ISO 18242:2016/Amd 1:2023
(Amendment)Cardiovascular implants and extracorporeal systems - Centrifugal blood pumps - Amendment 1: Worst-case conditions for testing
Cardiovascular implants and extracorporeal systems - Centrifugal blood pumps - Amendment 1: Worst-case conditions for testing
General Information
- Status
- Published
- Publication Date
- 17-Aug-2023
- Technical Committee
- ISO/TC 150/SC 2 - Cardiovascular implants and extracorporeal systems
- Drafting Committee
- ISO/TC 150/SC 2 - Cardiovascular implants and extracorporeal systems
- Current Stage
- 6060 - International Standard published
- Start Date
- 18-Aug-2023
- Due Date
- 11-Dec-2022
- Completion Date
- 18-Aug-2023
Relations
- Effective Date
- 17-Jul-2021
Overview
ISO 18242:2016/Amd 1:2023 is a critical amendment to the international standard addressing cardiovascular implants and extracorporeal systems, specifically focusing on centrifugal blood pumps. This amendment introduces updated guidelines on worst-case conditions for testing these life-saving medical devices, ensuring their safety, effectiveness, and reliability under the most demanding operational scenarios. Established by ISO Technical Committee ISO/TC 150, this amendment is essential for manufacturers, regulators, and healthcare providers involved with centrifugal blood pump technology.
Key Topics
Worst-case conditions definition: The amendment formally defines "worst-case condition" as operating variables within manufacturer-specified ranges that represent the most challenging scenarios for device operation, such as blood cell damage, bearing wear, backflow, and cavitation.
Testing protocols: Detailed test procedures for evaluating pump durability, blood cell damage, backflow in pulsatile mode, and cavitation are specified under the identified worst-case conditions. This approach ensures rigorous evaluation of pump performance under extreme but clinically relevant situations.
Pump durability: Pumps must maintain full functionality during extensive testing durations, reflecting real-world durations and stress conditions-such as bearing wear tests conducted for at least six hours or the maximum operating time specified by the manufacturer.
Backflow prevention: Strict testing requirements demand that no backflow occurs during pulsatile mode under all intended clinical conditions, utilizing blood analogue or anticoagulated whole blood for accurate simulation.
Cavitation assessment: The amendment mandates cavitation testing under worst-case conditions using blood analogue fluids and advanced detection methods like high-speed video to identify any potential damage-causing bubble formations.
Operational variables: The amendment highlights the importance of key parameters like pressure differential, afterload, flow rate, rotational speed (r/min), amplitude, frequency, and temperature, all of which must be factored when identifying worst-case conditions for testing.
Applications
ISO 18242:2016/Amd 1:2023 applies primarily to manufacturers and testing laboratories involved in the design, production, and quality assurance of centrifugal blood pumps used in cardiovascular implants and extracorporeal systems. Its applications include:
Device development: Ensuring new centrifugal blood pumps meet safety requirements under the most extreme clinical conditions before market release.
Quality control: Providing standardized, repeatable methods for evaluating pump durability, biocompatibility (e.g., blood cell damage), and functional integrity.
Regulatory compliance: Assisting manufacturers in meeting regulatory standards by demonstrating conformance with internationally accepted test protocols focused on worst-case conditions.
Clinical safety: Enhancing patient safety by minimizing risks related to mechanical failure, blood damage, backflow, or cavitation during device operation.
Risk assessment: Guiding manufacturers in identifying critical operational limits to optimize pump designs and define safe use parameters, including frequency and amplitude limitations.
Related Standards
Organizations and professionals working with ISO 18242:2016/Amd 1:2023 should also consider related standards for comprehensive coverage of cardiovascular devices and extracorporeal systems:
ISO 10993 series: Biological evaluation of medical devices, including biocompatibility testing essential for implantable blood pumps.
ISO 14708 series: Active implantable medical devices encompassing performance and safety requirements for implants.
ISO 11348 series: Testing protocols related to extracorporeal blood pumps and circuits.
