Sweden @`OpenLab MedTec`

# Välkommen! --- Open-Source MedTec i Hamburg ---  <img src="https://gitlab.com/openlab-medtec/lab-logo/uploads/e519f3e851b4aeb9d765d7eda3b3072f/OpenLab-MedTec_Logo-HSU-mono-red.svg" style="border: none;background: none;box-shadow:none" height="600"> ---  <img src="https://cloud.opensourceecology.de/s/ysTjNTSSZNTRnR7/preview" style="border: none;background: none;box-shadow:none" height="300"> ---  <img src="https://upload.wikimedia.org/wikipedia/commons/b/b4/Physikalisch-Technische_Bundesanstalt_2013_logo.png" style="border: none;background: none;box-shadow:none" height="300"> --- ## Agenda --- 1. What & Why Open-Source Hardware 2. Open Source Imaging Initiative 3. ~~OpenLab MedTec~~ 4. Q&A --- These slides are, of course, also open-source: Feel free to use, copy, modify, remix or distribute under [CC BY-SA 4.0](https://creativecommons.org/licenses/by-sa/4.0/legalcode). [17.05.2024 - Martin Häuer] --- # Open-Source Hardware --- What is it, why we do it and how to make business with it --- ## What is open-source? --- **= shared knowledge/technology that allows anyone to:** - study/use - modify - (re-)distribute & sell …granted by non-discriminatory, irrevocable open-source licenses --- ## This sounds much like Wikipedia <img src="https://media.giphy.com/media/v1.Y2lkPTc5MGI3NjExNXJwejBvMnBsNW10MGljanY3OG84YmVubmN5eGJicWF4OWdmejFycSZlcD12MV9pbnRlcm5hbF9naWZfYnlfaWQmY3Q9Zw/EhMBTkzHqufcGdpKHw/giphy.gif" style="border: none;background: none;box-shadow:none" height="300"> --- ![](https://upload.wikimedia.org/wikipedia/commons/3/3a/Tux_Mono.svg =214x258) | | | | ----- | -------------------- | | 100 % | supercomputers | | 95 % | servers (top 1 Mio.) | | 75 % | mobile devices | | 70 % | embedded systems |  Note: - You probably heard of the largest software project of human history, the kernel of the by far most used operating system, powering xx % of all xx. - Linux. --- Proprietary software contains **40…60%** free/open source code. <div></div> No one writes software from scratch today. <div></div> The same can/will happen for hardware.  Note: And not only that: [Q] What do you think is the average percentage of open source code in proprietary code? --- ## What is open-source ++hardware++? --- "[…] hardware whose design is made publicly available so that anyone can study, modify, distribute, make, and sell the design or hardware based on that design." ([OSHWA](https://www.oshwa.org/definition)) Note: - That's the definition from the Open Source Hardware Association. - So no dependencies. - You are publishing design files and just anyone could build and sell the hardware. ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> ## [RepRap](https://reprap.org/) </div> Note: - Polymer-3D-Druck existiert seit den 80ern (zu teuer, zu klobig) - Anfang der 2000er liefen die meisten Patente ab - Desktop-Version an der University of Bath - Bereitstellung der techn. Dokumentation unter Open-Source-Lizenz; und dann ist das hier passier: ---   Note: - Auschnitt zeigt etwa ¼ des Gesamt-"Stammbaumes" - …und auch nur bis 2012 - Prusa Mendel ist oben rechts im Bild ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> ## [Glia Stethoscope](https://github.com/GliaX/Stethoscope) </div> Note: - herstellbar zu ~5€ - selbe Leistungsfähigkeit wie das Littmann Cardiology III (300€) - hält eine Kanadische "Medical Devices Establishment Licence [to] manufacture for distribution" - entwickelt für die humanitäre Hilfe im Gaza-Krieg  ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> ## [Safecast](https://safecast.org/) </div> ![image alt](https://upload.wikimedia.org/wikipedia/en/7/77/Safecast_Tile_Map_screenshot.jpeg) Fukushima crisis response ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> ## [FOSSASAT](https://fossa.systems/fossasat-1/) </div> --- | Company | Annual Turnover (2019) | | ----------- | -------------- | | Arduino | `$` 161.9m | | Sparkfun | `$` 72.6m | | Prusa | `$` 50.2m | | … | | Note: Prusa has more than doubled in the meantime to $112m (2021)  --- ## Business perspective --- tl;dr:free infrastructure to build upon (like standards) - externalize costs (Open Compute Project, Facebook) - higher marked penetration (Android, Google) - no