WHO | Sun PM LP 1 Rabbani
24
Importance of indigenous R&D and manufacture of medical devices Prof K Siddique-e Rabbani DEPT OF BIOMEDICAL PHYSICS & TECHNOLOGY University of Dhaka, Bangladesh President, Bi-BEAT Ltd. President, Relevant Science & Technology Society, Bangladesh President, Bangladesh Medical Physics Association Email: [email protected] www.bmpt.du.ac.bd www.bibeat.com 2 nd WHO Global Forum on Medical Devices, 22-24 Nov, 2013, Geneva
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[Read-Only]Importance of indigenous R&D and manufacture of
medical devices
Prof K Siddique-e Rabbani
University of Dhaka, Bangladesh
Email: [email protected] www.bmpt.du.ac.bd www.bibeat.com
2nd WHO Global Forum on Medical Devices, 22-24 Nov, 2013, Geneva
X-Ray & ECG invented more than 100 years back. How many of the global population get the benefits today?
80% of global Population living in Low Resource Countries (LRC) ARE DEPRIVED of modern technology, Particularly of medical devices.
80%
What do we want ?: Modern medical devices should benefit the whole of the Global population
Existing commercial model has failed
What is the Existing Model ?
R&D and Innovation Patent Production in a few HRC*
Very strict & Expensive testing requirements High profit
global distribution at very high price
• HRC: High Resource Country
WILL NOT HAPPEN
THROUGH THIS MODEL
A. UNAFFORDABLE Reasons?
3. Continuous R&D (improvement & competition)
4. Very high R&D manpower cost in HRC
5. High Patent costs
6. High cost for Quality test certificates (due to very strict conditions and again, high manpower cost)
7. High profit margin
Failure of existing model
B. NOT SUSTAINABLE, INTERRUPTED SERVICE Reasons?
1. Even if equipment procured, maintenance and repair extremely difficult.
2. Equipment thrown away on malfunction, even new or after a few months / years of use.
3. Lack of technical expertise is there, but not the main reason
i. Lack of spares, difficulty/ high expense in importing
ii. Technical details not supplied, commercial secrecy
iii. Recent use of computer and microcontroller more secrecy, local repair impossible, even with expertise.
iv. Technology gap is widening, difficult to bridge the gap.
Solution
People with necessary Engineering knowledge available
Needs only a twist in education and training for design
and manufacture
2. Equipment can be used for lifetime, decades
3. Availability of technical expertise
4. Availability of spares
6. Contribute to bridging of technological gap
Bangladesh Experience in
developing capability for
Computerised EMG/EP equipment Expertise gained through a UK link
First computerised equipment made in Bangladesh (1986-88)
First nerve conduction service in Bangladesh (1988)
Main equipment:
Iontophoresis equipment (Anti Sweat)
Treatment of excessive sweating of palms and soles (since 1990’s)
Over 18 years: Hundreds of units being used by patients at home
Muscle & Nerve StimulatorMuscle & Nerve Stimulator For physiotherapy (since 1990’s)
Many units sold over last 18 years Users include: Hospitals, Clinics,
Physiotherapists, patients
Helps prevent leg amputation for diabetics
First set up in a
neighbouring country 3
Bangladesh
Qualified doctors not available in rural areas
Technicians available
Telemedicine via
Expert Centre
(in towns)
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Improvised Digital Stethoscope Real time sound transmission
A microphone insert is fixed at a cut end of the rubber tube of a commercial stethoscope
Telemedicine We developed both hardware equipment and software
Digital ECG, designed from scratch Real time signal transmission
Real time data transmission
Improvised Digital Microscope
Telemedicine
Digital X-Ray View Box
Bangladesh has 800 Rural health complexes with Microscopes, X-ray machines and technicians - but no qualified Pathologists or Radiologists
A simple Prosthetic hand that can write & solderA simple Prosthetic hand that can write & solder Improvised using a hand of a ‘Mannequin’ Cost: about £20, with service, about US $50
The girl can write, type, and solder electronic circuits, making her self- dependent.
Lifelike hand gave her self-esteem back
At US $3 to $5, heats 5L to
10L water to more than
600C in 1½ to 2 hours in
clear sun. Destroys
added UV contribution.
tropical countries
Very Low cost, easily available raw materials, simple technology
Survival kit (for disasters, emergencies)
Life Roll
4 inflatable chambers – One for water, 3 for air (blown by mouth)
1½ to 2 hours in clear sushine will destroy diarrhoeal germs
Support equipment:
Voltage Protector – protects equipment including medical devices even if 440V appears on 220V line!! Successful commercialisation of a entirely new product, since 1989.
(It really happens!
A simple fault, arising out of casual behaviour, widespread in LRCs cause this)
Built-in Stabilisation, surge suppression
The innovator can rectify errors quickly after marketing.
