Iso 10993 13 1999
Iso 10993 13 1999
Iso 10993 13 1999
Biological evaluation of
medical devices -
Part 13: Identification and quantification
of degradation products from polymeric
medical devices
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ICs 11.100
BS EN IS0 10993-13:1999
National foreword
This British Standard is the English language version of EN IS0 10993-131998.It is
identical with IS0 10993-13:1W8.
The UK participation in its preparation was entrusted to Technical Committee
CW26, Biological testing of medical and dental materiais and devices, which has the
responsibility to:
Summary of pages
This document comprises a front cover, an inside front cover, the EN IS0 title page,
the EN IS0 foreword page, the IS0 title page, pages ii to v, a blank page, pages 1 to
10, the annex ZA page and a back cover.
O BSI 02-1999
ICs 11.100
Descriptors:
English version
CEN members are bound to comply with the CENICENELEC Intemal Regulationswhich stipulate the conditions for giving this European
Standardthe status of a nationalstandardwithout any alteration. Up-todatelists and bibliographicalreferences concerning such national
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standards may be obtained on application to the Central Secfetaiat or to any CEN member.
This EuropeanStandard exists in three officialversions (English, French, German). A version in any other language made by translation
under the responsibilityof a CEN member into its own language and notified to the Central Secretariathas the same status as the official
versions.
CEN members are the nationalstandards bodies of Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece,
Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland and United Kingdom,
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Q 1998 CEN All rights of exploitation in any form and by any means resewed Ref. No. EN IS0 10993-13:1998 E
worldwide for CEN national Members.
EN IS0 10993-13~1998
Foreword
The text of the Intemational Standard IS0 10993-13:1998 has been prepared by Technical
Committee ISOTTC 194 “Biological evaluation of medical devices” in collaboration with
Technical Committee CENTTC 206 “Biocompatibility of medical and dental materials and
devices”, the secretariat of which is held by NNI.
This European Standard shall be given the status of a national standard, either by
publication of an identical text or by endorsement, at the latest by May 1998, and conflicting
national standards shall be withdrawn at the latest by May 1998.
This European Standard has been prepared under a mandate given to CEN by the
European Commission and the European Free Trade Association, and supports essential
requirements of EU Directive@).
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Endorsement notice
The text of the Intemational Standard IS0 10993-13:1998 was approved by CEN as a
European Standard without any modification.
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EN IS0 10993-13:1998
INTERNATIONAL IS0
STANDARD 109934 3
First edition
1998-11-15
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Pattie 13: Identification et quantification de produits de dégradation de
dispositifs médicaux a base de polymères
Reference number
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EN IS0 10993-13~1998
Contents Page
1 scope ....................................................................................................... 1
3 Definitions ............................................................................................... 2
5 Test procedures...................................................................................... 6
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Descriptors: medical equipment. medicaldevices. polymers. plastics products. tests. biological tests. determination. deterioration.
EN IS0 10993-13:1998
Foreword
IS0 (the International Organization for Standardization) is a worldwide
federation of national standards bodies (IS0 member bodies). The work of
preparing International Standards is normally carried out through IS0
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. IS0
collaborates closely with the International Electrotechnical Commission
(IEC) on all matters of elecîrotechnical standardization.
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International Standard IS0 10993-13 was prepared by Technical
Committee ISO/TC 194, Biological evaluation of medical devices.
I S 0 10993 consists of the following parts, under the general title Biological
evaluation of medical devices:
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iv
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EN IS0 10993-13:1998
Introduction
This part of IS0 10993 was developed from ISOTTR 10993-9. Degradation
products covered by this standard are formed primarily by chemical bond
scission due to hydrolytic and/or oxidative processes in an aqueous
environment. It is recognized that additional biological factors, such as
enzymes, other proteins and cellular activity, can alter the rate and nature
of degradation.
It should be kept in mind that a polymeric device may contain residuals and
leachables such as monomers, oligomers, solvents, catalysts, additives,
fillers and processing aids. These components which, if present, may
interfere with the identification and quantification of the degradation
products, need to be considered and accounted for. It should be
recognized that residual monomers may generate the same degradation
products as the polymer itself.
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The identified and quantified degradation products form the basis for
biological evaluation in accordance with IS0 10993-1, for risk assessment
in accordance with IS0 14538 and, if appropriate, for toxicokinetic studies
in accordance with I S 0 10993-16.
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EN IS0 10993-13~1998
1 scope
This part of IS0 I0993 provides guidance on general requirements for the design of tests for identifying and
quantifying degradation products from finished polymeric medical devices ready for clinical use.
This part of IS0 10993 describes two test methods to generate degradation products, an accelerated degradation
test as a screening method and a real-time degradation test. For materials which are intended to polymerize in situ,
the set or cured polymer is used for testing. The data generated are used in the biological evaluation of the polymer.
