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Select Updates for Non-Clinical Engineering Tests and Recommended Labeling for Intravascular Stents and Associated Delivery Systems: Guidance for Industry and Food and Drug Administration Staff

FinalCenter for Devices and Radiological Health08/18/2015
Risk Assessment

Description

FDA has developedthis guidanceto inform the coronary and peripheral stent industry about selected updates to FDA’s thinking regarding certain non-clinical testing for these devices. While FDA is in the process of making more substantial updates to theNon-Clinical Engineering Tests and Recommended Labeling for Intravascular Stents and Associated Delivery Systemsguidance, we are issuing this guidance update on select sections in order to notify the industry in a timely manner of our revised recommendations.

Key Topics

Terms and concepts identified from this document

Scope & Applicability

Product Classes

2
Class III Device

Generally recommended for Enhanced Documentation; Regulatory classification mentioned for implantable sensors and HPV tests; Mentioned in the context of an in vitro nucleic acid test for CMV DNA.

Intravascular Stents

Specific product area mentioned in previous guidance.

Regulatory Context

Regulatory Activities

1
Premarket approval

PMA application for high-risk devices

Document Types

1
Test Report

A summary of the results of performance studies and pathogenic variants

Attributes

1
Worst-case

Refers to device sizes with highest corrosion susceptibility or largest surface area.

Technical Details

Substances

4
Phosphate Buffered Saline

A buffered solution used for nickel leaching tests.

Nickel

Element released from nitinol bulk during corrosion.

Stainless steel

Inert contact surface material used in Salmonella survival study.

Nitinol

Metallic device material subject to corrosion testing.

Testing Methods

4
Galvanic Corrosion Testing

Recommended if device consists of contacting dissimilar metals

Surface Characterization

Techniques to demonstrate that surfaces are equivalent in geometry and properties

In Vitro Nickel Leach Testing

Quantifying nickel ion release over time into a fluid at physiologic temperature.

Pitting Corrosion Potential Testing

Testing to assess the susceptibility of the stent to pitting.

Processes

7
Passivation

surface treatment process such as nitinol passivation of a peripheral stent; Surface treatment to minimize nickel toxicity

Electropolishing

established surface finishing process

Simulated Use Testing

Includes crimping, tracking, and deployment through an in vitro fixture.

Nickel ion release

One of the topics updated in this guidance.

Surface characterization

One of the topics updated in this guidance.

Galvanic corrosion

One of the topics updated in this guidance.

Pitting corrosion potential

One of the topics updated in this guidance.

Identified Hazards

Hazards

3
Nickel Release

Potential toxicological risk from nickel-rich alloys.

Pitting

A form of corrosion that can lead to device failure.

Nickel leaching

Release of nickel ions which may lead to toxicities.

Standards & References

External Standards

2
ASTM G5-14

Standard Reference Test Method for Making Potentiostatic and Potentiodynamic Anodic Polarization Measurements.

ASTM F2129

Standard Test Method for Conducting Cyclic Potentiodynamic Polarization Measurements

Specifications

1
Acceptance Criteria

limits for solid state form and particle size; Tightening acceptance criteria; Numerical limits or ranges for tests

Related MFDS Guidelines

Korean regulatory guidelines covering similar topics

See Also (8)