SIST EN ISO 22248:2026
(Main)Lasers and laser-related equipment - Test methods for laser-induced damage threshold - Classification of medical beam delivery systems (ISO 22248:2020)
General Information
- Abstract
This document specifies a method of testing the laser-induced ignition and damage of medical beam delivery systems to allow checking of suitable products according to the classification system.
NOTE 1 Take care when interpreting these results, since the direct applicability of the results of this test method to the clinical situation has not been fully established.
NOTE 2 Users of products tested by this method are cautioned that the laser will be wavelength sensitive and tested at the wavelength for which it is intended to be used. If tested using other wavelengths, the power settings and modes of beam delivery need to be explicitly stated.
CAUTION — This test method can involve hazardous materials, operations and equipment. This document provides advice on minimizing some of the risks associated with its use but does not purport to address all such risks. It is the responsibility of the user of this document to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.
- Status
- Published
- Public Enquiry End Date
- 29-Apr-2024
- Publication Date
- 13-Jul-2026
- Technical Committee
- VAZ - Healthcare
- Current Stage
- 6060 - National Implementation/Publication (Adopted Project)
- Start Date
- 09-Jul-2026
- Due Date
- 13-Sep-2026
- Completion Date
- 14-Jul-2026
Overview
SIST EN ISO 22248:2026 defines internationally recognized test methods for evaluating the laser-induced damage threshold (LIDT) of medical beam delivery systems, such as optical fibers, hollow waveguides, and articulated arms used in medical lasers. The standard focuses on classifying these systems by their resistance to laser-induced ignition and material damage, enhancing safety in medical settings where high-powered medical lasers are used. The methodology facilitates product classification, supports regulatory compliance, and promotes consistent assessment across manufacturers and healthcare institutions.
Key Topics
- Laser-Induced Damage Threshold (LIDT): Establishes procedures for testing how medical beam delivery systems respond to controlled laser exposures, determining at what threshold ignition or material damage occurs.
- Classification of Medical Beam Delivery Systems: Provides a systematic approach to classify products based on their performance during irradiation and transmission tests in various oxygen concentrations, reflecting real-world clinical environments.
- Testing in Various Oxygen Atmospheres: Recognizes that medical procedures often involve oxygen-rich environments, requiring testing at standard ambient air, 60% ± 2%, and 98% ± 2% oxygen concentrations.
- Specimen Preparation and Safety: Details requirements for the preparation and handling of both single-use and reusable specimen devices and emphasizes appropriate safety precautions due to the hazards related to lasers and materials under test.
- Applicator Variations: Addresses different applicator types and configurations, such as bare fibers, contact/non-contact devices, and integrated cooling systems, to ensure realistic testing scenarios.
Applications
- Medical Device Manufacturers: Used to validate the laser resistance of beam delivery systems during development, quality control, and certification processes. Aligning with this standard helps manufacturers meet international regulatory demands and supports product safety claims.
- Clinical Risk Management: Hospitals and surgical centers benefit from classification of devices, improving the selection of safe and reliable beam delivery systems for diverse clinical procedures and mitigating fire and ignition risks during laser surgery.
- Regulatory and Procurement Compliance: The classification system outlined by SIST EN ISO 22248:2026 assists regulators and purchasers in identifying compliant, tested devices, supporting due diligence and adherence to patient safety standards.
- Research and Development: Laboratories and engineering teams use the standard's repeatable test protocols to innovate new fiber designs and materials, enabling comparative studies and performance benchmarking.
Related Standards
- ISO 13694 – Test methods for laser beam power (energy) density distribution in laser and laser-related equipment.
- ISO/IEC Guide 99 – International vocabulary of metrology for standardizing terms and definitions.
- ISO 11810 – Laser resistance testing for materials in surgical environments, referenced for terminology and test concepts.
- ISO 11145 – Specifications for measurement of laser beam diameter and cross-sectional area.
- IEC 60825 Series – International safety standards for laser products, providing complementary guidance on laser safety requirements.
- ISO 14971 – Application of risk management to medical devices, relevant for integrating classification outcomes into broader clinical risk frameworks.
Adhering to SIST EN ISO 22248:2026 enables the medical industry to systematically assess, classify, and select medical beam delivery systems based on robust, standardized laser-induced damage testing. This standard is essential in ensuring device reliability and patient safety in medical laser applications.
