sustainable competence in advancing healthcare
European Coordination Committee of the Radiological, Electromedical and Healthcare IT Industry
sustainable competence in advancing healthcare
European Coordination Committee of the Radiological, Electromedical and Healthcare IT Industry

Good Refurbishment Practice

The DITTA Good Refurbishment Practice (GRP) Working Group (WG) is existing since February 2012. The objective of this WG is to promote equipments refurbished by Original Manufacturers (OEM), enabling market access where those types of equipments are not used or banned. Activities are focusing on the dissemination, promotion of the concept of GRP, and development of an industry standard. Since 2014 the DITTA WG is coordinated by the MITA office.


  • Build awareness of ‘GRP’ concept internationally
  • Drive for global harmonization of terminology and requirements
  • Remove market barriers
  • Develop guidance and standards on the refurbishment process and promote them internationally


DITTA Brochure on refurbishment contribution to circular economy (2015)

In 2015 DITTA published a brochure highlighting the contribution of refurbishment to circular economy and to sustainability:

  1. Environment: reuse is considered the most effective way to prevent waste and to save resources and energy. By extending the life-time of medical devices, refurbishment saves the resources otherwise needed for manufacturing new devices - including associated energy costs
  2. Economy: with a total turnover of more than 480 million euros, the refurbishment business contributes to economy
  3. Society/Patients: refurbishment supplies high quality medical devices at affordable cost for hospitals and healthcare providers. Europe and North America account for 74% of the global market for refurbished medical devices. Thanks to refurbished equipment citizens and patients have access to quality imaging and diagnostic services

The brochure is available fro download in English, Spanish, Chinese, Japanese and French.


NEMA/MITA 1-2015 Standard published in 2016

The DITTA GRP WG worked with MITA, the Medical Imaging & Technology Alliance to publish the NEMA/MITA 1-2015 Good Refurbishment Practices for Medical Electrical Equipment on February 2016. The standard adapts the COCIR  "Medical Electrical EquipmentGood Refurbishment Practices (GRP)" industry standard to align with current terminology and industry practices to be a reference for regulators, customers, refurbishers, and manufacturers.

This standard lays out the basic requirements for a refurbishment process for medical electrical equipment that will not change the equipment's original intended use, safety profile, or performance.

Refurbished medical imaging systems represent a key component of today's healthcare technology market. By purchasing refurbished equipment, hospitals and health systems are able to upgrade their diagnostic capability, and patients benefit from increased accuracy in diagnosis, at a fraction of the cost of a new system. However, regulators, customers, and industry have been hindered by a lack of common understanding of what constitutes good refurbishment practice to ensure the safety and effectiveness of refurbished medical electrical equipment.