ASTM F561-05a - 1.10.2005
 
1. Scope

1.1 This practice covers recommendations for the retrieval, handling, and analysis of implanted medical devices and associated specimens that are removed from patients during revision surgery, at postmortem, or as part of animal studies. This practice can also be used for analysis of specimens and lubrication fluids from in vitro wear tests and joint simulators. The aim is to provide guidance in preventing damage to the associated specimens which could obscure the investigational results, and in gathering data at the proper time and circumstance to validate the study.

1.2 This practice offers guidelines for the analysis of retrieved implants to limit damage to them, and to allow comparisons between investigational results from different studies. The protocols are divided into three stages, where Stage I is the minimum non-destructive analysis, Stage II is more complete non-destructive analysis, and Stage III is destructive analysis. Standard protocols for the examination and collection of data are provided for specific types of materials in relation to their typical applications. For particular investigational programs, additional, more specific, protocols may be required. If special analytical techniques are employed, the appropriate handling procedures must be specified.

1.3 This practice recommendation should be applied in accordance with national regulations or legal requirements regarding the handling and analysis of retrieved implants and excised tissues, especially with regard to handling devices which may become involved in litigation, as per Practice E 860.

1.4 A significant portion of the information associated with a retrieved implant device is often at the device-tissue interface or in the tissues associated with the implant and related organ systems. Attention should be given to the handling of adjacent tissues, so as not to interfere with study of the particles in the adjacent tissue, a chemical analysis for the byproducts of degradation of the implant, or a study of the cellular response to the implant.

1.5 This standard may involve hazardous materials, operations, and equipment. As a precautionary measure, removed implants should be sterilized or minimally disinfected by an appropriate means that does not adversely affect the implant or the associated tissue that may be subject to subsequent analysis. A detailed discussion of precautions to be used in handling of human tissues can be found in ISO 12891-1. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

 
2. Referenced Documents

C169-16(2022)

Standard Test Methods for Chemical Analysis of Soda-Lime and Borosilicate Glass

C573-81

Methods for Chemical Analysis of Fireclay and High-Alumina Refractories (Withdrawn 1993)

C623-21

Standard Test Method for Young's Modulus, Shear Modulus, and Poisson's Ratio for Glass and Glass-Ceramics by Resonance

E168-16(2023)

Standard Practices for General Techniques of Infrared Quantitative Analysis

E204-98

Standard Practices for Identification of Material by Infrared Absorption Spectroscopy, Using the ASTM Coded Band and Chemical Classification Index

E290-22

Standard Test Methods for Bend Testing of Material for Ductility

E353-19e1

Standard Test Methods for Chemical Analysis of Stainless, Heat-Resisting, Maraging, and Other Similar Chromium-Nickel-Iron Alloys (Includes all amendments and changes 2/23/2022).

E354-21e1

Standard Test Methods for Chemical Analysis of High-Temperature, Electrical, Magnetic, and Other Similar Iron, Nickel, and Cobalt Alloys (Includes all amendments and changes 2/23/2022).

E386-90(1999)

Standard Practice for Data Presentation Relating to High-Resolution Nuclear Magnetic Resonance (NMR) Spectroscopy

E1188-23

Standard Practice for Collection and Preservation of Information and Physical Items by a Technical Investigator

E1479-16

Standard Practice for Describing and Specifying Inductively Coupled Plasma Atomic Emission Spectrometers

F316-03(2019)

Standard Test Methods for Pore Size Characteristics of Membrane Filters by Bubble Point and Mean Flow Pore Test

F619-20

Standard Practice for Extraction of Materials Used in Medical Devices

F981-23

Standard Practice for Assessment of Muscle and Bone Tissue Responses to Long-Term Implantable Materials Used in Medical Devices

F1044-05(2017)e1

Standard Test Method for Shear Testing of Calcium Phosphate Coatings and Metallic Coatings (Includes all amendments and changes 1/11/2018).

F2102-17

Standard Guide for Evaluating the Extent of Oxidation in Polyethylene Fabricated Forms Intended for Surgical Implants

F2182-19e2

Standard Test Method for Measurement of Radio Frequency Induced Heating On or Near Passive Implants During Magnetic Resonance Imaging (Includes all amendments and changes 4/7/2020).

