AMDR Memo to Members on Maximizing Reprocessing Benefits and Addressing Competitive Threats

To: AMDR Members

From: Dan Vukelich, President

Date: 08/23/2016

Re: Surge of Anti-Reprocessing Contracting Practices

The mission at the Association of Medical Device Reprocessors (AMDR) includes promoting the financial and environmental benefits of regulated “single-use” device (SUD) reprocessing.  AMDR is aware of certain types of contractual and otherwise misleading practices used by some medical device manufacturers which may purport to promote SUD reprocessing or reduce costs, but in fact, may result in less reprocessing and therefore less financial savings and environmental benefits to our healthcare partners.

Consistent with our mission, AMDR is pleased to announce the availability of a new online resource to address some of these challenges – AMDR believes that our healthcare partners are entitled to a transparent and clear understanding of new contract terms regarding sales of SUDs and potential implications for reprocessing programs…

Full memo available here.



Global Reprocessed Medical Devices Market – Rising Medical Waste and Demand to Reduce Healthcare Expenses to Benefit the Market Globally

Transparency Market Research

Cardiovascular Devices Take the Lead

The global reprocessed medical devices market is expected to exhibit an exceptional 19.3% CAGR by revenue over the period between 2014 and 2020. The market had a revenue-wise valuation of US$898.7 mn in 2015. In terms of volume, the global market is expected to rise to 56.04 mn by 2020. The segment of cardiovascular devices saw the most traction, with 13.69 mn devices reprocessed and/or sold globally in 2015. In terms of revenue as well, the segment of reprocessed cardiovascular devices held the dominant position, with a valuation of US$599.3 mn in the same year. Geography-wise, North America emerged as the clear leader in the global reprocessed medical devices market as of 2015.

Read More.

Download free sample of the report here.

Are Disposable Hospital Supplies Trashing the Environment?

Healthy Debate

Source: Wendy Glauser, Jeremy Petch & Sachin Pendharkar, Healthy Debate

It’s something that a patient who is worried about a surgery or recovering from a trauma is unlikely to think about. But behind the scenes, plastic syringes, single-use gowns, sterile packaging, surgical instruments and much more are piling into dumpsters.

According to a new report from the Ontario Hospital Association, North American operating rooms alone are responsible for 20%-33% of total hospital waste.

The problem may be getting worse – due to patient safety, cost and convenience, more and more clinical instruments and supplies are being marked as “single use” and thrown out.

Disposables can also be cost-driven. They’re sometimes cheaper than buying much more expensive reusable supplies that must be washed and are themselves thrown out with wear and tear…. In many other cases, however, disposables are more expensive in the long run.

In the US, several organizations are calling for more environmental products. Earlier this year, four major health care companies and two NGOs launched the Greenhealth Exchange, an organization that will investigate and promote green alternatives.

In addition, this September, the non-profit Practice Green Health is launching a free “total cost of ownership tool” that will help hospitals understand the long-term costs of disposable versus reusable products. The tool allows hospitals to enter everything from the costs they pay to dispose waste, to how often they’ll need to repurchase disposables, to the costs of water for sterilization. “If you look at just the price tag for the item, disposables seem far cheaper. But by capturing some of the cost to use the product over the long term, you’re making a better informed purchasing decision,” explains Beth Eckl, director of the Environmental Purchasing Program at Practice Greenhealth.


Read More.



AMDR Member Companies Now Serve ALL of U.S. News & World Report’s 2016-2017 “Honor Roll” Hospitals

Washington D.C. – Each year, U.S. News & World Report releases their annual list of the Best Hospitals across the country, including the highly coveted “Honor Roll” list that distinguishes the hospitals best ranked out of nearly 5,000 hospitals evaluated.  This year, only 153 hospitals were ranked nationally in one or more specialties to be determined as a “Best Hospital,” and of these, 20 hospitals made the cut to be among those in the “Honor Roll.”

This year, the Association of Medical Device Reprocessors (AMDR) is proud to announce that its members serve ALL of the hospitals in the U.S. News & World Report’s “Honor Roll” List.

Read More about the Honor Roll Hospitals.



Environmental Stewardship Pays Off for Colorado Hospital


 What started as a grassroots effort less than a decade ago has grown to be a substantial force for positive change in the health care field.



Source: Sean Moores, Greenhealth Magazine

At a quarterly meeting, an associate at Littleton Adventist Hospital suggested that the hospital implement a sustainability program. Recognizing how well caring for the environment aligns with their mission, the Sustainability Advisory Committee (affectionately called the green team) began as a grassroots effort in 2008. It is now one of the premier environmental sustainability programs not just in Colorado, but across the entire country.

