Green and reliable medical device supply chain network design under deep dynamic uncertainty: A novel approach in the context of COVID-19 outbreak.

Conditions governing industrial activities during and after global shocks with societal and economic transformations such as the COVID-19 pandemic have led to the loss of effectiveness of conventional approaches to dealing with uncertainties. The occurrence of sharp fluctuations in the essential parameters has left decision-makers in an unpredictable situation. Therefore, proactive efforts should be made to develop current approaches for adapting to new conditions. This paper establishes a strategic, tactical, and operational decision-making framework under the COVID-19 outbreak by developing a new uncertainty type called deep dynamic uncertainty. In the first step, a Mixed-Integer Linear Programming (MILP) model is proposed for the green and reliable closed-loop supply chain network design. The proposed model allows the decision-maker (DM) to manage and control co 2 emissions and e-waste generation. In the second step, a new three-step algorithm called Augmented Adjustable Column-Wise Robust Optimization (AACWRO) is first proposed. Then, by combining the proposed column-wise uncertainty with multi-stage stochastic programming (MSSP) approach, deep dynamic uncertainty is theorized for modeling the demand uncertainty under pandemic conditions. The model's performance under deep dynamic uncertainty has been carefully investigated based on the real ventilator and infusion pump supply chain network in Iran. The model under deep dynamic uncertainty, while maintaining tractability and adjustability, provides flexibility in entering data into the problem and significantly increases the coverage of modeling uncertainties. The results clearly demonstrate the efficiency of the proposed approach. The model under deep dynamic uncertainty at all levels of conservatism has on average 42.96% lower cost and 32% higher stability than the MSSP model. • Green and reliable closed-loop medical device supply chain network are studied. • A mechanism is proposed for the management of co 2 emission and e-waste generation. • Stochastic programming and novel robust optimization are considered simultaneously. • Deep dynamic uncertainty is introduced to deal with COVID-19 uncertainties. • The model efficiency is evaluated based on the ventilator and infusion pump industry. [ABSTRACT FROM AUTHOR]