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Biocompatibility explained: why it matters for medical wearables

Medical wearables are transforming healthcare—but placing electronics on the body brings unique challenges. From allergic reactions to long-term skin contact risks, ensuring biocompatibility isn’t just a checkbox—it’s essential to user trust and product success. In this post, we break down what biocompatibility for medical devices and wearables really means, why it matters, and how to get it right from day one.

What can go wrong: common skin and chemical risks

When we talk about biocompatibility and medical wearables—think continuous glucose monitors, ECG patches, or sensor‑embedded bandages — we’re not just designing tech. We’re designing things that spend hours, sometimes days, next to your skin. Biocompatibility for wearables means those materials must be friendly to your body — not causing irritation, rashes or worse. Even lifestyle wearables can irritate if sweat triggers metal corrosion or chemicals leach out. Clinical-grade patches or smart textiles have more contact and often stricter use, increasing chances of irritation or allergic response. That’s why a wearable’s design must consider friction, pressure, moisture—and chemicals.

Understanding ISO 13485 vs ISO 10993: what’s the difference?

ISO 13485 and ISO 10993 are both important in medical wearable development—but they serve different purposes. ISO 13485 focuses on the quality management systems required for developing and manufacturing medical devices. ISO 10993, on the other hand, deals specifically with biological evaluation of medical devices, guiding how to assess a product’s biocompatibility. In short: 13485 helps you manage how you build safely, while 10993 helps prove what you build is safe to wear.

 

“ISO 13485 helps you manage how you build safely, while ISO 10993 helps prove what you build is safe to wear.”

 

Early design: picking safe materials

Start by choosing known‑safe materials—biomedical‑grade metals, passivated alloys like nitinol, medical silicones or skin‑safe fabrics. For metals, processes like passivation or electropolishing build protective oxide layers that reduce nickel leaching, corrosion, and improve tolerance. Textiles and polymers should be tested for extractables and leachables— especially under sweat and heat.

Testing smart: what should we do before launch

You get ahead by incorporating biocompatibility assessments early in your design cycle. That means sweat‑simulated extractables testing, galvanic corrosion studies, and mechanical abrasion trials — simulating real wear and use. These steps help catch potential risks before finalising the wearable.

Clinical vs lifestyle: different risk levels

A fitness tracker that tracks steps is classified as a lifestyle wearable, with moderate biocompatibility needs. But a physician‑prescribed heart‑monitoring patch or therapeutic sensor counts as a clinical wearable — tracked under FDA Class II, needing stricter testing and documentation. At Elitac Wearables, we help you understand this distinction and guide material and test choices accordingly.

Materials lifecycle: from sourcing to disposal

Biocompatibility isn’t just about contact in use—it includes sourcing, manufacturing and end‑of‑life. Clean‑room processes reduce contamination, and tracked material sourcing ensures what goes in is safe. After the wearable’s life ends, responsible disposal or recycling helps avoid environmental skin‑contact hazards.

Why it matters: safety, trust, and long‑term use

At the end of the day, devices that irritate the skin won’t be worn long, and devices that irritate, technically fail. A good biocompatibility program ensures users feel safe, drives adherence — and protects brand reputation.

How Elitac Wearables helps

At Elitac Wearables, we guide teams through every step:

  1. Material recommendations based on ISO 10993 /  and FDA guidance.

  2. Risk‑based assessments—for lifestyle vs clinical devices.

  3. Custom research, test plans and pre-validation tests for sweat, corrosion, abrasion, washability and more.

  4. Lifecycle support: sourcing advice, documentation, regulatory preparations.

We keep it clear, practical, and human—so you can launch safe, trusted devices that users actually want to wear.

Getting started

If you’re launching a new wearable—or just want to ensure your material choices won’t become a problem later — get in touch. We’ll start with a conversation, tailor a biocompatibility roadmap, and help bring your vision to life, skin‑safe and stress‑free.

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Author Guus de Hoog

A cross-disciplinary design & thought leader with an entrepreneurial mindset, and a strong vision for driving innovation. With over 15 years of experience in design, and 10 years of experience in wearable technology. As Creative Director at Elitac Wearables, Guus is responsible for the design strategy, creative vision, and quality output of the projects. As Head of Innovation, he makes sure Elitac Wearables stays on the fore-front of wearable technology, by focussing on new business development, R&D, and strategic partnerships.

More about Guus de Hoog