Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation

In case of cardiovascular implants classified as class III medical products there is a specific responsibility for manufacturers as well as regulatory authorities to follow international standards to guarantee for safety and efficacy. Fast developments of science and technology as well as novel clin...

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Main Authors: Schmidt Wolfram, Brandt-Wunderlich Christoph, Stiehm Michael, Kaule Sebastian, Siewert Stefan, Bock Andrea, Schmitz Klaus-Peter, Kurzhals Anja, Grabow Niels
Format: Article
Language:English
Published: De Gruyter 2020-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2020-3085
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author Schmidt Wolfram
Brandt-Wunderlich Christoph
Stiehm Michael
Kaule Sebastian
Siewert Stefan
Bock Andrea
Schmitz Klaus-Peter
Kurzhals Anja
Grabow Niels
author_facet Schmidt Wolfram
Brandt-Wunderlich Christoph
Stiehm Michael
Kaule Sebastian
Siewert Stefan
Bock Andrea
Schmitz Klaus-Peter
Kurzhals Anja
Grabow Niels
author_sort Schmidt Wolfram
collection DOAJ
description In case of cardiovascular implants classified as class III medical products there is a specific responsibility for manufacturers as well as regulatory authorities to follow international standards to guarantee for safety and efficacy. Fast developments of science and technology as well as novel clinical findings create permanent needs to match the standardization. Therefore, a set of international standards is analyzed with respect to their use for particular coronary drug-eluting stents and artificial heart valves. It was found that standards (ISO, ASTM) exist for general requirements on passive implants, but also specifically relate to arterial stents, stent grafts, bioresorbable and drug-eluting stents, as well as artificial heart valves. New work items address new methods for characterization of coating integrity, particulate matter and simulated use testing. European Medical Device Regulation (MDR) requires technical expertise and capacity at Notified Bodies supported by independent test laboratories. Generally, the interest in standardization from industry, test laboratories and authorities is high, but more input from medical experts would further improve the value of standardization and its relevance for safe and even more effective implants.
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spelling doaj.art-d9823466539044679c00eb19724397cc2022-12-22T03:28:07ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042020-09-016333033310.1515/cdbme-2020-3085cdbme-2020-3085Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device RegulationSchmidt Wolfram0Brandt-Wunderlich Christoph1Stiehm Michael2Kaule Sebastian3Siewert Stefan4Bock Andrea5Schmitz Klaus-Peter6Kurzhals Anja7Grabow Niels8University Medicine Rostock, Institute for Biomedical Engineering, Friedrich-Barnewitz- Straße 4,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyInstitute for ImplantTechnology and Biomaterials IIB e.V.,Rostock, GermanyUniversity Medicine Rostock, Institute for Biomedical Engineering,Rostock, GermanyUniversity Medicine Rostock, Institute for Biomedical Engineering,Rostock, GermanyIn case of cardiovascular implants classified as class III medical products there is a specific responsibility for manufacturers as well as regulatory authorities to follow international standards to guarantee for safety and efficacy. Fast developments of science and technology as well as novel clinical findings create permanent needs to match the standardization. Therefore, a set of international standards is analyzed with respect to their use for particular coronary drug-eluting stents and artificial heart valves. It was found that standards (ISO, ASTM) exist for general requirements on passive implants, but also specifically relate to arterial stents, stent grafts, bioresorbable and drug-eluting stents, as well as artificial heart valves. New work items address new methods for characterization of coating integrity, particulate matter and simulated use testing. European Medical Device Regulation (MDR) requires technical expertise and capacity at Notified Bodies supported by independent test laboratories. Generally, the interest in standardization from industry, test laboratories and authorities is high, but more input from medical experts would further improve the value of standardization and its relevance for safe and even more effective implants.https://doi.org/10.1515/cdbme-2020-3085vascular stentsartificial heart valvesin-vitro testingstandardizationmedical device regulation
spellingShingle Schmidt Wolfram
Brandt-Wunderlich Christoph
Stiehm Michael
Kaule Sebastian
Siewert Stefan
Bock Andrea
Schmitz Klaus-Peter
Kurzhals Anja
Grabow Niels
Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
Current Directions in Biomedical Engineering
vascular stents
artificial heart valves
in-vitro testing
standardization
medical device regulation
title Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
title_full Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
title_fullStr Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
title_full_unstemmed Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
title_short Standardization of in vitro testing for cardiovascular implants in the era of European Medical Device Regulation
title_sort standardization of in vitro testing for cardiovascular implants in the era of european medical device regulation
topic vascular stents
artificial heart valves
in-vitro testing
standardization
medical device regulation
url https://doi.org/10.1515/cdbme-2020-3085
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