Frequently Asked Questions
SIST EN ISO 22248:2026 is a standard published by the Slovenian Institute for Standardization (SIST). Its full title is "Lasers and laser-related equipment - Test methods for laser-induced damage threshold - Classification of medical beam delivery systems (ISO 22248:2020)". This standard covers: This document specifies a method of testing the laser-induced ignition and damage of medical beam delivery systems to allow checking of suitable products according to the classification system. NOTE 1 Take care when interpreting these results, since the direct applicability of the results of this test method to the clinical situation has not been fully established. NOTE 2 Users of products tested by this method are cautioned that the laser will be wavelength sensitive and tested at the wavelength for which it is intended to be used. If tested using other wavelengths, the power settings and modes of beam delivery need to be explicitly stated. CAUTION — This test method can involve hazardous materials, operations and equipment. This document provides advice on minimizing some of the risks associated with its use but does not purport to address all such risks. It is the responsibility of the user of this document to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.
This document specifies a method of testing the laser-induced ignition and damage of medical beam delivery systems to allow checking of suitable products according to the classification system. NOTE 1 Take care when interpreting these results, since the direct applicability of the results of this test method to the clinical situation has not been fully established. NOTE 2 Users of products tested by this method are cautioned that the laser will be wavelength sensitive and tested at the wavelength for which it is intended to be used. If tested using other wavelengths, the power settings and modes of beam delivery need to be explicitly stated. CAUTION — This test method can involve hazardous materials, operations and equipment. This document provides advice on minimizing some of the risks associated with its use but does not purport to address all such risks. It is the responsibility of the user of this document to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.
SIST EN ISO 22248:2026 is classified under the following ICS (International Classification for Standards) categories: 31.260 - Optoelectronics. Laser equipment. The ICS classification helps identify the subject area and facilitates finding related standards.
SIST EN ISO 22248:2026 is associated with the following European legislation: EU Directives/Regulations: 2017/745; Standardization Mandates: M/575, M/575 AMD 2. When a standard is cited in the Official Journal of the European Union, products manufactured in conformity with it benefit from a presumption of conformity with the essential requirements of the corresponding EU directive or regulation.
SIST EN ISO 22248:2026 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)
SLOVENSKI STANDARD
01-september-2026
Laserji in laserska oprema - Preskusne metode za ugotavljanje praga poškodbe,
povzročene z laserjem - Razvrstitev sistemov odmerkov medicinskega žarka (ISO
22248:2020)
Lasers and laser-related equipment - Test methods for laser-induced damage threshold -
Classification of medical beam delivery systems (ISO 22248:2020)
Laser und Laseranlagen - Prüfverfahren für die laserinduzierte Zerstörschwelle -
Einteilung von medizinischen Strahlführungssystemen (ISO 22248:2020)
Lasers et équipements associés aux lasers - Méthodes d'essai du seuil
d'endommagement provoqué par laser - Classification des systèmes de transmission de
faisceau médical (ISO 22248:2020)
Ta slovenski standard je istoveten z: EN ISO 22248:2026
ICS:
31.260 Optoelektronika, laserska Optoelectronics. Laser
oprema equipment
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
EN ISO 22248
EUROPEAN STANDARD
NORME EUROPÉENNE
June 2026
EUROPÄISCHE NORM
ICS 31.260
English Version
Lasers and laser-related equipment - Test methods for
laser-induced damage threshold - Classification of medical
beam delivery systems (ISO 22248:2020)
Lasers et équipements associés aux lasers - Méthodes Laser und Laseranlagen - Prüfverfahren für die
d'essai du seuil d'endommagement provoqué par laser laserinduzierte Zerstörschwelle - Einteilung von
- Classification des systèmes de transmission de medizinischen Strahlführungssystemen (ISO
faisceau médical (ISO 22248:2020) 22248:2020)
This European Standard was approved by CEN on 13 May 2026.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2026 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 22248:2026 E
worldwide for CEN national Members.
Contents Page
European foreword . 3
European foreword
The text of ISO 22248:2020 has been prepared by Technical Committee ISO/TC 172 “Optics and
photonics” of the International Organization for Standardization (ISO) and has been taken over as
which is held by DIN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by December 2026, and conflicting national standards
shall be withdrawn at the latest by December 2026.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
Any feedback and questions on this document should be directed to the users’ national standards body.
A complete listing of these bodies can be found on the CEN website.
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and the
United Kingdom.
Endorsement notice
The text of ISO 22248:2020 has been approved by CEN as EN ISO 22248:2026 without any modification.
