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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Diabetes+Sci+Technol
2015 ; 9
(4
): 885-94
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Analytical Performance Requirements for Systems for Self-Monitoring of Blood
Glucose With Focus on System Accuracy: Relevant Differences Among ISO 15197:2003,
ISO 15197:2013, and Current FDA Recommendations
#MMPMID25872965
Freckmann G
; Schmid C
; Baumstark A
; Rutschmann M
; Haug C
; Heinemann L
J Diabetes Sci Technol
2015[Jul]; 9
(4
): 885-94
PMID25872965
show ga
In the European Union (EU), the ISO (International Organization for
Standardization) 15197 standard is applicable for the evaluation of systems for
self-monitoring of blood glucose (SMBG) before the market approval. In 2013, a
revised version of this standard was published. Relevant revisions in the
analytical performance requirements are the inclusion of the evaluation of
influence quantities, for example, hematocrit, and some changes in the testing
procedures for measurement precision and system accuracy evaluation, for example,
number of test strip lots. Regarding system accuracy evaluation, the most
important change is the inclusion of more stringent accuracy criteria. In 2014,
the Food and Drug Administration (FDA) in the United States published their own
guidance document for the premarket evaluation of SMBG systems with even more
stringent system accuracy criteria than stipulated by ISO 15197:2013. The
establishment of strict accuracy criteria applicable for the premarket evaluation
is a possible approach to further improve the measurement quality of SMBG
systems. However, the system accuracy testing procedure is quite complex, and
some critical aspects, for example, systematic measurement difference between the
reference measurement procedure and a higher-order procedure, may potentially
limit the apparent accuracy of a given system. Therefore, the implementation of a
harmonized reference measurement procedure for which traceability to standards of
higher order is verified through an unbroken, documented chain of calibrations is
desirable. In addition, the establishment of regular and standardized
post-marketing evaluations of distributed test strip lots should be considered as
an approach toward an improved measurement quality of available SMBG systems.