Earlier quoted context omitted.
> while no large team (that I'm aware of) has done anything similar. In areas like avionics, medical devices etc., there are formal production engineering methods applied to software as a matter of course. It can very work well, but it is definitely expensive compared to industry average.
I have my suspicion that medical devices aren't as rigidly programmed as the general public would like. Ie programmed by a biomedical/electrical engineer who isn't really a software specialist. But I'd be keen to hear from someone in the trenches.
It's about controlled processes, highly auditable, very sharply optimised focused managing the medical (and medico-legal) risk at the expense of every other type of problem.
Generic software specialists I think actually aren't very good at it and take a while to acclimatise to it.