This pari of IS0 10993 considers only those degradation products generated by a chemical alteration of the finished
polymeric device. It is not applicable to degradation of the device induced during its intended use by mechanical
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stress, wear or electromagnetic radiation.
The biological activity of the debris and soluble degradation products is not addressed in this part of IS0 10993, but
should be evaluated according to the principles of IS0 10993-1 and IS0 14538.
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Because of the wide range of polymeric materials used in medical devices, no specific analytical techniques are
identified or given preference. No specific requirements for acceptable levels of degradation products are provided
in this pari of IS0 10993.
2 Normative references
-:ne following standards contain provisions which, through reference in this text, constitute provisions of this pari of
IS0 10993. At the time of publication, the editions indicated were valid. All standards are subject to revision, and
parties to agreements based on this part of IS0 10993 are encouraged to investigate the possibility of applying the
most recent editions of the standards indicated below. Members of IEC and IS0 maintain registers of currently valid
international Standards.
IS0 3696:1987, Water for analytical laboratory use - Specification and test methods.
IS0 10993-1:1997, Biological evaluation of medical devices -Part 7: Evaluation and testing.
IS0 10993-9:-'), Biological evaluation of medical devices - Part 9: Framework for identification and quantification
of potential degradation products.
IS0 10993-12:1996, Biological evaluation of medical devices - Part 72: Sample preparation and reference
materials.
' To be published.
EN IS0 10993-13:1998
IS0 10993-16:1997, Biological evaluation of medical devices - Part 16: Toxicokinetic study design for degradation
products and leachables.
IS0 13781:1997, Poly(L-lactide)resins and fabricated forms for surgical implants - In vitro degradation testing.
IS0 14538:-” Biological evaluation of medical devices - Establishment of permissible limits for sterilization and
process residues using health-based risk assessment.
3 Definitions
For the purposes of this part of IS0 10993, the definitions given in IS0 10993-1, IS0 10993-9, IS0 13781 and the
following definitions apply.
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materials consisting of long-chain and/or crosslinked molecules composed of units called monomers
3.6 debris
particulate material produced by the degradation of a polymeric material
In accordance with IS0 10993-9, degradation tests shall be used to generate, identify and/or quantify degradation
products. If degradation is observed in an accelerated test, identification and quantification of the degradation
products may provide sufficient information for risk analysis. Where this information is insufficient or absent, real
time testing shall be performed. The sequence of steps which shall be followed is described in detail in this part of
IS0 10993.
NOTE The accelerated degradation test may be used as a screening test. If no degradation is observed in the accelerated
test, no real-time degradation test should be necessary.
When not specifically addressed by the selected method@),the general aspects of sample preparation shall be in
accordance with IS0 10993-12.
EN IS0 10993-13:1998
The analytical methods used for the initial material characterization shall be appropriate for the polymeric material
under investigation. The analytical techniques used shall be reported and justified.
Annex A of this part of IS0 10993 presents a list of analytical methods and their application range for the
Characterization of polymeric materials.
4.1.4.1 l e s t solutions
All test solution(s) used shall be described and justified in the test report.
a) water for analytical laboratory use, grade 2, in accordance with IS0 3696;
a) water and hydrogen peroxide, e.g. 3 % hydrogen peroxide solution, Pharmacopoeia grade;
b)
H,O,I.
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Fenton's reagent [mixture of dilute hydrogen peroxide solution and iron(1l) salts, e.g. 100 pmol Fe" and 1 rnrnol
These oxidative solutions may not be stable at elevated temperatures or for a prolonged time. Therefore the
oxidative capacity shall be maintained in an appropriate range.
Other test solutions for a specific polymer or a specific application site may be chosen.
NOTE If a biological assay of the debris or the degradation solution is to be made, then the use of antibacterial or antifungal
additives will interfere with these assays and it may be necessary to maintain a sterile environment for the duration of the real-
time degradation test.
4.1.4.2 Container
4.1.4.3 Balance
The balance used to determine mass loss shall be capable of weighing the initial sample mass with the precision
required. For materials designed to be resorbed, a precision of 1 Yo is appropriate, for materials designed to resist
degradation, a precision of at least 0,lo/o shall be used. The accuracy of the balance for resorbable polymers shall
be 0,l %, and for stable polymers 0,Ol %,of the total sample mass.
The precision and standard deviation of the method of the determination of mass loss shall be stated in the test
report.
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EN IS0 10993-13~1998
Any apparatus capable of drying the test samples to constant mass without contamination or loss of volatile
degradation products shall be used.
Any apparatus capable of producing a sufficient vacuum (< 500 Pa) in the drying apparatus is appropriate.
Any apparatus capable of separating the debris produced during the degradation study shall be used. This may
involve an inert filter, a temperature-controlledcentrifuge or a combination thereof.
