The letters PFAS are commonly referred to as “forever chemicals”. This group of synthetic compounds has become quite popular lately in the regulatory world. What exactly are these forever chemicals, and why are they causing such a stir? This in-depth article delves into the chemistry of PFAS, their applications, environmental and health concerns, and the PFAS regulations being implemented to address their negative impacts.1 More importantly, we look at how they are being replaced. Notably, we will explore some of the innovative PFAS alternatives, such as those being developed by Hydromer, Inc. to replace them.
Introduction
PFAS have gained notoriety due to their long lasting nature in the environment and their potential health impacts.
Forever chemicals are known for their unique physicochemical properties, which we discuss below. These unique properties have led to their wide-spread use across many industries for decades. However, their high stability has led to environmental contamination and a growing concern about their effects on human health. In turn, a movement has started to find PFAS free alternatives to replace them with safer, more environmental friendly chemicals.
What Are PFAS Forever Chemicals?
PFAS is a group of synthetic compounds. The PFAS family is broad and encompasses thousands of individual compounds. PFOA and PFOS are two common ones.
Two prominent subgroups of Forever Chemicals include:
- Perfluoroalkyl substances: Fully fluorinated compounds. Examples include perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS). These two are some of the most commonly used PFAS in the US.
- Polyfluoroalkyl substances: Partially fluorinated compounds, where some hydrogen atoms remain.
Unique PFAS Properties: What Makes them “Forever Chemicals” 2-6
The defining characteristic of PFAS is their strong carbon-fluorine (C-F) bonds. In simple terms, bonds are how atoms stick together and form substances. And PFAS bonds are among the most stable bonds (~485 kJ/mol bond energy) known in organic chemistry.
Why does this matter?
Well, these exceptionally strong bonds make PFAS highly resistant and very difficult to break down. For example, they are extremely resistant to things like thermal degradation and chemical reactions. They are also extremely hydrophobic (resistant to water) and lipophobic (resistant to oil and grease).
Further, PFAS exhibit amphiphilic properties, enabling them to act as a surfactant. This proeperty complicates their removal from contaminated environments, presenting challenges for remediation efforts.
All of these characteristics mean they are environmentally persistent. In other words, they will last forever in the environment and are extremely challenging to remove.
Where are PFAS Used? Applications and Uses
These chemicals have been used extensively since the mid-20th century across a wide range of applications in various industries. Their widespread use is due to their durability and resistance to degradation.
Forever Chemicals in Medical Devices

Forever chemicals are commonly used in many medical devices. This is due to their durability, alleged biocompatibility, as well as thermal, electrical, and chemical stability.
One example is Teflon™. This polytetrafluoroethylene is a famous member of the PFAS family that has been widely used in the medical field.
Forever chemicals can be found in certain types of medical coatings that require resistance to bodily fluids and other harsh conditions.
The problem is that the use of forever chemicals in medical applications is increasingly scrutinized. And the reason is the potential health risks associated with exposure to these substances.11
Other Common PFAS Uses:

- Non-Stick Coatings: they are used as processing aids and raw materials in non-stick coatings for cookware, waterproof fabrics, and firefighting foams.7
- Glass Coatings: the substances are utilized in the glass industry to provide protective coatings that enhance the durability of glass products against weather and pollutants.8
- Wetting Agents: the chemical’s ability to lower surface tension makes them effective wetting agents in various manufacturing processes, including glass etching and metal finishing.8
- Food Packaging: PFAS are used in fast-food packaging materials. They provide grease resistance, ensuring that oils do not permeate through the packaging.9
- Personal Care & Cosmetics: they are found in personal care products, such as makeup, cosmetics and lotions, where they serve as emulsifiers and surfactants.10
- Consumer Products: Forever chemicals have and may still be found in many consumer products, such as Cleaning products, dental floss, etc.
Forever Chemical Environmental Concerns 12
Forever chemicals are creating several environmental challenges due to the chemicals’ long lasting nature and extreme difficulty to remove from the environment.
Some of the most notable environmental concerns around these compounds are outlined below.
