/flexo2

Collaborative Project

FLEX O2

Reducing pulse-oximeter waste through reusable sensing hardware and a replaceable skin interface.

/CONTRIBUTION

I contributed research, materials work, 3D modelling, prototyping and reporting.

ROLE

Collaborative project

STATUS

Research, product design and physical prototype

/TIMELINE

October 2025

/TOOLS

Ansys Granta · material and lifecycle exploration

/flexo2

Collaborative Project

FLEX O2

Reducing pulse-oximeter waste through reusable sensing hardware and a replaceable skin interface.

/CONTRIBUTION

I contributed research, materials work, 3D modelling, prototyping and reporting.

ROLE

Collaborative project

STATUS

Research, product design and physical prototype

/TIMELINE

October 2025

/TOOLS

Ansys Granta · material and lifecycle exploration

/flexo2

Collaborative Project

FLEX O2

Reducing pulse-oximeter waste through reusable sensing hardware and a replaceable skin interface.

/CONTRIBUTION

I contributed research, materials work, 3D modelling, prototyping and reporting.

ROLE

Collaborative project

STATUS

Research, product design and physical prototype

/TIMELINE

October 2025

/TOOLS

Ansys Granta · material and lifecycle exploration

/Inside the project

Why are we redesigning the oximeter?

Disposable sensors simplify care, but their short life creates avoidable waste. Its one of the top contributors to medical wastes from Erasmus MC

/Inside the project

Why are we redesigning the oximeter?

Disposable sensors simplify care, but their short life creates avoidable waste. Its one of the top contributors to medical wastes from Erasmus MC

THE WASTE PROBLEM

The study estimated 515,000 kg CO₂/year from disposable pulse oximeters across Dutch medical centers, identifying them as the second most impactful medical waste stream. Erasmus MC’s Scope 3 footprint framed the challenge.

CONTEXT SKETCH / CURRENT USE SCENARIO

THE WASTE PROBLEM

The study estimated 515,000 kg CO₂/year from disposable pulse oximeters across Dutch medical centers, identifying them as the second most impactful medical waste stream. Erasmus MC’s Scope 3 footprint framed the challenge.

CONTEXT SKETCH / CURRENT USE SCENARIO

WHAT STAFF NEED

Staff favored disposable sensors for accuracy and convenience. Reusable alternatives brought slippage, discomfort and disinfection demands. Movement, low perfusion, pigmentation and finger size also shaped the sensing brief.

WHY REUSE IS WORTH EXPLORING

The baseline LCA found that an existing reusable sensor matched a disposable sensor’s emissions after 2.3 uses. The design challenge was to capture this benefit while improving handling and comfort.

WHAT STAFF NEED

Staff favored disposable sensors for accuracy and convenience. Reusable alternatives brought slippage, discomfort and disinfection demands. Movement, low perfusion, pigmentation and finger size also shaped the sensing brief.

WHY REUSE IS WORTH EXPLORING

The baseline LCA found that an existing reusable sensor matched a disposable sensor’s emissions after 2.3 uses. The design challenge was to capture this benefit while improving handling and comfort.

DISPOSABLE / REUSABLE SENSOR COMPARISON

PRODUCT TEARDOWN / MASIMO OXIMETER

BASELINE LCA / EXISTING OXIMETERS

DISPOSABLE / REUSABLE SENSOR COMPARISON

PRODUCT TEARDOWN / MASIMO OXIMETER

BASELINE LCA / EXISTING OXIMETERS

02

/Inside the project

How was the concept chosen?

Research set the brief. Sketching explored the architecture. The placement study guided the wrist location.

02

/Inside the project

How was the concept chosen?

Research set the brief. Sketching explored the architecture. The placement study guided the wrist location.

RESEARCH / TWO PHASES, SIX AREAS

Starting with ICU use and adaptability to other hospital settings, context exploration led to six studies: sensing and wavelengths, environmental viability, circularity, ergonomic placement, sustainable materials, and nurse use.

