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AAMI 10993 10 2010 RA 2014

$140.32

ANSI/AAMI/ISO 10993-10:2010/(R)2014 – Biological evaluation of medical devices-Part 10: Tests for irritation and skin sensitization

Published By Publication Date Number of Pages
AAMI 2010 88
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Describes the procedure for the assessment of medical devices and their constituent materials with regard to their potential to produce irritation and skin sensitization. Includes: a) pretest considerations for irritation, including in silico and in vitro methods for dermal exposure; b) details of in vivo (irritation and sensitization) test procedures, and; c) key factors for the interpretation of the results. Instructions are given in Annex A for the preparation of materials specifically in relation to the above tests. In Annex B several special irritation tests are described for application of medical devices in areas other than skin.

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PDF Pages PDF Title
1 ANSI/AAMI/ISO 10993-10:2010/(R)2014, Biological evaluation of medical devices — Part 10: Tests for irritation and skin sensitization
2 Objectives and uses of AAMI standards and recommended practices
3 Title page
4 AAMI Standard
Copyright information
5 Contents
6 Glossary of equivalent standards
8 Committee representation
10 Background of ANSI/AAMI adoption of ISO 10993-10:2010
11 Foreword
13 Introduction
15 1 Scope
2 Normative references
16 3 Terms and definitions
18 4 General principles — Step-wise approach
19 5 Pretest considerations
5.1 General
5.2 Types of material
5.2.1 Initial considerations
5.2.2 Ceramics, metals and alloys
20 5.2.3 Polymers
5.2.4 Biologically derived materials
5.3 Information on chemical composition
5.3.1 General
5.3.2 Existing data sources
21 6 Irritation tests
6.1 In vitro irritation tests
6.2 In vivo irritation tests — Factors to be considered in design and selection of in vivo tests
22 6.3 Animal irritation test
6.3.1 Principle
6.3.2 Test material
6.3.3 Animals and husbandry
23 6.3.4 Test procedure
6.3.4.1 Preparation of animals
6.3.4.2 Application of test sample
6.3.4.2.1 Application of powder or liquid sample
24 6.3.4.2.2 Application of extracts and extract vehicle
6.3.4.2.3 Application of solid sample
25 6.3.5 Observation of animals
6.3.5.1 General
6.3.5.2 Single-exposure test
6.3.5.3 Repeated-exposure test
6.3.6 Evaluation of results
26 6.3.7 Test report
6.4 Animal intracutaneous (intradermal) reactivity test
6.4.1 Introduction
27 6.4.2 Exclusion from test
6.4.3 Test sample
6.4.4 Animals and husbandry
6.4.5 Test procedure
28 6.4.6 Observation of animals
29 6.4.7 Evaluation of results
6.4.8 Test report
30 6.5 Human skin irritation test
6.5.1 Introduction
6.5.2 Initial considerations
31 7 Skin sensitization tests
7.1 Choice of test methods
7.2 Murine Local Lymph Node Assay (LLNA)
7.2.1 Principle
7.2.2 Test sample preparation
32 7.2.3 Animals and husbandry
7.2.4 Test procedure
33 7.2.5 Treatment groups
7.2.6 Determination of cellular proliferation and tissue preparation
34 7.2.7 Results and interpretation
7.2.8 Test report
35 7.3 Guinea pig assays for the detection of skin sensitization
7.3.1 Principle
7.3.2 Choice of test sample concentrations
7.3.3 Induction
7.3.4 Challenge
7.4 Important factors affecting the outcome of the test
36 7.5 Guinea pig maximization test (GPMT)
7.5.1 Principle
7.5.2 Test sample preparation
7.5.3 Animals and husbandry
37 7.5.4 Test procedure
7.5.4.1 Preparation
7.5.4.2 Preliminary tests
38 7.5.4.3 Main test
7.5.4.3.1 Intradermal induction phase
7.5.4.3.2 Topical induction phase
39 7.5.4.3.3 Challenge phase
7.5.5 Observation of animals
