“…Sustainability aspects of active pharmaceutical ingredients and compounds are related to production of these chemical products (Raymond, Slater, & Savelski, 2010;Van der Vorst, Dewulf, Aelterman, De Witte, & Van Langenhove, 2011;Van der Vorst et al, 2010) and their effects when released into the environment (Derksen, Rijs, & Jongbloed, 2004;Straub, 2016). The literature on reusable and disposable medical supplies includes comparative LCAs, for example, of disposable and reusable laryngeal mask airways (Eckelman, Mosher, Gonzalez, & Sherman, 2012) and of metered dose inhalers and electric nebulizers (Goulet, Olson, & Mayer, 2017). There is a paucity of literature on production of medical equipment, materials and manufacturing of implants and prosthetics, and mobility of patients and staff.…”