supplier dependencies (CERN) - headhunting (TUB report OPEN!, 2019) more [here](https://md.opensourceecology.de/p/H13RyulYw#/55) ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> ## [OSI² ONE](https://opensourceimaging.org/) </div> --- <img src="https://cloud.opensourceecology.de/s/8848BFLFgFZwjPo/preview" style="border: none;background: none;box-shadow:none" height="600"> --- ## System Specifications --- - $B_0=50mT$ → low-field system - $Ø=30cm$ → scan head & extremities - mobile system (battery-powered) - material costs = 20…30 k€ (rebuild in Uganda ≈ 24.000 €) ++open source++ https://gitlab.com/osii/ --- ## Applications --- yet to be evaluated ++Goal:++ clinical in-vivo imaging\ e.g. in rural areas for remote diagnoses ++lower hanging fruits:++ - veterinary medicine - industrial (e.g. scanning fertilized eggs) - research & education (MRI scans in the seminar room!) Note: or anything where watery organic material is to be scanned and MRI has been far to expensive until now --- # Status --- of the image quality it's low-field, right? --- ### low-field vs. high-field --- ![](https://cloud.opensourceecology.de/s/YtL4wPqgPBHCRSe/preview =640x550) --- ### OSI² ONE images --- ready for your knee: <img src="https://cloud.opensourceecology.de/s/5qBxAJJxxYAdktG/preview" style="border: none;background: none;box-shadow:none" height="200"> --- ### OSI² ONE images --- …or (dead) dogs: <img src="https://cloud.opensourceecology.de/s/rEyjfzTZADSBe9k/preview" style="border: none;background: none;box-shadow:none" height="450"> --- # Status --- of the system can I buy it yet? --- ### What we have yet --- ++working prototype: OSI² ONE++ - 4 systems built (NL, DE, UG, PY), 9 more coming in 2024 [[ref]](https://www.opensourceimaging.org/2023/01/09/first-open-source-mri-scanner-presented-the-osii-one/) - fully charactarized system for AI applications (image quality and analysis) - open-source MDR certification started in Q4/23 --- ### What we ++don't++ have yet --- - official distributors _→ DIY or join the network_ - a plug'n'play system _→ operate by experts_ - guidelines for local quality management _→ take technical requirements seriously_ --- Thanks! Let's have a quick # Q&A --- ---  <div style="background-color: rgba(0, 0, 0, 0.7); color: #fff; padding: 5px;"> <img src="https://gitlab.com/openlab-medtec/lab-logo/uploads/e519f3e851b4aeb9d765d7eda3b3072f/OpenLab-MedTec_Logo-HSU-mono-red.svg" style="border: none;background: none;box-shadow:none" height="200"> Open-source MedTec straight from the clinic </div> --- ## What do we have? --- - ++on site:++ - 3D printers (FDM & SLA), - desktop CNC mill, - elektr- & mech. tools - ++partner:++ 16 OpenLabs in Hamburg \+ 3 TUs + PTB - ++global:++ open-source communty - designs, concepts - know-how, contacts --- # Example projects --- ideated, developed, built and tested in the clinic --- ## Anatomical models --- 1. ct scan of lower jaw 2. post-processing using open-source software 3. life-size 3D-printed model to prepare osteosynthesis plate 4. saved 45min in the surgery room --- ## Anatomical models --- <img src="https://cloud.opensourceimaging.org/s/6HxQjKBHPqGcEcj/preview" style="border: none;background: none;box-shadow:none" height="500"> --- ## Replacement parts --- - mount for breathing tubes breaks sometimes in daily use - replacement part not available individually - re-engineered and printed in medical resin for <6€ (vs. ~300€) --- ## Replacement parts --- <img src="https://cloud.opensourceimaging.org/s/Mw79Qnr5xPF92q2/preview" style="border: none;background: none;box-shadow:none" height="500"> --- ## Training material --- - training material for assistant physician can be outdated, unavailable or just too expensive - specialized material developed with trainers - locally producable at 2…10% of original costs - e.g. training kit for intraosseous infusions --- ## Intraosseous infusion kit --- <img src="https://cloud.opensourceimaging.org/s/c3cE6nmwgcEoSxD/preview" style="border: none;background: none;box-shadow:none" height="500"> --- ## Our vision --- - individualized patient care at low costs - local production of patient-optimized implants - cooperation with other clinics worldwide --- Thanks! Let's have a quick # Q&A ---