D1622-20

Standard Test Method for Apparent Density of Rigid Cellular Plastics

D1042-22

Standard Test Method for Linear Dimensional Changes of Plastics Caused by Exposure to Heat and Moisture

D1238-23a

Standard Test Method for Melt Flow Rates of Thermoplastics by Extrusion Plastometer (Includes all amendments and changes 12/6/2023).

D1239-22a

Standard Test Method for Resistance of Plastic Films to Extraction by Chemicals (Includes all amendments and changes 9/12/2022).

D1242-95a

Standard Test Methods for Resistance of Plastic Materials to Abrasion (Withdrawn 2004)

D1505-18

Standard Test Method for Density of Plastics by the Density-Gradient Technique

D1621-16(2023)

Standard Test Method for Compressive Properties of Rigid Cellular Plastics

C730-98(2021)

Standard Test Method for Knoop Indentation Hardness of Glass

C674-13(2023)

Standard Test Methods for Flexural Properties of Ceramic Whiteware Materials

C1069-09(2022)

Standard Test Method for Specific Surface Area of Alumina or Quartz by Nitrogen Adsorption

C1161-18(2023)

Standard Test Method for Flexural Strength of Advanced Ceramics at Ambient Temperature

C1198-20

Standard Test Method for Dynamic Young´s Modulus, Shear Modulus, and Poisson´s Ratio for Advanced Ceramics by Sonic Resonance

C1322-15(2019)

Standard Practice for Fractography and Characterization of Fracture Origins in Advanced Ceramics

C1326-13(2023)

Standard Test Method for Knoop Indentation Hardness of Advanced Ceramics

C1327-15(2019)

Standard Test Method for Vickers Indentation Hardness of Advanced Ceramics

D256-23e1

Standard Test Methods for Determining the Izod Pendulum Impact Resistance of Plastics (Includes all amendments and changes 4/7/2023).

D570-22

Standard Test Method for Water Absorption of Plastics

D621-64(1988)

Test Methods for Deformation of Plastics Under Load (Withdrawn 1994)

D624-00(2020)

Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers

D638-22

Standard Test Method for Tensile Properties of Plastics

D671-93

Standard Test Method for Flexural Fatigue of Plastics by Constant-Amplitude-of-Force (Withdrawn 2002)

D695-23

Standard Test Method for Compressive Properties of Rigid Plastics

D732-17

Standard Test Method for Shear Strength of Plastics by Punch Tool

D747-10

Standard Test Method for Apparent Bending Modulus of Plastics by Means of a Cantilever Beam (Withdrawn 2019)

D785-23

Standard Test Method for Rockwell Hardness of Plastics and Electrical Insulating Materials

D790-17

Standard Test Methods for Flexural Properties of Unreinforced and Reinforced Plastics and Electrical Insulating Materials

D792-20

Standard Test Methods for Density and Specific Gravity (Relative Density) of Plastics by Displacement

D1004-21

Standard Test Method for Tear Resistance (Graves Tear) of Plastic Film and Sheeting

A262-15(2021)

Standard Practices for Detecting Susceptibility to Intergranular Attack in Austenitic Stainless Steels

C20-00(2022)

Standard Test Methods for Apparent Porosity, Water Absorption, Apparent Specific Gravity, and Bulk Density of Burned Refractory Brick and Shapes by Boiling Water

C633-13(2021)

Standard Test Method for Adhesion or Cohesion Strength of Thermal Spray Coatings

E407-23

Standard Practice for Microetching Metals and Alloys

E562-19e1

Standard Test Method for Determining Volume Fraction by Systematic Manual Point Count (Includes all amendments and changes 8/24/2020).

E663-86(1991)E01

Practice for Flame Atomic Absorption Analysis (Withdrawn 1997)

E860-22

Standard Practice for Examining and Preparing Items That Are or May Become Involved in Criminal or Civil Litigation

E883-11(2017)

Standard Guide for Reflected-Light Photomicrography

E986-04(2017)

Standard Practice for Scanning Electron Microscope Beam Size Characterization

F1147-05(2017)e1

Standard Test Method for Tension Testing of Calcium Phosphate and Metallic Coatings (Includes all amendments and changes 6/17/2022).

