General Information

Abstract

This document specifies the general requirements and test methods of Chuzhen instruments. It is only applicable to non-disposable Chuzhen instruments. It is not applicable for any disposable Chuzhen instruments or for those with electrical, heat-storing, or other special characteristics.

Status
Published
Publication Date
08-Sep-2026
Current Stage
6060 - International Standard published
Start Date
09-Sep-2026
Due Date
09-Dec-2027
Completion Date
09-Sep-2026

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Technical specification

ISO/TS 25427:2026 - Traditional Chinese medicine — Chuzhen instruments

Release Date:09-Sep-2026
English language (11 pages)
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Overview

ISO/TS 25427:2026 - Traditional Chinese medicine - Chuzhen instruments is a technical specification published by the International Organization for Standardization (ISO). This standard defines the general requirements and test methods for non-disposable Chuzhen instruments, which are essential non-invasive tools in traditional Chinese medicine (TCM) for meridian and acupoint stimulation. The document ensures that manufacturers and users have a consistent benchmark for safety, quality, and performance, fostering the global application of safe and effective Chuzhen therapy.

Key Features:

  • Applicable exclusively to non-disposable Chuzhen instruments
  • Not applicable to disposable devices or those with electrical, heat-storing, or other special features
  • Addresses design, materials, mechanical strength, and safety requirements

Key Topics

  • Structural and Dimensional Requirements:
    Chuzhen instruments are pestle-shaped, non-invasive hand tools used for stimulating meridians and acupoints by tapping, scraping, pressing, and rotating. The standard covers four main types of Chuzhen instruments, each with defined shapes, dimensions, and structural elements (head, root, body/handle, and base).

  • Material and Biocompatibility:
    Materials must be evaluated for skin sensitization, irritation, and cytotoxicity according to the ISO 10993 series, ensuring suitability for repeated skin contact.

  • Mechanical Properties:

    • Hardness (minimum Mohs rating of 3)
    • Mechanical strength to withstand normal use without fracture or deformation
    • Defined mass and surface roughness thresholds
    • Adequate abrasion resistance and corrosion resistance per ISO 9227
  • Safety and Quality Assurance:
    Complete risk management is required in accordance with ISO 14971. The biocompatibility, cleanliness, and disinfection protocols are detailed, emphasizing user health and product longevity.

  • Testing and Assessment Methods:
    The standard prescribes precise methods for assessing dimensions, appearance, material composition, hardness, mechanical strength, mass, roughness, abrasion, and corrosion resistance.

  • Packaging, Labelling, and Instructions:

    • Specific requirements for primary, secondary, and transport packaging to maintain instrument integrity and prevent contamination
    • Labelling standards following ISO 15223-1
    • User instructions must include product introduction, operation guidance, contraindications, and safety warnings

Applications

ISO/TS 25427:2026 is highly relevant for:

  • Manufacturers of non-disposable Chuzhen instruments seeking international market access or compliance
  • Regulatory authorities evaluating the safety and efficacy of TCM devices
  • Hospitals, clinics, and practitioners employing Chuzhen therapy
  • Importers and distributors responsible for quality control in the supply chain

By providing a harmonized set of requirements and test protocols, this standard improves product consistency and user safety, supporting the broader acceptance and use of Chuzhen instruments globally.

Related Standards

To ensure comprehensive compliance and integration within the medical device sector, ISO/TS 25427:2026 references the following key standards:

  • ISO 9227: Corrosion tests in artificial atmospheres - Salt spray tests
  • ISO 10993 Series: Biological evaluation of medical devices (Parts 1, 5, 10, 23)
  • ISO 14971: Application of risk management to medical devices
  • ISO 15223-1: Medical device symbols and labelling requirements
  • IEC 60335-2-32: Safety requirements for massage appliances
  • ISO 20308: Traditional Chinese medicine - Gua Sha instruments
  • ISO 23958-1, -2: Traditional Chinese medicine - Dermal needles for single use

These related standards ensure that Chuzhen instruments meet broader health, safety, and usability benchmarks common to the global medical device industry.


Keywords: ISO/TS 25427:2026, Chuzhen instruments, traditional Chinese medicine, non-disposable, medical device standard, safety requirements, test methods, packaging, labelling, risk management, biocompatibility, international standardization.

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Technical specification

ISO/TS 25427:2026 - Traditional Chinese medicine — Chuzhen instruments

Release Date:09-Sep-2026
English language (11 pages)
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Frequently Asked Questions

ISO/TS 25427:2026 is a technical specification published by the International Organization for Standardization (ISO). Its full title is "Traditional Chinese medicine — Chuzhen instruments". This standard covers: This document specifies the general requirements and test methods of Chuzhen instruments. It is only applicable to non-disposable Chuzhen instruments. It is not applicable for any disposable Chuzhen instruments or for those with electrical, heat-storing, or other special characteristics.

This document specifies the general requirements and test methods of Chuzhen instruments. It is only applicable to non-disposable Chuzhen instruments. It is not applicable for any disposable Chuzhen instruments or for those with electrical, heat-storing, or other special characteristics.

ISO/TS 25427:2026 is classified under the following ICS (International Classification for Standards) categories: 11.040.60 - Therapy equipment. The ICS classification helps identify the subject area and facilitates finding related standards.