- Drinking water: PFAS in water are a large concern. Public water systems contain high concentrations of the chemicals, which are at times significantly above the limits sanctioned by the regulatory bodies. This highlights the severity of the contamination in some sources of drinking water
- Ecosystem and food chain/supply: Contamination affects wildlife and ecosystems, where it also has the potential to enter the human food chain.
- Long lasting pollution and contamination in the environment: PFAS compounds do not degrade under natural conditions. They are long lasting and highly persistent in the environment. Further, they migrate through soil and water, which leads to contamination in areas far from the source.
- Groundwater contamination and PFAS in Soil: Remediation of contaminated groundwater can take decades or centuries. Elevated levels are commonly found near industrial sites, military bases, and landfills.
Public Health Concerns 12
Research has linked PFAS exposure to a range of potential health issues. Some of the most notable health concerns being investigated around their use include:
- Cancer: Some of these chemicals, such as PFOA, have been associated with kidney and testicular cancers, as such some have recently been classified as possible human carcinogens.
- Immune system effects: exposure may cause weakened immune responses, reducing vaccine efficacy.
- Endocrine disruption: These chemicals may interfere with hormonal systems, affecting growth and development.
- Reproductive and developmental issues: PFAS exposure during pregnancy has been linked to low birth weights and developmental delays.
- Chronic diseases: Studies suggest associations with thyroid dysfunction, liver damage, and cardiovascular disease.
Advancing PFAS Regulations 13-16
Efforts to regulate these chemicals have intensified globally as awareness of their risks grows. Key regulatory initiatives currently underway include:
- United States: In the United States, the Environmental Protection Agency (EPA) and Food and Drug Administration (FDA) are actively addressing contamination through proposed regulations. This includes the National Primary Drinking Water Regulation, which sets enforceable limits for six forever chemical compounds in drinking water. Additionally, the EPA and FDA are working on phasing out legacy long-chain PFAS like PFOA and PFOS. Lastly, individual states have taken their own measures and standards, such as California.
- European Union: The European Union has been regulating the chemicals since 2008 under the REACH framework, banning PFOS and restricting PFOA. Drinking Water Directive (Directive EU 2020/2184) includes a grouping approach for all PFAS and a limit of 0.5 µg/L for all forever chemicals. This reflects a proactive stance on environmental and public health. A 2023 proposal seeks to implement a near-complete ban on a broad range of PFAS. And some feel this signals the EU’s commitment to comprehensive regulation.
- Stockholm Convention: The Stockholm Convention, an international treaty on persistent organic pollutants, added PFOS to its list of regulated substances in 2009. This framework requires signatory countries to develop national implementation plans for reducing and eliminating PFAS use.
Challenges with the Regulation 16, 17
The increased regulatory scrutiny of these chemicals has raised concern over their use in various industries, including medical device manufacturing. The FDA and other regulatory bodies are considering stricter regulations on PFAS. As a result, companies face potential challenges around maintaining their competitive advantages while successfully transitioning away from forever chemicals.
The Advanced Medical Technology Association (AdvaMed) has expressed concerns that banning forever chemicals could hinder the availability of critical medical devices. They argue that this could result in depriving patients of lifesaving treatments. This highlights a conflict for medical device manufacturers who rely on PFAS for the performance and safety of their products. It also raises a challenge for medical device and other companies to find alternative technologies to replace these substances.
The economic implications of a blanket ban on PFAS may also be significant. And it further solidifies the need for industries to find alternative technologies that are both equally effective from a performance and cost perspective. At the same time, it raises the issue of balancing environmental safety with economic viability.
Ongoing research into the health impacts of PFAS is important. Just as critical is expediting research and finding viable alternatives to replace them in medical devices and other applications. The innovation will be critical in shaping the future landscape of medical device manufacturing as it relates to public health policy.
Exploring PFAS Alternatives: Innovations for a Safer, PFAS Free Future
The persistent environmental and health risks of these chemcials have led industries to seek safer, more environmentally friendly alternatives. Efforts to replace forever chemicals will focus on developing solutions that have similar functional properties without the long-lasting and harmful impacts.
