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Providing new models or designing sustainable networks in recent studies represents a growing trend. However, there is still a gap in the simultaneous modeling of the three dimensions of sustainability in the electronic medical device supply chain (SC). In this paper, a novel hybrid chance-constrained programming and cost function model is presented for a green and sustainable closed-loop medical ventilator SC network design. To bring the problem closer to reality, a wide range of parameters including all cost parameters, demands, the upper bound of the released   \begin{document}$ co_2 $\end{document}  , and the minimum percentage of the units of product to be disposed and collected from a customer and to be dismantled and shipped from DCs are modeled as uncertain along with the normal probability distribution. The problem was first formulated into the framework of a bi-objective stochastic mixed-integer linear programming (MILP) model; then, it was reformulated into a tri-objective deterministic mixed-integer nonlinear programming (MINLP) one. In order to model the environmental sustainability dimension, in addition to handling the total greenhouse gas emissions, the total waste products were also controlled. The efficiency and applicability of the proposed model were tested in an Iranian medical ventilator production and distribution network. For sensitivity analyses, the effect of some critical parameters on the values of the objective functions was carefully examined. Finally, valuable managerial insights into the challenges of companies during the COVID-19 pandemic were presented. Numerical results showed that with the increase in the number of customers in the COVID-19 crisis, social responsibility could improve cost mean by up to 8%.

A novel separate chance-constrained programming model to design a sustainable medical ventilator supply chain network during the Covid-19 pandemic