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ISO 10993 series · Biological evaluation of medical devices

ISO 10993 compliance and requirements, so the biological safety of your device is argued on evidence, not assumed.

There is no ISO 10993 certificate. What regulators and auditors read is your biological evaluation: a plan, the material and test evidence behind it and a report that reaches a justified conclusion. Sterling's expert and experienced consultants help your team structure that evaluation, organise the evidence your laboratories produce and keep the file current, in 60+ countries. We help our clients put it into practice and prove it.

  • Fixed scope, one proposal: consulting, Effivity software, Sterling Academy access and internal auditor training, as applicable to your standard, in one proposal
  • A team of expert and experienced medical device consultants, advising on management systems across sectors and countries since 2003
  • The Sterling Promise: 100% on-time completion, 100% success, 8,100+ client engagements. Sterling does not test or certify; laboratories test and regulators decide

8,100+ client engagements in 60+ countries.

Medical device client experience
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  • Etihad Rail
  • Haier
  • Whirlpool
  • Emerson
  • Olam
  • Piramal Pharma Solutions

What it is

What is the ISO 10993 series and what is it used for?

ISO 10993 is a family of International Standards, developed by ISO technical committee ISO/TC 194, for the biological evaluation of medical devices. Part 1 sets out the requirements and general principles for judging whether a device is biologically safe, and places that judgement inside a risk management process. The remaining parts are more specialised: some describe how to test for particular biological effects, others cover sample preparation, chemical characterisation of materials, toxicological risk assessment of device constituents, degradation products, nanomaterials and animal welfare.

In practice the series answers one question a regulator will always ask about a device that contacts the body: what could the materials, and anything that leaches from them, do to the patient or user, and how do you know? The answer is rarely a list of tests. It starts with what the device is made of, how it is processed and sterilised, where it touches the body and for how long, then uses existing data and chemistry before any new biological testing is chosen. Part 1 works alongside ISO 14971, so the biological evaluation becomes one strand of the device's wider risk management file.

Current edition. ISO 10993-1:2025, the sixth edition of Part 1, was published by ISO in November 2025 and replaces ISO 10993-1:2018. Its title changed from "Evaluation and testing within a risk management process" to "Requirements and general principles for the evaluation of biological safety within a risk management process". Other parts are revised on their own schedules: new editions of Part 3 and Part 6 were published in 2026, and revisions of Parts 2, 4, 11 and 16 are at draft International Standard stage. How and when your regulator or notified body expects existing evaluations to move to the 2025 edition should be confirmed with them directly.

Who it is for

Who needs ISO 10993 compliance?

Any manufacturer whose device, or part of it, contacts the human body directly or indirectly needs a biological evaluation, whether the device is an implant, a catheter, a wound dressing, a wearable sensor or the tubing that carries fluid to a patient. Organisations usually come to Sterling for ISO 10993 support from one of four directions:

  • A customer or distributor asks for the evaluation. Hospital groups, tender panels and distributors may ask to see the biological evaluation report, not a single test certificate, before they list a product.
  • A tender or new market needs a submission. Entering a new jurisdiction means the file will be read by a different reviewer; gaps that passed years ago are found quickly.
  • A regulator or notified body has raised questions. Findings on biocompatibility often concern missing justifications, outdated chemistry or an evaluation that no longer matches the device as it is made today.
  • A group company or supplier changed something. A new resin grade, a different colourant, a moved production line or a new sterilisation site can reopen the evaluation, and group quality teams want one consistent approach across sites.

Component and material suppliers are affected too: their data sheets, formulation disclosures and change notices are often the weakest evidence in a manufacturer's file.

Requirements

What are the main ISO 10993 requirements?

ISO 10993 is not organised as clauses of one document but as numbered parts, each with its own scope. Part 1 carries the overall requirements for the evaluation; the other parts are called on when the device, its materials or its contact with the body make them relevant. The list below summarises the current parts by subject; which ones apply to your device is decided in the evaluation plan, not by working through every part.

