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ISO 10993 - Evaluation Decision

Host Response
- Acute toxicity
- Irritation (to the eye, skin, mucosal surfaces)
- Sensitization
- Hemolysis
- Thrombogenicity
- Subchronic and chronic toxicity
- Genotoxicity
- Carcinogenicity
- Effects on reproduction, including teratogenicity
Cytotoxicity
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lysis of cells (cell death),
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inhibition of cell growth,
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other effects on cells
- In vitro method
- Mandatory for all biomaterials
Sensitization
- These tests estimate the potential for contact sensitization of medical devices, materials and / or their extracts using suitable animal models
- These tests are appropriate because exposure or contact to even minute quantities of potential leachables can result in allergic or sensitization reactions
- Mandatory for all biomaterials
Irritation
- Skin
- Eye
- Mucous membrane
in a suitable animal model.
Intrcutaneous Reactivity
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Assesses the localized reaction of tissue to medical device / material extracts.
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These tests are carried out in such devices, where determination of irritation by dermal or mucosal tests are not appropriate
Eg : Devices having access to the blood path OR where material extractables are hydrophobic
Systemic Toxicity (Acute Toxicity)
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Estimates the potential harmful effects of either single or multiple exposures, during the period of less than 24 hours, to medical devices, materials or their extracts in suitable animal model
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Pyrogenicity tests carried out to detect material mediated pyrogenic reactions of extracts of medical devices or materials
Note : Pyrogenicity tests are also conducted to ensure the safe level of endotoxins in the finished / sterlized product
Subchronic Toxicity (Subacute Toxicity)
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Estimates the potential harmful effects of either single or multiple exposures, during the period of NOT less than 24 hours to a period not greater than 10% of the life span of the animal model, to medical devices, materials or their extracts in suitable animal model
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Note : These tests may be waived for materials which has chronic toxicity data
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