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Sustainability in the lifecycle of medical devices
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A necessidade de desenvolvimento sustentável abrange todas as atividades humanas, incluindo
o setor da saúde. À medida que os cuidados de saúde avançam, cresce a consciencialização
sobre os efeitos ambientais associados aos produtos de saúde ao longo de todo o seu ciclo de
vida. Com esse progresso, surgem também novas tecnologias que tentam minimizar a pegada
ambiental global dos dispositivos médicos. O presente trabalho examina a posição da indústria
de dispositivos médicos em relação ao desenvolvimento sustentável, abordando também o
enquadramento normativo e regulamentar. Realiza-se ainda uma análise exaustiva dos impactos
ambientais associados ao ciclo de vida dos dispositivos médicos, incluindo no “design”, na
produção, no acondicionamento, na utilização e na eliminação. Para cada uma destas etapas, é
apresentada a descrição de procedimentos específicos e de ferramentas inovadoras essenciais a
atingir patamares considerados sustentáveis neste setor. A realidade hospitalar e as farmácias
comunitárias também foram consideradas. Neste documento, discute-se ainda alguns
procedimentos utilizados (tanto para a realidade portuguesa quanto para a europeia) com o
objetivo de diminuir a pegada ecológica. São também abordadas algumas realidades sobre os
dispositivos médicos in vitro e os dispositivos de utilização única, assim como a estratégia de
algumas das maiores indústrias de dispositivos médicos a nível mundial.
As mudanças crescentes no setor envolvem muitos desafios éticos que precisam ser
considerados. Esses desafios podem ser resolvidos através da criação de equipas especializadas,
compostas não só por profissionais de saúde, mas também por profissionais de diversas áreas
envolvidas, especialmente da área ambiental. Conclui-se que o equilíbrio entre a segurança dos
doentes e as responsabilidades financeiras e ambientais exige uma investigação contínua, uma
deliberação ética e soluções inovadoras para responder às necessidades de uma população
mundial em crescimento e em envelhecimento, algo que será atingível com a colaboração de
toda a indústria e entidades reguladoras através da inovação constante e integrando os princípios
de sustentabilidade no desenvolvimento e utilização de dispositivos médicos.
The need for sustainable development encompasses all human activities, including the health sector. As healthcare advances, awareness is growing about the environmental effects associated with healthcare products throughout their entire life cycle. With this progress also comes new technologies that attempt to minimize the overall ecological footprint of medical devices. This thesis examines the position of the medical device industry concerning sustainable development, as well as addressing the regulatory framework. It also carries out a comprehensive analysis of the environmental impacts associated with the life cycle of medical devices, from design, production, packaging, use and disposal. For each of these stages, a description is given of specific procedures and other types of innovative tools that are essential to achieving levels that are considered sustainable in this sector. Hospitals and community pharmacies were also considered. This document discusses some of the procedures used and measures imposed (for both the Portuguese and European realities) to reduce the ecological footprint. Some realities about in vitro medical devices and single-use devices are also addressed, as well as the stance of some of the world's largest medical device industries. All these growing changes involve many ethical challenges that need to be considered. These challenges can be resolved through the creation of specialized teams, made up not only of health professionals but also of professionals from the various fields involved, especially the environmental field. In conclusion, the balance between patient safety and financial and environmental responsibilities requires continuous research, ethical deliberation and innovative solutions to meet the needs of a growing and ageing world population, something that will be achievable with the collaboration of the entire industry and regulatory bodies through constant innovation and integrating the principles of sustainability into the development and use of medical devices.
The need for sustainable development encompasses all human activities, including the health sector. As healthcare advances, awareness is growing about the environmental effects associated with healthcare products throughout their entire life cycle. With this progress also comes new technologies that attempt to minimize the overall ecological footprint of medical devices. This thesis examines the position of the medical device industry concerning sustainable development, as well as addressing the regulatory framework. It also carries out a comprehensive analysis of the environmental impacts associated with the life cycle of medical devices, from design, production, packaging, use and disposal. For each of these stages, a description is given of specific procedures and other types of innovative tools that are essential to achieving levels that are considered sustainable in this sector. Hospitals and community pharmacies were also considered. This document discusses some of the procedures used and measures imposed (for both the Portuguese and European realities) to reduce the ecological footprint. Some realities about in vitro medical devices and single-use devices are also addressed, as well as the stance of some of the world's largest medical device industries. All these growing changes involve many ethical challenges that need to be considered. These challenges can be resolved through the creation of specialized teams, made up not only of health professionals but also of professionals from the various fields involved, especially the environmental field. In conclusion, the balance between patient safety and financial and environmental responsibilities requires continuous research, ethical deliberation and innovative solutions to meet the needs of a growing and ageing world population, something that will be achievable with the collaboration of the entire industry and regulatory bodies through constant innovation and integrating the principles of sustainability into the development and use of medical devices.
Descrição
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, 2024, Universidade de Lisboa, Faculdade de Farmácia.
Palavras-chave
Medical devices Environment Sustainability Health Eco-design Mestrado integrado - 2024