ICU USE / DESIGN REQUIREMENTS

DESIGN REQUIREMENT

<0.0483 kg

CO₂ per use

Sustainability target

DESIGN REQUIREMENT

15–25 s

Attach or detach

Handling target

DESIGN REQUIREMENT

5 wavelengths

Across skin tones

Inclusivity requirement

DESIGN REQUIREMENT

600 uses

Plug and sensor

Durability target

ICU USE / DESIGN REQUIREMENTS

DESIGN REQUIREMENT

<0.0483 kg

CO₂ per use

Sustainability target

DESIGN REQUIREMENT

15–25 s

Attach or detach

Handling target

DESIGN REQUIREMENT

5 wavelengths

Across skin tones

Inclusivity requirement

DESIGN REQUIREMENT

600 uses

Plug and sensor

Durability target

Sketching alternatives for placement, attachment and component separation.

Selected architecture: reusable electronics and a replaceable mount.

Sketching alternatives for placement, attachment and component separation.

Selected architecture: reusable electronics and a replaceable mount.

THE SELECTED CONCEPT

A symmetric wrist device works on either arm. An adhesive mount secures the sensor; a sliding connector and pin-tool release support retention, repair and replacement.

The wrist concept developed from the sketch studies.

THE SELECTED CONCEPT

A symmetric wrist device works on either arm. An adhesive mount secures the sensor; a sliding connector and pin-tool release support retention, repair and replacement.

The wrist concept developed from the sketch studies.

flex o2 sensing exploration

Transmissive and reflective optical paths: the sensing arrangements explored.

WHY REFLECTIVE SENSING?

The wrist scored highest in the placement trade study: 31 points for accessibility, indexability and comfort. Reflective sensing over the radial artery supports this location and keeps electronics out of the disposable mount.

flex o2 sensing exploration

Transmissive and reflective optical paths: the sensing arrangements explored.

WHY REFLECTIVE SENSING?

The wrist scored highest in the placement trade study: 31 points for accessibility, indexability and comfort. Reflective sensing over the radial artery supports this location and keeps electronics out of the disposable mount.

03

/Inside the project

How do the parts work?

Separate replacement cycles informed the circularity strategy, materials and assembly.

03

/Inside the project

How do the parts work?

Separate replacement cycles informed the circularity strategy, materials and assembly.

/Assembly

Three parts, two replacement cycles

Keep the plug and sensing electronics. Replace the skin-contact mount.

PRODUCT ARCHITECTURE

The plug and sensor are reused; the adhesive mount is replaced. Reflective sensing keeps the electronics out of the consumable mount. Sliding engagement and a pin release let the components separate.

PRODUCT ANATOMY / ORIGINAL EXPLODED VIEW

PRODUCT ARCHITECTURE

The plug and sensor are reused; the adhesive mount is replaced. Reflective sensing keeps the electronics out of the consumable mount. Sliding engagement and a pin release let the components separate.

PRODUCT ANATOMY / ORIGINAL EXPLODED VIEW

The circularity framework behind the R1–R3 strategy.

RETHINK / REDUCE / REUSE

The team prioritized rethink, reduce and reuse (R1–R3), addressing packaging and transport as well as the product. Modularity, cleanability and disassembly became the design guidelines.

The circularity framework behind the R1–R3 strategy.

RETHINK / REDUCE / REUSE

The team prioritized rethink, reduce and reuse (R1–R3), addressing packaging and transport as well as the product. Modularity, cleanability and disassembly became the design guidelines.

Ansys Granta material comparisons informed the component selections.

MATERIALS / MATCH THE ROLE

ABS housing: toughness and impact resistance. Polycarbonate cover: optical clarity. HDPE mount: flexibility, durability and lower carbon footprint. The material study balanced performance, sustainability and cost.

Ansys Granta material comparisons informed the component selections.

