Scientific Evaluation of Safety
Toxicological Risk Assessment (TRA) is a critical component of biological safety evaluation under the ISO 10993 framework. It provides a quantitative basis for determining whether the chemicals released from a medical device pose a health risk to patients.
1. The Core Methodology (ISO 10993-17)
The TRA process typically follows a structured quantitative approach:
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Identification of Extractables & Leachables (E&L): Based on ISO 10993-18 data, we identify the chemical profile of the device.
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Derivation of Safety Limits: For each identified substance, toxicologists establish a Tolerable Intake (TI) or Tolerable Exposure (TE) based on the most sensitive adverse effects observed in scientific literature.
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Calculation of Margin of Safety (MoS): The ratio of the safety limit to the worst-case patient exposure is calculated.
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MoS = Divided Tolerable Exposure by Estimated Exposure
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If MoS is greater than 1, the risk is generally considered acceptable.
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2. Key Considerations in TRA
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Duration of Contact: Risk limits are adjusted based on whether the device is for limited (< 24h), prolonged (1-30 days), or permanent (> 30 days) use.
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Worst-Case Scenario: Assessments often assume that 100% of the chemicals present in the device will be absorbed by the patient, ensuring a high safety margin.
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Analytical Thresholds: Using the Analytical Evaluation Threshold (AET) to ensure that even trace amounts of potentially hazardous chemicals are not overlooked.
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