Sustainable Healthcare Plastic Products: Application of the Transition Engineering Design Approach Yields a Novel Concept for Circularity and Sustainability

Durable plastics are a sustainability challenge for healthcare products. Orthopedic products are regulated with strict specifications for human tissue interactions. Healthcare engineers and managers select plastic to meet the full range of material properties. Plastic is plentiful, low cost, and reliable, with established supply chains. Used plastic products can be discarded using existing waste management systems with low externality costs for orthopedic businesses. However, plastic is produced from fossil petroleum, raising issues for sustainability commitments of healthcare product companies. Barriers to the transition away from single-use plastic toward circular systems and bio-based healthcare products have been studied, but the transition is a goal that has yet to be realized. This research article reports on a transition engineering design sprint with a medium-sized orthopedic company specializing in orthoses for children and teenagers. The design sprint process engages company experts with systems perspectives on the role of unsustainable plastic in orthopedic healthcare and illuminates opportunities for capturing value in business transition. Two system transition project concepts were co-developed. The first concept is a plastics value map that aims to converge the satisfaction of essential needs with the usefulness of plastics under the limitations of a biophysically constrained future economy. The second concept is an orthopedics library data system concept that would allow reusing of fit-for-purpose used products and to inform the refurbishment of used products. In addition to an explanation of the design of the two concepts, the article presents reflections of co-design stakeholders on the usefulness and usability of the concepts. The article provides a real-world application of the co-design processes in transition engineering and the reflection by the company on the value of the results. The results indicate that the co-designed concepts could enable the company to address its sustainability aspirations and potentially resolve the dissonance of sustainability and business viability.