Climate change represents the biggest global health threat of the 21st century. Health care system is itself a large contributor to greenhouse gas (GHG) emissions. In cardiology, atrial fibrillation (AF) catheter ablation is an increasing activity using numerous non-reusable materials that could contribute to GHG emission. Determining a detailed carbon footprint analysis of an AF catheter ablation procedure allows the identification of the main polluting sources that give opportunities for reduction of environmental impact. To assess the carbon footprint of AF catheter ablation procedure. To determine priority actions to decrease pollution. An eco-audit method used to predict the GHG emission of an AF catheter ablation procedure was investigated. Two workstations were considered including surgery and anaesthesia. In the operating room, every waste produced by single-use medical devices, pharmaceutical drugs, and energy consumption during intervention were evaluated. All analyses were limited to the operating room. Thirty procedures were analysed over a period of 8 weeks: 18 pulmonary veins isolation RF ablations, 7 complex RF procedures including PVI, roof and mitral isthmus lines, ethanol infusion of the Marshall vein and cavo tricuspid isthmus line, and 5 pulmonary vein isolation with cryoballoon. The mean emission during AF catheter ablation procedures was 76.9 kg of carbon dioxide equivalent (CO₂-e). The operating field accounted for 75.4% of the carbon footprint, while only 24.6% for the anaesthesia workstation. On one hand, material production and manufacturing were the most polluting phases of product life cycle which, respectively, represented 71.3% (54.8 kg of CO₂-e) and 17.0% (13.1 kg of CO₂-e) of total pollution. On the other hand, transport contributed in 10.6% (8.1 kg of CO₂-e), while product use resulted in 1.1% (0.9 kg of CO₂-e) of GHG production. Electrophysiology catheters were demonstrated to be the main contributors of environmental impact with 29.9 kg of CO₂-e (i.e. 38.8%). Three dimensional mapping system and electrocardiogram patches were accounting for 6.8 kg of CO₂-e (i.e. 8.8% of total). AF catheter ablation involves a mean of 76.9 kg of CO₂-e. With an estimated 600 000 annual worldwide procedures, the environmental impact of AF catheter ablation activity is estimated equal to 125 tons of CO₂ emission each day. It represents an equivalent of 700 000 km of car ride every day. Electrophysiology catheters and patches are the main contributors of the carbon footprint. The focus must be on reducing, reusing, and recycling these items to limit the impact of AF ablation on the environment. A road map of steps to implement in different time frames is proposed.

Due to the outstanding coupling between piezoelectric and semiconducting properties of zinc oxide nanowires, ZnO NW-based structures have been demonstrating promising potential with respect to their applicability in piezoelectric, piezotronic and piezo-phototronic devices. Particularly considering their biocompatibility and biosafety for applications regarding implantable medical detection, this paper proposed a new concept of piezoelectric composite, i.e., one consisting of vertically aligned ZnO NW arrays and an insulating polymer matrix. First, the finite element method (FEM) was employed to drive optimization strategies through adjustment of the key parameters such as Young’s modules and the dielectric constant of the dielectric constituents, together with the density and dimension of nanowire (NW) itself. Second, to investigate the functionality of each individual layer of composite, different designed structures were fabricated and characterized in terms of electrical and piezoelectric properties. Next, experimental and simulation tests were performed, indicating that the decreasing thickness of the top poly(methyl methacrylate) layer (PMMA) can substantially enhance the piezoelectric sensitivity of the ZnO NW composite. Besides the further benefit of no polarization being needed, our material has a comparable charge coefficient (d₃₃) with respect to other lead-free alternatives (e.g., BaTiO₃), confirming the high sensing abilities of the developed structure based on vertically aligned ZnO NW arrays. Finally, a time-varying model combining piezoelectricity and electric circuit modules was investigated in detail, giving rise to an estimation of the d₃₃ coefficient for ZnO NWs. Based on this study, the developed material is revealed to be highly promising in medical applications, particularly regarding the FFR technique, where coronary pressure can be measured through a piezoelectric sensor.

The aim of this paper was to provide insight into the impact of matrix and surfactants on the rheology, morphology, and dielectric and piezoelectric properties of screen-printed BaTiO₃/PVDF composites. Two matrices were compared (PVDF–HFP and PVDF–TrFE), and lead-free BaTiO₃ microparticles were added in volume fractions of 30% and 60%. Here, we demonstrated that the presence of surfactants, helping to prevent phase separation, was crucial for achieving a decent screen-printing process. Fourier-transform infrared (FTIR) spectroscopy together with scanning electron microscopy (SEM) showed that the two “fluoro-benzoic acid” surfactants established stable bonds with BaTiO₃ and improved the dispersion homogeneity, while the “fluoro-silane” proved to be ineffective due to it evaporating during the functionalization process. PVDF–TrFE composites featured a more homogeneous composite layer, with fewer flaws and lower roughness, as compared with PVDF–HFP composites, and their inks were characterized by a higher viscosity. The samples were polarized in either AC or DC mode, at two different temperatures (25 °C and 80 °C). The 30% BaTiO₃ PVDF–TrFE composites with two fluorinated surfactants featured a higher value of permittivity. The choice of the surfactant did not affect the permittivity of the PVDF–HFP composites. Concerning the d₃₃ piezoelectric coefficient, experimental results pointed out that PVDF–TrFE matrices made it possible to obtain higher values, and that the best results were achieved in the absence of surfactants (or by employing the fluoro-silane). For instance, in the composites with 60% BaTiO₃ and polarized at 80 °C, a d₃₃ of 7–8 pC/N was measured, which is higher than the values reported in the literature.

The overall performance of an electrostrictive polymer is rated by characteristic numbers, such as its transverse strain, blocking force, and energy density, which are clearly limited by several parameters. Besides the geometrical impact, intrinsic material parameters, such as the permittivity coefficient as well as the Young’s modulus and the breakdown electric field, have strong influences on the actuation properties of an electroactive polymer and thus on the device’s overall behavior. As a result, an analysis of the figures of merit (FOMs) involving all relevant material parameters for the transverse strain, the blocking force, and the energy density was carried out, making it possible to determine the choice of polymer matrix in order to achieve a high actuator performance. Another purpose of this work was to demonstrate the possibility of accurately measuring the free deflection without the application of an external force and inversely measuring the blocking force under quasi-static displacement. The experimental results show good electrostrictive characteristics of the plasticized terpolymer under relatively low electric fields.