Surgical Endoscopy

, Volume 32, Issue 10, pp 4310–4313 | Cite as

Reprocessed single-use devices in laparoscopy: assessment of cost, environmental impact, and patient safety

  • David RentonEmail author
  • Peter Denk
  • Oliver Varban
SAGES Technology and Value Assessments Committee Review

United States health care spending rose 4.3% in 2016 to reach $3.2 trillion dollars, or 17.9% of the GDP [1]. It is predicted that, without intervention, this will reach 20% by 2025. In addition, it has been recently calculated that the healthcare industry in the United States accounts for nearly 10% of the country’s carbon dioxide emissions [2]. One of the most important factors contributing to these escalating trends is the fact that many devices used in healthcare are intended for single patient use and are subsequently disposed resulting in significant waste as well as cost. Such devices are as ubiquitous as they are necessary for patient care and range from blood pressure cuffs to laparoscopic trocars to cardiac catheterization balloons. In order to curtail rising trends in cost and waste, the concept of using reprocess single-use devices (RSUD) was introduced in the year 2000. However, given the ethical implications of reusing medical devices on multiple patients, it is...


Compliance with ethical standards


Oliver Varban—Salary Support from Blue Cross Blue Shield of Michigan for leadership and participation roles. David Renton and Peter Denk have no conflict of interest or financial ties to disclose.


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons 2018

Authors and Affiliations

  1. 1.Department of SurgeryOhio State UniversityColumbusUSA
  2. 2.GI Surgical Specialists, PLLCFort MyersUSA
  3. 3.Department of SurgeryUniversity of MichiganAnn ArborUSA

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