Hackaday Prize Entry: Helping Millions See Clearly

Slit lamps are prohibitively expensive in the third world areas of India where they are most needed. An invention that’s been around for over a hundred years, the slit lamp is a simple-in-concept way to see and diagnose a large array of ocular issues.

Since they are relatively old by technological standards, the principles behind them have become more and more understood as time has gone on. While a nice lab version with a corneal microscope is certainly better, innovations in manufacturing have brought the theoretical minimum cost of the device way down, or at least that’s what [Kewal Chand Swami] hopes.

His design aims for portability and cost reduction. It must be able to travel to remote locations and it must be significantly cheaper than the lab versions. It uses off-the-shelf lenses in a 3D printed housing with a simple LED torch, the kind you can buy for a dollar at the check-out stand.

The assembly slides onto the user’s head and is held there with straps. The doctor can adjust where the slit the lamp shines and also look through a microscope to diagnose the issue. Hopefully devices like this will see similar community support to the prosthetic projects we’ve covered.

Hackaday Prize Entry: Sniffing Defibrillator Data

There’s a lot of implantable medical technology that is effectively a black box. Insulin pumps monitor blood sugar and deliver insulin, but you can’t exactly plug in a USB cable and download the data. Pacemakers and cardiac defibrillators are the same way. For these patients, data is usually transmitted to a base station, then sent over the Internet to help doctors make decisions. The patient never gets to see this data, but with a little work and a software defined radio, a team on Hackaday.io is cracking the code to listen in on these implanted medical devices.

The team behind ICeeData was assembled at a Health Tech Hackathon held in Latvia last April. One of the team members has an implanted defibrillator keeping her ticker in shape, and brought along her implant’s base station. The implant communicates via 402-405MHz radio, a region of the spectrum that is easily accessible by a cheap RTL-SDR TV Tuner dongle.

Right now the plan is to intercept the communications between the implant and the base station, decode the packets, decipher the protocol, and understand what the data means. It’s a classic reverse engineering task that would be the same for any radio protocol, only with this ones, the transmissions are coming from inside a human.

 

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3D Printing Bone

What do you print with your 3D printer? Key chains? More printer parts (our favorite)? Enclosures for PC boards? At Johns Hopkins, they want to print bones. Not Halloween skeletons, either. Actual bones for use in bodies.

According to Johns Hopkins, over 200,000 people a year need head or face bone replacements due to birth defects, trauma, or surgery. Traditionally, surgeons cut part of your leg bone that doesn’t bear much weight out and shape it to meet the patient’s need. However, this has a few problems. The cut in the leg isn’t pleasant. In addition, it is difficult to create subtle curved shapes for a face out of a relatively straight leg bone.

This is an obvious application for 3D printing if you could find a suitable material to produce faux bones. The FDA allows polycaprolactate (PCL) plastic for other clinical uses and it is attractive because it has a relatively low melting point. That’s important because mixing in biological additives is difficult to do at high temperatures.

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A Developer’s Kit for Medical Ultrasound

From watching a heart valve in operation to meeting your baby before she’s born, ultrasound is one of the most valuable and least invasive imaging tools of modern medicine. You pay for the value, of course, with ultrasound machines that cost upwards of $100k, and this can put them out of reach in many developing countries. Sounds like a problem for hackers to solve, and to help that happen, this 2016 Hackaday prize entry aims to create a development kit to enable low-cost medical ultrasounds.

PhysicalSpaceDeveloped as an off-shoot from the open-source echOpen project, [kelu124]’s Murgen project aims to enable hackers to create an ultrasound stethoscope in the $500 price range. A look at the test bench reveals that not much specialized equipment is needed. Other than the Murgen development board itself, everything on the test bench is standard issue stuff. Even the test target, an ultrasound image of which leads off this article, is pretty common stuff – a condom filled with tapioca and agar. The Murgen board itself is a cape for a BeagleBone Black, and full schematics and code are available.

