Glia Is Making Open Medical Devices, And You Can Help

The Glia project aims to create a suite of free and open-source medical equipment that can be assembled cheaply and easily when and where it’s needed. Even essential tools like stethoscopes and tourniquets can be difficult to acquire in certain parts of the world, especially during times of war or civil unrest. But armed with a 3D printer and the team’s open-source designs, an ad-hoc factory can start producing these lifesaving tools anywhere on the planet.

Glia member [Tarek Loubani] has recently written a blog post discussing the team’s latest release: an otoscope that can be built for as little as $5. Even if you don’t recognize the name, you’ve almost certainly seen one of them in use. The otoscope is used to look inside the ear and can be invaluable in diagnosing illnesses, especially in children. Unfortunately, while this iconic piece of equipment is quite simple on a technical level, professional-quality versions can cost hundreds of dollars.

Now to be fair, you’ll need quite a bit more than just the 3D printed parts to assemble the device. The final product requires some electrical components such as a battery holder, rocker switch, and LED. It also requires a custom lens, though the Glia team has thought ahead here and provided the files for printable jigs that will allow you to cut a larger lens down to the size required by their otoscope. In a situation where you might have to improvise with what you have, that’s a very clever design element.

So far the team is very happy with how the otoscope performs, but they’ve run into a bit of a logistical snag. It turns out that early work on the project was done in the web-based TinkerCAD, which isn’t quite in line with the team’s goals of keeping everything free and open. They’d like some assistance in recreating the STLs in FreeCAD or OpenSCAD so they’re easier to modify down the road. So if you’re a FOSS CAD master and want to earn some positive karma, head over to the GitHub page for the project and put those skills to use.

We’ve previously covered Glia’s work with 3D printed tourniquets to treat gunshot wounds, a project that led to [Tarek] himself being shot by a sniper while attempting to field test the design in Gaza. If that’s not commitment to the principles of open-source hardware, we don’t know what is.

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Meet Tympan, The Open Hardware Hearing Aid

If you’re the kind of person who’s serious about using open source software and hardware, relying on a medical device like a pacemaker or an insulin pump can be a particular insult. You wouldn’t trust the technology with your email, and yet you’re forced to put your life into the hands of a device you can’t examine yourself. Unfortunately we don’t (yet) have any news to report on open source pacemakers, but at least now there’s an open software and hardware hearing aid for those who need it.

The Tympan project aims to develop a fully open source hearing aid that you can not only build yourself, but expand and modify to fit your exact specifications. Ever wanted to write code for your hearing aid with the Arduino IDE? No problem. You want Bluetooth, I2C, and SPI? You got it. In truth we’re not sure what this kind of technology makes possible just yet, but the point is that now those who want to hack their hearing aids have a choice in the matter. We have no doubt the community will come up with incredible applications that we can’t even begin to imagine.

But these open hearing aids aren’t just hackable, they’re affordable. Traditional hearing aids can cost thousands of dollars, but you can buy the Tympan right now for $250. You don’t even need to check with your health insurance first. Such a huge reduction in price means there’s a market for these outside the hardware hacking crowd, and yet another example of how open source can put cutting edge technology into the hands of those who would otherwise have to go without.

The latest version of the Tympan hardware, revision D, is powered by the Teensy 3.6 and features a Sierra Wireless BC127 Bluetooth radio, dual MEMS microphones, and even a microSD slot for recording audio or logging data. It might be a bit bigger than the traditional hearing aids you’re used to seeing, but with an external microphone and headphone setup, the wearer could simply keep it in their pocket.

We’ve seen DIY hearing aids before, but unless you’re willing to carry a breadboard around with you, they’ve generally been limited to proof of concept sort of builds. We’re glad to see a mature project like Tympan join the growing movement for open source medical hardware; it’s a another big step forward towards democratizing these critical pieces of technology.

3D Printed Stethoscope Makes The Grade

On the off chance that initiatives like the Hackaday Prize didn’t make it abundantly clear, we believe strongly that open designs can change the world. Putting technology into the hands of the people is a very powerful thing, and depending on where you are or your station in life, can quite literally mean the difference between life and death. So when we saw that not only had a team of researchers developed a 3D printable stethoscope, but released everything as open source on GitHub, it’s fair to say we were pretty interested.

The stethoscope has been in development for several years now, but has just recently completed a round of testing that clinically validated its performance against premium brand models. Not only does this 3D printed stethoscope work, it works well: tests showed its acoustic performance to be on par with the gold standard in medical stethoscopes, the Littmann Cardiology III. Not bad for something the researchers estimate can be manufactured for as little as $3 each.