  • Part 1 General principles and requirements: evaluate biological safety within a risk management process and reach a documented, justified conclusion.
  • Part 2 Animal welfare: requirements for any animal testing that is still judged necessary.
  • Parts 3, 11 and 20 Systemic and long-term effects: genotoxicity, carcinogenicity, reproductive and developmental toxicity, systemic toxicity and immunotoxicology.
  • Part 4 Blood interactions: selecting tests for devices that contact blood.
  • Parts 5, 10 and 23 Local and cellular effects: in vitro cytotoxicity, skin sensitisation and irritation.
  • Part 6 Implantation: tests for local effects after implantation.
  • Part 7 Sterilisation residuals: ethylene oxide residues on sterilised devices.
  • Part 12 Sample preparation: preparing test samples and reference materials.
  • Parts 9 and 13 to 16 Degradation and toxicokinetics: identifying degradation products from device materials, including ceramics, metals and alloys, and studying how leachables behave in the body.
  • Parts 17, 18 and 19 Chemistry and toxicology: chemical and physical characterisation of materials, and toxicological risk assessment of the constituents found.
  • Part 22 Nanomaterials: guidance where a device contains or generates nanomaterials.

What does useful ISO 10993 evidence look like?

A complete description of materials and processing, supplier formulation information, the device's categorisation by body contact and duration, a biological evaluation plan that explains why each biological effect is or is not addressed by testing, laboratory reports tied back to the plan, chemistry and toxicology where they are used, and a biological evaluation report whose conclusion the risk management file can rely on. We help you keep that chain intact in Effivity, so a reviewer can follow each conclusion back to its evidence.

Getting compliant

How do you comply with ISO 10993?

Compliance is shown through a documented biological evaluation, not an audit certificate. Your organisation owns the evaluation; laboratories perform the testing; a qualified toxicologist often contributes to the risk assessment; and the regulator or notified body reviews the result. Sterling supports the process and the documentation around it.

  1. 01
    Characterise the device and its body contact.Confirm materials, suppliers, manufacturing and sterilisation steps, the nature and duration of contact and the markets in scope.
  2. 02
    Gap analysis: compare existing files with ISO 10993-1:2025.Review current plans, reports and test data against the 2025 edition and agree what is reusable, what needs justification and what is missing.
  3. 03
    Write the biological evaluation plan.Gather existing data and material information, identify the biological effects to address and record the rationale for any testing, chemistry or literature route.
  4. 04
    Commission and integrate the testing.Your chosen laboratories perform the tests and chemical analyses; results are reviewed against the plan and deviations handled before conclusions are drawn.
  5. 05
    Conclude in the biological evaluation report and keep it current.The report states the conclusion and links into the ISO 14971 file; later changes to materials, suppliers or processes are assessed for their effect on it.

Check the route before you sign. Ask each laboratory whether the specific test methods you need sit within its accreditation scope, and confirm that scope directly with the accreditation body; laboratory accreditation is recognised internationally through the Global ACI arrangement. Be wary of offers of an "ISO 10993 certificate": no such certificate exists, and a document of that name will not replace an evaluation a reviewer can follow.

Cost

How much does ISO 10993 compliance cost?

The spend on a biological evaluation is dominated by what the device is and what evidence already exists. A short-contact device made from well-documented materials may need little new testing; a long-term implant in a novel material may need a wide programme of chemistry and biology. Our proposal separates Sterling's work from laboratory costs so you can see both.

Cost componentWhat affects it
Consulting and documentationNumber of devices and material families, quality of existing files, depth of justification needed and whether your team leads the work (Design™) or we manage it (Drive™)
Laboratory testing and chemistryQuoted by the laboratories you appoint: the tests, chemical characterisation and toxicological input the plan calls for, and any repeats
Internal resourcesEngineering, regulatory and procurement time to collect material data, supplier disclosures and samples
Software and learningIncluded in a Sterling engagement: Effivity for the plans, evidence and actions, and Sterling Academy access for your people, confirmed in the proposal
Continued supportChange assessments, supplier changes, new markets and updated editions of the parts under Sustain™

What moves the price

  • How invasive the contact is and how long it lasts
  • The number of materials, colourants, adhesives and coatings
  • Whether suppliers will share formulation information
  • How much valid historic data can be reused
  • The markets and reviewers the file must satisfy

What a Sterling proposal always shows

  • Deliverables, assumptions and exclusions stated in writing
  • Laboratory costs kept outside Sterling's fee and shown as your cost
  • Effivity, training and Academy access itemised at no additional cost
  • Milestones tied to the plan, the testing review and the report
  • One all-inclusive proposal for Sterling's scope

Timeline

How long does an ISO 10993 biological evaluation take?