PFAS alternatives have already been explored in some industries, including the following examples:
- Textiles: Polyurethane-based coatings and siloxanes offer water- and stain-repellent properties while being more biodegradable than PFAS.18
- Food Packaging: There have been PFAS alternatives in food packaging. Natural, biodegradable coatings derived from starches or proteins provide oil resistance without PFAS-related toxicity.19
- Firefighting Foams: Fluorine-free foams using alternative surfactants deliver fire suppression performance without the long lasting environmental persistence.20
- Medical device coatings: Alternative chemistries are starting to be explored to replace PFAS use in medical device coatings. Companies such as Hydromer, Inc. are researching coating solutions for medical device companies.
Challenges remain in matching PFAS performance. However, advancements in sustainable alternatives are progressing, driven by regulatory and environmental pressures. These alternative solutions aim to reduce the ecological footprint and health risks associated with PFAS use.
Hydromer®: A Leader in the Transition to PFAS Free Medical Coating Solutions
Hydromer®, Inc. is a leading manufacturer of medical coatings. The company is taking the lead to assist medical device manufacturers in replacing the current, PFAS based coatings.
As mentioned prior, PFAS including PTFE, are coming under increased scrutiny because of their negative and long-lasting impacts on the environment and human health. As governments around the world implement restrictions and introduce bans on PFAS, medical device manufacturers are facing increasing pressure to find environmentally friendly, high-performance alternatives.
Mike Torti, CEO of Hydromer, highlights the importance of this industry transformation and Hydromer’s involvement. The company is working on coatings that will offer a seamless and sustainable pathway for manufacturers to navigate this complex transition away from PFAS. As a result, Hydromer coatings are aimed at helping manufacturers meet current regulations as well as stay ahead of anticipated regulatory mandates.
Today, the company is partnering with some of the largest players in the medical device industry to develop the next generation of PFAS-free medical coatings. Hydromer’s leadership in this area signifies their increased attention to sustainability, especially in the medical coating space. It is our goal to provide environmentally friendly, new alternatives that allow for the delivery of patient safety, regulatory compliance, and contributions to a clean and safe future.
Hydromer Offers PFAS Alternatives: Innovative PFAS Free Coatings
Hydromer offers innovative, PFAS-free hydrophilic coatings tailored to the needs of medical device manufacturers.
- Hydrophilic Coatings: Hydromer hydrophilic coatings are biocompatible and reduce friction during medical procedures. Hydromer hydrophilic coating systems have been leading the industry without PFAS chemicals for 40 years.
- Customizable Solutions for Medical Device Manufacturers: Hydromer works closely with manufacturers to develop custom PFAS-free coatings that meet specific device requirements. Further, we provide contract coating and/or technology transfer services and coating supply to ensure smooth production.
- Sustainable and Compliant: Hydromer has in-house regulatory experts to ensure your coatings are compliant. Our coatings and services are designed to provide a long-term solution for manufacturers looking to remain competitive in a shifting regulatory landscape.
Contact our technical experts with inquiries or to start your PFAS alternative medical device coating project.
Embracing a Healthy and Sustainable Future: The Transition to PFAS Free
The environmental and health concerns about PFAS have put these “forever chemicals” globally at the center of attention. PFAS have remarkable stability and utility across many industries. However, they are under increasing scrutiny. They have been labeled as a double-edged sword, delivering unparalleled functionality but at the significant cost of considerable environmental persistence and health risks.
As awareness grows about their negative impacts, industries across the world are moving toward more sustainable alternatives. This change is being spurred by regulatory pressure and a joint commitment to stewardship of the environment and human health. This change represents a landmark step. It is a step toward aligning industrial practices with the increasing worldwide mandate for the protection of both environmental and public health.
Hydromer, Inc. is becoming a leader in this area. We provide innovative PFAS-free coating solutions designed for both manufacturer needs and regulatory compliance. Our environmentally sustainable coatings offer medical manufacturers the necessary performance and help them make the significant shift away from PFAS.
