Biological Equivalency: When is “same” the same?

Operating room with monitor

Published:

Content Type:

Audio

BiocompCHATibility

A NAMSA podcast series that addresses specific medical device evaluation scenarios and challenges.


In this episode, our hosts are joined by NAMSA Toxicologist, Michelle Kelly, to discuss the ever-elusive biological equivalency claim. The discussion focuses on how to maintain the balance of the risk and benefit of a medical device without stalling innovation. We also explore equivalency and how it is not only a key concept to the risk analysis, but also a challenging concept to prove.

Discussion points include:

  • Equivalence in the 10993 Series, including ISO 10993-18 Annex C
  • Equivalence under the MDR
  • Variances in the EU from one Notified Body to another
  • Challenges with demonstrating and establishing overall MDR equivalence
  • The concept of “same” and how it is interpreted by regulators

“This is often a controversial topic.” – Sheri Krajewski

“You not only have to think about equivalency per 10993-1, but also think about it as one aspect of equivalency that is sitting in the MDR.” – Don Pohl

“Equivalency is one of the key principles that sits in 10993-1.” – Don Pohl

“To think of equivalence as a concept rather than an equation is the best thing to do.” – Michelle Kelly

“We have that word “same” sneaking up on us. I can see that being interpreted differently by reviewers and regulators.” – Don Pohl

“When we developed it [Annex C of 10993-18], we were trying to define toxicological equivalence to help out the working group writing 10993-17.” – Michelle Kelly

*Please note that the opinions discussed throughout the podcast are their own and do not reflect that of their current or former employers.

Also be sure to check out our Biocompatibility Strategy Navigator.

Sheri Krajewski

Sheri Krajewski

Sheri joined NAMSA in 2003 and currently serves as Senior Global Product Marketing Manager of Biological Safety. Sheri has supported customers in a variety of commercial operations and management roles, and was an integral leader in the development of NAMSA’s Biological Safety Consulting business. Additionally, she created the much sought-after NAMSA Training Series (NTS) for the iological evaluation of medical devices. Prior to NAMSA, Sheri was the marketing lead for a mechanical fatigue laboratory and consulting business where she worked primarily with cardiovascular implant manufacturers. Sheri holds a Bachelor’s Degree from the University of Nebraska.

Don Pohl

Don Pohl

Don Pohl is currently the Manager of Biological Safety & Validation at NAMSA. He holds a Bachelor’s degree from Ohio State University. Don has over 20 years of experience in the pre-clinical evaluation of medical devices for biological safety. During his career, he has held a variety of positions ranging from laboratory supervision/management, GLP Study Director, Technical Specialist for Laboratory Information Management System, Technical Specialist and project manager for Biological safety and biological risk assessment consultation. He has specific expertise in the evaluation process outlined in ISO 10993-1 as well as the expectations of the USFDA and other countries in their interpretation of the biological safety evaluation of medical devices.

Michelle Kelly

Michelle Kelly

Michelle Kelly joined NAMSA in August 2021 as a Toxicologist working in the Biological Safety and Validation Team. Prior to NAMSA, she was the Biological Safety Manager at UK Competent Authority, MHRA. Her responsibilities included serving as Principal Lead for clinical trial applications for biological safety, providing expert biological safety advice and directing the Regulatory and Safety and Surveillance Teams on compliance, vigilance and Notified Body matters. Michelle also d continues to work with key stakeholders toward the development of international standards to help innovation to the UK market. She is currently the Chair of CH/194, a committee responsible for the UK input to ISO/TC 194 and CEN/TC 206 for standards relating to biological evaluation of medical devices. Michelle has a BSc in Biomedical and Advanced Materials from University of Limerick in Ireland, an MSc in Applied Toxicology from University of Surrey and she is a European Registered Toxicologist.