All of the 3D printed parts were designed in OpenSCAD (in addition to a Ruby framework called CrystalSCAD), which means the design can be evaluated, modified, and compiled into STLs with completely free and open source tools. A huge advantage for underfunded institutions, and in many ways the benchmark by which other open source 3D-printable projects should be measured. As for the non-printed parts, there’s a complete Bill of Materials which even includes links to where you can purchase each item.

The documentation for the project is also exceptional. It not only breaks down exactly how to print and assemble the stethoscope, it even includes multi-lingual instructions which can be printed out and distributed with kits so they can be assembled in the field by those who need them most.

From low-cost ultrasounds to truly personalized prosthetics, the future of open source medical devices is looking exceptionally bright.

[Thanks to Qes for the tip]

Making The Case For Open Source Medical Devices

Engineering for medical, automotive, and aerospace is highly regulated. It’s not difficult to see why: lives are often at stake when devices in these fields fail. The cost of certifying and working within established regulations is not insignificant and this is likely the main reason we don’t see a lot of work on Open Hardware in these areas.

Ashwin K. Whitchurch wants to change this and see the introduction of simple but important Open Source medical devices for those who will benefit the most from them. His talk at the Hackaday Superconference explores the possible benefits of Open Medical devices and the challenges that need to be solved for success.

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Shockingly, DARPA’s Brain Stimulator Might Not Be Complete Nonsense

Where does your mind jump when you hear the mention of electroshock therapy? The use of electrical current to treat various medical conditions has a long and controversial history. Our fascination with the medical applications of electricity have produced everything from the most alarming of patent medicines to life-saving devices like pacemakers and the Automatic External Defibrillator.

The oldest reference I could find is the use of the torpedo fish to allegedly cure headaches, gout, and so on in 43 CE. Incidentally, Torpedo torpedo is an awesome species name.

Dosage: Apply live fish as needed to face? Source

Much more recently, there has been interest in transcranial direct current stimulation (tDCS). In essence, it’s a technique by which you pass an electrical current (typically about 2 milliamps) between strategically positioned electrodes on your head. The precise reason to do this is a bit unclear; different journal articles have suggested improvements in cognition, learning, and/or the potential treatment of various diseases.

I think most of us here spend a lot of time studying. The idea that a simple, noninvasive device can accelerate that is very attractive. We’ve covered a few people building their own such devices.

Unfortunately, what we want to be true is irrelevant. Superficially, this looks like a DARPA-funded panacea with no clearly established mechanism of action. Various commercial products are being sold that imply (but as usual, don’t directly state) that tDCS is useful for treating pretty much everything, with ample use of ‘testimonials’.

While tDCS can be prescribed by a physician in some countries to complement a stroke rehabilitation regime, for off-label purposes you may as well just go apply a fish to your face. Let’s dig into the literature and products that are out there and see if we can find the promise hiding amidst the hype.

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Nurses Create In A Medical Makerspace

Although there are many skilled and dedicated types of health care professionals, nurses are often the main point of contact between the medical establishment and a patient. You will probably spend more time with your nurse–especially in a hospital setting–than any other health care provider. Every patient’s needs are different, so it isn’t surprising that nurses sometimes improvise unique solutions to help their patients be more comfortable or recover faster.

That’s the idea guiding an innovative program called MakerNurse–an initiative backed by MIT and the Robert W. Johnson Foundation. The idea is to encourage nurses to be makers. One of the project’s cofounders, Anna Young, had found nurses in Central America making do with what they had on hand and naturally acting as makers. “We saw a nurse repair a stethoscope diaphragm with an overhead transparency,” she said. Young noted that often nurses didn’t realize the significance of their making–it was just how they got through the day.

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MobilECG Goes Open Source

After a failed crowdfunding campaign, MobilECG has gone open source. MobilECG is a medical grade 12 lead electrocardiograph. A 12 lead system is quite a bit more complex than some of the ECG systems we have featured in the past.  [Péter], the founder and designer of the device attempted to fund it through an Indiegogo campaign. While MobilECG is relatively cheap, medical certifications are not. The campaign didn’t reach its goal of $230,000 USD. [Péter] tried again with a grass-roots donation round at his website. That round also fell short of [Péter’s] goal to keep working on the project. Rather than let his hard work go to waste, [Péter] has made the decision to release his hardware and software to the community. The hardware is licensed under CERN OHL v1.2. The software is released under the humorously named WTFPL.

While we’re not ECG experts, the basic hardware design appears to be sound. MobileECG is based around the Texas Instruments ADS1278 octal analog to digital converter. Two AVR microcontrollers are used, an ATTiny24, and an ATUC64. The analog design incorporates such niceties as lead off detection and defibrillator protection. It should be noted that there are some known bugs in the design, [Péter] mentions he can be contacted with questions. The software seems to be in an early state, and would require quite a bit of work to get it to a final design. While we do wish [Péter] had better luck with his campaign, we’re always glad to see designs released into the open source community.

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