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128   Assurance of sterility for sensitive combination products and materials


          [18, 100] also provide the EU Commission with the delegated authority to
          adopt so-called “common specifications” if standards are not considered suf-
          ficient. Despite this new tool, the promotion of consensus standard and the
          involvement of authorities in the development process will be important
          for all countries to create the foundation for patient safety and sustainable
          innovation in the context of a global economy. This is even more critical to
          countries like India that are in the process of adopting new modern MDRs.
             Minimizing packaging waste has long been a focus of various regulations
          with the objective to minimize landfill and incineration and increase recy-
          cling rates that reduce the impact on the environment. The emergence of
          global climate change initiatives that limits CO 2  and greenhouse gas emissions
          will likely result in further regulations that will impact the development of
          products and its packaging. In 2008, ISO and CEN have adopted a guide on
          addressing environmental issues in product standards [101]. More and more
          standards with environmental clauses are emerging, such as the 2018 revision
          of ISO11607. The EU has announced the “Circular Economy” initiative in
          2015 [102] with an extensive action plan. The objective is that “the value of
          products, materials and resources is maintained in the economy for as long as possible, and
          the generation of waste [is] minimised,” so that total carbon dioxide emissions are
          lowered. These initiatives will shake the status-quo, create new business oppor-
          tunities, and boost innovation. The entire supply chain including the packag-
          ing system designs will have to be reconsidered. “Life-cycle thinking” covering
          all environmental aspects at all stages of a product lifecycle will become an
          important skill for product and packaging designers and engineers. Targeted
          technical guides have emerged, like the HPRC Design Guidelines for Optimal
          Hospital Plastics Recycling [103] published by the Hospital Plastics Recycling
          Council and TIR65:2015 Sustainability of medical devices—Elements of a respon-
          sible product life cycle [104] published by AAMI, goes beyond simply addressing
          waste. Sustainability is indeed a much larger issue that will increasingly drive
          purchasing decisions, the ability of corporations to attract talent, business ethics
          and of course business success. All of these will be important drivers and inputs
          for product and packaging developments in the future.


          References
            [1]  International Organization for Standardization, ISO 11607-1:2006/Amd 1:2014
               Packaging for Terminally Sterilized Medical Devices—Part, Vol. 1, Requirements for
               materials, sterile barrier systems and packaging systems, Geneva, 2014.
            [2]  International Organization for Standardization, ISO 11607-2:2006/Amd 1:2014
               Packaging for Terminally Sterilized Medical Devices—Part, Vol. 2, Validation require-
               ments for forming, sealing and assembly processes, Geneva, 2014.
            [3]  Sterilization of Medical Products, Kilmer Conference Proceedings, National Confer-
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