MATERIALS / MATCH THE ROLE

ABS housing: toughness and impact resistance. Polycarbonate cover: optical clarity. HDPE mount: flexibility, durability and lower carbon footprint. The material study balanced performance, sustainability and cost.

ENGINEERING THE ASSEMBLY

The reusable plug, sensing electronics and replaceable mount have distinct roles. The exploded view above explains the layers; this technical drawing records the assembly in more detail.

Technical drawing of the modular assembly.

ENGINEERING THE ASSEMBLY

The reusable plug, sensing electronics and replaceable mount have distinct roles. The exploded view above explains the layers; this technical drawing records the assembly in more detail.

Technical drawing of the modular assembly.

04

/Inside the project

How is it used?

Follow the attachment sequence, then see the physical prototype in motion.

04

/Inside the project

How is it used?

Follow the attachment sequence, then see the physical prototype in motion.

ATTACHMENT SEQUENCE

1. Place the adhesive mount on the wrist. 2. Connect the cable to the sensor. 3. Attach the sensor to the mount. Reflective sensing keeps the disposable part free of electronics.

Connection and disassembly of the three components.

The intended ICU setting, illustrated as a concept scenario.

Connection and disassembly of the three components.

The intended ICU setting, illustrated as a concept scenario.

Adhesive removal

Physical attachment prototype

Prototype detail

Adhesive removal

Physical attachment prototype

Prototype detail

PROTOTYPE / TURNING THE ATTACHMENT

PROTOTYPE / PULL-OFF AND REMOVAL

PROTOTYPE / TURNING THE ATTACHMENT

PROTOTYPE / PULL-OFF AND REMOVAL

05

/Inside the project

What did the study find?

Lifecycle analysis supports the reuse strategy; the prototype makes the product architecture tangible.

05

/Inside the project

What did the study find?

Lifecycle analysis supports the reuse strategy; the prototype makes the product architecture tangible.

Final lifecycle comparison: Flex O2, disposable and reusable alternatives.

MODELLED LIFECYCLE RESULT

Flex O2 began with a higher initial footprint: 0.46 kg CO₂. Over the modelled 600-use scenario, its per-use footprint fell below disposable sensors and became comparable to existing reusable oximeters. The study concluded that the design met its sustainability requirement relative to the disposable product.

Final lifecycle comparison: Flex O2, disposable and reusable alternatives.

MODELLED LIFECYCLE RESULT

Flex O2 began with a higher initial footprint: 0.46 kg CO₂. Over the modelled 600-use scenario, its per-use footprint fell below disposable sensors and became comparable to existing reusable oximeters. The study concluded that the design met its sustainability requirement relative to the disposable product.

MY CONTRIBUTION

I contributed research, materials work, 3D modelling, prototyping and reporting. Together, the team translated the studies into a modular wrist concept and physical attachment prototype. The main design contribution is separating durable sensing hardware from the replaceable skin interface.

PROJECT EVIDENCE / 22 ORIGINAL ASSETS

Context and research (8)
Erasmus MC
Erasmus MC
Wrist sensing concept
Wrist sensing concept
Disposable and reusable comparison
Disposable and reusable comparison
Lifecycle comparison
Lifecycle comparison
Existing sensor teardown
Existing sensor teardown
Current use scenario
Current use scenario
Hospital use context
Hospital use context
Optical sensing arrangements
Optical sensing arrangements
Design development (8)
Circularity framework
Circularity framework
Concept development
Concept development
Concept exploration
Concept exploration
Concept details
Concept details
Material selection study
Material selection study
Exploded assembly
Exploded assembly
Technical drawing
Technical drawing
Additional study comparison
Additional study comparison
Prototype and application (6)
Adhesive removal prototype
Adhesive removal prototype
Physical prototype — view 1
Physical prototype — view 1
Physical prototype — view 2
Physical prototype — view 2
Turning demonstration · GIF
Turning demonstration · GIF
Pull-off demonstration · GIF
Pull-off demonstration · GIF
Application and disassembly sequence
Application and disassembly sequence