Driving Sustainability in Medical Technology: Lessons Learned from an Industry Organization's Initiatives.

GOALS: Environmental sustainability is increasingly recognized as a strategic priority across healthcare due to its implications for population health, organizational resilience, workforce safety, supply chain stability, and long-term healthcare costs. This descriptive medical industry case study describes how a global medical technology organization operationalized sustainability through an enterprise governance model. Specifically, we examine lessons learned from initiatives focused on materials stewardship, alternative sterilization methods, design for sustainability, and circular economy solutions, and identify leadership strategies that may help health systems and industry leaders advance sustainability objectives while maintaining patient safety, quality, operational performance, and healthcare delivery priorities.

METHODS: A descriptive case study methodology was used to examine sustainability initiatives implemented through a global medical technology organization's Sustainable Medical Technologies Institute. Program learnings, governance processes, product lifecycle initiatives, and external collaborative projects across four sustainability domains were synthesized to identify implementation approaches, cross-functional operational enablers, and practical lessons relevant to healthcare and industry leaders.

PRINCIPAL FINDINGS: Successful sustainability integration requires leadership commitment, enterprise governance, and multidisciplinary collaboration rather than isolated environmental initiatives. Key lessons included using morphology-based assessments to prioritize DEHP replacement opportunities, identifying packaging and material constraints that influence adoption of alternative sterilization technologies, establishing value-chain partnerships to evaluate healthcare plastics recycling, and implementing a Design for Sustainability framework to guide lifecycle decision making. These experiences illustrated approaches for embedding sustainability across the product lifecycle while balancing environmental objectives with product performance, patient safety, regulatory requirements, and operational feasibility.

CONCLUSION: Embedding sustainability within organizational governance and product development may support progress toward environmental stewardship while supporting healthcare delivery priorities. Healthcare leaders can further advance sustainable innovation through procurement strategies, manufacturer partnerships, and cross-sector collaboration that align environmental objectives with quality, safety, and long-term value creation.