Introduction
ISO 10993-1: 1996 Biological evaluation of medical devices PartI: Evaluation and testing provides a framework for a structured programme of assessment for the evaluation of biological safety.
In Section 3 General principles applying to the biological evaluation of materials and devices it is stated that in the selection of materials to be used for device manufacture the first consideration should be fitness for purpose. This should have regard to the characteristics and properties of the material which include chemical, toxicological, physical, electrical, morphological and mechanical properties. This information is necessary prior to any biological evaluation, Also prEN 1441 : 1995, Medical devices - Risk analysis points out that a toxicological risk analysis should take account of the chemical nature of the materials.
The requirements specified in this document are intended to yield the following information :
(a) The chemical composition of the materials used in the manufacturing process and also processing additives and residues. The physico-chemical, mechanical and morphological and predictable
biological characteristics of materials to be used in production of a medical device and in their final form in the device
(b) The materials of construction of the medical device.
(c) The potential of materials to release leachable substances when used in the manufacture of a medical device.
The compositional characteristics of the materials of manufacture are mainly under the control of the suppliers of these materials. However other characteristics are chiefly influenced by the requirements to be met by the finished medical device as well as the processes used by the medical device manufacturer
Characterisation or materials
5 Categories of materials
The first consideration should be the physical form of the material i.e solid, liquid or gas. For the purpose of this standard the materials encompassed by the definition may be conveniently divided into two categories. This division is related to the complexity of the chemical composition of the material.
5.1 Polymers, natural and synthetic
Synthetic polymers will usually contain a larger number of components such as unreacted monomer residue, catalyst and solvent residues, oligomers, production aids and modifying additives including pigments. Many of these will be present at very low levels.
Natural polymers may vary significantly dependant on the biological source and may contain impurities and residues resulting from that source. This standard does not cover risks of infection associated with the biological source. Draft European Standards which address these issues should be consulted (prEN 12442, Pans 1-3).
5.2 Ceramics, metals and alloys
These materials are normally less complex in terms of the number of chemical constituents and these will be present in significant proportions.
It should be noted that during manufacture and assembly of medical devices from materials in both categories 5.1 and 5.2 additional chemical components rnay be acquired due to the use of processing aids such as lubricants or mould release agents. As well as the chemical components of the staning material and the manufacturing process aids, adhesive/solvent residues from assembly and also sterilant residues or reaction products resulting from the sterilisation process may also be present in a finished product.
Annex B (informative)
Guidance on material characterisation
For some materials compositional information may be readily available as part of the material specification. Materials such as polymers may possess more complex formulations and compositional details should be obtained from the supplier of the material. In the absence of such details appropriate analytical techniques should be applied to a material to yield compositional data.
rdentiflcation of the constituents of a material intended for use in the manufacture of a medical device enables the intrinsic toxicity of each constituent to be investigated. The data obtained is intended to be used by the medical device manufacturer as part of the overall biological safety evaluation of the medical device, rt is therefore important that a material supplier should not be peanitted to change the composition of a material supplied under a specific commercial trade-name or supply agreement without prior notification to the medical device manufacturer. The manufacturer should assess the consequences of any notified changes on the biological safety of the product.
Any of the constituents of a material or additives used in the process of manufacture of a medical device are potentially bio-available. However it is necessary to obtain information demonstrating the extent to which the constituents will be available under the actual conditions of use of the finished product to estimate the risk arising from them. TItis can be determined experimentally through extraction rests on the material. Appropriate extraction conditions are used to ensure that any constituent which is likely ro be released during finished product use will be released into the extraction media. The extract obtained is analysed qualitatively and quantitatively and physico-chemical tests are used to generate data that can then be used in the biological safety evaluation of the medical device.
An illustration of the wide variety of extraction conditions and extractant test methods which currently exist is found by reference to the documents listed in Annex C and guidance is given in ISO 10993-12.
Identification of appropriate biological toxicity testing required for the medical device concerned is assisted by use of the information obtained from the chemical characterisation procedure.
This standard does not attempt to identify and quantify any degradation products which may be formed.
The potential for degradation is addressed separately by ISO Standards 10993-13, 10993-14 and 10993-15 concerned respectively with polymeric, ceramic and metallic materials, and also ISO 10993-9.
Test reports containing the information described in section 9 of this standard can be submitted for inclusion in toxicological risk analysis procedures for biological hazards of the medical device/finished product concerned, (For example, see EN 1441 clause 4.2 and revised ISO 10993-I clause 3).
