk-based qualification and validation aligned with the applicable requirements
Biological evaluation in accordance with ISO 10993
Material documentation, traceability and change control
Support for CE certification processes
Experience with medical devices up to Class III
ISO 14001
ISO 50001
ISO 27001
ISCC+
Systems expertise at the interfaces
End-to-end partnership is reflected in three dimensions: the integration of development steps, regulatory capabilities throughout development, and a manufacturing structure that also safeguards subsequent supply.
RAUMEDIC covers this pathway across six fields: from the product idea through material development, product concept, design and prototyping to manufacturing and services. The fields summarized as the Simple Six do not represent separate, isolated services. They are continuously evaluated and optimized. This makes it possible to assess the implications of a product-concept decision for design and manufacturing before it is finalized.
Because all solutions are custom-developed, the particular combination of processes is determined by the specific ophthalmic application. Examples range from tubing systems for femtosecond lasers and LASIK treatments to components for IOL injectors, sleeves, test chambers, suction rings, and fluid management and irrigation/aspiration sets.
Regulatory capabilities complement this process expertise. Experience gained through the company's own regulatory approval procedures for Class I to III medical devices, the coordination of relevant testing, and the provision of regulatory documents and material documentation support the transition to volume production that meets documentation requirements.
Security of supply is also part of RAUMEDIC's approach. Depending on the product and volume requirements, the company uses manual, semi-automated or fully automated processes. Manufacturing sites in Europe and the US also support second-source strategies, risk diversification and proximity to customers. As an owner-managed company with long-standing customer relationships, RAUMEDIC continues to support quality assurance, process stability and controlled changes beyond the start of volume production.
Early decisions shape the entire product life cycle
Manufacturability, cleanliness, regulatory assurance and scalability do not emerge in isolation. They are the result of the same early decisions regarding material, design and process configuration.
Making these decisions jointly reduces risk throughout the entire product life cycle. It also avoids the very revision cycles that most often prolong the path to market readiness.
The distinction between a component supplier and a subsystem partner therefore lies not in the service portfolio, but in the development process. In ophthalmology, where precision is non-negotiable, this decision is made early. Ideally, before the drawing is finalized.
Are you working on an ophthalmic subsystem for which the material, process or manufacturability has yet to be defined? Let's talk.