Do medical devices contribute to sustainability? Environmental, societal and governance aspects

Carlo Boccato, Jörg Vienken
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Abstract

Sustainability of a product or device is currently primarily related to its environmental footprint. Here, a wider concept of sustainability is introduced for medical devices and their components in healthcare provision. Such devices sustain healthcare and patient wellbeing due to their quality specifications for material composition, product design and performance. The term quality must be intended in the most comprehensive term, including purity and biocompatibility of materials, device reliability, limited number of recalls and reduced risks as well as acceptability for patients. A close look on medical device specification shows, however, that additional parameters, such as societal, demographic and economic factors also determine medical device sustainability. The medical device life cycle, from design phase, production process to clinical application and the final disposal, also determines its impact. Recommendations for healthcare operators and managers will complete the hypothesis of this paper, that a thoroughly outlined device choice and operation together with a careful waste management of spent medical devices and their components positively affects medical device sustainability. As an example, the limited quantity of wastes and the reduced risks for adverse reaction have a positive impact on both the environmental pollution and on the costs sustained by the healthcare organisations and by the community. These factors determine both, the success of healthcare manoeuvres and the related environmental footprint.
医疗设备是否有助于可持续发展?环境、社会和治理方面
目前,产品或设备的可持续性主要与其环境足迹有关。在此,我们将为医疗设备及其部件引入更广泛的可持续发展概念。这些设备由于其材料成分、产品设计和性能的质量规格,可维持医疗保健和病人的健康。质量一词必须具有最全面的含义,包括材料的纯度和生物相容性、设备的可靠性、有限的召回次数、降低风险以及患者的可接受性。然而,仔细研究医疗器械的规格就会发现,社会、人口和经济因素等其他参数也决定着医疗器械的可持续性。医疗设备的生命周期,从设计阶段、生产过程到临床应用和最终处置,也决定了其影响。对医疗运营商和管理者的建议将完善本文的假设,即全面概述设备的选择和操作,以及对废旧医疗设备及其组件进行仔细的废物管理,将对医疗设备的可持续性产生积极影响。例如,有限的废物数量和降低不良反应风险对环境污染以及医疗机构和社区的成本都有积极影响。这些因素既决定了医疗保健活动的成功,也决定了相关的环境足迹。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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