Ophthalmic optics - Contact lenses and contact lens care products - Determination of biocompatibility by ocular study using rabbit eyes (ISO 9394:1998)

Specification of a procedure for the determination of biocompatibility of contact lenses by ocular studies with rabbit eyes.

Augenoptik - Kontaktlinsen und Kontaktlinsenpflegemittel - Bestimmung der Biokompatibilität durch Erprobung am Kaninchenauge (ISO 9394:1998)

Diese Internationale Norm legt ein in vivo - Prüfverfahren zur Bestimmung der Sicherheit von Kontaktlinsen und Kontaktlinsenpflegemitteln im Auge fest. Bei dieser Prüfung wird der Grad möglicher Reizungen, die vom zu erprobenden Medizinprodukt am Gewebe des Auges hervorgerufen werden, ermittelt. Das Prüfverfahren beschreibt die Anwendung auf Kaninchenaugen.

Optique ophtalmique - Lentilles de contact et produits d'entretien pour lentilles de contact - Détermination de la biocompatibilité par évaluation de la tolérance oculaire chez le lapin (ISO 9394:1998)

La présente Norme internationale décrit une méthode d'essai in vivo pour évaluer la tolérance oculaire des lentilles de contact et des produits d'entretien des lentilles de contact. L'essai permet d'évaluer le degré d'irritation des tissus oculaires provoqué par le dispositif soumis à l'essai. La méthode d'essai est décrite comme étant appliquée aux yeux du lapin.

Očesna optika - Kontaktne leče in izdelki za vzdrževanje kontaktnih leč - Ugotavljanje biološke združljivosti z raziskavo na očeh kuncev (ISO 9394:1998)

General Information

Status
Withdrawn
Publication Date
31-Dec-1999
Withdrawal Date
30-Dec-2012
Technical Committee
Current Stage
9900 - Withdrawal (Adopted Project)
Start Date
18-Dec-2012
Due Date
10-Jan-2013
Completion Date
31-Dec-2012

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SLOVENSKI STANDARD
SIST EN ISO 9394:2000
01-januar-2000
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Ophthalmic optics - Contact lenses and contact lens care products - Determination of
biocompatibility by ocular study using rabbit eyes (ISO 9394:1998)
Augenoptik - Kontaktlinsen und Kontaktlinsenpflegemittel - Bestimmung der
Biokompatibilität durch Erprobung am Kaninchenauge (ISO 9394:1998)
Optique ophtalmique - Lentilles de contact et produits d'entretien pour lentilles de contact
- Détermination de la biocompatibilité par évaluation de la tolérance oculaire chez le
lapin (ISO 9394:1998)
Ta slovenski standard je istoveten z: EN ISO 9394:1998
ICS:
11.040.70 Oftalmološka oprema Ophthalmic equipment
SIST EN ISO 9394:2000 en
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

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SIST EN ISO 9394:2000

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SIST EN ISO 9394:2000

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SIST EN ISO 9394:2000

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SIST EN ISO 9394:2000

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SIST EN ISO 9394:2000

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SIST EN ISO 9394:2000
INTERNATIONAL ISO
STANDARD 9394
Second edition
1998-08-15
Ophthalmic optics — Contact lenses and
contact lens care products —
Determination of biocompatibility by ocular
study with rabbit eyes
Optique ophtalmique — Lentilles de contact et produits d’entretien pour
lentilles de contact — Détermination de la biocompatibilité par évaluation de
la tolérance oculaire chez le lapin
A
Reference number
ISO 9394:1998(E)

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SIST EN ISO 9394:2000
ISO 9394:1998(E)
Contents Page
1 Scope .1
2 Normative references .1
3 General requirements.1
4 Animals and husbandry .2
5 Reagents/Materials .2
6 Apparatus .3
7 Test specimens.3
8 Test procedure.3
9 Test report .5
10 Assessment of results.5
Annex A  McDonald-Shadduck score system — Slit lamp.6
Annex B  Draize scale for scoring ocular lesions .9
Annex C  Bibliography .11
©  ISO 1998
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means, electronic
or mechanical, including photocopying and microfilm, without permission in writing from the publisher.
International Organization for Standardization
Case postale 56 • CH-1211 Genève 20 • Switzerland
Internet iso@iso.ch
Printed in Switzerland
ii

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SIST EN ISO 9394:2000
© ISO
ISO 9394:1998(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO
member bodies). The work of preparing International Standards is normally carried out through ISO technical
committees. Each member body interested in a subject for which a technical committee has been established has
the right to be represented on that committee. International organizations, governmental and non-governmental, in
liaison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical
Commission (IEC) on all matters of electrotechnical standardization.
Draft International Standards adopted by the technical committees are circulated to the member bodies for voting.
Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote.
International Standard ISO 9394 was prepared by Technical Committee ISO/TC 172, Optics and optical
instruments, Subcommittee SC 7, Ophthalmic optics and instruments.
This second edition cancels and replaces the first edition (ISO 9394:1994), which has been technically revised.
Annexes A and B form an integral part of this International Standard. Annex C is for information only.
iii