INTERNATIONAL ISO
STANDARD 22248
First edition
2020-11
Lasers and laser-related equipment —
Test methods for laser-induced
damage threshold — Classification of
medical beam delivery systems
Lasers et équipements associés aux lasers — Méthodes d'essai du seuil
d'endommagement provoqué par laser — Classification des systèmes
de transmission de faisceau médical
Reference number
ISO 22248:2020(E)
©
ISO 2020
ISO 22248:2020(E)
© ISO 2020
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 © ISO 2020 – All rights reserved
ISO 22248:2020(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Principle . 4
5 Significance and use of the test. 4
6 Apparatus . 4
6.1 General . 4
6.2 Containment box . 6
6.3 Specimen holder . 7
6.4 Lasers and beam delivery systems . 7
6.5 Power meter . 7
6.6 Gas supply system . 7
6.7 Environment . 8
6.7.1 Ambient air conditions . 8
6.7.2 Oxygen enriched atmospheres . 8
6.8 Smoke evacuation device . 8
7 Reagents and materials . 8
8 Preparation of test specimens . 9
9 Preparation of apparatus . 9
10 Test methods .10
10.1 General conditions .10
10.2 Testing during laser irradiation .10
10.3 Testing during laser transmission .11
11 Classification .12
11.1 General .12
11.2 Irradiation ignition testing (I) .13
11.3 Transmission ignition and destruction testing (T/D) .13
11.3.1 Transmission ignition testing (T) .13
11.3.2 Transmission destruction testing (D) .14
12 Test report .16
Bibliography .18
ISO 22248:2020(E)
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).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www .iso .org/ patents).
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 172, Optics and photonics, Subcommittee
SC 9, Laser and electro-optical systems.
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 © ISO 2020 – All rights reserved
ISO 22248:2020(E)
Introduction
Fire in an operating room is the most dangerous situation for patient and staff. Besides electrosurgical
devices and endoscopic light sources, even surgical lasers can be ignition sources for drapes, gowns
and tracheal tubes. This risk was identified very early and several ISO standards for laser proof
materials have been published. The medical beam delivery system itself, however, was out of focus.
Due to the increasing market on the one hand and necessity for cost reduction in health care on the
other hand fibres have come into the market with a risk of self-ignition of the core or cladding material.
Furthermore with reinvention of fibre-applicator-systems for contact application or integrated diffusor
systems they have an increased risk for self-ignition due to high absorption. This document elaborates
reproducible test parameters for medical beam delivery systems.
INTERNATIONAL STANDARD ISO 22248:2020(E)
Lasers and laser-related equipment — Test methods
for laser-induced damage threshold — Classification of
medical beam delivery systems
1 Scope
This document specifies a method of testing the laser-induced ignition and damage of medical beam
delivery systems to allow checking of suitable products according to the classification system.
NOTE 1 Take care when interpreting these results, since the direct applicability of the results of this test
method to the clinical situation has not been fully established.
NOTE 2 Users of products tested by this method are cautioned that the laser will be wavelength sensitive and
tested at the wavelength for which it is intended to be used. If tested using other wavelengths, the power settings
and modes of beam delivery need to be explicitly stated.
CAUTION — This test method can involve hazardous materials, operations and equipment. This
document provides advice on minimizing some of the risks associated with its use but does not
purport to address all such risks. It is the responsibility of the user of this document to establish
appropriate safety and health practices and to determine the applicability of regulatory
limitations prior to use.
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 13694, Optics and photonics — Lasers and laser-related equipment — Test methods for laser beam
power (energy) density distribution
ISO/IEC Guide 99, International vocabulary of metrology — Basic and general concepts and associated
terms (VIM)
3 Terms and definitions
For the purposes of this document, the terms and definitions given in ISO/IEC Guide 99 and the
following apply.
ISO and IEC maintain terminological databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at http:// www .electropedia .org/
3.1
afterflame
persistence of flaming of a material, under specified test conditions, after the ignition source has
been removed
[SOURCE: ISO 11810:2015, 3.1]
ISO 22248:2020(E)
3.2
afterflame time
length of time for which a material continues to flame, under specified test conditions, after the ignition
source has been removed
[SOURCE: ISO 11810:2015, 3.2]
3.3
afterglow
persistence of glowing of a material, under specified test conditions, after cessation of flaming or, if no
flaming occurs, after the ignition source has been removed
[SOURCE: ISO 11810:2015, 3.3]
3.4
afterglow time
time during which a material continues to glow, under specified test conditions, after cessation of
flaming or, if no flaming occurs, after the ignition source has been removed
[SOURCE: ISO 11810:2015, 3.4]
3.5
beam diameter
d
diameter of a circular aperture in a plane perpendicular to the beam axis that contains 95 % of the total
beam power (energy)
[SOURCE: ISO 11145:2018, 3.3.1, modified — Value of contained total beam power set to 95 % and
Note 1 to entry removed.]
3.6
beam cross-sectional area
A
smallest completely filled area containing 95 % of the total beam power (energy)
[SOURCE: ISO 11145:2018, 3.6.1, modified — Value of contained total beam power set to 95 % and
Note 1 to entry removed.]
