<p>The carbon emissions originating from the healthcare sector are of significant concern, and mitigating the carbon footprint within the medical domain would yield substantial benefits for environmental sustainability and human health alike. The aim of this study was to develop a methodological framework for measuring the carbon footprint of medical devices and their associated health economic implications, using endoscopic staplers as a case study. We employed a life cycle assessment framework to evaluate the carbon footprint of manual and powered endoscopic staplers. Additionally, the carbon footprint was treated as an independent outcome indicator, with a specific focus on its economic implications for human health. Finally, we used the Budget Impact Analysis (BIA) method to calculate the scale economic impacts from 2025 to 2027. Results showed that the manual endoscopic stapler (MES) emitted 3.0&#xa0;kg of carbon dioxide equivalent (kg CO₂-eq) per stapler, while the powered endoscopic stapler (PES) emitted 8.8&#xa0;kg CO₂-eq per stapler. BIA results indicated that, by 2027, PESs would be expected to generate an additional 7,080 tons of CO₂-eq compared to manual endoscopic staplers (MESs). Regarding the health economic impacts of this incremental carbon emission, the mean impact across different scenarios ranged from 97.3 to 760.6 thousand Chinese Yuan (CNY)(Exchange rate: $1 US dollar = 7.18 CNY, <CitationRef CitationID="CR12">2024</CitationRef>), with a cumulative health economic impact of 291.9 to 2,281.8 thousand CNY over the three-year period (2025–2027). These findings underscore that the governance of carbon emissions generated by medical devices cannot be overlooked. The study highlights the importance of integrating carbon footprint and environmental, social, and governance considerations into health economic evaluations to assess the broader impacts of medical devices.</p>

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Evaluating the carbon footprint and health economic impact of medical devices: an analysis of endoscopic staplers

  • Qian Xu,
  • Zhantao Lu,
  • Ruilin Liu,
  • Bao Liu

摘要

The carbon emissions originating from the healthcare sector are of significant concern, and mitigating the carbon footprint within the medical domain would yield substantial benefits for environmental sustainability and human health alike. The aim of this study was to develop a methodological framework for measuring the carbon footprint of medical devices and their associated health economic implications, using endoscopic staplers as a case study. We employed a life cycle assessment framework to evaluate the carbon footprint of manual and powered endoscopic staplers. Additionally, the carbon footprint was treated as an independent outcome indicator, with a specific focus on its economic implications for human health. Finally, we used the Budget Impact Analysis (BIA) method to calculate the scale economic impacts from 2025 to 2027. Results showed that the manual endoscopic stapler (MES) emitted 3.0 kg of carbon dioxide equivalent (kg CO₂-eq) per stapler, while the powered endoscopic stapler (PES) emitted 8.8 kg CO₂-eq per stapler. BIA results indicated that, by 2027, PESs would be expected to generate an additional 7,080 tons of CO₂-eq compared to manual endoscopic staplers (MESs). Regarding the health economic impacts of this incremental carbon emission, the mean impact across different scenarios ranged from 97.3 to 760.6 thousand Chinese Yuan (CNY)(Exchange rate: $1 US dollar = 7.18 CNY, 2024), with a cumulative health economic impact of 291.9 to 2,281.8 thousand CNY over the three-year period (2025–2027). These findings underscore that the governance of carbon emissions generated by medical devices cannot be overlooked. The study highlights the importance of integrating carbon footprint and environmental, social, and governance considerations into health economic evaluations to assess the broader impacts of medical devices.