The program started with the hospital taking inventory of all existing initiatives that could be classified as green and began assessing progress on each of those initiatives. Tracking regulated medical waste started in 2006 and through education, audits and implementation of reusable sharps collection containers, the hospitals experienced a 47 percent reduction in medical waste over the course of the last decade. Littleton Adventist Hospital was the first hospital within Centura Health to put this program into practice; the program is now in all 17 Centura Health hospitals…

Littleton Adventist Hospital’s commitment to environmental stewardship has paid off. It has seen consistent improvement in areas such as recycling and energy use (with a 42.9 percent waste diversion rate in 2015, up from 34.4 percent in 2014), and through recycling, composting, reprocessing, reusing, repurposing and donations.

Read More.

Practice Greenhealth Honorees Reduced, Reused and Recycled their Way to the Top









Practice Greenhealth’s Greening the OR Recognition Award is a competitive award which celebrates facilities that make substantial progress in reducing the impact of the surgical environment.

Here are the honorees for the 2016 Greening the OR Circle of Excellence:

  • Cleveland Clinic
  • Harborview Medical Center
  • Johns Hopkins Hospital
  • Marymount Hospital
  • Memorial Sloan Kettering Cancer Center
  • Regions Hospital
  • University of Maryland Medical Center
  • University of Vermont Medical Center
  • Virginia Mason Medical Center
  • Yale New Haven Hospital

And here are some tools that these award-winning facilities utilize in order to make a positive environmental impact:

  • Regulated Medical Waste Reduction

  • Clinical Plastics Recycling

  • Reusable Canister Fluid
    Management Systems

  • Rigid Sterilization Containers

  • Reprocessing Single-Use
    Medical Devices

    Yale New Haven Hospital in New Haven, Connecticut, surpassed its goal to collect and purchase 75 percent reprocessed compression devices, diagnostic ultrasound catheters, EP catheters and cables, external fixation devices, opened and unused or expired devices, tourniquet cuffs, endoscopic trocars and laparoscopic devices and achieved a 78 percent compliance rate in 2015. As a result, the hospital was able to save 20 tons of waste and $12,000 in avoided waste disposal costs. On the purchasing side, Yale New Haven Hospital was able to save more than $1.2 million on purchasing reprocessed single-use medical devices.

Read More.



Sustainability and Fiscal Sensibility

PGH 8.11






Maintaining an ecofriendly supply chain puts the ‘eco’ in economics.

Source: Sean Moores, Greenhealth Magazine

In supply chain management, it often all comes down to the financial bottom line. So how does a health system balance environmental responsibility with the challenges of ensuring ready and affordable access to the materials and equipment necessary for its day-to-day operations?

Health systems trying to minimize their impact on the environment while lowering costs and retaining a competitive advantage are finding it is possible to create a sustainable supply chain and still be responsive to financial obligations…

Companies can’t give up their competitive advantage to become sustainable or they won’t be in business for long. There must be tangible benefits from green supply chain initiatives in addition to environmental conservation.

The good news is that there is often a direct financial benefit to creating a sustainable supply chain beyond the positive public perception that comes with being ecofriendly. Sustainability can help direct purchasing decisions in a way that will provide benefits for both the business and the environment…


Read More.



EMMC Recycling in Every Operating Room


Eastern Maine Medical Center is going green.

They’re now recycling all of the trash in their operating rooms.

“I’m used to recycling household trash for a long time, but it’s an entirely different level to do it in a hospital, in an operating room environment,” said Dr. Karl-Heinz Spittler, Chief of Anesthesia.

After a successful year of recycling in two of their operating rooms, Eastern Maine Medical Center is rolling out a green bin in every OR in the hospital.

“I’ve been thinking about it for a very long time and finally made it work and made it streamline and as simple as possible. It does feel good,” said Dr. Varun Dixit, an anesthesiologist and coordinator of the recycling project.

Read More.

Source: Brenna Kelly, WABI TV5 

Going Green Starts with Surgeon Demand


In a recent article for Healio, Dr. John A. Hovanesian discusses the environmental and financial implications of excess waste associated with the single-use surgical supplies market, as well as the regulatory and industry changes that could reduce the level of waste in the OR without sacrificing patient safety:

“Federal and state regulators and hospital policymakers currently see little reason to stray from policies of “use once and discard” that generate so much waste. Companies profit by selling more product this way. But well-done studies in first-rate hospitals have shown repeatedly that providing high-quality care does not require the generation of so much waste…”

Read More.




Dispelling the Myth of Single Use Device Reprocessing


Dispelling the Myth of Single Use Device Reprocessing: How This ASC Saved $59k & Diverted 4.7k Lbs of Waste

Source: Mary Rechtoris, Becker’s ASC Review

Madison Surgery Center‘s successful partnership with Stryker Sustainability Solutions provides a real world example of the health, safety, waste management, and cost-saving benefits that third party reprocessing can offer to health care systems:

Madison (Wis.) Surgery Center’s strong commitment to being eco-friendly spurred the surgery center to begin using single-use device reprocessing, which also accrued substantial cost savings for the center. Nearly a year after implementing its SUD reprocessing program, the ambulatory surgery center had net savings totaling $59,789 and diverted nearly 4,738 pounds of waste.

Read More.