ISO/TS 25427:2026 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)


Technical
Specification
ISO/TS 25427
First edition
Traditional Chinese medicine —
2026-09
Chuzhen instruments
Médecine traditionnelle chinoise — Instruments Chuzhen
Reference number
© ISO 2026
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Structure and dimension . 2
4.1 Structure .2
4.2 Dimension .3
5 General requirements . 6
5.1 Appearance .6
5.2 Materials .6
5.3 Hardness .6
5.4 Mechanical strength .6
5.5 Mass .6
5.6 Roughness .6
5.7 Abrasion resistance . . .7
5.8 Corrosion resistance .7
5.9 Cleanliness and disinfection .7
5.10 Safety requirements .7
6 Test methods . 7
6.1 Test method for dimension .7
6.2 Test method for appearance .7
6.3 Test method for material .8
6.4 Test method for hardness .8
6.5 Test method for mechanical strength .8
6.6 Test method for mass . .8
6.7 Test method for roughness .8
6.8 Test method for abrasion resistance .8
6.9 Test method for corrosion resistance .8
7 Packaging, transmit and storage . 8
7.1 Packaging .8
7.1.1 Primary packaging .8
7.1.2 Secondary packaging.9
7.1.3 Storage or transport packaging .9
7.2 Labelling and instructions for use .9
7.2.1 Primary packaging .9
7.2.2 Secondary packaging.9
7.2.3 Instructions of use .9
7.3 Transmit and storage .10
Bibliography .11

iii
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out through
ISO technical committees. Each member body interested in a subject for which a technical committee
has been established has the right to be represented on that committee. International organizations,
governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely
with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are described
in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the different types
of ISO documents should be noted. This document was drafted in accordance with the editorial rules of the
ISO/IEC Directives, Part 2 (see www.iso.org/directives).
ISO draws attention to the possibility that the implementation of this document may involve the use of (a)
patent(s). ISO takes no position concerning the evidence, validity or applicability of any claimed patent
rights in respect thereof. As of the date of publication of this document, ISO had not received notice of (a)
patent(s) which may be required to implement this document. However, implementers are cautioned that
this may not represent the latest information, which may be obtained from the patent database available at
www.iso.org/patents. ISO shall not be held responsible for identifying any or all such patent rights.
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and expressions
related to conformity assessment, as well as information about ISO's adherence to the World Trade
Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www.iso.org/iso/foreword.html.
This document was prepared by Technical Committee ISO/TC 249, Traditional medicine, Subcommittee SC1,
Traditional Chinese medicine.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.

iv
Introduction
Non-invasive meridian and acupoint stimulators are essential external instruments of traditional Chinese
medicine, with a rich historical background, diverse typology, and a thriving global market.
As a commonly utilized non-invasive meridian and acupoint stimulation instrument, the Chuzhen
instrument stimulates acupoints, meridians, muscles and fascia through manipulations such as tapping,
pressing, scraping, and rotating to prevent and treat diseases. Currently, it has been used in Germany, the
Netherlands, France, China, Malaysia, South Africa and other countries.
The safety and quality of Chuzhen instruments are closely linked to the safety and efficacy of Chuzhen
therapy. Currently, there is a wide variety of Chuzhen instruments available on the market, presenting issues
such as excessive sharpness at the tip, high surface roughness, and immature structural design. However,
there is no standardized guidance for their manufacturing and processing. This lack of standardization
poses potential safety risks and raises concerns among operators and consumers. Standardizing Chuzhen
instruments enhances their safety and quality, and promotes more scientific, safe, and effective global use of
Chuzhen instruments.
v
Technical Specification ISO/TS 25427:2026(en)
Traditional Chinese medicine — Chuzhen instruments
1 Scope
This document specifies the general requirements and test methods of Chuzhen instruments.
It is only applicable to non-disposable Chuzhen instruments.
It is not applicable for any disposable Chuzhen instruments or for those with electrical, heat-storing, or other
special characteristics.
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content constitutes
requirements of this document. For dated references, only the edition cited applies. For undated references,
the latest edition of the referenced document (including any amendments) applies.
ISO 9227, Corrosion tests in artificial atmospheres — Salt spray tests
ISO 10993-1, Biological evaluation of medical devices — Part 1: Requirements and general principles for the
evaluation of biological safety within a risk management process
ISO 10993-5, Biological evaluation of medical devices — Part 5: Tests for in vitro cytotoxicity
ISO 10993-10, Biological evaluation of medical devices — Part 10: Tests for skin sensitization
ISO 10993-23, Biological evaluation of medical devices — Part 23: Tests for irritation
ISO 14971, Medical devices — Application of risk management to medical devices
ISO 15223-1, Medical devices — Symbols to be used with information to be supplied by the manufacturer — Part
1: General requirements
IEC 60335-2-32, Household and similar electrical appliances — Safety — Part 2-32: Particular requirements for
massage appliances
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at https:// www .electropedia .org/
3.1
non-invasive
designed for application on the body surface without penetration of the skin
3.2
reusable device
device designed to be used multiple times, follow appropriate reprocessing procedures between uses, and to
maintain its safety and performance throughout its intended service life

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