IEC 60601 series: Medical electrical equipment standards that cover safety and performance for associated extracorporeal support systems.
ISO 7199: Circulatory support devices - Particular requirements for ventricular assist devices.
By incorporating worst-case condition testing requirements, ISO 18242:2016/Amd 1:2023 strengthens the standard framework for centrifugal blood pumps, supporting high reliability and patient safety in cardiovascular implantable and extracorporeal systems. This amendment reflects ISO's commitment to advancing healthcare technology through rigorous, standardized testing under clinically relevant scenarios.
Frequently Asked Questions
ISO 18242:2016/Amd 1:2023 is a standard published by the International Organization for Standardization (ISO). Its full title is "Cardiovascular implants and extracorporeal systems - Centrifugal blood pumps - Amendment 1: Worst-case conditions for testing". This standard covers: Cardiovascular implants and extracorporeal systems - Centrifugal blood pumps - Amendment 1: Worst-case conditions for testing
Cardiovascular implants and extracorporeal systems - Centrifugal blood pumps - Amendment 1: Worst-case conditions for testing
ISO 18242:2016/Amd 1:2023 is classified under the following ICS (International Classification for Standards) categories: 11.040.40 - Implants for surgery, prosthetics and orthotics. The ICS classification helps identify the subject area and facilitates finding related standards.
ISO 18242:2016/Amd 1:2023 has the following relationships with other standards: It is inter standard links to ISO 18242:2016. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.
ISO 18242:2016/Amd 1:2023 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.
Standards Content (Sample)
INTERNATIONAL ISO
STANDARD 18242
First edition
2016-09-01
AMENDMENT 1
2023-08
Cardiovascular implants and
extracorporeal systems — Centrifugal
blood pumps
AMENDMENT 1: Worst-case conditions
for testing
Implants cardiovasculaires et systèmes extracorporels — Pompes
sanguines centrifuges
AMENDEMENT 1
Reference number
ISO 18242:2016/Amd.1:2023(E)
ISO 18242:2016/Amd.1:2023(E)
© ISO 2023
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Published in Switzerland
ii
ISO 18242:2016/Amd.1:2023(E)
Foreword
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This document was prepared by Technical Committee ISO/TC 150, Implants for surgery, Subcommittee
SC 2, Cardiovascular implants and extracorporeal systems.
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complete listing of these bodies can be found at www.iso.org/members.html.
iii
ISO 18242:2016/Amd.1:2023(E)
Cardiovascular implants and extracorporeal systems —
Centrifugal blood pumps
AMENDMENT 1: Worst-case conditions for testing
Clause 3
Add the following term at the end of Clause 3:
3.10
worst-case condition
operating variable within those specified by the manufacturer for intended clinical use which represent
the appropriate worst-case device operation for the respective test such as blood cell damage, bearing
wear, backflow and cavitation
Clause 4
Replace the entire subclause of 4.3.3 with the following text:
4.3.3 Pump durability
When determined in accordance with 5.4.3, the components of the pump shall remain functional
over the duration of the testing specified by the manufacturer (e.g. bearing durability).
Add the following subclauses after 4.3.4:
4.3.5 Backflow under pulsatile mode
When tested in accordance with 5.4.5, test results shall demonstrate that no backflow can occur
under any conditions in pulsatile mode during the intended clinical use.
4.3.6 Cavitation
When tested in accordance with 5.4.6, test results shall demonstrate that no cavitation can occur
during intended clinical use.
5.4.1.2
Add the following text at the end of the subclause:
For rotational blood pumps with an intended use in pulsatile mode, measure the mean pressure
differential between the inlet and outlet and the corresponding mean flow rate. Construct a plot
showing the mean pressure differential versus mean flow rate for multiple mean r/min settings
over the entire rated operating range of the pump for at least three typical intended combinations
of frequency and flow amplitude of the pulsatile mode.
To characterize the dynamic pulsatile performance of the blood pump, measure the time-dependent
inlet and outlet pressures and the corresponding instantaneous flow rates for at least the minimum
and maximum operating condit
...




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