{"id":"https://openalex.org/W4389542711","doi":"https://doi.org/10.1109/embc40787.2023.10341135","title":"Strong Sustainability of Medical Technologies: A Medical Taboo? The Case of Disposable Endoscopes","display_name":"Strong Sustainability of Medical Technologies: A Medical Taboo? The Case of Disposable Endoscopes","publication_year":2023,"publication_date":"2023-07-24","ids":{"openalex":"https://openalex.org/W4389542711","doi":"https://doi.org/10.1109/embc40787.2023.10341135","pmid":"https://pubmed.ncbi.nlm.nih.gov/38083580"},"language":"en","primary_location":{"id":"doi:10.1109/embc40787.2023.10341135","is_oa":false,"landing_page_url":"https://doi.org/10.1109/embc40787.2023.10341135","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2023 45th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://dipot.ulb.ac.be/dspace/bitstream/2013/359348/4/EMBC23_0789_MS.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027130454","display_name":"Gilles Decroly","orcid":"https://orcid.org/0000-0002-7337-2708"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":true,"raw_author_name":"Gilles Decroly","raw_affiliation_strings":["Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032922939","display_name":"Ramzi Ben Hassen","orcid":"https://orcid.org/0000-0003-3799-7054"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Ramzi Ben Hassen","raw_affiliation_strings":["Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041152519","display_name":"Wouter Achten","orcid":"https://orcid.org/0000-0001-7771-2573"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wouter M. J. Achten","raw_affiliation_strings":["Université Libre de Bruxelles (ULB),Institute for Environmental Management and Land-use Planning (IGEAT),Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles (ULB),Institute for Environmental Management and Land-use Planning (IGEAT),Brussels,Belgium","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015902606","display_name":"David Grimaldi","orcid":"https://orcid.org/0000-0001-8428-065X"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"David Grimaldi","raw_affiliation_strings":["Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Intensive Care Department,Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Intensive Care Department,Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000864460","display_name":"Nicolas Gaspard","orcid":"https://orcid.org/0000-0003-1148-6723"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Nicolas Gaspard","raw_affiliation_strings":["Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Neurology Department,Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Neurology Department,Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074973098","display_name":"Jacques Devi\u00e8re","orcid":"https://orcid.org/0000-0002-7993-1945"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Jacques Devi\u00e8re","raw_affiliation_strings":["Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Gastroenterology Department,Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Hôpital Erasme,Gastroenterology Department,Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064630584","display_name":"Alain Delchambre","orcid":"https://orcid.org/0000-0002-6047-1002"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Alain Delchambre","raw_affiliation_strings":["Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018510897","display_name":"Antoine Nonclercq","orcid":"https://orcid.org/0000-0003-0292-9588"},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Antoine Nonclercq","raw_affiliation_strings":["Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium"],"affiliations":[{"raw_affiliation_string":"Université Libre de Bruxelles,Bio, Electro and Mechanical Systems Department (BEAMS),Brussels,Belgium","institution_ids":["https://openalex.org/I132053463"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5027130454"],"corresponding_institution_ids":["https://openalex.org/I132053463"],"apc_list":null,"apc_paid":null,"fwci":2.605,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.9030567,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"2023","issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12308","display_name":"Mental Health and Psychiatry","score":0.9447000026702881,"subfield":{"id":"https://openalex.org/subfields/1211","display_name":"Philosophy"},"field":{"id":"https://openalex.org/fields/12","display_name":"Arts and