Under the promotion of combined medical and elderly care (CMEC) policies, the market demand for elder-friendly smart medical products as convenient intelligent healthcare devices is growing. However, most studies on elderly-friendly smart medical products focus on functional enhancement and cost control, and there is a lack of research on the sustainable innovative design of elder-friendly smart medical products from the perspective of elderly emotional needs. Therefore, this paper proposes an integrated framework based on the fuzzy Kano model, Kansei engineering, and theory of inventive problem solving (TRIZ) for mapping the complex and dynamic emotional needs of the elderly to product design parameters to produce innovative solutions, ensuring the sustainability of the design process and the innovativeness of the design solutions of elder-friendly smart medical devices. We verified the effectiveness and applicability of this integrated framework through a case study involving sustainable innovation design of a smart blood pressure device. The results of this study are of considerable theoretical and practical significance for promoting the development of the market for elder-friendly smart medical products under the policy of CMEC, meeting the needs of the elderly for healthcare devices and improving their quality of life.