3.7
combustion
any continuing burning process that occurs in or on the specimen caused by a chemical process of
oxidation with the liberation of heat
EXAMPLE Flame, smouldering, rapid evolution of smoke.
[SOURCE: ISO 11810:2015, 3.7]
3.8
destruction
damage of the system during laser radiation transmission due to absorption rather than ignition
(crumbling, melting, disconnecting, breaking) with or without loss of parts of the system
3.9
flammable
subject to ignition and flaming combustion
[SOURCE: ISO 11810:2015, 3.9]
2 © ISO 2020 – All rights reserved
ISO 22248:2020(E)
3.10
ignition
creation of combustion induced by the beam delivery of laser power
[SOURCE: ISO 11810:2015, 3.10, modified — "laser" was included before "power"]
3.10.1
irradiation ignition
ignition of a specimen by laser irradiation of the specimen from outside
3.10.2
transmission ignition
ignition of a specimen by a laser beam transmission through the specimen
3.11
laser resistance
measure of the ability of a material to withstand laser power without ignition or damage
[SOURCE: ISO 11810:2015, 3.11]
3.12
medical beam delivery system
product intended to transmit the laser beam from the source to the treatment site directly or by the use
of additional applicators
EXAMPLE Articulated arms, hollow waveguides, optical fibres.
Note 1 to entry: Directly means direct application either with bare fibres, shaped fibres or internal marked fibres.
3.12.1
applicator
attachment to the medical beam delivery system at the treatment site
EXAMPLE Focussing handpiece, micromanipulators, scanners, endoscopes, shaped tips like sapphire tips,
ceramic/metal tips, radial tips, focussing lenses or diffusor tips.
3.13
melting behaviour
softening of a material under the influence of heat (including shrinking, dripping and burning of molten
material, etc.)
[SOURCE: ISO 11810:2015, 3.12]
3.14
thermal resistance
ability of a material to resist conduction of heat
[SOURCE: ISO 11810:2015, 3.20]
3.15
product
finished medical device (samples)
3.16
reusable product
product intended to be prepared and re-sterilized for multiple use
[SOURCE: ISO 11810:2015, 3.16]
ISO 22248:2020(E)
3.17
single use
product intended to be used once and then discarded
[SOURCE: ISO 11810:2015, 3.18]
4 Principle
WARNING — This test method can result in a rocket-like fire. Such a fire can produce intense
heat and light and toxic gases.
To simulate worst-case conditions, the material is exposed to laser power of known characteristics in
an environment up to 98 % ± 2 % oxygen.
5 Significance and use of the test
5.1 A medical beam delivery system is intended to transmit the laser beam from the source to the
treatment area. This can be articulated arms, hollow waveguides or optical fibres. It can deliver the
radiation to the target by connected applicators like focussing handpiece, micromanipulators, scanners
or endoscopes or fix mounted applicators as shaped tips like sapphire tips, ceramic/metal tips, radial
tips, focussing lenses or diffusor tips. Another technical solution is the direct application either with bare
fibres, shaped fibres or internal marked fibres.
5.2 This document describes a uniform and repeatable test method for measuring the laser-induced
ignition, flame spread and damage of medical beam delivery systems. Variables involved in laser ignition
have been fixed in order to establish a basis for comparison. This test method can be used to compare
different types and designs.
5.3 A large number and range of variables are involved in ignition. A change in one variable can affect
the outcome of the test. Caution should be observed, since the direct applicability of the results of this
test method to the clinical situation has not been fully established.
NOTE This method can be applied to study the effect of changing the test conditions, but this is outside the
scope of this document. For example, variation of the breathing-gas flow rate or different breathing-gas mixtures
might affect the laser ignition.
5.4 Since an oxygen-enriched atmosphere is often present in the clinical situation, either intentionally
or unintentionally, the test is performed under ambient air conditions and an environment of 60 % ± 2%
and 98 % ± 2 % oxygen, respectively.
5.5 The preparation of the specimen shall be in accordance with the manufacturer's instructions for use.
6 Apparatus
6.1 General
The test apparatus shall consist of a draught-resistant ventilated containment box, specimen holder,
specimen rack, laser energy source and associated parts (see Figures 1 and 2).
4 © ISO 2020 – All rights reserved
ISO 22248:2020(E)
Key
1 medical beam delivery system 6 flashback arrestor
2 medical beam delivery system support using two clamps 7 oxygen flow meter and controller
3 laser source for irradiation 8 pressure regulator with inlet and outlet
gauges
4 containment box (lateral view) 9 quick-action inert gas valve
5 enclosure cover (may be multi-piece) 10 opening for laser access
11 liquid for cooling/cleaning
Figure 1 — Apparatus for irradiation ignition testing
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