The innovator can think of new products that are cost effective, technically feasible
Thus can keep up in business competition too
Such industries can grow quickly
They know value of R&D and patience
Can absorb and utilise inventions of future innovators (as in the West now)
Therefore programmes should target science & Engineering graduates, available in LRCs
New Lesson from experience:
People to get the power and capability themselves
We plan to teach technology,
manufacture and entrepreneurship to
ask them to produce the equipment in
their own country and sell
website: www.bmpt.du.ac.bd
Thank You
Prof K Siddique-e Rabbani
University of Dhaka, Bangladesh
Email: [email protected] www.bmpt.du.ac.bd www.bibeat.com
2nd WHO Global Forum on Medical Devices, 22-24 Nov, 2013, Geneva
X-Ray & ECG invented more than 100 years back. How many of the global population get the benefits today?
80% of global Population living in Low Resource Countries (LRC) ARE DEPRIVED of modern technology, Particularly of medical devices.
80%
What do we want ?: Modern medical devices should benefit the whole of the Global population
Existing commercial model has failed
What is the Existing Model ?
R&D and Innovation Patent Production in a few HRC*
Very strict & Expensive testing requirements High profit
global distribution at very high price
• HRC: High Resource Country
WILL NOT HAPPEN
THROUGH THIS MODEL
A. UNAFFORDABLE Reasons?
3. Continuous R&D (improvement & competition)
4. Very high R&D manpower cost in HRC
5. High Patent costs
6. High cost for Quality test certificates (due to very strict conditions and again, high manpower cost)
7. High profit margin
Failure of existing model
B. NOT SUSTAINABLE, INTERRUPTED SERVICE Reasons?
1. Even if equipment procured, maintenance and repair extremely difficult.
2. Equipment thrown away on malfunction, even new or after a few months / years of use.
3. Lack of technical expertise is there, but not the main reason
i. Lack of spares, difficulty/ high expense in importing
ii. Technical details not supplied, commercial secrecy
iii. Recent use of computer and microcontroller more secrecy, local repair impossible, even with expertise.
iv. Technology gap is widening, difficult to bridge the gap.
Solution
People with necessary Engineering knowledge available
Needs only a twist in education and training for design
and manufacture
2. Equipment can be used for lifetime, decades
3. Availability of technical expertise
4. Availability of spares
6. Contribute to bridging of technological gap
Bangladesh Experience in
developing capability for
Computerised EMG/EP equipment Expertise gained through a UK link
First computerised equipment made in Bangladesh (1986-88)
First nerve conduction service in Bangladesh (1988)
Main equipment:
Iontophoresis equipment (Anti Sweat)
Treatment of excessive sweating of palms and soles (since 1990’s)
Over 18 years: Hundreds of units being used by patients at home
Muscle & Nerve StimulatorMuscle & Nerve Stimulator For physiotherapy (since 1990’s)
Many units sold over last 18 years Users include: Hospitals, Clinics,
Physiotherapists, patients
Helps prevent leg amputation for diabetics
First set up in a
neighbouring country 3
Bangladesh
Qualified doctors not available in rural areas
Technicians available
Telemedicine via
Expert Centre
(in towns)
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Rural Centre
Improvised Digital Stethoscope Real time sound transmission
A microphone insert is fixed at a cut end of the rubber tube of a commercial stethoscope
Telemedicine We developed both hardware equipment and software
Digital ECG, designed from scratch Real time signal transmission
Real time data transmission
Improvised Digital Microscope
Telemedicine
Digital X-Ray View Box
Bangladesh has 800 Rural health complexes with Microscopes, X-ray machines and technicians - but no qualified Pathologists or Radiologists
A simple Prosthetic hand that can write & solderA simple Prosthetic hand that can write & solder Improvised using a hand of a ‘Mannequin’ Cost: about £20, with service, about US $50
The girl can write, type, and solder electronic circuits, making her self- dependent.
Lifelike hand gave her self-esteem back
At US $3 to $5, heats 5L to
10L water to more than
600C in 1½ to 2 hours in
clear sun. Destroys
added UV contribution.
tropical countries
Very Low cost, easily available raw materials, simple technology
Survival kit (for disasters, emergencies)
Life Roll
4 inflatable chambers – One for water, 3 for air (blown by mouth)
1½ to 2 hours in clear sushine will destroy diarrhoeal germs
Support equipment:
Voltage Protector – protects equipment including medical devices even if 440V appears on 220V line!! Successful commercialisation of a entirely new product, since 1989.
(It really happens!
A simple fault, arising out of casual behaviour, widespread in LRCs cause this)
Built-in Stabilisation, surge suppression
The innovator can rectify errors quickly after marketing.
The innovator can think of new products that are cost effective, technically feasible
Thus can keep up in business competition too
Such industries can grow quickly
They know value of R&D and patience
Can absorb and utilise inventions of future innovators (as in the West now)
Therefore programmes should target science & Engineering graduates, available in LRCs
New Lesson from experience:
People to get the power and capability themselves
We plan to teach technology,
manufacture and entrepreneurship to
ask them to produce the equipment in
their own country and sell
website: www.bmpt.du.ac.bd
Thank You
