Manufacturers seeking approval for alternative treatment technologies are required to obtain approval prior to using the technology in the field.
The Evaluation Process for Approval of Alternative Regulated Medical Waste Treatment Systems outlines the necessary steps to obtain approval as an alternative technology in New York State.
The Guidelines for Approval of Alternative Regulated Medical Waste Treatment Technologies are designed to assist in the preparation of the packages that will be submitted for review and should be used in conjunction with Public Health Law Section 1389-bb through 1389-ff and 10NYCRR Part 70-4 and 70-5.
Once the technology is approved, the manufacturers of the technology must confirm, that operational parameters, validation testing, and bookkeeping requirements are completed prior to start-up of an approved alternative treatment system within any New York State Department of Health regulated facility.
Request an Application Form via email.
Alternative Regulated Medical Waste Treatment Technologies
New York State Approved Treatment Systems February 2026
| Manufacturer | Alternative Technology | Address | Website | Method |
| ABCWT, LLC | • Thermal Conversion Process (TCP) | 460 Hempstead Ave. West Hempstead, NY 11552 | https://synpet.com/ | Thermal depolymerization (heat, pressure and hydrolysis) |
| Ecosteryl (AMB S.A.) | • AMB Ecosteryl Models 75, 125 and 250 | 1 Avenue Nicholas Copernic 700 Mons-Belgium | https://www.ecosteryl.com/ | Microwave/ Shredder |
| BioSAFE Engineering, LLC | • Lab 5 Model Digestor (excluding: 11 Lb. model BE-LAB-5 Tissue Digester) • STI Chem-Clav • STI 2000 | 5750 W 80th Street Indianapolis, IN 46278 | https://biosafeeng.com/ | Alkaline Hydrolysis |
| Clean Waste Systems | • OMW-200/400/1000 | 200 Birch Avenue South Maple Lake, MN 55358 | https://www.cleanwastesystems.com/ | Ozone |
| Ecodas | • Ecodas Process Models: T300, T1000, and T2000 | 28 rue Sebastopol 59100 Roubaix- France | https://www.ecodas.com/ | Shredding /Pressurized steam |
| Envetec Sustainable Technologies | • Envetec 200 Series System Rebranded to Envectec Generations | Shannonside Business Park Birdhill Co. Tipperary, V945K02, Ireland | https://envetec.com/ | Chemical Inactivation |
| InEnTec Inc. | • Plasma Enhanced Melter Models: G100, G200, G300, and G500 | 1935 Butler Loop Richland, Washington 99352 | https://www.inentec.com/ | Plasma Arc |
| Progressive Recovery, Inc. (Bio Division) | • Caustic Digester: 80, 500, and 5000 lb units • Thermal Tissue Digester (TTD) 625, 1250, 2500, and 5000 lb. | 700 Industrial Drive Dupo, IL 62239 | https://prisystems.com/ | Steam Heat |
| Red Bag Solutions | • SSM-150 | 606 Baltimore Avenue, Suite 300 Towson, MD 21204 | https://www.redbag.com/ | Steam Sterilization/ Maceration |
| Waste and Compliance Management | • Isolyser®/SMS® Sharps Management System | 6054 Corte Del Cedro Carlsbad, CA 92011 | https://wastewise.com/ | Chemical/ Encapsulation |