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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: An Audit of Recyclable and Contaminated Waste From Invasive Cardiac Procedures

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, Amin et al. conducted an audit to quantify both contaminated and recyclable waste generated from invasive cardiac procedures in a single cardiac center, which performs approximately 350 cardiac surgeries and 2,900 interventional cases annually. The study found that the center produced an estimated 11,000 kg of recyclable and 30,000 kg of contaminated waste each year, with potential global extrapolation reaching 150 million kg of annual waste from such procedures. The authors highlight the need for sustainability initiatives within cardiology to address the environmental burden of medical waste.

Sustainability Publication Digest: Estimation of the Economic and Environmental Impact of Single-Use Instruments in Routine Cataract Surgery

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, Qin et al. assessed the economic and environmental impact of single-use instruments (SUIs) versus reusable instruments (RUIs) in cataract surgery across six centers in Europe and the United States. The analysis found that annual costs for SUIs were lower or similar to those of RUIs in four out of six centers, with the greatest cost-effectiveness observed in facilities where sterilization costs were highest. Over a five-year period, however, the carbon footprint of SUIs was substantially greater: 5,478.2 kg CO₂ eq without recycling and 4,639.9 kg CO₂ eq with recycling, compared to just 20.6 kg CO₂ eq for RUIs. These findings suggest that while SUIs may offer financial advantages in some hospital settings, they pose a significant environmental impact.

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 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.

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

23
23
Full-time employees
955
955
Projects
229
229
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