Regulatory Open Forum

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  • 1.  Biocompatibility - Chemical and/or physical information

    Posted 26-May-2021 02:37
    Dear all, 

    I would like to have some clarifications regarding the first endpoint of the Table A.1 in ISO 10993-1:2018 standard: chemical and/or physical information.
    According to ISO 10993-1, it is mandatory to assess this endpoint for all medical devices. From my understanding, the aim is to identify any potential toxicological risk and to waive unnecessary animal testing. 
    My question is: what about legacy devices? There are devices on the market that have been tested on animals already as they are legacy devices, and there is no chemical characterization performed according to ISO 10993-18. Does the literature review of  materials provide sufficient chemical information to assess the endpoint? 
    What is the current position of medical device industry regarding this endpoint? 

    Thank you very much in advance for your responses, 

    Best regards

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    Martina Danesi
    Regulatory Affairs Intern
    RA-SCR Benelux
    Philips Medical Systems Nederland B.V.
    martina.danesi@philips.com
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  • 2.  RE: Biocompatibility - Chemical and/or physical information

    Posted 26-May-2021 08:47

     

     

    Hi Martina,

     

    Your understanding of the first column in Table A.1 is correct.

     

    The expectations of regulators for chemical characterization of legacy devices has not yet been worked out, to my knowledge.  Part 18 makes clear that testing is not always needed, and chemical characterization may be based on knowledge of the materials (i.e., a compositionally based approach).  This would require reasonably detailed information from suppliers about formulations, as well as analysis of the manufacturing processes (e.g., all contacting materials and possible residues).  If the material is manufactured to an existing standard, that factor can be useful as well. 

     

    As you note, the scientific literature on the material(s) can also be helpful in building a chemical characterization.  Consider also bringing in whatever information you may have on history of safe use (please refer back to my response on 20May2021 to your prior question about this point).

     

    A final consideration is that in revising 10993-1 the TC considered it important to address legacy devices, so Clause 4.11 has this to say:

     

    This document shall not be used to mandate re-testing of historical products assessed previously using the appropriate edition of this document at the time of the assessment. Nevertheless, compliance to this new edition shall be shown, by providing a justification for omission of further testing. Where recommendations for endpoint assessment per Annex A are different from prior published versions of this document, a history of safe clinical use can be used to document why additional testing on a commercially-marketed medical device is not needed. However, if any of the changes described in Clause 4.9 occur, an evaluation of the biologic risks related to the change shall be performed using the current version of this standard.

     

    It's unclear how well this clause will be accepted by regulators.  Based on what I'm seeing from clients struggling to deal with deficiencies on biocompatibility (especially from FDA, but NBs too), I'm not optimistic.

     

    Best regards,

     

    Ted

     

    --

    Theodore (Ted) Heise, PHD, RAC

    Vice President Regulatory and Clinical Services

     

    MED Institute Inc.

    1330 Win Hentschel Blvd.

    West Lafayette, IN  47906-4149 USA

    765.463.1633 ext. 4444

    http://medinstitute.com

    theise@medinstitute.com

     

     






  • 3.  RE: Biocompatibility - Chemical and/or physical information

    Posted 27-May-2021 14:59
    I agree with Ted on this one - I am seeing a lot of requests (from FDA and EU NBs) for this testing on legacy devices, despite best efforts to create an analysis for legacy devices. So, if you go that road, expect that there will be a lot of discussion about why it is appropriate.

    That said, you will likely have the time to do so even if you do want to do the testing, as the test labs appear to be pretty backlogged on this testing at the moment, at least based on quotes and timelines my clients have received.

    Ginger

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    Ginger Glaser RAC
    Chief Technology Officer
    MN
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