COVID-19 aside, future projections of surgical volume indicate an onslaught of medical procedures around the globe. More procedures…more “stuff.” A recent study from Germany and Spain has examined the environmental impact of disposable and a reusable surgery instrument sets for lumbar fusion surgeries as far as how they impact the environment.
“Life cycle assessment of a disposable and a reusable surgery instrument set for spinal fusion surgeries,” was published in the May 2020 edition of Resources, Conservation, and Recycling.
For the reusable set of instruments, the Viper 2 instruments and implants set from DePuy Synthes were used. The disposable set was the Neo Pedicle Screw System from Neo Medical SA, a company with offices in Geneva and Oslo. According to the company, the reusable set is used for five years and then disposed of using a solid waste incineration process. The company estimates that this can cover a total of 300 surgeries.
As for the disposable, set, the authors wrote, “Here the whole set is used once for a one level lumbar fusion surgery. Screws and rods are implanted, packaging and instruments are discarded and incinerated as solid waste. The disposable system is a new development and served in modular packages, which clearly focusses on reducing the number of required instruments for the surgery and therefore allows using less instruments.”
Vincent Lefauconnier, CEO of Neo Medical, told OTW, “The worldwide increasing wealth and increased life expectancy of humans has led to an increase in the number of medical procedures and surgeries. Surgeries are complex medical procedures which contribute to a significant share of the total environmental impact of the healthcare system. Among other important sources of environmental impacts from surgeries, material consumption due to required instrumentation accounts for up to 65% of greenhouse gas emissions from surgeries.”
“This study investigates how a disposable and a reusable surgery instrument set for lumbar fusion surgeries contribute to the environmental impact and which system is more advantageous for the environment.”
“For lumbar fusion surgeries, reusable and disposable instrumentation and implant sets are commercially available. Both sets are capable to support a one level lumbar fusion surgery. The reusable set is comprehensive and fully opened before the surgery, while the disposable system comes in a modular box system, and the boxes are opened on demand during the surgery. To compare the environmental impact of these different configurations, a comparative Life Cycle Assessment (LCA) was performed to assess the overall environmental impacts of both alternatives.”
“One of the key findings is that the selected cleaning and sterilization process for reusable instruments is responsible for up to 90% of the greenhouse gas emissions and decides which system is advantageous from an environmental perspective. Reducing the number of instruments to be cleaned and sterilized for a surgery should be the focus for future surgery instruments development from an environmental perspective.”
