Owing to accelerated urbanization and industrialization, many plastic products have been manufactured and discharged into the environment, causing environmental and public health problems. Plastics in environmental media are further degraded by prolonged exposure to light, heat, mechanical friction, and other factors to form new pollutants called microplastics (MPs). Medical plastics have become a crucial source of plastics in environmental media. However, the release profiles of MPs from medical plastics and their potential ecological and health risks remain unclear. We used optical photothermal infrared spectroscopy to explore the release profiles of eight typical disposable medical devices (DMDs) under high-temperature steam disinfection (HSD). We also evaluated the toxicity of DMD-derived MPs in Caenorhabditis elegans (C. elegans). Our results showed that the changes in the surface morphology and modification of the DMDs were mainly associated with the material. Polypropylene (PP) and polystyrene (PS) materials exhibited high aging phenomena (e.g., bumps, depressions, bulges and cracks), and HSD broke their oxygen-containing functional groups and carbon chains. By contrast, minor changes in the chemical and physical properties were observed in the polyvinyl chloride (PVC)-prepared DMDs under the same conditions. Further physicochemical characterization indicated that the amount of MPs released from PP-prepared DMDs (P4: 1.27&#
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x202f;0.34&#
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x202f;10<sup>6</sup>) was greater than that from PVC-prepared DMDs (P7: 1.08&#
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x202f;0.14&#
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x202f;10<sup>5</sup>). The particle size of the released MPs was the opposite, PVC-prepared DMDs (11.45&#
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x202f;1.79&#
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x202f;PP-prepared DMDs (7.18&#
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x202f;0.52&#
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x3bc;m). Toxicity assessment revealed that DMDs-released MPs significantly increased germ cell apoptosis from 2.45&#
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x202f;0.05 to 3.10&#
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x202f;0.09-3.95&#
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x202f;0.26 in C. elegans. Moreover, MPs from PP-prepared DMDs disrupted the intestinal barrier of worms, decreasing their lifespan. Our findings provided novel information regarding the profiles and mechanisms of MP release from DMDs and revealed their potential risks to ecological environment.