Irritation Testing (ISO 10993-23)

Assess potential inflammatory reactions using ISO-compliant In Vitro methods and specialized In Vivo assays.

Irritation is a local inflammatory response to a single, repeated, or continuous application of a medical device (or its extracts). Unlike sensitization (which is systemic), irritation occurs at the site of contact.

Following the publication of ISO 10993-23:2021, the global regulatory landscape has shifted towards prioritizing In Vitro methods to reduce animal testing. EBI is at the forefront of this change, offering validated alternative methods alongside traditional assays for complex devices.

In Vitro Skin Irritation (Reconstructed Human Epidermis)

The ethical, modern gold standard for skin-contact devices.

This test is the preferred starting point for evaluating skin irritation. It utilizes Reconstructed Human Epidermis (RhE) models—three-dimensional human skin tissue grown in the lab—to simulate the reaction of human skin without using animals.

  • How it works: The test item (or extract) is applied topically to the RhE tissue surface.
  • Analysis: We measure cell viability (using MTT assay.
  • Advantages: Ethical (animal-free), highly reproducible, and fully accepted by ISO 10993-23 standard and OECD TG 439.
  • Standard Turnaround Time: 8 weeks.

Intracutaneous Reactivity Test

Essential for implants and external communicating devices.

While topical irritation tests surface contact, the Intracutaneous Reactivity test evaluates the reaction of the deep dermal tissue to device extracts. This test is mandatory for devices that have prolonged contact with internal tissues or circulating blood.

  • Methodology: Extracts are prepared in polar (saline) and non-polar (vegetable oil) vehicles.
  • Procedure: Extracts are injected intracutaneously (between skin layers) into rabbits.
  • Scoring: Sites are examined at 24h, 48h, and 72h for signs of Erythema (redness) and Edema (swelling).
  • Compliance: The test passes if the difference between the mean reaction score of the device and the control is ≤ 1.0.
  • Standard Turnaround Time: 4 weeks.

Mucosal & Special Irritation Tests (In Vivo)

For devices contacting sensitive membranes.

Some devices contact specific mucosal areas where standard skin tests are insufficient. EBI offers specialized in vivo irritation studies tailored to the specific anatomical application of your device.

These studies involve histopathological evaluation to detect microscopic signs of tissue damage.

  • Ocular Irritation: For contact lenses and ophthalmic devices.
  • Oral / Buccal Irritation: For dental devices and mucosal implants.
  • Vaginal Irritation: Evaluation of vaginal tissue reactivity (includes Histology).
  • Rectal Irritation: Assessment of mucosal damage in rectal applications (includes Histology).
  • Penile Irritation: Specialized assessment for urological devices (includes Histology).
  • Standard Turnaround Time: The duration of the study depends on the specific test method and the complexity of the study design (e.g., tests requiring histological analysis typically involve extended timelines). Please contact us for a detailed schedule tailored to your specific testing requirements.

Sample Requirements

Prepare your samples according to the guidelines below.

NORWAY RAT
Species Norway Rat (Rattus norvegicus)
Strain Wistar Rat
Sex 20 ♀ & 20 ♂
Quantity 40
Duration 180 days
Dose Route Implant
Dose volume & frequency According to ISO & FDA guidelines
Clinical Observations Daily
Body Weights Daily before injections
Clinical Pathology All groups terminal:
urine tests (9 parameters) & biochemistry (17 parameters) & hematology (7 parameters)
Necropsy Gross with tissue collections
Histopathology According to ISO & FDA guidelines

Note: For Special Irritation tests (Ocular, Vaginal, etc.), sample size depends on the specific device dimensions. Please contact our lab for a custom sampling plan.

Carcinogenicity Testing

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Delivery & Support

We implement the solution with full transparency and ongoing communication. After delivery, we stay involved — supporting you with optimization, updates, and future improvements.

Frequently asked questions

The concept of biocompatibility refers to the interaction between the tissues and the physiological systems of a patient treated with a medical device. The biocompatibility assessment is part of the overall device safety assessment.

Medical device biocompatibility assessment is actually carried out in order to ensure patient safety. When programming a biocompatibility test, manufacturers need to consider their compliance objectives and risks. In fact, medical device biocompatibility evaluation is a risk assessment study. All medical devices have a certain level of risk. Firms that design medical devices strive to maximize the benefits they provide to patients by minimizing risk.

