Sterilization and Biocompatibility Q&A
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My company manufactures and distributes braces for orthopedic use, such as wrist braces, knee sleeves, and ankle supports. The products are mostly made out of fabrics. I am constantly being asked if biocompatibility testing is really required, considering the low risk of the devices themselves and the fact that the fabrics are used in the clothing industry. Are there any circumstances under which no testing would be performed at all? What tests would you recommend for these types of products?Answered October 5th, 2011 by Expert:There are a few circumstances in which biocompatibility testing is likely not required:
- If the same product is already on the market and has historical use data.
- If the product, device, or materials do not involve patient contact.
Although we would agree that your orthopedic brace is a low-risk device, biocompatibility testing, or at least some type of material characterization demonstrating equivalence to a product already on the market, would be required. The type of testing required for this type of device would be:
- Cytotoxicity testing; agar overlay test. This is a test for skin-contacting devices. If your device could potentially contact breached skin, we would suggest that you perform an MEM elution cytotoxicity test.
- Primary skin irritation test for skin-contacting products.
- Buehler sensitization test for skin-contacting products.



