Reprocessed Single-Use Devices
Overview
Reprocessing of single-use devices (SUDs) refers to the cleaning, disinfection or sterilisation, testing, relabelling, and repackaging of a used SUD so that it can be used again. Reprocessing SUDs is a regulated activity in Canada.
Who reprocesses SUDs?
- Hospital-based reprocessing departments (reprocessing for internal use)
- Third-party commercial reprocessors (reprocessing for distribution to healthcare facilities)
Regulatory position
Health Canada considers a reprocessed SUD to be a new medical device requiring its own Device Licence. The reprocessor is treated as the manufacturer of the reprocessed device.
Requirements for reprocessors
Reprocessors of SUDs must:
- Obtain a Device Licence for each reprocessed device they distribute (Class II, III, or IV)
- Demonstrate that the reprocessing cycle does not adversely affect the device's safety, effectiveness, or performance
- Validate the cleaning, disinfection/sterilisation process for the specific device
- Validate that the device's functionality is maintained after reprocessing
- Relabel the device to identify it as reprocessed, including the reprocessor's name and address
- Maintain a QMS and hold an MDEL
Validation requirements
Reprocessing validation must demonstrate:
- Effective removal of soil and biological contamination (cleaning validation)
- Effective killing of pathogens (sterilisation validation)
- Device functionality and performance post-reprocessing (functional testing)
- Maintenance of device material integrity
Hospital-based reprocessing
Hospitals that reprocess SUDs for internal use only (not for distribution) may operate under a different framework. Health Canada has published guidance on hospital-based reprocessing. Hospitals must still follow validated processes and maintain records.
Legislative source: Medical Devices Regulations, SOR/98-282; Health Canada Guidance on Reprocessing Single-Use Medical Devices