These are the builder tools, in the order a design team uses them: from listing the evidence the device produces to the release gate for its interfaces. The chapters work each tool on one of the book’s recurring devices, but every tool applies to any institutional device class: a magnetic resonance imaging system, a blood gas analyzer, an electrosurgical unit, an extracorporeal membrane oxygenation console, an intravenous compounding robot, a fetal monitor, or a low-temperature sterilizer. Copy them for your own design reviews and release gates. Fill in one copy per product or release. Keep each copy with the design records it informed.