Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-30T23:09:51.994Z Has data issue: false hasContentIssue false

Reuse of Disposable Medical Devices: Historical and Current Aspects

Published online by Cambridge University Press:  02 January 2015

V.W. Greene*
Affiliation:
School of Public Health, University of Minnesota, Minneapolis, Minnesota
*
University of Minnesota, Minneapolis, MN 5545

Abstract

The “plastics revolution” of the last quarter century disrupted a hospital tradition. Since the 1890s, hospitals processed, packaged, and sterilized most of the medical-surgical items they needed in their own sterile supply departments–a “cottage industry” developed specifically for recycling. Only those consumable items that were too difficult, expensive, or inconvenient to reprocess were purchased from outside manufacturers as presterilized, single-use “disposables.” Since the plastics revolution, however, the “disposables” started to displace the “reusables,” and while claiming to be an economical innovation, have become a significant item in the budget. Some hospitals feel that if disposables save money, reusing the disposable several times will save more. The practice is spreading. The manufacturers, in turn, claim that hospitals do not have adequate quality assurance programs or skills to reprocess their items properly. The debate is further complicated by legal and ethical ramifications, as well as commercial and economic arguments.

Type
Special Sections
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Richardson, RG: Surgery: Old and New Frontiers. New York, Charles Scribner's Sons, 1968, pp 7581.Google Scholar
2.Perkins, JJ: Principles and Methods of Sterilization in Health Sciences. Springfield, IL, Charles C. Thomas, 1969, pp 2526.Google Scholar
3.Rubbo, SD, Gardner, JF: A Review of Sterilization and Disinfection. Chicago, Year Book Medical Publisher, 1965, p 186.Google Scholar
4.Gaughran, ERL: Fred, B. Kilmer—Pioneer in Microbiological Control, in Gaughran, ERL, Kereluk, K (eds): Sterilization of Medical Products. New Brunswick, NJ, 1977, pp 116.Google Scholar
5.Kilmer, FB: Modern surgical dressings. Am J Pharmacy 1897; 69:2439.Google Scholar
6.Bruch, CW: Inhospital versus industrial sterility assurance: Is there a double standard?Inhospital Sterility Assurance—Currect Perspectives. AAMI Technology Assessment Report No. 4-82.1982, Arlington VA, Association for the Advancement of Medical Instrumentation, pp 1922.Google Scholar
7. Re-use of Disposable Medical Devices in the 1980's. Proceedings of the International Conference. Institute for Health Policy Analysis, Georgetown University Medical Center, 1984. Appendix B.Google Scholar
8.Phillips, GB: The Re-use of Single-use Medical Devices: Issues and Impacts. Washington, Health Industry Manufacturer Association, 1984.Google Scholar
9.Re-use of Disposables. AAMI Technology Assessment Report No. 6-83. Arlington, VA, Association for the Advancement of Medical Instrumentation, 1983.Google Scholar