We’ll be paying close attention to what comes out of the ultrasound dev kit. Perhaps something as cool as this augmented reality ultrasound scope?

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Hack Your Rib Cage with Titanium 3D Printing

A Spanish hospital recently replaced a significant amount of a man’s rib cage and sternum with a titanium replacement. Putting titanium inside people’s chests is nothing new, but what made this different was the implant was 3D printed to match his existing bone structure.

An Australian company, Anatomics, created the 3D print from high-resolution CT scans of the patient. They used a printer provided by an Australian Government corporate entity, CSIRO, that helps bring technology to Australian companies.

Biomedical printing has been in the news quite a bit lately and we’ve covered CT scan to 3D model conversions more than once. Is this the dawn of the age of the cyborg? Maybe it’s really mid morning. Many people walk around with pacemakers, Vagus nerve stimulators, and plenty of more conventional titanium hardware in them now.

While the ethics of replacing a cancer patient’s rib cage is pretty clear, the real issue will be when people want enhancements just for the sake of it (think of the controversy surrounding runners with prosthetic legs, for example). It might seem far-fetched, but as replacements become better than originals, some people will want to opt for replacements for perfectly good body parts.

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Virtual Physical Rehab with Kinect

Web sites have figured out that “gamifying” things increases participation. For example, you’ve probably boosted your postings on a forum just to get a senior contributor badge (that isn’t even really a badge, but a picture of one). Now [Yash Soni] has brought the same idea to physical therapy.

[Yash]’s father had to go through boring physical therapy to treat a slipped disk, and it prompted him into developing KinectoTherapy which aims to make therapy more like a video game. They claim it can be used to help many types of patients ranging from stroke victims to those with cerebral palsy.

Patients can see their onscreen avatar duplicate their motions and can provide audio and visual feedback when the player makes a move correctly or incorrectly. Statistical data is also available to the patient’s health care professionals.

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Husband Uses MRI images to 3D print Wife’s Skull and Tumor

[Michael Balzer] shows us that you are your own best advocate when it comes to medical care – having the ability to print models of your own tumors is a bonus. [Michael’s] wife, Pamela, had been recovering from a thyroidectomy when she started getting headaches. She sought a second opinion after the first radiologist dismissed the MRI scans of her head – and learned she had a 3 cm tumor, a meningioma, behind her left eye.  [Michael], host of All Things 3D, asked for the DICOM files (standard medical image format) from her MRI.  When Pamela went for a follow-up, it looked like the tumor had grown aggressively; this was a false alarm. When [Michael] compared the two sets of DICOM images in Photoshop, the second MRI did not truly show the tumor had grown. It had only looked that way because the radiologist had taken the scan at a different angle! Needless to say, the couple was not pleased with this misdiagnosis.

However, the meningioma was still causing serious problems for Pamela. She was at risk of losing her sight, so she started researching the surgery required to remove the tumor. The most common surgery is a craniotomy: the skull is sawed open and the brain physically lifted in order to access the tumor below it. Not surprisingly, this carries a high risk of permanent damage to any nerves leading to loss of smell, taste, or sight if the brain is moved the wrong way. Pamela decided to look for an alternative surgery that was less invasive. [Michael] created a 3D print of her skull and meningioma from her MRIs. He used InVesalius, free software designed to convert the 2D DICOM files into 3D images. He then uploaded the 3D rendered skull to Sketchfab, sharing it with potential neurologists. Once a neurologist was found that was willing to consider an alternative surgery, [Michael] printed the skull and sent it to the doctor. The print was integral in planning out the novel procedure, in which a micro drill was inserted through the left eyelid to access the tumor. In the end, 95% of the tumor was removed with minimal scarring, and her eyesight was spared.

If you want to print your own MRI or CT scans, whether for medical use or to make a cool mug with your own mug, there are quite a few programs out there that can help. Besides the aforementioned InVesalius, there is DeVIDE, Seg3D, ImageVis3D, and MeshLab or MeshMixer.