Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key...

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Human-Centered Design of Medical Devices for Global Users Beth Kolko, PhD Professor, Department of Human Centered Design & Engineering University of Washington Seattle, USA

Transcript of Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key...

Page 1: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

Human-Centered Design of Medical Devices for Global Users Beth Kolko, PhD Professor, Department of Human Centered Design & Engineering University of Washington Seattle, USA

Page 2: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

HCD as Research Methodology and Institutional Strategy

> HCD is a powerful toolset to view the world

> HCD provides visibility into power dynamics

> HCD uncovers contextual pressures

> HCD is well proven as a tool for product & service design

However, we need more than products.

> Impact depends on what comes next: manufacturing,

regulatory approvals, reaching customers

> Sustainable innovations must be able to scale while

maintaining commitments to driving ideals and goals

HCD can help get us there.

Leveraging the full potential of HCD

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Background: Academic Projects

Page 4: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

HCD as a Framework for Product and Service Design

Bottom-up engagement throughout the process

> Initial user research which provides a 360° assessment > Stakeholder engagement via partnership or direct collaboration

> User interviews that are iterative and qualitatively analyzed

> Observations in the field which can inform quantitative assessments

> Design sketches to produce an initial

> Rapid iteration and generating multiple possibilities (Yes, and)

> Different modalities/technologies

> Wizard-of-Oz usability/mockups > Enable quick feedback loops

> Prototype development

> Usability research > Enable quick feedback loops, considering user response and

contextual issues, acceptability by users, etc.

Page 5: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

Traditional Medical Device Design Approaches

Design methodologies driven by top-down frameworks

> Intellectual property “moats” > Barriers to competition

> Market prioritization

> Reimbursement-driven device development

> Device innovation built around fee schedules, not technology costs

> Narrow market applicability to ease product introduction > Focus on clinical indication to engage KOLs, etc.

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Navigating the Cultural Gap Between HCD and Global Health

Global health is tied to Public Health and relies on articulated goals and

agendas

HCD is by definition a bottom-up approach

that engages with multiple user communities

Negotiating top-down and bottom-up practices to achieve shared goals

Page 7: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

Using Bottom-Up Approaches After the Prototype

> Moving from prototype to product to market requires

ongoing compromise

> For global health, HCD can help maintain focus on the

ultimate goal and guide decision-making

> Tradeoffs during commercialization are inevitable

> Who guides the choices? What are their goals? How do

we keep focus on users? Approaching commercialization as a university researcher

Approaching commercialization as an industry entity

Building a great product isn’t enough

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Using HCD to Drive Innovation through the Valley of Death and the Trough of Sorrow

Trough of Sorrow

Valley of Death

Source: Paul Graham

Page 9: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

Scale is Non-negotiable

> Great products don’t scale. Great organizations do.

> Impact relies on reaching your stakeholders. Which stakeholder is more important? The clinician? The patient?

The policymaker?

Many shades of sustainability

Page 10: Human-Centered Design of Medical Devices for …Human Centered Design Beyond Products > Key takeaways: • Closing healthcare gaps requires attention not just to the devices we build,

An HCD Approach for a Hypothetical Device

> Device manufacturability

> Pricing

> Durability and replacement cycles

> Consumables as part of a business model

> Procurement processes

> Clinical evidence

> Regulatory approvals

> Patent applications

> Distribution strategy

> Packaging

> Local sourcing and/or manufacturing

> Maintenance and support schedules

> Training programmes

How do we decide:

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Some Decisions Made

> Device manufacturability

> Clinical evidence

> Durability and replacement cycles

> Procurement processes

> Distribution strategy

> Local sourcing and/or manufacturing

> Maintenance and support schedules

> Training programmes

How is HCD used throughout the process

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Human Centered Design Beyond Products

> Key takeaways: • Closing healthcare gaps requires attention not just to the

devices we build, but how we share them with patients and

clinicians around the world.

• Devices brought to market using HCD principles are more likely

to succeed in the field and have greater value to end users.

• Looking for partners who integrate HCD into business models

as well as device design can increase long-term impact.

Going from prototype to scale requires ongoing commitment to HCD

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Disclosures

> I am a Professor at the University of Washington. My

participation in this presentation has been paid for with

university related funds.

> Some of the research reported here is the result of first-

hand experience in the course of my work as CEO of a

medical device startup. I receive compensation in that

role, although it is unrelated to the research reported

here.