Documentation work moves as fast as material information arrives; testing moves at the laboratory's pace. The critical path is usually supplier disclosures, sample availability and test slots, followed by any repeat testing when results raise questions.

PhaseWhat determines the pace
Characterisation and gap analysisAccess to bills of materials, process records, supplier data and existing test reports
Evaluation planHow quickly materials and contact categories are agreed and existing data judged usable
Testing and chemistryLaboratory capacity, sample production, study durations and any follow-up investigation
Report and file linksReview of results, toxicological input where needed and sign-off by the responsible people

As an estimate, a single device family often takes three to nine months from characterisation to signed report, with long-duration studies extending that. Tell us your submission date at the start and we will show what must happen first.

Your engagement

What your ISO 10993 engagement includes

Sterling's engagement is built on Sterling OS™. Design™ is guided support, where your team writes the evaluation with our review; Drive™ is managed support, where we prepare the documents with your engineers. You choose one or the other for the scope. Sustain™ keeps the evaluation current after the report is signed, and Automate™ is Effivity. Sterling does not perform biological testing, and does not certify, approve or validate devices.

  • Device characterisation and gap analysis

    Materials, processes and body contact documented, and existing files compared with ISO 10993-1:2025.

  • Biological evaluation plan support

    Structure, rationale and evidence map for each biological effect, prepared with your engineers.

  • Effivity ISO & GRC software

    Plans, evidence, supplier data and actions held in Effivity, included with the engagement at no additional cost.

  • Training for your team

    Internal auditor training, as applicable to your standard, and preferential Sterling Academy access, including complimentary awareness training for your people as part of the engagement.

  • Laboratory coordination support

    Help preparing the testing brief from the plan and reviewing reports against it; the laboratory remains responsible for its results.

  • Biological evaluation report support

    A report structure that states the conclusion and links into your ISO 14971 risk management file.

Testing is performed by laboratories; review and acceptance of the evaluation rest with the regulator or notified body.

How Sterling implements ISO and GRC standards

Effivity · ISO and GRC software, included in every engagement

How Effivity helps you fulfil, automate and simplify the requirements of ISO 10993-1:2025.

Every Sterling ISO 10993 engagement includes Effivity, the ISO and GRC automation platform built by the Sterling group and used in 50+ countries. Your consultant configures a workspace within the agreed scope so device records, material and supplier data, evaluation plans, laboratory reports, actions and change assessments sit together and link to your quality system. Effivity does not run tests; it keeps the evidence and the decisions traceable. Sterling consulting clients get their Effivity subscription included with the engagement, at no additional cost.

Effivity QMS: Context of the Organisation dashboard with issues, interested parties and scope
Effivity QMS · Context of the Organisation dashboard
Device records

Devices, materials and body contact

Each device family with its materials, processing steps and contact category, updated when the design or bill of materials changes.

Suppliers

Material data and supplier disclosures

Formulation statements, certificates of analysis and change notices stored against the material they describe, with review dates.

Planning

Evaluation plans and rationale

Plans held as controlled documents, with the reasoning for each biological effect visible to reviewers.

Testing

Laboratory reports and deviations

Reports filed against the plan item they answer, with open questions and repeat tests tracked to closure.

Risk

Links to the risk management file

Biological hazards and conclusions connected to the ISO 14971 file, so both documents tell the same story.

Reporting

Evaluation reports and approvals

Report versions, reviewers and sign-offs recorded, with the evidence each conclusion relies on attached.

Change

Change assessments

Material, supplier, process and sterilisation changes screened for their effect on the evaluation, with the decision recorded.

