Occupational ergonomics in healthcare is an increasing challenge we have to handle in the near future. Physical assistive systems, so-called exoskeletons, are promising solutions to prevent work-related musculoskeletal disorders (WMSDs). Manual handling like pushing, pulling, holding and lifting during healthcare activities require practical and biomechanical effective assistive devices. In this article, a musculoskeletal-model-based development of an assistive exoskeleton is described for manual patient transfer in the surgery waiting room. For that purpose, kinematic data collected with an experimental set-up reproducing real patient transfer conditions are first used to define the kinetic boundary conditions for the model-based development approach. Model-based analysis reveals significant relief potential in the lower back and shoulder area of the musculoskeletal apparatus. This is corroborated by subjective feedback collected during measurements with real surgery assistants. A shoulder–arm exoskeleton design is then proposed, optimized and evaluated within the same simulation framework. The presented results illustrate the potential for the proposed design to reduce significantly joint compressions and muscle activities in the shoulder complex in the considered patient transfer scenarios.

The growing share of renewable energy generation based on fluctuating wind and solar energy sources is increasingly challenging in terms of power grid stability. Industrial demand-side response presents a promising way to balance energy supply and consumption. For this, energy demand is flexibly adapted based on external incentives. Thus, companies can economically benefit and at the same time contribute to reducing greenhouse gas emissions. However, there are currently some major obstacles that impede industrial companies from taking part in the energy markets. A broad specification analysis systematically dismantles the existing barriers. On this foundation, a new end-to-end ecosystem of an energy synchronization platform is introduced. It consists of a business-individual company-side platform, where suitable services for energy-oriented manufacturing are offered. In addition, one market-side platform is established as a mediating service broker, which connects the companies to, e.g., third party service providers, energy suppliers, aggregators, and energy markets. The ecosystems aim at preventing vendor lock-in and providing a flexible solution, relying on open standards and offering an integrated solution through an end-to-end energy flexibility data model. In this article, the resulting functionalities are discussed and the remaining deficits outlined.

Musculoskeletal disorders (MSDs) induced by industrial manual handling tasks are a major issue for workers and companies. As flexible ergonomic solutions, occupational exoskeletons can decrease critically high body stress in situations of awkward postures and motions. Biomechanical models with detailed anthropometrics and motions help us to acquire a comprehension of person- and application-specifics by considering the intended and unintended effects, which is crucial for effective implementation. In the present model-based analysis, a generic back-support exoskeleton model was introduced and applied to the motion data of one male subject performing symmetric and asymmetric dynamic manual handling tasks. Different support modes were implemented with this model, including support profiles typical of passive and active systems and an unconstrained optimal support mode used for reference to compare and quantify their biomechanical effects. The conducted simulations indicate that there is a high potential to decrease the peak compression forces in L4/L5 during the investigated heavy loaded tasks for all motion sequences and exoskeleton support modes (mean reduction of 13.3% without the optimal support mode). In particular, asymmetric motions (mean reduction of 14.7%) can be relieved more than symmetric ones (mean reduction of 11.9%) by the exoskeleton support modes without the optimal assistance. The analysis of metabolic energy consumption indicates a high dependency on lifting techniques for the effectiveness of the exoskeleton support. While the exoskeleton support substantially reduces the metabolic cost for the free-squat motions, a slightly higher energy consumption was found for the symmetric stoop motion technique with the active and optimal support mode.

A sustainable design of production systems is essential for the future viability of the economy. In this context, biointelligent production systems (BIS) are currently considered one of the most innovative paths for a comprehensive reorientation of existing industrial patterns. BIS are intended to enable a highly localized on-demand production of personalized goods via stand-alone non-expert systems. Recent studies in this field have primarily adopted a technical perspective; this paper addresses the larger picture by discussing the essential issues of integrated production system design. Following a normative logic, we introduce the basic principle of systemic life cycle thinking in cellular units as the foundation of a management framework for BIS. Thereupon, we develop a coherent theoretical model of a future decentralized production system and derive perspectives for future research and development in key areas of management.

Lean Production Systems are enterprise-specific, methodical frameworks for the continuous orientation of all enterprise processes to the customer in order to achieve overall objectives. Due to an increasing complexity of the digital transformation, the design of Lean Production Systems 4.0 is a challenging task for industrial engineering practice. For this, academia and industrial practice were analysed in a combined approach of a systematic literature review and a field study. The systematic literature review of 62 out of 1600 scientific papers shows that especially the tools, processes, and methods in Lean Production Systems are subject to digital transformation. By involving industrial practice in a field study, quantitative and qualitative insights were used to check scientific hypotheses and identify practical requirements by industrial engineers. As a result, 10 guidelines for the design of future Lean Production Systems 4.0 are derived. The practical implications of this paper enhance the evolution of enterprise-specific Lean Production System 4.0 frameworks.