This project aims to reduce the environmental impact of the Intensive Care Unit (ICU) of the Erasmus Medical Center (EMC). Systemic design research was executed to map the current waste flow created by the ICU. Literature review, interviews and observations were performed to gather information about the healthcare protocols, hospital procurement process, intubation practices and used devices and consumables. This resulted in a set of challenges which were used to ideate from different perspectives to improve the sustainability of the ICU. A set of opportunities to introduce circularity within the ICU were defined. These opportunities ranged from waste separation to the reduction of the disposal of unused products. The selected circular opportunity was intubation, needed when patients cannot breathe by themselves. For this, a video laryngoscope, which is composed of various plastics, a video camera, and a led light, is used for only a few minutes and disposed of (and incinerated) directly afterwards. The aim of the second part of this research project was: Can we design a circular intubation procedure as a catalyzer for systemic change towards circular ICUs? One of the proposed circular strategies for the video laryngoscope is the reprocessing of intubation devices used at the ICU itself. A transition model toward reprocessing using UV-C radiation technique was further developed. Compared to current reprocessing procedures, UV-C disinfection consumes no water and less electricity and offers the possibility of decentralized reprocessing within the ICU department itself. This project aims to provoke conversations between the hospital, manufacturers and other stakeholders about how the healthcare sector could start reprocessing valuable medical devices towards a circular ICU.@en

Soteria is a patient transporting drone, which is part of a living lab setting for Future Mobility, which Embraer is developing. It has been designed in conjunction with the Talaria propulsion system, an autonomous and modular eVTOL flight package. The idea is that during disaster scenarios, Soteria is summoned by first responders to the scene after which a noncritical patient is loaded from the field into the carrier. Soteria then autonomously and independently ferries the patient safely to the closest hospital, where they are unloaded by medical personnel. It is important that handlings are fast and that the patient will fit in the system. Therefore, Soteria was ergonomically tested. The interior of the carrier, the interior layout, and human-machine interface were evaluated with a 1:1 model and compared with guidelines found in the literature. Based on that improvements were made and presented for future design iterations.

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