The main standard in biocompatibility testing is the ISO 10993 standards. The first part of this standard is the test selection guide. The following sections cover specific test processes and other test related considerations.

Biocompatibility testing data is always required for devices with significant tissue contact. The ISO 10993-1 material biocompatibility matrix is used to determine whether a medical device requires a biocompatibility test. ISO 10993-1: 2018 through the Biological Evaluation Plan (BEP) allows to determine the potential risk based on the data provided by the Sponsor (information on raw materials, packaging, production conditions and previously performed studies). The next step is a series of studies proposed in the BEP to verify risk assessments, and finally in the Biological Evaluation Report (BER) risk assessment is summarized and explained what the potential sources of non-compliance could be.

The main purpose of the ISO standard is to verify that the device is suitable for the intended use. In this process, biological testing is the most important step in a biocompatibility assessment. The standard classifies devices by type of body contact and duration.

Biocompatibility is often associated with the necessity to perform a complete set of tests for new medical devices that are yet to be released on the market. But manufacturers of medical devices must remember that sometimes a seemingly small change in the production process of products already available on the market (for example: changing one of the materials, changing the production method, introducing new machines into the production line, or an apparently insignificant change in the sterilization method) is associated with another risk assessment and performing biocompatibility tests. Also manufacturers are required to collect safety data for all components and materials used in medical devices.

European Biomedical Institute is Good Laboratory Practice (GLP) certified, ISO 17025 accredited, and US FDA 21CFR58 compliant. Our institute also provides biocompatibility testing services in the field of certification services. Thanks to these services, enterprises are able to produce more efficient, high-performance and high-quality products in a safe, fast and uninterrupted manner.

For further information, please contact your sales representative team if you’re an existing customer or if you’re new to European Biomedical Institute please reach us at contact@ebi.bio

We look forward to helping you reach all of your evaluation goals and a successful submission!

We are here to support you!

To ensure the highest quality services, our laboratories implemented and maintains internationally recognized quality standards. As European Biomedical Institute we are:

GLP certified
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ISO 17025 accredited
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GLP

Quality system, that defines a set of rules and criteria for studies that are planned, performed and monitored, and their results are recorded, reported and archived. It is possible to trace the course of the study or its complete reconstruction.

ISO 17025

The quality management standard, implemented to standardize the technical requirements and requirements of the management system, intended for research laboratories in terms of testing and calibration. The objective of ISO 17025 is to promote the confidence in the operation of laboratories, to enable them to demonstrate they operate competently, and are able to generate valid results.

US FDA 21CFR58

Code of Federal Regulations of good laboratory practices for conducting nonclinical laboratory studies that support or are intended to support applications for research or marketing permits for products regulated by the FDA.

According to the ISO 10993-1:2018, B.4.5.3 any testing to support a biological evaluation has to be conducted in appropriate quality systems. The quality systems controls applicable to biocompatibility testing are known as Good Laboratory Practices (GLP). GLP studies are carried out to define quality standards in laboratories that are accredited in line with an internationally implemented governmental scheme. Those studies have to be conducted under a laboratory quality system compliant to ISO/IEC 17025 or an equivalent standard (GLP).

Furthermore, European Biomedical Institute is inspected and subject to constant supervision of the following Bodies:

Veterinary Inspectorate
Ethic Committee
Pharmaceutical Inspectorate
Ministry of Science and Higher Education
European Commission

If you have any further questions in terms of quality, please contact with us at contact@ebi.bio

According to the ISO 10993 standards and FDA requirements, biocompatibility must be addressed for each medical device. It is really important, since a significant amount of 510k submissions are rejected because of biocompatibility chapters are left empty…

We need to keep in mind that addressing biocompatibility does not mean each medical device has to be tested for biocompatibility! For instance, testing of a medical device that has no direct and in-direct contact may be impractical and even impossible. To highlight it, we may ask a question: how to test a medical device software for biocompatibility? The answer is simple: such testing is not necessary.

Therefore, for such cases the best way is to prepare a rationale/justification why biocompatibility testing was not performed – and it is a must! Such appropriate rationale or justification meet the requirements of addressing biocompatibility.

Do you have a questions for your medical device testing? Feel free to ask us.

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ul. Bartycka 63A lok. 6, 00-716 Warszawa

Mail:
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