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European Med Tech Sustainability Center

Sustainability Requirements for Medical Devices in Market Access and Procurement

MTRC delivers a comprehensive analysis of sustainability requirements for market access and procurement in Europe, along with evidence summaries to support tender submissions for the medical device industry.

Healthcare systems in Europe are increasingly recognizing that value in medical devices is not derived solely from clinical outcomes or cost-effectiveness. Regulators, payers, and procurement teams are beginning to consider product’s environmental and social impact. As a result, sustainability performance has become an important emerging factor in market access and procurement decisions shaping how medical device manufacturers design, produce, and deliver their innovations.

A growing number of stakeholders expect manufacturers to provide evidence of responsible resource use, from production through end-of-life disposal. This shift extends beyond regulatory compliance, reflecting a broader commitment to public health, environmental stewardship, and ethical sourcing. Key sustainability topics that influence decision-making in medical device procurement include:

  • Waste Reduction: Minimizing packaging and single-use components, designing products for easier recycling or reprocessing;
  • Carbon Footprint (CO₂ Emissions): Implementing energy-efficient manufacturing processes, optimizing transportation routes, and measuring total greenhouse gas outputs throughout the supply chain;
  • Plastic Usage: Decreasing reliance on virgin plastics, exploring alternative materials, and improving recyclability of plastic components;
  • Lifecycle Management: Conducting thorough lifecycle assessments, tracking a device’s environmental impact from raw material extraction to disposal;
  • Circular Economy Practices: Emphasizing reuse, remanufacturing, and refurbishment strategies to extend product lifecycles and reduce waste.

By proactively integrating these considerations into product design and operational processes, medical device companies can enhance their value proposition, reduce environmental impact, and meet the increasing sustainability demands that are now integral to market access and procurement frameworks.

Key services

We perform two key services to support Med Tech industry in Europe in the field of sustainability.

Sustainability Requirements Analysis

  • Requirements in procurement / tenders

  • Requirements in reimbursement processes

  • Requirements in health technology assessments (HTA)

  • Evidence generation strategy

Sustainability Evidence Summaries

  • Literature reviews to evaluate evidence related to sustainability topic for a particular technology

  • Literature reviews to develop supportive package of evidence for use in tenders

  • Environmental and resource impact analysis 

News and insights

Sustainability Publication Digest: Contributions of Medical Greenhouse Gases to Climate Change and Their Possible Alternatives

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Sustainability Publications Digest. In a recent publication, Wang et al. evaluated the global warming potential of various greenhouse gases used in medical practice, analyzing both their clinical applications and environmental effects. The study identified anesthetic agents such as desflurane and nitrous oxide, as well as fluorinated gases used in retinal surgery, as particularly problematic due to their exceptionally high global warming potential and prolonged atmospheric persistence. The authors advocate for targeted interventions to reduce the environmental footprint of medical gases while maintaining clinical effectiveness.

Sustainability Publication Digest: Implementing recycling in the operating room: a single-center experience

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Sustainability Publications Digest. In a recent publication, Mastronardi et al. evaluated the implementation of a recycling program in operating rooms at a single Italian center to reduce environmental impact and costs. Conducted from June 2023 to April 2024, the study demonstrated that recycling 21.8% of operating room waste led to an 11.6% reduction in CO2 emissions and 13.5% cost savings in waste disposal. These results highlight the feasibility and benefits of structured recycling initiatives in surgical settings.

Sustainability Publication Digest: The carbon footprint and energy consumption of liver transplantation

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Sustainability Publications Digest. In a recent publication, De Simone et al. evaluated the environmental impact of liver transplantation procedures performed in Italy by a retrospective bottom-up approach. The authors assessed energy use, waste, anesthetic consumption, and units of blood products transfused for each transplant. The study revealed that each transplant procedure generated about 310 kg of CO₂ emissions, with operating room energy consumption contributing the largest share. The findings highlight the importance of engaging transplant clinicians, hospital administrators, policymakers, and patients in efforts to promote more sustainable practices.

Why partner with MTRC?

Be confident in the results

We are accredited by the United Kingdom Accreditation Service (UKAS) as an ISO 9001:2015 certified vendor, specialised in medical technologies market access. Unlike many of our competitors, we dedicate 100% of our time and focus to the area of medical technologies, so that our clients enjoy higher quality services at a lower cost. We are also probably the largest Med Tech market access consultancy in Europe, which helps us accumulate unique knowledge and insights. MTRC is a proud member of ABHI, the UK’s leading industry association for health technology (HealthTech)

Avoid the hassle of working with multiple vendors

We specialize in Pan-European projects and worked in 20 countries in Europe. You can save time, effort and money by working with a single experienced vendor vs contracting several consultants individually.

We provide support in Austria, Belgium, the Czech Republic, Denmark, England, Finland, France, Germany, Hungary, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Romania, Spain, Sweden, Switzerland

Spend less on consulting

We understand the budgetary challenges of the med tech industry and can therefore offer a cost-effective approach to our specialised services. Twelve percent (12%) of our current business comes from small to medium-sized enterprises (SMEs) – a testament to our unique and personal approach to solve your budgetary challenges

Direct access to senior leadership

Small enough to ensure significant personal attention, and large enough to address your needs, our boutique consultancy guarantees that each project enjoys the attention it deserves with direct access to our senior leaders

Make decisions and advance your business quickly

We appreciate the time-sensitive nature of market access. Being a flexible team, we are not afraid to go beyond regular working hours to meet the high expectations of our clients. For every type of project, we offer the shortest possible turnaround times

Geography of our projects

MTRC is a provider of multi-country European projects. We have worked on the projects in 20 European countries

 

MTRC in numbers 

An extremely specialised boutique consultancy with a global impact

24
24
Full-time employees
948
948
Projects
228
228
Clients
16
16
Regular clients from the top 30 med tech companies
12%
12%
Of business comes from Small to Medium-sized Enterprises (SMEs)

Get in touch

Contact us to discuss your needs and learn about our services