Humanities"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/taboo","display_name":"Taboo","score":0.8206397294998169},{"id":"https://openalex.org/keywords/sustainability","display_name":"Sustainability","score":0.7226451635360718},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.44789135456085205},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3571271002292633},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.08096656203269958},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.061275869607925415}],"concepts":[{"id":"https://openalex.org/C2776323365","wikidata":"https://www.wikidata.org/wiki/Q171180","display_name":"Taboo","level":2,"score":0.8206397294998169},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.7226451635360718},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.44789135456085205},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3571271002292633},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.08096656203269958},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.061275869607925415},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000076502","descriptor_name":"Sustainable Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000076502","descriptor_name":"Sustainable Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000076502","descriptor_name":"Sustainable Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004209","descriptor_name":"Disposable Equipment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004209","descriptor_name":"Disposable Equipment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004209","descriptor_name":"Disposable Equipment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013609","descriptor_name":"Taboo","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013609","descriptor_name":"Taboo","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013609","descriptor_name":"Taboo","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019723","descriptor_name":"Endoscopes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019723","descriptor_name":"Endoscopes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019723","descriptor_name":"Endoscopes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1109/embc40787.2023.10341135","is_oa":false,"landing_page_url":"https://doi.org/10.1109/embc40787.2023.10341135","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2023 45th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)","raw_type":"proceedings-article"},{"id":"pmid:38083580","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38083580","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference","raw_type":null},{"id":"pmh:oai:dipot.ulb.ac.be:2013/359348","is_oa":true,"landing_page_url":"http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/359348","pdf_url":"https://dipot.ulb.ac.be/dspace/bitstream/2013/359348/4/EMBC23_0789_MS.pdf","source":{"id":"https://openalex.org/S4306401063","display_name":"D\u00e9p\u00f4t institutionnel de l'Universit\u00e9 libre de Bruxelles (Universit\u00e9 Libre de Bruxelles)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I132053463","host_organization_name":"Universit\u00e9 Libre de Bruxelles","host_organization_lineage":["https://openalex.org/I132053463"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"In: Proceedings of the 45th Annual International Conference of the IEEE Engineering in Medicine and Biology Society","raw_type":"info:ulb-repo/semantics/openurl/proceeding"},{"id":"pmh:oai:dipot.ulb.ac.be:2013/359534","is_oa":false,"landing_page_url":"http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/359534","pdf_url":null,"source":{"id":"https://openalex.org/S4306401063","display_name":"D\u00e9p\u00f4t institutionnel de l'Universit\u00e9 libre de Bruxelles (Universit\u00e9 Libre de Bruxelles)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I132053463","host_organization_name":"Universit\u00e9 Libre de Bruxelles","host_organization_lineage":["https://openalex.org/I132053463"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"In: Proceedings of the 45th Annual International Conference of the IEEE Engineering in Medicine and Biology Society","raw_type":"info:eu-repo/semantics/conferencePaper"}],"best_oa_location":{"id":"pmh:oai:dipot.ulb.ac.be:2013/359348","is_oa":true,"landing_page_url":"http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/359348","pdf_url":"https://dipot.ulb.ac.be/dspace/bitstream/2013/359348/4/EMBC23_0789_MS.pdf","source":{"id":"https://openalex.org/S4306401063","display_name":"D\u00e9p\u00f4t institutionnel de l'Universit\u00e9 libre de Bruxelles (Universit\u00e9 Libre de