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Chapter category: BioMaterials

Nonclinical Medical Device Testing

This chapter appears in the following book:

Biomaterials in the Design and Reliability of Medical Devices

Edited by: Michael N. Helmus
ISBN: 0-306-47690-8
» Get more information about this book at landesbioscience.com «

Chapter authors:
Sharon J. Northup

The goal of nonclinical evaluation is to obtain data from in vitro or in vivo studies that will support the safety and efficacy of a medical device. Medical devices are defined as “...any instrument, apparatus, appliance material or other article intended by the manufacturer to be used for human beings solely or principally for the purpose of: diagnosis, prevention, monitoring, treatment or alleviation of disease, injury, or handicap; investigation, replacement or modification of the anatomy or of a physiological process; or control of conception...” (ISO 10993-1, 1997). Additionally, the definition provides that a medical device does not achieve its principal intended action in or on the human body by pharmacological, immunological or metabolic means. Efficacy is embodied in the purpose of diagnosis, prevention, monitoring, treatment or alleviation of disease, injury or handicap. Safety essentially implies that medical devices will not have an adverse effect on humans when used as intended by the manufacturer. This chapter will provide a review of the biological assays that are commonly used to evaluate the efficacy and safety of medical devices and integrate the information derived from these assays with contemporary recommendations for assessing the potential hazards and health risks for the patient from exposure to medical devices. This chapter contains a general overview of the requirements for safety evaluation and a detailed discussion of laboratory methodologies. Efficacy is reviewed from the dual perspectives of product design and the functional aspects of the medical device.

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