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SIST EN ISO 9394:2000
© ISO
ISO 9394:1998(E)
Introduction
The ocular tissue of the rabbit is the system traditionally used to evaluate the irritant properties of materials which
come in contact with ocular tissue.
The use of the device under evaluation is governed by the nature, degree, duration, frequency and conditions of
exposure of humans to the device in normal intended use.
It is incumbent upon the investigator to conduct such evaluations using good scientific laboratory practices,
complying with regulations related to animal welfare and the general principles set forth in the normative references.
ISO 10993-1 is the basic horizontal International Standard for biological evaluation of medical devices, and serves
as a framework for planning biological evaluation tests.
ISO 10993-10 assesses possible contact hazards from device-released chemicals that may produce skin and
mucosal irritation, eye irritation and delayed contact sensitization.
Usage tests for specific devices are defined in vertical standards. This International Standard describes one of
several specific usage tests for contact lenses and contact lens care products.
The existence of this International Standards does not imply that rabbit-eye testing is a requirement in the
determination of biocompatibility of contact lenses and contact lens care products, nor that this test is sufficient by
itself to determine the biocompatibility of contact lenses and contact lens care products. Taking into consideration
animal welfare requirements (ISO 10993-2:1992), it is recommended that this in vivo test be carried out after
obtaining data of in vitro toxicological testing such as described in ISO 9363-1, ISO 10340 and ISO 11986.
Testing by ocular study with rabbit eyes is to be regarded as a "disaster check" before entering human trials; it
might be useful in certain situations (e.g. testing of new materials), but will not be required in many cases.
Care should be taken when extrapolating the test results to the human eye.
iv

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SIST EN ISO 9394:2000
INTERNATIONAL STANDARD  © ISO ISO 9394:1998(E)
Ophthalmic optics — Contact lenses and contact lens care
products — Determination of biocompatibility by ocular study with
rabbit eyes
1 Scope
This International Standard specifies an in vivo method of test to assess the ocular safety of contact lenses and contact
lens care products. The test assesses the degree of irritation to the ocular tissue produced by the device under test.
The test method is described in application to rabbit eyes.
2 Normative references
The following standards contain provisions which, through reference in this text, constitute provisions of this
International Standard. At the time of publication, the editions indicated were valid. All standards are subject to revision,
and parties to agreements based on this International Standard are encouraged to investigate the possibility of
applying the most recent editions of the standards indicated below. Members of IEC and ISO maintain registers of
currently valid International Standards.
ISO 8321-1:1991, Optics and optical instruments — Contact lenses — Part 1: Specification for rigid corneal and scleral
contact lenses.
1)
ISO 8321-2:— , Optics and optical instruments — Contact lenses — Part 2: Specification for single-vision hydrogel
contact lenses.
ISO 10993-1:1992, Biological evaluation of medical devices — Part 1: Guidance on selection of tests.
ISO 10993-2:1992, Biological evaluation of medical devices — Part 2: Animal welfare requirements.
ISO 10993-10:1995, Biological evaluation of medical devices — Part 10: Tests for irritation and sensitization.
ISO/IEC Guide 25:1990, General requirements for the competence of calibration and testing laboratories.
3 General requirements
The general principles for biological evaluation and categorization of medical devices given in ISO 10993-1 shall apply.
Tests shall be performed in accordance with ISO/IEC Guide 25.
Tests for irritation and sensitization of contact lenses and contact lens care products shall be carried out in accordance
with ISO 10993-10.
The assessment of the results shall be carried out by appropriately experienced and competent personnel .

1) To be published.
1

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SIST EN ISO 9394:2000
© ISO
ISO 9394:1998(E)
4 Animals and husbandry
4.1  New Zealand white strain rabbits (male, female, or mixed sexes) shall be used to test each type of contact lens
or contact lens care product. They shall be healthy young adults from a single strain from a single recognized
source weighing >2,5 kg. They shall have eyes free from clinically significant ocular irritation or corneal retention of
fluorescein stain.
A minimum number of three rabbits shall be used, however a number of six is recommended to ensure an
acceptable level of precision of the test results. If less than six rabbits are used, then the quantity shall be justified.
If control articles are included in the evaluation, use the contralateral eye or an additional group of animals with the
same number of animals chosen as before for each control article. For contact lens care products, the control group
should use the same type of contact lens which has not been treated with the test product.
Positive controls shall not be used.
NOTE In this context, "control article“ should be interpreted as being a device with defined safety and performance
characteristics.
4.2  The animal welfare requirements set out in ISO 10993-2 shall be met.
4.3  The animals shall be housed individually and have free access to commercially pelted rabbit feed and tap
water. Group housing is not feasible in this test since any lens found expulsed from the eye shall be matched to the
specific rabbit which wore the lens and re-inserted into the same eye.
4.4  Each animal shall be identified by one of the following:
a) a numbered ear tag;
b) a tattoo;
c) a microchip; or
d) a permanent ink marking.
The animals shall be acclimatized to the laboratory conditions for at least 5 days prior to testing.
4.5  The nictitating membrane should not be removed from the rabbit’s eye, and the eyelids should not be sutured
during lens wear.
NOTE 1 The albino rabbit eye is free of pigment, easily examined and has historically been used for ocular irritation studies.
NOTE 2 If the nictitating membranes are excised from the eyes of the rabbit, this should be done at least two weeks before
the experiment. Such treatment shall be mentioned in the final report.
All appropriate regulatory requirements governing the care and use of animals shall be followed.
4.6  During daily treatment, the rabbits shall be minimally restrained.
5 Reagents/Materials
5.1  Sodium fluorescein, as specified by an appropriate pharmacopoeia.
NOTE Attention should be made to the degree of staining and the concentration of fluorescein administered to the eye
(e.g. 3 l of 1 % fluorescein in saline solution).
μ
5.2  Contact lens care products, as recommended by the manufacturers.
5.3  Contact lenses, as recommended by the manufacturer.
2