At least three test samples shall be used for each test period. These should be the finished product itself or
representative samples thereof. A separate container shall be used for each sample. One blank shall be used for
each test period.
NOTE If a valid statistical analysis is required, more samples at each test period should be used.
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It must be appreciated that the size and the shape of the specimen are critical for the generation of relevant
amounts of degradation products. If a part of the finished device is used as the test sample, then surfaces which are
normally not in contact with the biological environment should be avoided or minimized.
The size, shape and surface area of the sample should be chosen in such a way that equilibrium with the
degradation solution and a constant mass for the determination of the mass balance can be reached in an
acceptable time.
NOTE 1 Under certain circumstances it may be necessary to fabricate a test sample using the same processing, cleaning and
sterilization methods as are used in the fabrication of the device.
NOTE 2 With resorbable polymers, equilibrium with the degradation solution may not be reached.
The ratio of the mass of the test sample to the volume of the test solution should be at least 1:lO. The samples shall
be fully immersed in the test solution.
The choice of the ratio used shall be reported and justified in the test report.
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NOTE The ratio 1:lO was chosen for practical reasons. When using this ratio, however, it should be considered that the
release of degradation products may interfere with the progress of degradation itself and may influence the rate of the
degradation and the equilibrium of the degradation reaction(s).
To set up the mass balance, the sample shall be dried to a constant mass. If the device contains volatile
components, an appropriate drying method shall be selected.
In this case, the drying method and the conditions shall be stated and justified in the test report.
4
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I 4.1.9 pH
If the pH of the test solution is relevant, the pH shall be maintained in an appropriate range. The pH chosen shall be
appropriate to the site of intended use (e.9. the acidic stomach). Changes in the pH induced by physiological
phenomena, e.g. during an inflammatory response, shall be considered.
NOTE 2 It should be recognized that if the pH value is not maintained in the appropriate range, the degradation products
generated may or may not be the same as those that occur under biological conditions.
When the sample is removed from the test solution, the sample shall be rinsed with adequate quantities of analytical
grade water. The rinse water and any debris loosened by the rinse water shall be added to the test solution. The
sample and the debris eventually obtained from the separation apparatus shall be dried to a constant mass. Then
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the mass balance shall be determined.
The material shall be characterized using the same methods as used in the initial material characterization.
4.2.1 Temperature
The temperature chosen shall be reported and justified in the test report.
NOTE Higher temperatures may lead to side reactions which may not occur at lower temperatures.
For devices whose intended use is longer than 30 days, test periods of 2 and 60 days shall be used. For devices
whose intended use is less than 30 days, test periods of 2 and 7 days shall be used. Additional test periods may be
chosen depending on the polymer under investigation or the intended use of the device.
NOTE For devices made from resorbable polymers, this test period may last until the device has lost its integrity (as defined
for the individual material).
4.3.1 Temperature
For devices whose intended use is longer than 30 days, test periods of 1 month, 3 months, 6 months and
12 months shall be used. For devices whose intended use is less than 30 days, four alternative test periods shall be
used, including 30 days. Additional test periods may be chosen depending on the polymer under investigation or the
intended use of the device.
EN IS0 10993-13:1998
NOTE For devices made from resorbable polymers, this test period may last until the device has lost its integrity (as defined
for the individualmaterial).
5 Test procedures
The steps to be followed are described in the flowchart in table1 .
NOTE For evaluation of crosslinked polymer systems, the decision for further action will be based on the mass balance
calculation and a measurement of the density of crosslinking instead of molecular masdmolecular mass distribution
determination.
Table 1
,
M ACCELERATED DEGRADATION TEST
Sample
I Evaluatlon:
I
Change in mass balance: (Y)es or (N)o
time
degradation
test is I
samplddebris degraded;
observed. end for degradation
of test, no real- products andior quantify
quantify
polymr
go to real-time leachables fron degradation
degradation the fluid phase products from
test. andfor go to the fluid phase
-t
No degradation Check the bulk
has been
of test
sampleidebris
observed, end for degradation
products
Polymer not
degraded;
quantify
Identify and
quantify
identify and leachables anc
polymer
leachables from degradation
the fluid phase. products from
necessary.
I 1
real-time andfor go to ~
degradation real-time
test. degradation
(see note in test. (see note in
5.2.4.1) (see 4.1) 5.3.4.1)
(see 4.1) (see4.1)
6
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~-
=
~ ~
~~
~
EN IS0 10993-13:1998
The initial material characterization shall address the bulk polymer and the residuals and additives present in the
final device. Because of the difficulties of retrospective analysis, this information is best obtained from the supplier
or manufacturerof the material. It is important to fully characterize the purity of the polymer and the additives used
in its formulation.
Dry the test sample to constant mass. Determine the mass of the test sample.
