IoT-Based Architecture with AI-Ready Analytics for Medical Waste Management: System Design and Pilot Validation

Internet-of-Things (IoT) sensing can improve traceability, safety, and efficiency of medical waste handling, yet many deployments remain fragmented, lack an end-to-end system architecture, and do not provide the structured data pipelines needed for artificial intelligence (AI) analytics. This paper presents a layered IoT-based system design for medical waste management that integrates: (i) Espressif Systems 32 (ESP32)-based edge devices for fill-level and Global Positioning System (GPS) telemetry; (ii) secure network communication; (iii) a cloud backend for data ingestion, storage, and analytics; and (iv) operator dashboards with event-driven alerting. The architecture extends our prior GPS-enabled tracking and route optimization by adding sensor-driven state monitoring, threshold-based decision support, and a time-series data pipeline designed for future AI-driven predictive analytics. In a 30-day pilot with five containers, the system collected one reading every 15 min (14,400 total readings). The backend demonstrated efficient processing with an average Application Programming Interface (API) response time of 45 ms, sub-50 ms database write latency, and high uptime; alerts were delivered promptly upon threshold violations. Compared with a fixed-schedule baseline, the system enabled condition-based collection scheduling with zero data loss. The proposed design emphasizes modularity, fault tolerance, and integration readiness for hospital information systems, providing a practical blueprint for scalable smart-healthcare waste logistics and a foundation for machine learning-based predictive waste management.