Abstract
Medical technology has transformed the practice of medicine and patient care, with a wide set of relevant breakthroughs achieved during the last decades. However, in many cases, medical technology is developed in secrecy, and patients’ or medical professionals’ needs are considered as a minor part of the decision-making process, instead of being driven by relevant emergent social needs. In contrast with the biomedical industry, many product fields are now involving stakeholders and future users, since the beginning of the product development process, embracing the new paradigm of “open innovation” and showing interesting results in terms of improved performance, safety, and costs, among others. However, healthcare industry is still reluctant to taking advantage of the enormous potentials of open-source and collaborative approach toward a social development of medical devices. In order to highlight the potentials of open-source and collaborative engineering and design approaches for the future of biomedical industry and to help with its transformation, this chapter is focused on: (1) adequately defining the concept of open-source medical device (OSMD) and its boundaries, (2) presenting pioneering cases of success in the OSMD field and discussing their relevance, and (3) introducing the UBORA e-infrastructure and community, as key initiative in the field. This chapter serves also as an introduction to the whole handbook and to the more relevant concepts employed along this work.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Ahluwalia, C., De Maria, A., & Lantada, D. (2018). The Kahawa Declaration: A manifesto for the democratization of medical technology. Global Health Innovation, 1(1), 1–4.
Alves, A. P., Da Silva, H. P., Lourenco, A., & Fred, A. L. N. (2006). BITalino: A biosignal system acquisition based on Arduino. Proceeding of the 6th Conference on Biomedical Electronics and Devices (BIODEVICES), 2006.
Arcarisi, L., Di Pietro, L., Carbonaro, N., Tognetti, A., Ahluwalia, A., & De Maria, C. (2019). Palpreast: A new wearable device for breast self-examination. Applied Sciences, 9, 381.
Atala, A., & Joo, J. J. (2015). Essentials of biofabrication and translation. Elsevier.
Debian project. Debian Social Contract (version 1.1 ratified on April 26, 2004). Online, last access to web in May 2019. https://www.debian.org/social_contract.en.html.
De Maria, C., Di Pietro, L., Lantada, A. D., Madete, J., Makobore, P. N., Mridha, M., … Ahluwalia, A. (2018). Safe innovation: On medical device legislation in Europe and Africa. Health Policy and Technology, 7(2), 156–165.
De Maria, C., Di Pietro, L., Ravizza, A., Diaz Lantada, A., & Ahluwalia, A. (2020). Open source medical devices. In E. Iadanza (Ed.), Clinical engineering handbook. Elsevier., ISBN: 9780128134672.
De Maria, C., Mazzei, D., & Ahluwalia, A. (2015). Improving African health care through open source Biomedical Engineering. International Journal on Advances in Life Sciences, 7(1), 10–19.
Douglas, T. S. (2011). Biomedical engineering education in developing countries: Research synthesis. IEEE-EMBC.
e-NABLE Community. Enabling the future: A passionate network of volunteers using 3D printing to give the World a helping hand. Online, last access to web in May 2019. http://enablingthefuture.org.
European Society of Radiology (ESR). (2015). Medical imaging in personalised medicine: A white paper of the research committee of the European Society of Radiology (ESR). Insights into Imaging, 6(2), 141–155.
Fasterholdt, I., Lee, A., Kidholm, K., Yderstraede, K. B., & Pedersen, K. M. (2018). A qualitative exploration of early assessment of innovative medical technologies. BMC Health Services Research, 18, 837.
Ferretti, J., Di Pietro, L., & De Maria, C. (2017). Open-source automated external defibrillator. HardwareX, 2, 61–70.
Freeman, K., Dinnes, J., Chuchu, N., Takwoingi, Y., Bayliss, S. E., Matin, R. N., ... & Deeks, J. J. (2020). Algorithm based smartphone apps to assess risk of skin cancer in adults: Systematic review of diagnostic accuracy studies. BMJ, 368.
Gallup, N., Bow, J. K., & Pearce, J. M. (2018). Economic potential for distributed manufacturing of adaptive aids for arthritis patients in the U.S. Geriatrics, 3(4), 89.
Gao, J., & Bernard, A. (2017). An overview of knowledge sharing in new product development. International Journal of Advanced Manufacturing Technology, 94(5–8), 1545–1550.
Gamma Cardio Soft S.r.l. Open source ECG. Online, last access to web in May 2019. http://www.gammacardiosoft.it/openecg/.
Ghezzi, T. L., & Corleta, O. C. (2016). 30 years of robotic surgery. World Journal of Surgery, 40(10), 2550–2557.
Gershenfeld. (2005). Fab: The coming revolution on your desktop-from personal computers to personal fabrication. Basic Books.