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Dry a filter under vacuum at room temperature to constant mass. Determine the mass of the filter. Separate sample
with possible debris from the degradation solution by means of the weighed filter. If necessary, vacuum or pressure
filtering can be used. Wash the contents of the filter three times with analytical grade water.
Determine the mass of a dry and clean centrifuge tube. Transfer the degradation test sample solution into the
centrifuge tube and close the tube prior to separation. Spin the tube in the centrifuge to obtain a firm debris pellet.
Carefully decant the supernatant solution into a container. Resuspend the pellet in analytical grade water and spin
again. Decant the supernatant solution again and add this solution to the container. Repeat this procedure two more
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times.
5.2.3 Analysis
5.2.3.1 Determination of mass balance
Dry the filter and its contents or the centrifuge tube and its contents under vacuum at room temperature to a
constant mass. Determine the mass of the filter and its contents or the centrifuge tube and its contents. Determine
the mass loss of the sample.
The molecular mass and the molecular mass distribution are determined by appropriate methods (see also
annex A).
No degradation has been observed. The test is terminated; no real-time degradation test is necessary.
NOTE Under some circumstances, it may be necessary to confirm this result by further investigations in line with IS0 10993-9.
Check the bulk sample/debris for degradation products. Proceed with real-time degradation test, if necessary
(see 4.1).
EN IS0 10993-13:1998
Polymer is not degraded, fluid phase contains leachables which shall be assessed according to IS0 10993-1.
Proceed with real-time degradation test, if necessary (see 4.1).
Identify and quantify leachables and polymer degradation products from the fluid phase and check the bulk sample
and debris for degradation products. Proceed with real-time degradation test, if necessary (see 4.1).
Dry the test sample to constant mass. Determine the mass of the test sample.
Dry a filter under vacuum at room temperature to constant mass. Determine the mass of the filter. Separate sample
with possible debris from the degradation solution by means of the weighed filter. If necessary, vacuum or pressure
filtering can be used. Wash the contents of the filter three times with analytical grade water.
5.3.3 Analysis
Dry the filter and its contents or the centrifuge tube and its contents under vacuum at room temperature to a
constant mass. Determine the mass of the filter and its contents or the centrifuge tube and its contents. Determine
the mass loss of the sample.
The molecular mass and the molecular mass distribution are determined by appropriate methods (see also
annex A).
Polymer is not degraded, fluid phase contains leachables which shall be assessed according to I S 0 10993-1
Identify and quantify leachables and polymer degradation products from the fluid phase and check the bulk sample
and debris for degradation products.
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6 Testreport
description of the test material, batch or lot number, dimensions and number of samples tested;
detailed description and justification of the test methods used, including (where appropriate) specificity,
sensitivity, detection and quantification limits;
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method used to determine mass loss, including precision and standard deviation;
selected pH;
test temperature;
test periods;
test results:
1) mass balance,
k) conclusions.
EN IS0 10993-13:1998
Annex A
(informative)
Analytical methods
The following analytical methods are suggested for the characterization of the polymeric material, if appropriate:
rheology (melting range, melt viscosity, thermal stability, molecular mass distribution);
chromatographic methods (e.g. gas and/or high performance liquid chromatography for residual monomers,
additives and leachables; size exclusion/gel permeation chromatography for molecular mass averages and
changes in molecular mass distribution);
spectroscopic methods (e.g. ultraviolet spectroscopy, infrared spectroscopy, nuclear magnetic resonance,
mass spectroscopy for identity, composition, distributions; atomic absorption spectroscopy for catalyst content,
heavy metals);
thermal analysis (e.g. differential scanning calorimetry for glass transition, melting range or softening point,
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blends).
Because a finished medical device may contain several materials from several sources, an intensive literature study
and the request of reliable analytical data from the suppliers is strongly recommended to minimize the analytical
work.
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EN IS0 10993-13:1998
Annex ZA (normative)
Normative references to international publications
with their relevant European publications
This European Standard incorporates by dated or undated reference, provisions from other
publications. These normative references are cited at the appropriate places in the text and the
publications are listed hereafter. For dated references, subsequent amendments to or revisions
of any of these publications apply to this European Standard only when incorporated in it by
amendment or revision. For undated references the latest edition of the publication referred to
applies.
EN mx
IS0 3696 1987 Water for analytical laboratory use - EN IS0 3696 1995
Specificationand test methods
IS0 10993-1 1997 Biological evaluation of medical devices - EN IS0 10993-1 1997
Part 1: Evaluation and testing
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IS0 10993-12 1996
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-
Biological evaluation of medical devices
Part 12: Sample preparation and reference
materials
EN IS0 10993-12 1996
IS0 10993-16 1997 Biological evaluation of medical devices - EN IS0 10993-16 1997
Part 16: Toxicokinetic study design for
degradation products and leachables
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