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SIST EN ISO 9394:2000
© ISO
ISO 9394:1998(E)
6 Apparatus
6.1  Slit lamp microscope, with appropriate filters.
6.2  Magnifying glass, of minimum magnification 6x.
6.3  Balance or weighing machine, capable of weighing up to 5 kg to an accuracy of 100 g.
7 Test specimens
7.1 Contact lens parameters
Contact lenses shall be sufficiently thick to represent either
a) reasonable human-use extremes; or
b) the extreme of the manufacturer’s product line.
The contact lens selected shall produce a good fit to a rabbit eye.
NOTE This is necessary to minimize physical irritation and expulsion. In the case where this thickness does not allow a
good fit of the contact lens, a contact lens of the greatest thickness which allows a good fit should be used.
Contact lens parameters shall be recorded according to the tolerances specified in either ISO 8321-1 or ISO 8321-2.
7.2 Preparation and storage
If contact lens care products are to be used in the evaluation, contact lenses shall be prepared, cleaned,
disinfected, stored and rinsed according to the contact lens manufacturer's instructions using contact lens care
products (5.2). If a contact lens falls out during the daily treatment period, it shall be rinsed with rinsing solution (5.2)
and re-inserted into the rabbit's eye from which it has fallen out.
NOTE 1 Sufficient additional lenses should be treated using at least one complete daily lens care treatment to replace any
lenses that are damaged or lost during the lens-wear day.
NOTE 2 Hydrogel lenses which cannot be immediately reinserted because of drying should be swapped for a similar lens
which has been treated in line with the manufacturer's recommendations. Hydrogel lenses which have dried out may be re-
used once cleaned and/or rehydrated.
Before insertion, contact lenses should be checked for particulate matter, physical damage and, during hydrogel
lens use, for lens inversion. While inserting contact lenses, rabbits shall be observed for reactions different to that
during the insertion of a control lens. Such reactions shall be recorded.
Contact lenses shall not be intermixed between rabbits in the same treatment group.
If applicable, lens storage cases shall not be intermixed between treatment groups.
8 Test procedure
8.1 Preliminary examination of animals
8.1.1  The preliminary examination may not be made longer than 24 h before commencement of the test.
8.1.2  Using the balance (6.3), weigh the rabbits and record the mass.
8.1.3  Visually examine both eyes of each rabbit using the slit lamp (6.1) and fluorescein stain (5.1), and record the
state of the eyes using the McDonald-Shadduck scoring system (see annex A).
If either eye shows any abnormality, then replace the rabbit.
3

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SIST EN ISO 9394:2000
© ISO
ISO 9394:1998(E)
8.2 Insertion and removal of test lens
8.2.1  Treat the test lens in accordance with 7.2.
8.2.2  Insert the test lens in one eye of the rabbit; the eye should be free of fluorescein at the time of lens insertion.
The test lens may be inserted in either eye, although it is recommended that within a test laboratory all testing be
carried out on the same side. The contralateral eye serves as either a treated or an untreated control.
NOTE In the case of hydrogel lenses, the lid may be loosely taped near the outer canthus to prevent expulsion of the lens.
8.2.3  On days 1 to 21, after 7 h to 8 h, remove the test lens from the rabbit's eye. After removal, lenses shall be
cared for as in step 7.2.
NOTE Designate the first day of lens wear as Day 1.
8.2.4  If, during the course of the day's wearing, a lens requires reinsertion or replacement, this fact shall be
recorded. It is recommended that the presence of the lens in the rabbit's eye is checked regularly, e.g. hourly.
8.2.5  Whenever relevant, record any change in the appearance of the contact lens.
8.2.6  Repeat steps 8.2.1 to 8.2.5 on a daily basis.
8.2.7  On day 22, after 4 h to 8 h, remove the test lens from the rabbit's eye.
NOTE The lens may be retained for further examination by the manufacturer.
8.3 Examination of the rabbit's eye
8.3.1  On days 1 to 7, 9 to 14 and 16 to 21, just prior to lens removal visually examine both eyes of each rabbit and
record the state of the eyes using the Draize scoring system (see annex B).
Additional visual examinations of
...

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