The authors recommend changes to the paradigm employed in the current
ISO Heart Valve Standard (ISO 5840) so that future patients who receiv
e a heart valve prosthesis are assured ob: a device that will function
with minimal complications for at least 25 years. Based on valve fail
ures of the past decade, ft is clear that current standards are inadeq
uate because present-day Standards and Regulatory agencies operate in
a manner which inhibits innovation and creativity. Thus, engineers and
scientists in this field react to problems, rather than proact. As we
approach the new millennium, the authors consider it time to rethink
the ground rules.