Objective: To understand the development of international medical device biocompatibility testing and provide references for better biocompatibility evaluation. Methods: By consulting international standards and regulations such as ISO 10993, the key changes in the biological evaluation of medical devices and the corresponding changes in FDA evaluation guidelines were summarized. The updated standards in ISO 10993 related to material chemical characterization, physical characterization, and tests for irritation were introduced. Results and Conclusion: The update of international medical device biocompatibility standards and regulations aims to determine whether to conduct relevant experiments through biological evaluation indicators (such as material, physical/chemical characterization, etc.), thereby reducing the use of experimental animals. This provides a reference for the improvement of the relevant regulatory documents for medical devices in China.
Sun Yanyan, Wang Han, Chen Dandan, Li Bo
. Update of International Standards and Regulations for Biocompatibility Testing of Medical Devices[J]. Chinese Pharmaceutical Affairs, 2024
, 38(2)
: 152
-159
.
DOI: 10.16153/j.1002-7777.2024.02.005
[1] Ghasemi-Mobarakeh L,Kolahreez D,Ramakrishna S,et al.Key Terminology in Biomaterials and Biocompatibility[J].Current Opinion in Biomedical Engineering,2019,10:45-50.
[2] Williams D F.Assessing the Triad of Biocompatibility,Medical Device Functionality and Biological Safety[J].Medical Devices & Sensors,2020,4(1):e10150.
[3] The International Organization for Standardization(ISO).ISO 10993-1:2018 Biological Evaluation of Medical Devices-Part 1:Evaluation and Testing within a Risk Management Process[S].2018.
[4] The International Organization for Standardization(ISO).ISO 10993-1:2009 Biological Evaluation of Medical Devices-Part 1:Evaluation and Testing within a Risk Management Process[S].2009.
[5] FDA Center for Devices and Radiological Health.2020 Biocompatibility Guidance:Use of International Standard ISO 10993-1,"Biological Evaluation of Medical DevicesPart 1:Evaluation and Testing within a Risk Management Process"[S].2020.
[6] The International Organization for Standardization(ISO).ISO 10993-18:2020 Biological Evaluation of Medical DevicesPart 18:Chemical Characterization of Medical Device Materials within a Risk Management Process[S].2020.
[7] The International Organization for Standardization(ISO).ISO/TS 10993-19:2020 Biological Evaluation of Medical Devices-Part 19:Physico-chemical,Morphological and Topographical Characterization of Materials[S].2020.
[8] The International Organization for Standardization(ISO).ISO 10993-23:2021 Biological Evaluation of Medical Devices-Part 23:Tests for Irritation[S].2021.
[9] Wang H,Yu H,Tran T N,et al.Chemical Characterization of Leachables in Catheter Device[J].ACS Omega,2022,7(51):48291-48300.
[10] The International Organization for Standardization(ISO).ISO 10993-11:2017 Biological Evaluation of MedicalDevices-Part 11:Tests for Systemic Toxicity[S].2017.
[11] Cuadros-Rodriguez L,Lazuen-Muros M,Ruiz-Samblas C,et al.Leachables from Plastic Materials in Contact with Drugs.State of the Art and Review of Current Analytical Approaches[J].Int J Pharm,2020,583:119332.[1 2] B e r n a r d M,J u b e l i E,P u n g e n t e M D,e t a l.Biocompatibility of Polymer-based Biomaterials and Medical Devices-regulations,in vitro Screening and Risk-management[J].Biomater Sci,2018,6(8):2025-2053.
[13] GB/T 16886.1-2022 医疗器械生物学评价第1部分:风险管理过程中的评价与试验[S].2022.
[14] Batke M,Afrapoli F M,Kellner R,et al.Threshold of Toxicological Concern-An Update for Non-Genotoxic Carcinogens[J].Frontiers in Toxicology,2021,3:688321.
[15] FDA Department of Health and Human Services."Use of International Standard ISO 10993,Biological Evaluation of Medical Devices-Part1:Evaluation and Testing" G95-1[S].1995.
[16] Kunzmann A,Andersson B,Thurnherr T,et al.Toxicology of Engineered Nanomaterials:Focus on Biocompatibility,Biodistribution and Biodegradation[J].Biochim Biophys Acta,2011,1810(3):361-373.
[17] FDA.Guidance for Industry and FDA Staff:Preparation and Review of Investigational Device Exemption Applications(IDEs)for Total Artificial Discs[S].2008.
[18] Rivera Gil P,Oberd?rster G,Elder A,et al.Correlating Physico-chemical with Toxicological Properties of Nanoparticles:The Present and the Future[J].ACS Nano,2010,4(10):5527-5531.
[19] Setyawati M I,Zhao Z,Ng K W.Transformation o f N a n o m a t e r i a l s a n d I t s I m p l i c a t i o n s i n G u t Nanotoxicology[J].Small,2020,16(36):e2001246.
[20] Ilinskaya A N,Dobrovolskaia M A.Understanding the Immunogenicity and Antigenicity of Nanomaterials:Past,Present and Future[J].Toxicol Appl Pharmacol,2016,299:70-77.
[21] Sharifi S,Behzadi S,Laurent S,et al.Toxicity of Nanomaterials[J].Chem Soc Rev,2012,41(6):2323-2343.
[22] The International Organization for Standardization(ISO).ISO 10993-12:2021 Biological Evaluation of Medical Devices-Part 12:Sample Preparation and Reference Materials[S].2021.
[23] Sussman E M,Oktem B,Isayeva I S,et al.Chemical Characterization and Non-targeted Analysis of Medical Device Extracts:A Review of Current Approaches,Gaps,and Emerging Practices[J].ACS Biomater Sci Eng,2022,8(3):939-963.
[24] Jenke D.Identification,Analysis and Safety Assessment of Leachables and Extractables[J].TrAC Trends in Analytical Chemistry,2018,101:56-65.
[25] Kennedy T A,Spinti M J.How Sensitive Does Chemical Characterization of Medical Devices Need to be Calibration of Analytical Evaluation Thresholds with the Carcinogenic Potency Database[J].Regul Toxicol Pharmacol,2021,122:104899.
[26] Wei S,Ma J X,Xu L,et al.Biodegradable Materials for Bone Defect Repair[J].Mil Med Res,2020,7(1):54.
[27] Bandyopadhyay A,Espana F,Balla V K,et al.Influence of Porosity on Mechanical Properties and in vivo Response of Ti6Al4V Implants[J].Acta Biomater,2010,6(4):1640-1648.
[28] Dong A,Yang Z,Wang W.Mixed Catalyst SmMn(2)O(5)/Cu-SAPO34 for NH(3)-Selective Catalytic Oxidation[J].ACS Omega,2022,7(10):8633-8639.
[29] The International Organization for Standardization(ISO).ISO 10993-10:2010 Biological Evaluation of Medical Devices-Part 10:Tests for Irritation and Skin Sensitization[S].2010.
[30] The International Organization for Standardization(ISO).ISO 10993-10:2021 Biological Evaluation of Medical Devices-Part 10:Tests for Skin Sensitization[S].2021.
[31] Pellevoisin C,Videau C,Briotet D,et al.SkinEthic RHE for in vitro Evaluation of Skin Irritation of Medical Device Extracts[J].Toxicol in Vitro,2018,50:418-425.
[32] De Jong W H,Hoffmann S,Lee M,et al.Round Robin Study to Evaluate the Reconstructed Human Epidermis(RhE)Model as an in vitro Skin Irritation Test for Detection of Irritant Activity in Medical Device Extracts[J].Toxicol in Vitro,2018,50:439-449.