Quick Reference

ISO 10993 Biological Endpoint Quick Reference

Key biological endpoints required by ISO 10993-1 by contact category and duration.

Endpoint ISO 10993 Part Limited Contact Prolonged Contact Permanent Contact
Cytotoxicity ISO 10993-5 ✓ Required ✓ Required ✓ Required
Sensitization ISO 10993-10 ✓ Required ✓ Required ✓ Required
Hemocompatibility ISO 10993-4 Contact-dependent Contact-dependent Contact-dependent
Irritation / Intracutaneous ISO 10993-10 ✓ Required ✓ Required ✓ Required
Systemic Toxicity (Acute) ISO 10993-11 Device-dependent ✓ Required ✓ Required
Subacute / Subchronic Toxicity ISO 10993-11 Not required ✓ Required ✓ Required
Genotoxicity ISO 10993-3 Not required ✓ Required ✓ Required
Chronic Toxicity ISO 10993-11 Not required Not required ✓ Required
Carcinogenicity ISO 10993-3 Not required Not required Long-term only
Reproductive / Developmental ISO 10993-3 Not required Not required Material-dependent
Degradation / Biodegradation ISO 10993-9/13 Not required Material-dependent ✓ Required

This table provides a simplified reference based on ISO 10993-1:2025 guidance. Actual endpoint requirements depend on device contact type (surface, externally communicating, or implant), material composition, and clinical use. All endpoints should be evaluated in the context of a biological evaluation plan. Contact Arvind for a project-specific assessment.

Regulatory Anchors

Key Regulatory Standards & Source Documents

ISO 13485:2016

Quality Management Systems

QMS requirements for medical device manufacturers. Covers design controls, supplier management, production, CAPA, and complaint handling.

  • Document control
  • Design and development controls
  • Supplier management
  • CAPA systems
  • Internal audits
ISO 14971:2019

Risk Management

Risk management framework for identifying, evaluating, and controlling risks throughout the medical device lifecycle.

  • Risk management plan
  • Hazard identification
  • Risk control measures
  • Residual risk evaluation
  • Production monitoring
ISO 10993-1

Biological Evaluation

Primary biological evaluation standard — evaluation and testing within a risk management process. 2025 revision introduces lifecycle approach.

  • Biological evaluation process
  • Contact classification
  • Endpoint selection framework
  • Test waiver justification
  • Lifecycle approach (2025)
EU MDR 2017/745

EU Medical Device Regulation

EU legal framework governing medical device safety, performance, and CE Mark approval. Superseded MDD 93/42/EEC.

  • Annex I — GSPR
  • Annex II — Technical Documentation
  • Annex III — PMS
  • Clinical Evidence requirements
  • Notified Body oversight
FDA Guidance (2020, updated 2023)

FDA ISO 10993-1 Guidance

FDA guidance on use of ISO 10993-1 for biocompatibility evaluation in 510(k), De Novo, and PMA device submissions.

  • Risk-based approach
  • Biocompatibility summary table
  • Test waiver rationale
  • Chemical characterization
  • Toxicological risk assessment
MEDDEV 2.7/1 Rev.4

Clinical Evaluation Guidelines

EU guidance document for preparation of clinical evaluation reports under EU MDR requirements. Framework for systematic literature review and clinical data appraisal.

  • CER document structure
  • Literature search strategy
  • Literature appraisal
  • Clinical data analysis
  • PMCF planning

Have Questions About Your Biological Evaluation?

These resources provide educational context. For a project-specific ISO 10993 assessment or documentation review, send a project brief, request a scoping call, start with the focused submission gap review, or first use the practical ISO 10993-1:2025 gap checklist.