Qualitative compositional data for the material itself enables the intrinsic toxicity of the chemical constituents to be established by reference to existing data or through toxicity studies. Quantitative data for the material itself and the extract from the material permits the potential biological exposure of each constituent to be assessed. The risk of toxic effects arising from exposure to the constituent during use of the device can be estimated from intrinsic toxicity and exposure data.
Annex C
(informative)
Bibliography of international and natiunal standards and regulations
Note: This list is not exhaustive but gives examples of some standards and regulations which may be
applicable.
ISO and EN Standards
ISO 1135 Transfusion equipment for medical use part 3; Blood-taking set. Pan 4; Tranfusion sets for single use.
ISO 3826 Plastics collapsible containers for human blood and blood components.
ISO 7886 Sterile hypodermic syringes for single use
Part 1: Syringes for manual use.
ISO 8536 Infusion equipment for medical use
Part 4; Infusion sets for single use.
Part 5: Burette type infusion sets.
ISO 10993-9 Biological evaluation of medical devices - Part 9; Degradation of materials related to biological testing.
ISO 10993-13 Biological evaluation of medical devices - Part 13: rdentiflcation and quantification of degradation products from polymeric medical devices,
ISO 10993-14 Biological evaluation of medical devices - Part 14; Identification and quantification of degradation products from ceramics.
ISO 10993-15 Biological evaluation of medical devices - Part 15: Identification and quantification of degradation products from uncoated or coated metals and alloys.
ISO TK10451 (Dec1995)
prEN 12442-1 Animal tissues and their derivatives utilised in the manufacture of medical devices - Part 1; Risk analysis and management.
prEN 12442-2 Animal tissues and their derivatives utilised in the nianufacture of medical devices - Part 2: Sourcing, controls, collection and handling.
prEN 12442-3 Animal tissues and their derivatives utilised in the manufacture of medical devices - Pan 3; Validation of the elimination and/or inactivation of viruses and other transmissible agents.
1997 European Pharniacopocia monographs
3.1 Materials used for the manufacture of containers
3.1.1 Materials based on plasticised PVC for containers for human blood and blood components and aqueous solutions for intravenous infusion.
3.1.2 Materials based on plasticised PVC for tubing used in sets for transfusion of blood and blood components.
3.1.3 Polyolefines.
3.1,4 Polyethylene-low density for containers for preparations for parenteral use arid ophthalmic preparations.
3.1.5 Polyethylene-high density for containers for preparations for parenteral use.
3.1.6 Polypropylene for containers for preparations for parenteral use.
3.1.7 Ethylene-vinyl acetate copolymer for containers and tubing for total parenteral nutrition preparations.
3.1.8 Silicone oil used as a lubricant.
3.1.9 Silicone elastomer for closures and tubing.
3.2 Containers
3.2.1 Glass containers for pharmaceutical use.
3.2.2 Plastic containers and closures.
3.2.3 Sterile plastic containers for human blood and blood components
3.2.4 Empty sterile containers of plasticised PVC for human blood and bJood components.
3.2.5 Sterile containers of plasricised PVC for human blood containing an anticoagulant solution.
3.2.6 Sets for the transfusion of blood and blood components.
3.2.7 Plastic containers for aqueous solutions for intraveneous irifusion.
3.2.8 Sterile single-use plastic syringes.
3.2.9 Rubber closures for containers for aqueous preparations for parenteral use.
European Agreement on the exchange of therapeutic substances of human origin (As accepted by the EU in January 1987).
National Pharmacopoeia
United States Pharmacopoeia 23rd Edition
Physico-chemical tests - Plastics.
Japanese Pharmacopoeia
Plastic containers for aqueous infusions.
Nordic Pharnacopoeia
Plastic material for containers and transfusion tubing for blood and blood fractions and for aqueous solutions for infusion, injection or irrigation.
German Standards
DIN 13098 Sterile hypodermic syringes for single use.
DIN 58363 Transfusion equipment
Part 15: Infusion containers and accessories, infusion bags and bottles made of plastic.
British Standards
BS
2463 Transfusion equipment for medical use
Part 1: Collapsible containers for blood and blood components. Part 2; Administration sets.
BS 3531 Surgical implants made of heat-vulcanised silicone.
BS 5081 Sterile hypodermic needles and syringes for single use.