Bruxelles)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I132053463","host_organization_name":"Universit\u00e9 Libre de Bruxelles","host_organization_lineage":["https://openalex.org/I132053463"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"In: Proceedings of the 45th Annual International Conference of the IEEE Engineering in Medicine and Biology Society","raw_type":"info:ulb-repo/semantics/openurl/proceeding"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/12","display_name":"Responsible consumption and production","score":0.5600000023841858}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4389542711.pdf","grobid_xml":"https://content.openalex.org/works/W4389542711.grobid-xml"},"referenced_works_count":32,"referenced_works":["https://openalex.org/W773980804","https://openalex.org/W2036813965","https://openalex.org/W2115265854","https://openalex.org/W2117301310","https://openalex.org/W2121605702","https://openalex.org/W2167643701","https://openalex.org/W2193908836","https://openalex.org/W2548091519","https://openalex.org/W2765293188","https://openalex.org/W2766230600","https://openalex.org/W2768523674","https://openalex.org/W2901306972","https://openalex.org/W2904200469","https://openalex.org/W2914169242","https://openalex.org/W2936403767","https://openalex.org/W2944664407","https://openalex.org/W2999980947","https://openalex.org/W3083460223","https://openalex.org/W3099979480","https://openalex.org/W3156696778","https://openalex.org/W3166562803","https://openalex.org/W3202179811","https://openalex.org/W3204104595","https://openalex.org/W3211328827","https://openalex.org/W3216922782","https://openalex.org/W4200482064","https://openalex.org/W4225010458","https://openalex.org/W4283018711","https://openalex.org/W4284974143","https://openalex.org/W4307402605","https://openalex.org/W4307742341","https://openalex.org/W6782095920"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W2341091165","https://openalex.org/W4385848450","https://openalex.org/W4388366225","https://openalex.org/W2241890132","https://openalex.org/W4388939699","https://openalex.org/W4390859376","https://openalex.org/W2355170474"],"abstract_inverted_index":{"This":[0,69,94,172,183],"paper":[1,95],"aims":[2],"to":[3,17,100,121,128,193],"question":[4],"the":[5,18,26,59,71,81,90,98,110,151,164,177],"sustainability":[6,13,105,179],"of":[7,22,28,83,104,113,142,154,180],"biomedical":[8],"engineering":[9],"practices.":[10],"The":[11],"strong":[12,178],"framework":[14,185],"is":[15,42,65,148],"applied":[16],"evaluation":[19,54],"and":[20,35,67,78,89,106,108,131,161,166,189,199],"development":[21],"medical":[23,37,159,181],"technologies":[24,38,160],"through":[25],"definition":[27],"clinical":[29,184],"sustainability.":[30],"A":[31],"roadmap":[32],"for":[33,92],"developing":[34],"evaluating":[36],"in":[39,126,191],"this":[40,45,57],"respect":[41],"derived":[43],"from":[44],"framework,":[46],"as":[47],"a":[48,52],"first":[49],"step":[50],"toward":[51],"multidisciplinary":[53],"tool.":[55],"On":[56],"basis,":[58],"current":[60],"trend":[61],"towards":[62],"disposable":[63],"endoscopes":[64],"analyzed":[66],"discussed.":[68],"highlights":[70],"subtle":[72],"balance":[73],"between":[74],"economic,":[75],"clinical,":[76],"social,":[77,198],"environmental":[79,152],"factors,":[80],"lack":[82],"evidence":[84,146],"at":[85],"these":[86],"multiple":[87],"levels,":[88],"need":[91,99],"multidisciplinarity.":[93],"concludes":[96],"with":[97],"assess":[101],"all":[102],"aspects":[103],"identify":[107],"quantify":[109],"trade-offs,":[111],"instead":[112],"focusing":[114],"on":[115,150],"one":[116],"or":[117,156],"two":[118,140],"key":[119],"indicators,":[120],"have":[122],"more":[123,132],"relevant":[124],"information":[125],"order":[127],"make":[129],"better":[130],"effective":[133],"decisions.":[134],"Towards":[135],"sustainable":[136],"healthcare,":[137],"we":[138],"outline":[139],"paths":[141],"action:":[143],"(1)":[144],"providing":[145],"that":[147],"lacking":[149],"impact":[153],"existing":[155],"currently":[157],"developed":[158],"(2)":[162],"clarifying":[163],"premises":[165],"visions":[167],"underlying":[168],"our":[169],"practices.Clinical":[170],"Relevance-":[171],"work":[173],"provides":[174],"insights":[175],"regarding":[176],"technologies.":[182],"may":[186],"help":[187],"clinicians":[188],"developers":[190],"decision-making":[192],"reduce":[194],"indirect":[195],"negative":[196],"ecological,":[197],"health":[200],"impacts.":[201]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":4}],"updated_date":"2026-04-04T16:13:02.066488","created_date":"2025-10-10T00:00:00"}