7.5.6 Evaluation of results
7.5.7 Test report
40 7.6 Closed-patch test (Buehler test)
7.6.1 Principle
7.6.2 Test sample preparation
7.6.3 Animals and husbandry
7.6.4 Test procedure
7.6.4.1 Preparation
7.6.4.2 Preliminary tests
41 7.6.4.3 Main test
7.6.4.3.1 Induction phase
7.6.4.3.2 Challenge phase
7.6.5 Observation of animals
42 7.6.6 Evaluation of results
7.6.7 Test report
8 Key factors in interpretation of test results
44 Annex A Preparation of materials for irritation/sensitization testing
A.1 General
A.2 Materials for direct-contact exposure
A.2.1 Solid test materials
A.2.2 Liquid test materials
A.3 Extracts of test materials
45 A.4 Solvents
A.5 Sterile test materials
46 Annex B Special irritation tests
B.1 General
B.2 Ocular irritation test
B.2.1 General
B.2.2 Principle
B.2.3 Exclusion from test
B.2.4 Test material
47 B.2.5 Animals and husbandry
B.2.6 Test procedure
B.2.7 Observation of animals
50 B.2.8 Evaluation of results
51 B.2.9 Test report
B.3 Oral mucosa irritation test
B.3.1 General
B.3.2 Principle
B.3.3 Exclusion from test
B.3.4 Test material
B.3.5 Animals and husbandry
52 B.3.6 Test procedure
B.3.7 Observation of animals
53 B.3.8 Assessment of results
B.3.8.1 Macroscopic evaluation
B.3.8.2 Histological evaluation
54 B.3.9Test report
56 B.4 Penile irritation test
B.4.1 General
B.4.2 Principle
B.4.3 Exclusion from test
B.4.4 Test sample
B.4.5 Animals and husbandry
B.4.6 Test procedure
57 B.4.7 Observation of animals
B.4.8 Assessment of results
B.4.8.1 Macroscopic evaluation
B.4.8.2 Histological evaluation
58 B.4.9 Test report
B.5 Rectal irritation test
B.5.1 General
B.5.2 Principle
B.5.3 Exclusion from test
B.5.4 Test material
B.5.5 Animals and husbandry
59 B.5.6 Test procedure
B.5.7 Observation of animals
B.5.8 Evaluation of results
B.5.8.1 Macroscopic evaluation
60 B.5.8.2 Histological evaluation
B.5.9 Test report
B.6 Vaginal irritation test
B.6.1 General
61 B.6.2 Principle
B.6.3 Exclusion from test
B.6.4 Test material
B.6.5 Animals and husbandry
B.6.6 Test procedure
62 B.6.7 Observation of animals
B.6.8 Evaluation of results
B.6.8.1 Macroscopic evaluation
B.6.8.2 Histological evaluation
B.6.9 Test report
64 Annex C Human skin irritation test
C.1 General
C.2 Principle
C.3 Description of the method
C.3.1 Selection of human volunteers
C.3.2 Preparation of doses
65 C.3.3 Procedure
C.3.3.1 Number of volunteers
C.3.3.2 Application of the test material
C.3.3.3 Duration of exposure
C.3.3.4 Limited exposure
C.3.3.5 Clinical observation and grading of skin reactions
66 C.3.3.6 Rationale for and selection of a concurrent positive control substance
C.4 Data and reporting
C.4.1 Data
C.4.2 Data evaluation/interpretation
67 C.4.3 Test report
68 Annex D In vitro tests for skin irritation
D.1 Background information
69 D.2 Principle of the in vitro skin irritation tests
D.2.1 General
D.2.2 General model characteristics
D.2.3 Functional model requirements
D.2.3.1 General
D.2.3.2 Viability
70 D.2.3.3 Barrier function
D.2.3.4 Morphology
D.2.3.5 Reproducibility
D.2.3.6 Quality controls (QC) of the model
D.3 Test material
71 D.4 Test procedures
72 D.5 Results and interpretation
73 D.6 Test report
74 Annex E Method for the preparation of extracts from polymeric test materials
E.1 General
E.2 Preparation method
E.2.1 Preliminary extraction
E.2.2 Final extraction
E.2.2.1 General
75 E.2.2.2 Test sample preparation according to Method 1
E.2.2.3 Test sample preparation according to Method 2
76 E.3 Guinea pig maximization test (GPMT)
E.3.1 General
E.3.2 Challenge phase
77 Annex F Background information
F.1 Irritation tests
78 F.2 Sensitization tests for skin sensitization
81 Bibliography
AAMI 10993 10 2010 RA 2014
$140.32