An ECRI, a healthcare sector research firm focused on device safety testing, report found that some devices labelled as “single use” may be safely reused.
The ECRI-Penn Evidence-based Practice Center, a partnership between ECRI and Philadelphia-based Penn Medicine, analyzed more than 2,000 studies, primarily focusing on devices used for prevention of hospital-acquired infections. Researchers assessed whether the available evidence supported single use or reuse of common medical devices, or was inconclusive. The report broke down devices by scopes and surgical devices; bedside devices, supplies and catheters; and fabric-based supplies.
The report found that while single-use devices were often favored for infection prevention, many devices could be safely reused. Reusing these products could impart significant cost savings and favorable environmental effects. The report also found that factors such as infection rates, supplier agreements, reuse frequency and reprocessing methods influence outcomes.
Here are the devices the global healthcare and patient safety nonprofit studied, along with the general consensus of clinical, economic costs and environmental impacts.
Note: “Mixed” indicates that studies had widely varying results, “Similar” indicates studies suggest similar results for single use or reused and “Not reported” means no publications measured this outcome.
| Device | Clinical Outcomes | Economic Costs | Environmental Impact |
| Laryngoscopes for intubation | Favors single use | Favors reuse | Favors reuse |
| Flexible pharyngolaryngoscopes | Not reported | Mixed | Not reported |
| Bronchoscopes | Favors single use | Similar | Mixed |
| Cystoscopes | Similar | Mixed | Not reported |
| Ureteroscopes | Mixed | Not reported | Similar |
| Laparoscopic devices | Mixed | Favors reuse | Favors reuse |
| Sharps containers | Favors single use | Not reported | Favors reuse |
| Blood pressure cuffs | Not reported | Not reported | Favors reuse |
| Electrophysiological catheters | Not reported | Favors reuse | Favors reuse |
| Central venous catheter insertion kits | Not reported | Mixed | Favors reuse |
| Endotracheal suctioning catheters | Mixed | Favors reuse | Not reported |
| Intermittent pneumatic compression sleeves | Not reported | Favors reuse | Favors reuse |
| Electrocardiographic lead wires | Favors reuse | Not reported | Not reported |
| Pulse oximetry sensors | Not reported | Favors reuse | Favors reuse |
| Gowns | Not reported | Favors reuse | Favors reuse |
| Surgical caps | Similar | Favors reuse | Favors reuse |
| Surgical scrubs | Not reported | Not reported | Favors reuse |
| Masks | Not reported | Not reported | Mixed |
| Drapes | Mixed | Mixed | Mixed |
| Operating room bed covers/lift sheets | Not reported | Not reported | Favors reuse |
| Incontinence underpads | Favors single use | Not reported | Favors reuse |