NF EN ISO 5840-3
Cardiovascular implants - Cardiac valve prostheses - Part 3 : heart valve substitutes implanted by transcatheter techniques
ISO 5840-3:2013 outlines an approach for verifying/validating the design and manufacture of a transcatheter heart valve substitute through risk management. The selection of appropriate verification/validation tests and methods are to be 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 can also include those for preclinical in vivo evaluation and clinical evaluation of the finished heart valve substitute.ISO 5840-3:2013 defines operational conditions and performance requirements for transcatheter heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification. ISO 5840-3:2013 is applicable to all devices intended for implantation in human hearts as a transcatheter heart valve substitute.ISO 5840-3:2013 is applicable to both newly developed and modified transcatheter 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 5840-3:2013 outlines an approach for verifying/validating the design and manufacture of a transcatheter heart valve substitute through risk management. The selection of appropriate verification/validation tests and methods are to be 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 can also include those for preclinical in vivo evaluation and clinical evaluation of the finished heart valve substitute.
ISO 5840-3:2013 defines operational conditions and performance requirements for transcatheter heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification.
ISO 5840-3:2013 is applicable to all devices intended for implantation in human hearts as a transcatheter heart valve substitute.
ISO 5840-3:2013 is applicable to both newly developed and modified transcatheter 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.
This document is applicable to all devices intended for implantation as a transcatheter heart valve substitute. This document is applicable to transcatheter 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. This document establishes an approach for verifying/validating the design and manufacture of a transcatheter heart valve substitute through risk management. The selection of appropriate verification/validation tests and methods are to be derived from the risk assessment. The tests can include those to assess the physical, chemical, biological and mechanical properties of heart valve substitutes and of their materials and components. The tests can also include those for preclinical in vivo evaluation and clinical evaluation of the finished heart valve substitute. This document defines operational conditions and performance requirements for transcatheter heart valve substitutes where adequate scientific and/or clinical evidence exists for their justification. This document includes considerations for implantation of a transcatheter heart valve substitute inside a pre-existing prosthetic device (e.g. valve-in-valve and valve-in-ring configurations).
- 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 définitions3
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4 Abréviations10
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5 Exigences fondamentales10
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6 Description du dispositif10
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6.1 Utilisation prévue10
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6.2 Données de conception10
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6.3 Résultats de conception14
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6.4 Transfert de la conception (vérification/validation de la fabrication)14
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6.5 Gestion des risques14
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7 Essais et analyse pour la vérification de la conception/validation de la conception14
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7.1 Exigences générales14
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7.2 Évaluation in vitro15
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7.3 Évaluation préclinique in vivo25
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7.4 Investigations cliniques28
- Annexe A (informative) Justification des dispositions de la présente partie de l'ISO 584034
- Annexe B (informative) Exemples de prothèses valvulaires implantées par transcathéter, de composants et de systèmes de pose37
- Annexe C (normative) Conditionnement43
- Annexe D (normative) Étiquettes pour le produit, notice d'utilisation et formation44
- Annexe E (normative) Stérilisation47
- Annexe F (informative) Description d'une valve48
- Annexe G (informative) Phénomènes dangereux relatifs aux prothèses valvulaires implantées par transcathéter, modes de défaillance associés et méthodes d'évaluation50
- Annexe H (informative) Lignes directrices d'essai in vitro pour des dispositifs pédiatriques55
- Annexe I (informative) Modes opératoires statistiques lors de l'utilisation des critères de performance59
- Annexe J (informative) Exemples et définitions de certaines propriétés physiques et des matériaux des prothèses valvulaires et de leurs composants60
- Annexe K (informative) Exemples de normes applicables aux essais des matériaux et composants de prothèses valvulaires implantées par transcathéter74
- Annexe L (normative) Propriétés des matériaux bruts et propriétés mécaniques après un conditionnement pour les matériaux de la structure de support81
- Annexe M (informative) Évaluation de la corrosion83
- Annexe N (informative) Lignes directrices pour la vérification de la performance hydrodynamique86
- Annexe O (informative) Essai de durabilité90
- Annexe P (informative) Évaluation de la fatigue92
- Annexe Q (informative) Évaluation préclinique in vivo99
- Annexe R (informative) Classification des événements indésirables au cours d'une investigation clinique102
- Annexe S (informative) Protocole échocardiographique107
- Bibliographie110
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