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AAMI 25539 1 2017

$115.49

ANSI/AAMI/ISO 25539-1:2017 – Cardiovascular implants- Endovascular devices-Part 1: Endovascular prostheses

Published By Publication Date Number of Pages
AAMI 2017 140
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Specifies requirements for the evaluation of endovascular systems (prostheses and delivery systems) and requirements with respect to nomenclature, design attributes and information supplied by the manufacturer based upon current medical knowledge. Guidance for the development of in vitro test methods is included in an informative annex to this document.

PDF Catalog

PDF Pages PDF Title
1 ANSI/AAMI/ISO 25539-1:2017; Cardiovascular implants—Endovascular devices—Part 1: Endovascular prostheses
2 Objectives and uses of AAMI standards andrecommended practices
3 Title page
4 AAMI Standard
Copyright information
5 Contents
6 Glossary of equivalent standards
7 Committee representation
8 Background of AAMI adoption of ISO 25539-1:2017
9 Foreword
10 Introduction
13 1 Scope
14 2 Normative references
3 Terms and definitions
16 4 General requirements for endovascular system
4.1 Type of endovascular prosthesis
17 4.2 Materials and construction for endovascular system
4.3 Configuration and size designation for endovascular prosthesis
4.4 Intended clinical use for endovascular system
18 4.5 Balloon designation
5 Intended performance
6 Design attributes
6.1 General
19 6.2 Endovascular system
6.3 Endovascular prosthesis
6.4 Endovascular system and endovascular prosthesis
7 Materials
20 8 Design evaluation
8.1 General
21 8.2 Sampling
8.3 Conditioning of test samples
8.4 Reporting
22 8.5 Bench and analytical tests
8.5.1 Endovascular system and delivery system
8.5.1.1 Balloon testing
23 8.5.1.1.1 Balloon burst pressure for non-compliant balloons
8.5.1.1.2 Balloon deflation times
8.5.1.1.3 Balloon rated fatigue
8.5.1.1.4 Balloon volume to burst for compliant balloons
8.5.1.2 Dimensional verification of the endovascular system
8.5.1.3 Dislodgement force (pre-mounted, balloon-expandable endovascular prosthesis)
8.5.1.4 Force to deploy for self-expanding endovascular prostheses
8.5.1.5 Simulated use
8.5.1.6 Tensile bond strength
24 8.5.1.7 Torsional bond strength
8.5.1.8 Haemostasis
8.5.1.9 Biocompatibility
8.5.1.10 Sterilization assurance
8.5.1.11 Visibility
8.5.2 Endovascular prosthesis
8.5.2.1 Corrosion
8.5.2.2 Fatigue and durability—Computational analyses
8.5.2.3 Fatigue and durability—in vitro testing
25 8.5.2.3.1 General considerations
8.5.2.3.2 Radial fatigue and durability
8.5.2.3.3 Active fixation fatigue and durability
8.5.2.3.4 Axial fatigue and durability
8.5.2.3.5 Bending fatigue and durability
8.5.2.3.6 Torsional fatigue and durability
26 8.5.2.4 Fixation and seal
8.5.2.4.1 Leakage at seal zone
8.5.2.4.2 Migration resistance
8.5.2.4.3 Separation force for overlapping endovascular prostheses
8.5.2.5 Patency-related tests
27 Table 1—Rationale for crush and compression resistance and radial force requirements
28 8.5.2.5.1 Compression resistance to perpendicularly applied load (self-expanding, non-aortic endovascular prostheses)
8.5.2.5.2 Crush resistance with perpendicularly applied load (balloon-expandable, non-aortic endovascular prostheses)
8.5.2.5.3 Crush resistance with radially applied load (balloon-expandable endovascular prostheses)
8.5.2.5.4 Radial force (self-expanding endovascular prostheses)
8.5.2.5.5 Resistance to kinking (flexibility)
8.5.2.6 Permeability
8.5.2.6.1 Integral water leakage
8.5.2.6.2 Porosity (non-textile materials)
29 8.5.2.6.3 Water entry pressure (non-textile materials)
8.5.2.6.4 Water permeability (textile materials)
8.5.2.7 Sizing-related testing
8.5.2.7.1 Dimensional verification of the endovascular prosthesis
8.5.2.7.2 Implant diameter to balloon inflation pressure (balloon-expandable endovascular prostheses)
8.5.2.7.3 Implant length to diameter relationship (endovascular prostheses that have clinically relevant length changes with diameter changes)
8.5.2.7.4 Recoil (balloon-expandable endovascular prostheses)
8.5.2.8 Strength
8.5.2.8.1 Burst strength
8.5.2.8.2 Factory seam strength (endovascular prostheses with seams in the graft material)
8.5.2.8.3 Longitudinal tensile strength
30 8.5.2.8.4 Strength after repeated puncture (endovascular prostheses for vascular access)
8.5.2.8.5 Strength of the connection(s) between the graft material and a discrete fixation system(s)
8.5.2.9 Magnetic resonance imaging (MRI) safety
8.6 Preclinical in vivo evaluation
8.6.1 Purpose
31 8.6.2 Specific aims
8.6.3 Protocol considerations
8.6.4 Data acquisition
33 8.6.5 Test report and additional information
34 8.7 Clinical evaluation
8.7.1 Purpose
8.7.2 Specific aims
35 8.7.3 Protocol considerations
36 8.7.4 Data acquisition
39 8.7.5 Final report
40 9 Post-market surveillance
10 Manufacturing
11 Sterilization
11.1 Products supplied sterile
41 11.2 Sterilization residuals
12 Packaging
12.1 Protection from damage in storage and transport
12.1.1 General
12.1.2 Unit container
12.1.3 Outer container
12.1.4 Shipping container
12.1.5 Maintenance of sterility in transit
12.2 Labelling
12.2.1 Container label
42 12.2.2 Record label
12.3 Instructions for use
12.3.1 General
12.3.2 Information and instructions for use for endovascular systems
44 Annex A (informative) Relationship between testing requirements and device attributes and potential failure modes
46 Table A.1—Table headings and explanations for Tables A.3 and A.4 and for a device-specific DESa
47 Table A.2—Legend for grouped associated clinical effects of failure
48 Table A.3—Device evaluation strategy for the endovascular system
53 Table A.4—Device evaluation strategy for endovascular prosthesis
60 Table A.5—Design comparison between a previously evaluated device and the modified device
61 Table A.6—Indication for use comparison of a previously evaluated device and the study devicea
62 Table A.7—Device evaluation strategy for device design modifications and/or changes in intended use
63 Annex B (informative) Description of clinical and device effects of failure
Table B.1—Description of clinical effects of failure
65 Table B.2—Description of device effects of failure
67 Annex C (informative) Bench and analytical tests
Table C.1—Bench and analytical tests
74 Annex D (informative) Test methods
76 Table D.1—Index of test methods
123 Figure D.1—Determination of outward force
139 Bibliography
AAMI 25539 1 2017
$115.49