L. Ritzen
Please Note
9 records found
1
Mapping circular economy product and material flows in healthcare
A visual taxonomy
The healthcare sector contributes substantially to environmental pollution, affecting ecosystems and public health. Circular economy (CE) strategies offer potential solutions, but existing frameworks provide limited guidance for healthcare, overlooking factors such as infection control, decontamination, and staff workload.
Methods
We developed the Circular Healthcare Flows visual, a taxonomy of CE strategies for medical devices, using observations in sterilization departments, recycling facilities, and manufacturing plants; 21 expert interviews; and a systematic review of 1104 studies (68 full-text reviews). Additional stakeholder feedback validated and refined the taxonomy.
Findings
The taxonomy identifies 13 CE strategies—refuse, replace, rethink, reduce, reuse, maintain, repair, refurbish, remanufacture, repurpose, recycle, renew, and recover—and organizes them in a healthcare-specific framework. Iterative feedback ensured that the taxonomy is clear, practically applicable, and addresses sector-specific regulatory, clinical, and operational constraints.
Interpretation
The Circular Healthcare Flows visual provides a practical tool to standardize terminology and guide the implementation of CE strategies in healthcare. By offering conceptual structure and actionable guidance, it supports informed decision-making, facilitates collaboration among stakeholders, and encourages consistent application of circular strategies across the sector.
Funding
IJzenbrandt was partially funded by Erasmus University Rotterdam and the Health and Technology Convergence Alliance of TU Delft, Erasmus MC, and Erasmus University Rotterdam. Hoveling was funded through the DiCE project (EU grant agreement no. 101060184). Opinions expressed are those of the authors and do not necessarily reflect those of the EU or REA. ...
The healthcare sector contributes substantially to environmental pollution, affecting ecosystems and public health. Circular economy (CE) strategies offer potential solutions, but existing frameworks provide limited guidance for healthcare, overlooking factors such as infection control, decontamination, and staff workload.
Methods
We developed the Circular Healthcare Flows visual, a taxonomy of CE strategies for medical devices, using observations in sterilization departments, recycling facilities, and manufacturing plants; 21 expert interviews; and a systematic review of 1104 studies (68 full-text reviews). Additional stakeholder feedback validated and refined the taxonomy.
Findings
The taxonomy identifies 13 CE strategies—refuse, replace, rethink, reduce, reuse, maintain, repair, refurbish, remanufacture, repurpose, recycle, renew, and recover—and organizes them in a healthcare-specific framework. Iterative feedback ensured that the taxonomy is clear, practically applicable, and addresses sector-specific regulatory, clinical, and operational constraints.
Interpretation
The Circular Healthcare Flows visual provides a practical tool to standardize terminology and guide the implementation of CE strategies in healthcare. By offering conceptual structure and actionable guidance, it supports informed decision-making, facilitates collaboration among stakeholders, and encourages consistent application of circular strategies across the sector.
Funding
IJzenbrandt was partially funded by Erasmus University Rotterdam and the Health and Technology Convergence Alliance of TU Delft, Erasmus MC, and Erasmus University Rotterdam. Hoveling was funded through the DiCE project (EU grant agreement no. 101060184). Opinions expressed are those of the authors and do not necessarily reflect those of the EU or REA.
Repair plays a pivotal role in the circular economy, but evaluating repairability factors such as disassembly times can be complex and time consuming. Existing tools listing proxy times to avoid such measurements had limited libraries of activities, only relevant to ICT product fasteners, and reassembly times were neglected or assumed to be equal to disassembly times, which is not always true. This study introduces the Disassembly and Reassembly Time (DaRT) model: a simplified, time-based tool developed from over 10,000 data points on many connection types from several household products, generating proxy times for many more activities applicable to many more product types. It also compared median times for disassembly and reassembly, showing which tasks are similar enough to use the same proxy time, while highlighting occasional differences, such as part-handling steps. Validated through comparisons with independent disassembly data for vacuum cleaners, washing machines, and smart TVs, DaRT demonstrates strong correlation and minimal bias. Balancing ease of use with reliability, it outperforms simpler step-count methods and offers greater practicality than the complex eDiM. Overall, DaRT enhances repair scoring systems, guides design for repair, and fosters a more circular electronics industry, ultimately fueling more sustainable innovation.
Although bio-based plastics have the potential to be sustainable, the emissions associated with producing them depend heavily on the biomass sourcing. At the same time, bio-based plastics are not de-facto biodegradable and thus efficient recovery at end-of-life needs to be guaranteed. Circular product design with bio-based plastics requires careful consideration of biomass sourcing and recovery. Although much information regarding these aspects is still missing, the research presented in this dissertation provides some guidelines for circular product design with bio-based plastics. In order to reduce environmental impacts, bio-based plastics should be produced with agricultural by-products or with biomass types with a high conversion efficiency. Biomass for bio-based plastics should be cultivated with minimal use of land, water, chemicals and fossil fuels. Environmental impacts can be reduced further by using renewable energy in the production process. Product designers should also consider what recovery pathway they want to target at end-of-life of a product. The plastic composition and product architecture need to reflect the targeted recovery pathway. ...
Although bio-based plastics have the potential to be sustainable, the emissions associated with producing them depend heavily on the biomass sourcing. At the same time, bio-based plastics are not de-facto biodegradable and thus efficient recovery at end-of-life needs to be guaranteed. Circular product design with bio-based plastics requires careful consideration of biomass sourcing and recovery. Although much information regarding these aspects is still missing, the research presented in this dissertation provides some guidelines for circular product design with bio-based plastics. In order to reduce environmental impacts, bio-based plastics should be produced with agricultural by-products or with biomass types with a high conversion efficiency. Biomass for bio-based plastics should be cultivated with minimal use of land, water, chemicals and fossil fuels. Environmental impacts can be reduced further by using renewable energy in the production process. Product designers should also consider what recovery pathway they want to target at end-of-life of a product. The plastic composition and product architecture need to reflect the targeted recovery pathway.
Bio-Based Plastics in Product Design
The State of the Art and Challenges to Overcome
Sustainability of bio-based polyethylene
The influence of biomass sourcing and end-of-life
Bio-based polymers may present a sustainable, circular way to reduce the environmental impact of plastics because they are produced from biomass that absorbs CO2 during its growth. However, sourcing (type of biomass used and cultivation location), production, and end-of-life affect the environmental impact of bio-based plastics. We assessed the effect of sourcing and end-of-life options on the environmental impact of bio-based high-density polyethylene (bio-HDPE) in 31 sourcing scenarios and five end-of-life options. Our study found that careful consideration of biomass sourcing (biomass type and production location) and end-of-life is needed to optimize the environmental impact of bio-based plastics. If these aspects are not considered, the environmental impact of bio-HDPE may exceed that of its petrochemical-based counterpart. The direct availability of fermentable sugars indicated a lower environmental impact. The production location affected the resources needed for biomass cultivation and the environmental impact of processing due to the energy mix. Recently published guidelines do not allow biogenic carbon to be accounted for during the production stage, but only upon the incineration of the plastic. Our results show that this way of attributing biogenic carbon results in an apparent disadvantage for bio-based plastics compared to petrochemical-based plastics. Furthermore, it disadvantaged mechanical recycling of bio-based plastics compared to incineration, a result out of line with circular economy principles.
Bio-based plastics in a circular economy
A review of recovery pathways and implications for product design