References
1. Sheinhaus DL and Gore AC. Perfluoroalkyl and polyfluoroalkyl substances: the price of forever chemicals. The Lancet Diabetes & Endocrinology. 2024; 12: 374-5.
2. Brase RA, Mullin EJ and Spink DC. Legacy and Emerging Per- and Polyfluoroalkyl Substances: Analytical Techniques, Environmental Fate, and Health Effects. International journal of molecular sciences. 2021; 22.
3. Verma S, Lee T, Sahle-Demessie E, Ateia M and Nadagouda MN. Recent advances on PFAS degradation via thermal and nonthermal methods. Chemical engineering journal advances. 2023; 13: 100421.
4. Junge F, Lee PW, Kumar Singh A, et al. Interfaces with Fluorinated Amphiphiles: Superstructures and Microfluidics. Angewandte Chemie International Edition. 2023; 62: e202213866.
5. Winchell LJ, Ross JJ, Wells MJM, Fonoll X, Norton Jr JW and Bell KY. Per‐and polyfluoroalkyl substances thermal destruction at water resource recovery facilities: A state of the science review. Water Environment Research. 2021; 93: 826-43.
6. Lu D, Sha S, Luo J, Huang Z and Jackie XZ. Treatment train approaches for the remediation of per-and polyfluoroalkyl substances (PFAS): A critical review. Journal of hazardous materials. 2020; 386: 121963.
7. Posner S. Perfluorinated compounds: occurrence and uses in products. Polyfluorinated chemicals and transformation products. 2012: 25-39.
8. Gaines LGT. Historical and current usage of per‐and polyfluoroalkyl substances (PFAS): A literature review. American Journal of Industrial Medicine. 2023; 66: 353-78.
9. Chase S. Developing an Analytical Technique to Detect PFAS on Paper Food Packaging using SLE and NMR. 2022.
10. Keawmanee S, Piyaviriyakul P, Boontanon N, et al. Concentration and health risk assessment of per-and polyfluoroalkyl substances in cosmetic and personal care products. Journal of Environmental Science and Health, Part B. 2024; 59: 551-61.
11. Vienken J and Boccato C. Do medical devices contribute to sustainability? The role of innovative polymers and device design. SAGE Publications Sage UK: London, England, 2024, p. 240-50.
12. Panieri E, Baralic K, Djukic-Cosic D, Buha Djordjevic A and Saso L. PFAS Molecules: A Major Concern for the Human Health and the Environment. Toxics 10: (2022).
13. Dean WS, Adejumo HA, Caiati A, et al. A Framework for Regulation of New and Existing PFAS by EPA. J Sci Policy Gov. 2020; 16: 1-14.
14. REACH. Per- and polyfluoroalkyl substances (PFAS). European Medicine Agency, 2025.
15. Pollutants PO. Stockholm Convention on persistent organic pollutants. Geneva, 2011.
16. Brennan NM, Evans AT, Fritz MK, Peak SA and von Holst HE. Trends in the regulation of per-and polyfluoroalkyl substances (PFAS): a scoping review. International journal of environmental research and public health. 2021; 18: 10900.
17. AdvaMED. PFAS in Medtech. 2023.
18. Rungruangkitkrai N, Phromphen P, Chartvivatpornchai N, et al. Water Repellent Coating in Textile, Paper and Bioplastic Polymers: A Comprehensive Review. Polymers 16: (2024).
19. Yashwanth A, Huang R, Iepure M, et al. Food packaging solutions in the post‐per‐and polyfluoroalkyl substances (PFAS) and microplastics era: A review of functions, materials, and bio‐based alternatives. Comprehensive Reviews in Food Science and Food Safety. 2025; 24: e70079.
20. Jahura FT, Mazumder N-U-S, Hossain MT, Kasebi A, Girase A and Ormond RB. Exploring the Prospects and Challenges of Fluorine-Free Firefighting Foams (F3) as Alternatives to Aqueous Film-Forming Foams (AFFF): A Review. ACS omega. 2024; 9: 37430-44.