Across the system

Your own forms and workflows

Forms, fields and reports shaped around how your design, regulatory and purchasing teams already work, without code.

What this means at the audit

When a reviewer or auditor asks why a test was not performed, which supplier data supports a material or how a recent change was assessed, the answer is a record with an owner and a date, not a search through shared drives. Under Sustain™ the same workspace carries the evaluation through later changes and edition updates.

In your engagement

  • Subscription included with the engagement, at no additional cost
  • Configured by your Sterling consultant within the agreed scope
  • Existing plans, reports and supplier data migrated, not retyped
  • Admin and user training for your team
  • Modules for ISO 13485 and other standards when you integrate them

Sterling Academy · medical device e-learning

Help design, purchasing and quality teams understand what the evaluation needs from them.

Sterling Academy delivers e-learning with video lessons, practice checkpoints, a final exam and a numbered Certificate of Completion for each learner, verifiable online. Sterling consulting clients benefit from preferential Sterling Academy course access and special pricing through their Sterling consultant, including complimentary awareness training for their people as part of the engagement.

  • Awareness for the people whose decisions change materials and suppliers
  • Internal auditor training for your audit team, as applicable to your standard, as part of the engagement
  • Progress reports by department for your training records
  • New staff trained as they join

Why Sterling

Why choose Sterling for ISO 10993 support?

Biological evaluation sits between engineering, purchasing, laboratories and regulatory affairs, and files weaken where those groups hand over. Sterling works on those handovers, so the evidence reaches the plan and the conclusion reaches the risk file, across every site that makes the device.

Management systems in 60+ countries since 2003

Management system consulting across sectors and countries since 2003, with offices in 21 countries and one engagement team accountable for your programme.

All-inclusive proposal, laboratory costs visible

Consulting, Effivity, training and Academy access in one proposal, with testing costs shown separately so nothing is hidden.

Clear about scope

We support the evaluation and its documentation; laboratories test and specialists sign their assessments. You always know who is responsible for what.

Expert and experienced consultants

Consultants who know how medical device quality systems, risk files and technical documentation fit together, and who build the evaluation so reviewers can follow it.

The Sterling Promise

What our ISO 10993 success guarantee means

100%on-time completion · success · 8,100+ client engagements

We stay with you until the agreed ISO 10993 outcome is achieved, from the plan through laboratory results to a signed biological evaluation report, and through the questions a reviewer raises about it.

The engagement identifies the devices, scope, outcome and responsibilities. Your organisation supplies accurate material and process information and appoints the laboratories. Laboratories are responsible for their test results, and regulators and notified bodies retain their decisions. Our commitment concerns the agreed support, not the outcome of any test or regulatory review.

FAQs

Frequently asked questions about ISO 10993

Is ISO 10993 the same as biocompatibility testing?

No. Biocompatibility testing is one possible input; ISO 10993 requires an evaluation of biological safety that begins with materials, processing and body contact and uses existing data and chemistry before new tests are chosen. A common weakness is a file that holds test reports but no evaluation connecting them to the device.

Can we reuse biocompatibility test reports from earlier years?

Often, if the device, its materials and its processing are unchanged and the tests remain relevant. The plan has to justify the reuse, and reports that no longer match the device as manufactured today cannot carry the conclusion on their own.

Does ISO 10993-1:2025 mean all our testing must be repeated?

Not automatically. A new edition of Part 1 changes how the evaluation should be structured and justified; a gap analysis shows which files need rework and whether any new evidence is needed. Confirm with your regulator or notified body how they expect existing evaluations to be updated.

Do suppliers of raw materials need to comply with ISO 10993?

The obligation sits with the device manufacturer, but supplier information is essential evidence. Formulation statements, change notifications and certificates of analysis make the evaluation stronger, and a supplier that will not share them can force additional chemistry or testing.

Does Sterling perform ISO 10993 tests or issue a biocompatibility certificate?

No. Sterling does not operate a laboratory and does not certify devices. We support the evaluation plan, the evidence and the report; testing is carried out by laboratories you appoint, and regulators or notified bodies review the evaluation.

Keep exploring

More on ISO 10993 series and related standards

Talk to a consultant

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