Information on the most widely used ASTM standards within the materials testing industry
Artificial heart valves are medical devices used to replace damaged or malfunctioning natural heart valves and are widely used in cardiac surgery. Because they are directly related to the patient's life safety and quality of life, testing of artificial heart valves is crucial. The testing items mainly include material properties, biocompatibility, functional testing, and durability, to ensure that it can operate stably over the long term.
Artificial heart valves are medical devices used to replace diseased or dysfunctional natural heart valves, such as the aortic valve or mitral valve. Their main function is to maintain the unidirectional and smooth flow of blood through the heart, preventing backflow and ensuring effective cardiac pumping.
Main types:
1, Mechanical valves: Made from carbon materials, metals, and other substances, they are highly durable but require patients to take anticoagulant medications for life to prevent blood clots.
2, Biological valves: Mainly derived from bovine pericardium or porcine aortic valves that have been specially treated. They have a lower risk of thrombosis and usually do not require lifelong anticoagulation, but they may calcify or deteriorate, with a typical lifespan of 10-20 years.
3, Interventional valves (TAVI/TPVR valves): These are biological valves that can be delivered via catheter without open-heart surgery, primarily used for minimally invasive treatment of conditions like aortic stenosis.
Since heart valves are critical components for sustaining life, their safety, effectiveness, and durability requirements are extremely high, and they must undergo a series of very strict and complex tests before being marketed.

Main testing items for artificial heart valves:
1, Material Performance Testing Material performance is the foundation for testing artificial heart valves. The main test items include: | |
| Mechanical properties: | Test the tensile strength, compressive strength, bending strength, etc., of the artificial valve material to ensure it can withstand the pressure of the heart and the impact of circulating blood flow without breaking. |
| Wear resistance: | Evaluate the wear of valve materials during long-term use through wear resistance tests to ensure they maintain good performance over decades of use. |
| Fatigue resistance: | Test the material's fatigue resistance under repeated cyclic loads to ensure its stability and reliability during long-term use. |
| Corrosion resistance: | Since the material is in contact with blood and tissues inside the body, it must have excellent corrosion resistance. Corrosion tests are used to assess the material's ability to resist corrosion. |
2, Durability Testing Durability testing is an important part of evaluating the ability of artificial heart valves to maintain their function and performance over long-term use, including: | |
| Fatigue life testing: | Under conditions simulating heartbeats, the artificial valve undergoes repeated opening and closing cycles to test whether it can still maintain structural and functional integrity after hundreds of millions of cycles. In a pulse simulator, the valve is continuously opened and closed at a speed exceeding the human heart rate (typically 10-20 times per second). The test needs to complete the equivalent of at least 380 million cycles (about 10 years), while current standards usually require 600 million cycles (about 15 years) or more. |
| Environmental simulation testing: | Testing the artificial heart valve under different temperatures, humidity, and chemical environments to assess its stability and reliability under extreme conditions. |
| Accelerated aging testing: | Accelerating the aging process of materials by increasing temperature and other environmental stresses to evaluate changes in performance over a long period. |
3, Functional Testing Functional testing mainly evaluates the performance of artificial heart valves under simulated physiological conditions, including the following aspects: | |
| Hydrodynamic testing: | Using a heart simulator or hydrodynamic device, the opening and closing performance of the artificial heart valve under blood flow is tested to assess key parameters such as flow resistance, regurgitation, and pressure gradient, ensuring that it can operate accurately and effectively with each heartbeat. |
| Opening and closing performance testing: | Tests the valve's opening and closing time and closure accuracy under different pressures to ensure it can open and close quickly and accurately under different heart conditions, preventing blood regurgitation or stagnation. |
| Longevity testing: | By simulating the long-term working environment of the human heart, the artificial valve undergoes longevity testing to evaluate whether it can continue to function normally after hundreds of millions of cycles, ensuring it has sufficient service life. |
4, Structural Integrity Testing The structural integrity of artificial heart valves is crucial for their safety and functionality. The testing items include: | |
| Microstructural Examination: | Observing the microstructure of the valve material using a microscope or scanning electron microscope (SEM) to check for micro-cracks, pores, or other defects. |
| Nondestructive Testing: | Using ultrasound, X-ray, or other nondestructive testing techniques to examine the internal structure of the artificial valve, ensuring it has no internal defects or delamination. |
| Encapsulation and Connection Inspection: | Checking whether the connection of the artificial valve to surrounding components is secure and whether the encapsulation is intact, to prevent the valve from loosening or displacing in the body. |
Main standard related:
ISO 5840-1:2021 - Cardiovascular implants — Cardiac valve prostheses — Part 1: General requirements.
ISO 5840-2:2021 - Part 2: Surgically implanted heart valve substitutes.
ISO 5840-3:2021 - Part 3: Transcatheter heart valve systems.
ISO 10993 series: Biological evaluation of medical devices. Covers all biocompatibility testing.
ISO 5910:2018: Cardiovascular implants and artificial organs - Heart valve repair devices.
ASTM F04.30: Series of standards from the American Society for Testing and Materials (ASTM) regarding cardiovascular implants.
FDA guidance documents, EU MDR regulation annexes: Provide detailed regulatory expectations and clinical evaluation requirements.
GB 12279 / YY 0500: National/industry standard equivalent to ISO 5840-1:2005.
YY/T 0809 series: Standards related to cardiovascular implants.
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