iso 10993-3: biological evaluation of medical devices - tests for genotoxicity, carcinogenicity and...

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ISO 10993-3 Biological evaluation of medical devices Tests for genotoxicity, carcinogenicity and reproductive toxicity Melissa Cadaret, MS Director, Biocompatibility NAMSA 1

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Page 1: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

ISO 10993-3

Biological evaluation of medical devices –

Tests for genotoxicity, carcinogenicity and

reproductive toxicity

Melissa Cadaret, MS

Director, Biocompatibility

NAMSA

1

Page 2: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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ISO 10993-3 specifies strategies for

hazard identification and tests on medical

devices.

Page 3: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

3

ISO 10993-3 specifies strategies for

hazard identification and tests on medical

devices.

Genotoxicity

Page 4: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

4

ISO 10993-3 specifies strategies for

hazard identification and tests on medical

devices.

Genotoxicity

Carcinogenicity

Page 5: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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ISO 10993-3 specifies strategies for

hazard identification and tests on medical

devices.

Genotoxicity

Carcinogenicity

Reproductive and Developmental Toxicity

Page 6: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

Page 7: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

These types of tests are designed to detect

two major classes of genetic damage

Page 8: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

These types of tests are designed to detect

two major classes of genetic damage:

Gene Mutation

Page 9: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

These types of tests are designed to detect

two major classes of genetic damage:

Gene Mutation

Chromosomal damage

Page 10: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

There is no single test capable of detecting

all relevant genotoxic agents; therefore, the

usual approach is a testing battery.

Page 11: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

Test Battery

Test for gene mutation in bacteria

Page 12: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

Test Battery

Test for gene mutation in bacteria

And either

In vitro mammalian test with cytogenetic

evaluation of chromosomal damage

Page 13: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

Test Battery

Test for gene mutation in bacteria

And either

In vitro mammalian test with cytogenetic

evaluation of chromosomal damage

Or

In vitro mouse lymphoma tk assay

Page 14: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Genotoxicity

Test Battery

Test for gene mutation in bacteria

And either

In vitro mammalian test with cytogenetic

evaluation of chromosomal damage

Or

In vitro mouse lymphoma tk assay

Or

In vitro mammalian cell micronucleus test

for chromosomal damage

Page 15: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Carcinogenicity

Page 16: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Carcinogenicity

These types of tests assess tumorigenic

potential

Page 17: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Carcinogenicity

This testing is required

When carcinogenic risk cannot be ruled

by risk analysis

Page 18: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Carcinogenicity

This testing is required

When carcinogenic risk cannot be ruled

by risk analysis

For materials which degradation time is

greater than 30 days

Page 19: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Carcinogenicity

This testing is required

When carcinogenic risk cannot be ruled

by risk analysis

For materials which degradation time is

greater than 30 days

For devices introduced in the

body/cavities with a permanent or

cumulative contact of greater than 30

days.

Page 20: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

Page 21: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

These tests evaluate the effects on

reproductive function, teratogenicity.

Page 22: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

Requirement for testing is limited to certain

devices

Page 23: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

Requirement for testing is limited to certain

devices

IUDs, or other devices in long-term

contact with reproductive tissues or

embryo/fetus

Page 24: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

Requirement for testing is limited to certain

devices

IUDs, or other devices in long-term

contact with reproductive tissues or

embryo/fetus

Energy depositing devices

Page 25: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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Reproductive and Developmental Toxicity

Requirement for testing is limited to certain

devices

IUDs, or other devices in long-term

contact with reproductive tissues or

embryo/fetus

Energy depositing devices

Resorbable or leachable material/devices

without adequate reproductive toxicity

data

Page 26: ISO 10993-3: Biological Evaluation of Medical Devices - Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity

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To view the complete presentation on ISO 10993-3

Check out NAMSA’s Seminars

You can view the entire ISO 10993 Series here

For information about the services NAMSA can offer you regarding genotoxicity, carcinogenicity and reproductive toxicity

Visit our Biocompatibility page, or

Download our Biocompatibility brochure

For additional information

Contact us at [email protected].