NF EN ISO 5840
Cardiovascular implants - Cardiac valve prostheses
ISO 5840:2005 is applicable to all devices intended for implantation in human hearts, as a heart valve substitute.It is applicable to both newly developed and modified heart valve substitutes and to the accessory devices, packaging and labelling required for their implantation and for determining the appropriate size of heart valve substitute to be implanted.ISO 5840:2005 outlines an approach for qualifying the design and manufacture of a heart valve substitute through risk management. The selection of appropriate qualification tests and methods are derived from the risk assessment. The tests may include those to assess the physical, chemical, biological and mechanical properties of heart valve substitutes and of their materials and components. The tests may also include those for pre-clinical in vivo evaluation and clinical evaluation of the finished heart valve substitute.ISO 5840:2005 imposes design specifications and minimum performance specifications for heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification.It excludes heart valve substitutes designed for implantation in artificial hearts or heart assist devices.
ISO 5840:2005 is applicable to all devices intended for implantation in human hearts, as a heart valve substitute.
It is applicable to both newly developed and modified heart valve substitutes and to the accessory devices, packaging and labelling required for their implantation and for determining the appropriate size of heart valve substitute to be implanted.
ISO 5840:2005 outlines an approach for qualifying the design and manufacture of a heart valve substitute through risk management. The selection of appropriate qualification tests and methods are derived from the risk assessment. The tests may include those to assess the physical, chemical, biological and mechanical properties of heart valve substitutes and of their materials and components. The tests may also include those for pre-clinical in vivo evaluation and clinical evaluation of the finished heart valve substitute.
ISO 5840:2005 imposes design specifications and minimum performance specifications for heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification.
It excludes heart valve substitutes designed for implantation in artificial hearts or heart assist devices.
Le présent document s'applique à tous les dispositifs destinés à être implantés comme prothèses valvulaires dans le coeur humain. Il spécifie les types et les méthodes d'essai et/ou les exigences applicables à l'appareillage et exige que ceux-ci soient documentés. Il donne par ailleurs une approche sur leur conception et leur fabrication à travers la gestion des risques avec une sélection et des méthodes d'essai de qualification appropriées. Il ne s'applique pas aux prothèses valvulaires destinées à être implantées dans des coeurs artificiels ou dans des dispositifs d'assistance cardiaque. Il est destiné à venir à l'appui de la Directive Nouvelle approche 93/42/CEE relative aux dispositifs médicaux.
ISO 5840-2:2015 is applicable to heart valve substitutes intended for implantation in human hearts, generally requiring cardiopulmonary bypass and generally with direct visualization. ISO 5840-2:2015 is applicable to both newly developed and modified surgical heart valve substitutes and to the accessories, packaging, and labelling required for their implantation and for determining the appropriate size of the surgical heart valve substitute to be implanted. ISO 5840-2:2015 outlines an approach for qualifying the design and manufacture of a surgical heart valve substitute through risk management. The selection of appropriate qualification tests and methods are derived from the risk assessment. The tests may include those to assess the physical, chemical, biological, and mechanical properties of surgical heart valve substitutes and of their materials and components. The tests may also include those for pre-clinical in vivo evaluation and clinical evaluation of the finished surgical heart valve substitute. ISO 5840-2:2015 defines performance requirements for surgical heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification. For novel surgical heart valve substitutes, e.g. sutureless, the requirements of both this International Standard and ISO 5840‑3 might be relevant and shall be considered as applicable to the specific device design and shall be based on the results of the risk analysis. ISO 5840-2:2015 excludes heart valve substitutes designed for implantation in artificial hearts or heart assist devices. ISO 5840-2:2015 excludes homografts.
- Avant-proposv
- Introductionvi
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1 Domaine d'application1
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2 Références normatives1
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3 Termes et définitions2
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4 Abréviations11
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5 Exigences fondamentales11
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6 Description du dispositif12
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6.1 Utilisation prévue12
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6.2 Données de conception12
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6.3 Résultats de conception13
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6.4 Transfert de la conception (qualification de la fabrication)15
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6.5 Gestion des risques15
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7 Analyse et essais pour la vérification/validation de la conception16
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7.1 Exigences générales16
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7.2 Évaluation in vitro16
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7.3 Évaluation préclinique in vivo20
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7.4 Étude clinique22
- Annexe A (informative) Justificatif des dispositions de la présente Norme internationale28
- Annexe B (informative) Phénomènes dangereux relatifs aux prothèses valvulaires, modes de défaillance associés et méthodes d'évaluation31
- Annexe C (informative) Lignes directrices de l'appréciation du risque34
- Annexe D (informative) Exemples et définitions de certaines propriétés physiques et matérielles des prothèses valvulaires et de leurs composants41
- Annexe E (informative) Procédures statistiques lors de l'utilisation des critères de performance46
- Annexe F (informative) Procédures in vitro pour tester les valves sans stent ou similaires dans des chambres compliantes47
- Annexe G (informative) Essais précliniques in vivo49
- Annexe H (informative) Protocole échocardiographique52
- Annexe I (informative) Description de la prothèse valvulaire56
- Annexe J (informative) Figures représentant des exemples de composant de certaines prothèses valvulaires58
- Annexe K (informative) Exemples de normes applicables aux essais des matériaux et composants de certaines prothèses valvulaires61
- Annexe L (informative) Lignes directrices pour la vérification des performances hydrodynamiques67
- Annexe M (informative) Essai de durabilité73
- Annexe N (informative) Exemples d'essais spécifiques à la conception75
- Annexe O (informative) Évaluation de la fatigue77
- Annexe P (normative) Conditionnement82
- Annexe Q (normative) Étiquetage et instructions d'utilisation83
- Annexe R (normative) Méthodes d'évaluation des données cliniques85
- Annexe S (normative) Stérilisation87
- Bibliographie88
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