In my current experience within a biomedical instrumentation company, the design review process was a pretty open and inclusive process in respects to suggestions to improve the product. A little over a week beforehand, a series of documents was sent out to all managers, supervisors, and critical personal within the company asking for suggested changes. Once this occurred, the supervisors would hold a meeting with their respective staff to get their input as well. This was determined to be important because it was the staff, technicians, and projection workers that actually came in most contact with the instruments and therefore had valuable suggestions. The managers/ supervisors then represented their staff’s suggestions during the design meeting. In this way, everyone in the company had a voice; every suggestion was valued. As for the meeting, there was the standard moderator and scribe which went over the documents/changes and wrote down the meeting minutes respectively. As the changes were proposed, questions were freely offered and answered to the best of the ability of the project team and valuable suggestions/ concerns were specially noted down for further review by the engineering teams. Those questions would then inspire design changes or explanations; both of which would be shared with all supervisors/ managers to further pass down to all employees. In this way, everyone was kept informed and everyone’s opinion was valued.