THE SWEDISH ENVIRONMENTAL MANAGEMENT COUNCIL GPP CRITERIA FOR MEDICAL EQUIPMENT MALMÖ 19 SEPTEMBER 2012 EVA DALENSTAM,

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1 THE SWEDISH ENVIRONMENTAL MANAGEMENT COUNCIL GPP CRITERIA FOR MEDICAL EQUIPMENT MALMÖ 19 SEPTEMBER 2012 EVA DALENSTAM,

2 CONTENTS Importance of GPP for medical equipment The project The process The criteria

3 THE IMPORTANCE OF GPP FOR MEDICAL EQUIPMENT Third largest electricity user in health care buildings (in Sweden) Top 5 of most energy consuming products in Europe High tech health care New population and survival trends

4 THE POTENTIAL OF ENERGY SAVINGS CT: up to 85 % MRI: up to 50 % X-ray: up to 80 % Depending on examination.

5 ECONOMIC IMPACT Suppliers have not given us information, but from a LCC perspective energy efficient equipment can be cost saving When larger volumes of sustainable equipment are procured throughout Europe, prices will fall, see example: PVC-free gloves procured by the Stockholm County Council: Price Vinyl Nitrile

6 THE PROJECT: SCOPE Active Respiratory Gas Humidifier Autoclaves and disinfectant equipment CT Dialysis Diathermy equipment ECG equipment Endoscopy equipment Incubators for babies Infusion pumps Laser instruments for surgery Medical freezers Medical lighting Monitoring equipment MRI Patient warming systems Ultrasound Ventilators X-ray incl. mammography

7 THE PROJECT PLAN Delivery Technical Report + draft GPP criteria Mid Nov 2012 Open consultation Mid Nov - beginning Jan 2013 Follow-up meeting End Jan 2013 Development of EU GPP criteria for medical devices Delivery to WG summary from open consultation End Feb 2013 WG meeting 2 Mid April 2013 Communication with experts and stakeholders In agreement with DG Environment Will be published end of 2013 Submission to GPP Advisory group Mid Jun - mid Aug 2013 Communication with experts and stakeholders SEMCo External Audit meeting Mid Sept 2013 Commission inter-service consultation Oct 2013 Drawing up the Final Report Nov 2013 Communication with experts and stakeholders Adaptation and publication of GPP criteria and Final report December 2013

8 THE PROCESS Eucomed EEE COCIR SRI Basis Stakeholder expertise Statistics Internet information Litterature Scientific journals Procurement expertise Medical engineering Industry expertise Preliminary report Procurement expertise WG Industry expertise Preparatory meeting Public authorities Testing expertise NGO:s Medical profession Environmental expertise within health care Technical report & draft criteria Final report & GPP criteria Ministry expertise NGO:s Public consultation GPP AG Inter-service consultation

9 THE CRITERIA IDENTIFIED SUSTAINABILITY CRITERIA Preliminary/ technical report Significant environmental aspects, standards, legislation, market data, etc. as a base for choosing criteria areas Technical aspects Chemical aspects Material and product design CSR Criteria proposals from preparatory meetings Criterion Criterion Criterion Criterion Criterion Draft GPP criteria Criterion Draft GPP criteria from WG meetings

10 FOCUS: ENERGY CONSUMPTION IN USE PHASE Ultrasound Ultrasound product 2 Ultrasound product 1 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Materials procurement Manufacturing Distribution Energy consumption in use

11 ONE MORE EXAMPLE: CT

12 THE CRITERIA - BASIS EMAS, ISO Legislation: MDD, AIMD, IVDD, Eco-design, WEEE, RoHS, REACH CE-labelling Labelling: EU Eco-label, Nordic Eco-label, TCO, Energy Star HEALTH CARE EEE Standards: ISO 13485, ISO 14971, IEC , IEC , measuring methods and other relevant performance standards

13 EXAMPLE OF ENERGY PERFORMANCE CRITERIA Active respiratory gas humidifier: Mode 2 Use scenario per day Stated by procurer Power (kw) Stated by tenderer Active mode T1= number of hours in this mode per day P1 Off mode T2= number of hours in this mode per day P2 (T1*P1) + (T2*P2) = E (kwh) per day Test conditions according to EN 50564:2011 and ISO- 8185:2007

14 ANOTHER EXAMPLE: MRI Mode 3 Scan mode Ready- to- scan mode Use scenario per day Stated by procurer Tscan: Duration of scan mode per day Tready-to-scan : Duration of ready to scan mode per day Power (kw) Stated by tenderer Pscan Pready-to-scan Service/diagnostic mode Tservicing: Duration of Service/diagnostic mode per day Pservicing Off mode Toff: Duration of off mode per day Poff Toff * Poff + Tready-to-scan * Pready-to-scan + Tscan * Pscan + Pservicing * Tservicing = E (kwh) per day Test conditions according to the SRI report, Self-Regulatory Initiative for Medical Imaging Equipment, Ecodesign target for MRI

15 TRIGGERING INNOVATION IN HEALTH CARE Now we have test methods Demand energy efficiency Suppliers compete and innovate

16 CONTACT INFORMATION Eva Dalenstam, Helpdesk:

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