この文書は、ISO 10993-8: Sample Preparation and Reference Materials
の付属ガイダンス文書で、ISO Technical Reportの位置づけにある。
生物試験における標準物質・材料の要件を示す。

コメント期限・提出先:
1998.2.28
中村晃忠 FAX 03-3707-6950
          E-mail: nakamura@nihs.go.jp

Contents
Foreword
1 Scope
2 Normative references
3 Definitions
4 Reference materials are test method specific
5 Characteristics of reference materials
6 Use of reference materials as experimental controls


Foreword

ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO. also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.

The main task of technical committees is to prepare International Standards, but in exceptional circumstances a technical committee may propose the publication of a Technical Report of one of the following types:

Technical Reports of types 1 and 2 are subject to review within three years of publication, to decide whether they can be transformed into International Standard, Technical Reports of type 3 do not necessarily have to be reviewed until the data they provide are considered to be no longer valid or useful.

This Technical Report of type 3. was prepared by Technical Committee ISO/TC 194, Biological evaluation of medical devices.

This document is not to be regarded as in "International Standard". It is proposed for provisional application so that information and experience of its use in practice may be gathered. Comments on the content of this document should be sent to the ISO Central Secretariat.

A review of this Technical Report will be carried out not later than two years after its publication with the options of: extension for another two years; conversion into an International Standard; or withdrawal.

. .

1 Scope

This information should be considered as a supplement to ISO 10993-12 which specifies requirements and gives guidance on procedures to be followed in the preparation of samples of medical devices for testing in biological systems in accordance with one or more parts of the ISO 10993 series. In clause 4, there is a discussion of the use of reference materials as experimental controls. When ISO 10993-12 was published, Annex A provided specific information regarding the sources of materials that were available at that time.

2 Normative references

The following standards and guides contain provisions which, through reference in this text, constitute provisions of this Technical Report. At the time of publication, the edition indicated was valid. All standards are subject to revision, and parties to agreements based on this Technical Report are encouraged to investigate the possibility of applying the most recent edition of the standard indicated below. Members of lEC and ISO maintain registers of currently valid International Standards.

The ISO Guides listed below provide material, which will enable the reader to place into context. the discussion m this Technical Report.

ISO/IEC Directives, Part 2: 1992, Methodology for the development of international Standards, Annex B - Mention of reference materials

ISO 10993-12: 1996, Biological evaluation of medical devices - Part 12. Sample preparation and reference materials.

ISO Guide 30:1992. Terms and definitions used in connection with reference materials.

ISO Guide 31 :1981, Contents of certificates of reference materials.

ISO Guide 33:1989, Uses of certified reference materials.

ISO Guide 35: 1989, Certification of reference materials - General and statistical principles.

3 Definitions

3.1 certified reference material
(CRM): Reference material, accompanied by a certificate, one or more of whose property values are certified by a procedure which establishes its traceability to a an accurate realization of the unit in which the property values are expressed, and for which each certified value is accompanied by an uncertainty at a stated level of confidence (see ISO Guide 30).

3.2 reference material (RM): Material or substance one or more of whose property values are sufficiently homogeneous and well established to be used for the calibration of an apparatus. the assessment of a measurement method, or for assigning values to materials (see ISO Guide 30).

3.3 reference method: Thoroughly investigated test method, clearly and exactly describing the necessary conditions and procedures, for the evaluation of a specific biological endpoint. that has been shown to have accuracy and precision commensurate with its intended use and that can? therefore, be used to characterize a RM (see ISO Guide 30).

3.4 standard reference material (SRM):
A trade mark protected certification supplied by the National Institutes for Standards and l Technology, Gaithersburg, MD, USA.

4 Reference materials are test method specific

Reference materials or certified reference materials may be used in biological tests as control materials. As control materials, when tested by the biological test procedure described, the material demonstrates the suitability of the procedure to yield a reproducible' predictable response, either positive or negative. Use of a reference material as a positive or negative control would insure the comparability of the response between laboratories. What is inherent in this discussion is that any material used in this way must be evaluated with each biological test procedure for which the use of the material is desired. It is not sufficient to qualify a material for one type of reference test method or response, e.g. sensitization, and declare it a reference material for another, e.g. cytotoxicity, without additional qualification testing.

5 Characteristics of reference materials

5.1 One or more property values

Working Group 12, during the development of this Technical Report, emphasized the statements in clause 4. RMs or CRMs used to determine the biological response in this way must be evaluated with each biological test procedure for which the use of the material is desired. It is not sufficient to qualify a material for one type of reference test method or response. e.g. sensitization, and declare it a reference material for another. e.g. cytotoxicity, without additional qualification testing.

5.2 Homogeneous

The homogeneity of a material is its condition of being of uniform structure or composition with respect to the biological endpoint under study. The RM is said to be homogeneous if the biological response to a specific test is found to lie within the specified uncertainty limits, irrespective of the site in the batch or lot material from where the test sample is taken.


5.3 Stability of property

This characteristic of a material is its ability, when stored under specified conditions, to maintain the stated biological response, within specified limits, for a specific period of time (see ISO Guide 30).

5.4 Stability of the source of the material

Working Group 12, during the discussion of this Technical Report, became concerned about the future availability of reference materials for determination of biological response The Working Group discussed the desirability of obtaining a commitment of not less than 5 years from suppliers of the RMs or CRMs. A second, but less desirable, option discussed was the publication of an "open formulation" for the material, i.e. publication of the sot source materials and details of the processing needed to insure uniform batches of RM.

5.5 Number of points on the standard curve

Working Group 12 noted that the reference materials currently described in Annex A of ISO 10993-1 12 are currently only available in single strength levels. Good laboratory practice suggests that these materials should be supplied in a second potency level for the proper development of a standard curve. Experimenters should strive to insure that the highest point on the standard curve should be at or near the upper end of the expected biological response.

5.6 Certification of reference materials

Certification of a reference material is a procedure that establishes the value of the biological response of tile material under the test conditions specified, ensuring a traceability of the response, that leads to the issuance of a certificate by the certified reference material producer. Working Group 12, during the discussion of this Technical Report, expressed the desirability, but not the requirement, that tile biological response of the material be established through an international interlaboratory test.

6 Use of reference materials as experimental controls

6.1 Material screening versus medical device biocompatibility

The use of tile reference materials described in ISO 10993-12 and elsewhere in this document are limited to biological screening testing of the materials intended for use in the manufacture of medical devices. However, while not intended for the purpose, they are often used in the performance assessment of the finished device. The vertical standard for the device, when available, must address the biological testing of the product in the performance environment of the device. Biological testing described III the vertical standard takes precedent over testing performed to screen the materials for suitability.

6.2 Misuse of CRMs

The attention of the users of this Technical Report is directed to the discussion of "proper use" and "misuse" of CRMs in the introduction to ISO Guide 33. This discussion points out areas of both potential under and over utilization of RMs and CRMs. Users of this Technical Report should also note that the use of classical calibration materials to evaluate the biological response of materials under investigation within a single laboratory is often sufficient.