F1854-15

Standard Test Method for Stereological Evaluation of Porous Coatings on Medical Implants

F1877-16

Standard Practice for Characterization of Particles

ISO 12891-1,

Retrieval and Analysis of Implantable Medical Devices, Part 1: Standard Practice for Retrieval and Handling

F2214-23

Standard Test Method for In Situ Determination of Network Parameters of Crosslinked Ultra High Molecular Weight Polyethylene (UHMWPE)

F2995-24

Standard Guide for Shipping Possibly Infectious Materials, Tissues, and Fluids

A751-21

Standard Test Methods and Practices for Chemical Analysis of Steel Products

C158-23

Standard Test Methods for Strength of Glass by Flexure (Determination of Modulus of Rupture)

D412-16(2021)

Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers—Tension

D1708-18

Standard Test Method for Tensile Properties of Plastics by Use of Microtensile Specimens

D2240-15(2021)

Standard Test Method for Rubber Property—Durometer Hardness

D2857-22

Standard Practice for Dilute Solution Viscosity of Polymers

D2873-94(1999)e1

Standard Test Method for Interior Porosity of Poly(Vinyl Chloride) (PVC) Resins by Mercury Intrusion Porosimetry (Withdrawn 2003)

D2990-17

Standard Test Methods for Tensile, Compressive, and Flexural Creep and Creep-Rupture of Plastics

D3016-97(2018)

Standard Practice for Use of Liquid Exclusion Chromatography Terms and Relationships

E3-11(2017)

Standard Guide for Preparation of Metallographic Specimens

E7-22

Standard Terminology Relating to Metallography

E8-04

Standard Test Methods for Tension Testing of Metallic Materials

E10-23

Standard Test Method for Brinell Hardness of Metallic Materials

E120-00

Standard Test Methods for Chemical Analysis of Titanium and Titanium Alloys (Withdrawn 2003)

D1623-17(2023)

Standard Test Method for Tensile and Tensile Adhesion Properties of Rigid Cellular Plastics

D2842-19

Standard Test Method for Water Absorption of Rigid Cellular Plastics

D3417-99

Standard Test Method for Enthalpies of Fusion and Crystallization of Polymers by Differential Scanning Calorimetry (DSC) (Withdrawn 2004)

D3418-21

Standard Test Method for Transition Temperatures and Enthalpies of Fusion and Crystallization of Polymers by Differential Scanning Calorimetry

D3835-16

Standard Test Method for Determination of Properties of Polymeric Materials by Means of a Capillary Rheometer

D3919-15

Standard Practice for Measuring Trace Elements in Water by Graphite Furnace Atomic Absorption Spectrophotometry

D4000-23

Standard Classification System for Specifying Plastic Materials

D4001-20

Standard Test Method for Determination of Weight-Average Molecular Weight of Polymers by Light Scattering

D4065-20

Standard Practice for Plastics: Dynamic Mechanical Properties: Determination and Report of Procedures

D4754-18

Standard Test Method for Two-Sided Liquid Extraction of Plastic Materials Using FDA Migration Cell

D5152-91

Practice for Water Extraction of Residual Solids from Degraded Plastics for Toxicity Testing (Withdrawn 1998)

D5227-21

Standard Test Method for Measurement of Hexane Extractable Content of Polyolefins

D5296-19

Standard Test Method for Molecular Weight Averages and Molecular Weight Distribution of Polystyrene by High Performance Size-Exclusion Chromatography

E18-22

Standard Test Methods for Rockwell Hardness of Metallic Materials

E45-18a(2023)

Standard Test Methods for Determining the Inclusion Content of Steel (Includes all amendments and changes 11/6/2023).

E92-23

Standard Test Methods for Vickers Hardness and Knoop Hardness of Metallic Materials

E112-13(2021)

Standard Test Methods for Determining Average Grain Size

E135-23a

Standard Terminology Relating to Analytical Chemistry for Metals, Ores, and Related Materials (Includes all amendments and changes 7/17/2023).