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 introduces an important amendment to the existing standard for centrifugal blood pumps used in cardiovascular implants and extracorporeal systems. This amendment specifically addresses the requirements for assessing centrifugal blood pumps under "worst-case conditions for testing." The document outlines the need for rigorous evaluations to enhance patient safety, promote product reliability, and establish consistent global benchmarks in the design and assessment of cardiovascular medical devices.
Key Topics
Worst-Case Condition Definition:
The amendment adds a new term, defining "worst-case condition" as the operating variables-within manufacturer’s specified ranges-representing the most challenging device operation for tests such as blood cell damage, bearing wear, backflow, and cavitation.Testing Procedures:
Updated and expanded test procedures are detailed to ensure comprehensive assessment:- Blood Cell Damage: Testing must include both non-pulsatile and pulsatile modes, with a focus on variables like pressure differential, afterload, flow rate, rotational speed, amplitude, and frequency.
- Pump Durability: Provisions require pumps to remain fully functional over manufacturer-specified durations, including new guidance for both non-pulsatile and pulsatile operation.
- Backflow in Pulsatile Mode: Tests must now demonstrate no backflow can occur under worst-case clinical conditions.
- Cavitation: Clear steps for verifying that cavitation does not occur during operation are introduced.
Sample Collection and Data Recording:
Tables dictate the schedule for measurement of plasma free haemoglobin, white blood cells, platelets, blood gas values, and other key markers throughout test durations.Documentation of Frequency and Amplitude Limitations:
New mandatory inclusions for device frequency and amplitude limits in user documentation, aiding end-users in safer, more effective clinical application.
Applications
The revised guidelines within ISO 18242:2016/Amd 1:2023 are critical for healthcare technology manufacturers, regulatory bodies, and clinical evaluators involved with centrifugal blood pumps and extracorporeal support devices. Applications include:
- Product Development:
Manufacturers utilize these testing criteria to demonstrate centrifugal blood pump compliance and performance under stress, thereby ensuring robust, life-sustaining operation in real-world clinical environments. - Regulatory Submissions:
Satisfying these global test benchmarks is often a prerequisite for device approval and market access in major jurisdictions. - Quality Assurance:
Routine product verification and validation cycles leverage these tests for ongoing quality and patient safety improvement. - Clinical Risk Management:
By identifying and addressing the actual "worst-case" clinical operating conditions, the standard plays a vital role in minimizing risk related to critical events such as blood cell damage or device failure.
Related Standards
ISO 18242:2016/Amd 1:2023 functions within a framework of international standards for cardiovascular devices, which include:
- ISO 18242:2016 – Cardiovascular implants and extracorporeal systems – Centrifugal blood pumps (base standard)
- ISO 5840 series – Heart valve prostheses
- ISO 10993 series – Biological evaluation of medical devices
- ISO 13485 – Quality management systems for medical devices
These standards collectively ensure the design, testing, and clinical performance of medical devices associated with cardiac care and extracorporeal circulation. Compliance with ISO 18242:2016/Amd 1:2023 supports global harmonization and enhances patient safety in cardiovascular therapy.
Keywords: ISO 18242:2016/Amd 1:2023, centrifugal blood pumps, cardiovascular implants, extracorporeal systems, worst-case testing, medical device standards, pump durability, blood cell damage, backflow, cavitation, clinical safety, regulatory compliance.
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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
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
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Published in Switzerland
ii
ISO 18242:2016/Amd.1:2023(E)
Foreword
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www.iso.org/iso/foreword.html.
This document was prepared by Technical Committee ISO/TC 150, Implants for surgery, Subcommittee
SC 2, Cardiovascular implants and extracorporeal 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.
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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