Kassianos, A. P., Emery, J. D., Murchie, P., & Walter, F. M. (2015). Smartphone applications for melanoma detection by community, patient and generalist clinician users: A review. British Journal of Dermatology, 172, 1507–1518.
Jamshidnezhad, A., Kabootarizadeh, L., & Hoseini, S. M. (2019). The effects of smartphone applications on patients self-care with hypertension: A systematic review study. Acta Informatica Medica, 27(4), 263.
Lanza, R., Langer, R., & Vacanti, J. (2014). Principles of tissue engineering (4th ed.). Elsevier.
Lessig, L., Cusumano, M., & Shirky, C. (2005). Perspectives on free and open source software. MIT Press.
Malkin, R. A. (2007a). Design of health care technologies for the developing world. Annual Review of Biomedical Engineering, 9, 567–587.
Malkin, R. A. (2007b). Barriers for medical devices for the developing world. Expert Review of Medical Devices, 4(6), 759–763.
MIT’s SANA project. (2020). Medical diagnostics over mobile phones. SANA site in GitHub. https://github.com/sanamobile.
Moroni, L., Boland, T., Burdick, J. A., De Maria, C., Derby, B., Forgacs, G., … Mota, C. (2018). Biofabrication: A guide to technology and terminology. Trends in biotechnology, 36(4), 384–402.
Ng, P. K., & Jee, K. S. (2014). Concurrent knowledge sharing and its importance in product development. Journal of Applied Sciences, 14, 2978–2985.
Niezen, G., Eslambolchilar, P., & Thimbleby, H. (2016). Open-source hardware for medical devices. BMJ Innovations, 2, 78–83.
Oliveira, P., et al. Patient innovation: Sharing solutions, improving lifes. Online, last access to web in May 2019. https://patient-innovation.com.
Open Bionics. Online, last access to web in May 2019. https://openbionics.com/.
Open Prosthetics. Online, last access to web in May 2019. https://openprosthetics.org/.
Open source initiative. Open source definition. Online, last access to web in May 2019. https://opensource.org/docs/definition.php.
Open source hardware association. Open source hardware definition. Online, last access to web in May 2019. https://www.oshwa.org/definition/.
Pearce, J. M. (2014a). Open-source lab: How to build your own hardware and reduce research costs. Elsevier.
Pearce, J. M. (2014b). Laboratory equipment. Cut costs with open-source hardware. Nature (Correspondence), 505, 618.
Pearce, J. M. (2017). Emerging business models for open source hardware. Journal of Open Hardware, 1(1), 2.
Savonen, B. J., Gershenson, J., Pearce, J. M., & Bow, J. K. (2019). Open-source three dimensional printable infant clubfoot brace. Journal of Prosthetics and Orthotics. https://doi.org/10.1097/JPO.0000000000000257
UBORA: Euro-African Open Biomedical Engineering Innovation e-platform for Innovation through Education. Online, as of January 2020. https://platform.ubora-biomedical.org/.
United Nations General Assembly: Transforming our World: The 2030 Agenda for Sustainable Development, on 21 October 2015, A/RES/70/1. Online, last access to web in May 2019. https://www.un.org/sustainabledevelopment/sustainable-development-goals/.
Vlassi, M., Mavraganis, V., & Asvestas, P. (2017). A software platform for the analysis of dermatology images. Journal of Physics, Conference Series, 937, 012011.
Wilkinson, M. D., et al. (2016). Comment: The FAIR Guiding Principles for scientific data management and stewardship. Scientific Data, 3, 160018., 1–9.
World Health Organization. (2010a). Medical devices: Managing the mismatch: An outcome of the priority medical devices project. World Health Organization.
World Health Organization. (2010b). Barriers to innovation in the field of medical devices (Background paper 6). World Health Organization.
Witchurch, A. Examples of open source medical devices. Protocentral site in GitHub. Online, last access to web in May 2019. https://github.com/Protocentral/.
Acknowledgments
This study has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No. 731053, UBORA: Euro-African Open Biomedical Engineering e-Platform for Innovation through Education (topic: INFRASUPP-03-2016-Support to policies and international cooperation for e-infrastructures).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
De Maria, C., Díaz Lantada, A., Di Pietro, L., Ravizza, A., Ahluwalia, A. (2022). Open-Source Medical Devices: Concept, Trends, and Challenges Toward Equitable Healthcare Technology. In: Ahluwalia, A., De Maria, C., Díaz Lantada, A. (eds) Engineering Open-Source Medical Devices. Springer, Cham. https://doi.org/10.1007/978-3-030-79363-0_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-79363-0_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-79362-3
Online ISBN: 978-3-030-79363-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)