Home

new_emerging_tech_final 20-07-11.indd - Index of

Contents

1. Near infrared light scatters and penetrates the soft tissue well making hemoglobin a good absorber Using photo plethysmography and reflectance spectroscopy in a process similar to scanning we establish the Hb absorption pattern for the patient that is mapped against a reference set and the corresponding value displayed as an objective reading Developer s claims of product benefits Being non invasive is the biggest advantage No blood no pain no infections and instant results suggest better patient compliance compliments anaemia surveillance and door to door screening It is cost effective since it eliminates the need of consumables processes like sterilization lab and skilled Numan resource Moreover a hand crank and rechargeable battery system almost eliminate recurrent costs It simplifies reporting by having an objective read out that is easily comprehensible also by a mid wife to determine the severity of anaemia Empowers the healthcare worker by reducing dependency on experts A projected efficacy of 80 ensures its potential Operating steps The patient sits in an upright position resting the hand close to the heart level The finger is clean dried and placed in the finger probe covering the base of light emitters and receiver The patient is asked not to move or talk The device is switched on and scans for a few seconds Within a minute the result is displayed on a screen Development stage
2. Environment Of use User Family member midwife nurse physician Requirements The only requirement is that it must be possible to clean and disinfect the device before first use and between patient uses Cleaning can be performed by Maintenance Any person responsible for disinfection boiling the one piece device in water or by more advanced methods Training None required Product specifications Dimensions mm 40 x 40 x 130 List price USD 3 Weight kg 0 06 Other features Portable and reusable Consumables None Year of commercialization 2010 Life time 5 years Currently availabe in 68 countries identified by UN as focus Retail Price USD 3 countries relative to UN Millennium Contact details Ingrid L rdal Email suctiondevice gmail com Telephone 47 5151 1855 47 9514 5168 Fax 47 5152 3557 http wwwwho int medical_devices en index htm Diagnostic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Self powered pulse oximeter Country of origin United Kingdom Health problem addressed gt gt 10 8m children die every year 99 of these deaths are in developing countries and 2 7m are due to congestive diseases that result in hypoxemea Early detection of hypoxiemia is essential in reducing mortality and morbidity S O monitoring facilitates this S O mon
3. Dimensions mm 203 x 153 x 51 Other features Portable and reusable Runs on batteries Weight kg approx 0 7 kg and is compatible with telemedicine systems Consumables None Contact details Aman Midha Email screen anaemia gmail com Telephone 91 224 012 9636 htto wwwwho int medical_devices en index hAtm Prevention Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Single size contraceptive diaphragm Country of origin United States of America Health problem addressed gt gt gt Millions of women have an unmet need for family planning Existing contraceptives are not appropriate or acceptable for all women Some women cannot or do not want to use hormonal methods or intrauterine devices Diaphragms can provide safe and effective contraception but are not widely promoted for a variety of reasons Product description The diaphragm is a reusable single size cervical barrier made of medical grade silicone Its nylon spring folds easily with half the force of a standard diaphragm making it easy to insert and remove User input in the design process led to unique features such as the grip dimples and a finger dome to improve ease of handling and use Product functionality The diaphragm is inserted into the vagina before sex to cover the cervix It is used with a contraceptive gel to block s
4. Environment of use User Nurse physician technician Setting Rural health posts and health centers Training A manual and instructional DVD paired with a Requirements Occasional sunlight or access to half day training fully introduces user electricity to recharge the batteries that power the Maintenance Nurse physician technician medical devices Product specifications Dimensions mm 460 x 815 x 330 pregnancy tests gauze band aids microcapillary tubes Weight kg 18 microscope slides microscope cover slips Consumables Glucometer test strips lancets otoscope LIfe time 2 years backpack covers urinalysis test strips gloves cotton tipped Other features Portable and reusable applicators face masks tongue depressors cotton balls Contact details Maria Oden Email moden rice edu Telephone 1 713 348 4156 Fax 1 866 805 7124 htte wwwwho int medical_devices en index htm Assistive devices Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Low technology child restraint car seat Country of origin United States of America Health problem addressed gt gt gt Children travelling in a vehicle are at an increased risk for injury or death if they are unrestrained especially in low and middle income countries which account for 93 of child deaths Therefore child
5. Existing integrated optical digital devices and digital cameras requiring a computer with access to broad band internet connection are not readily available bulky complex to use and expensive especially in low resourced contexts Alternative ad hoc devices such as microscopic optical extensions of m phones and m phone to microscope connectors are unnecessary and unpractical Our solution presents a cheap appropriate option requiring only the existing microscope or other optical instrument and any camera integrated m phone with access to MMS network User friendly readily available and easy to maintain it represents an appropriate solution in most isolated settings Operating steps gt gt The image of the field under observation is taken by slowly approaching the lens of the m phone s camera to the eyepiece of the microscope or other optical instrument until a satisfactory image is shown on the screen Once taken the picture is sent as an MMS to a distant diagnostic centre for second opinion Development staga lt gt The application of the methodology to tele microscopy has been first described by Bellina L and Missoni E in 2009 Subsequent field studies Bellina L and Missoni E 2010 demonstrated its feasibility in most disadvantaged rural settings Uganda and Bangladesh Testing of further clinical applications is underway Regulatory process
6. gt Environment of use User Nurse midwife physician Requirements A compatible computer is required Visual Basic for Applications Microsoft Excel 11 0 Object Library OLE Automation Microsoft Office 11 0 Object Library Maintenance none Microsoft Forms 2 0 Object Library Microsoft Calendar Control 11 0 Training Manual 1 hour Product specifications Dimensions mm N A Year of commercialization 2010 Weight kg N A Currently sold in Available for all Consumables none Retail Price USD O List price CUSD O Contact details Dr David Cawthorpe Email cawthord ucalgary ca Telephone 1 403 955 8760 Fax http wwwwho int medical_devices en index htm Therapeutic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Ventilator using continuous positive airway pressure Country of origin Vietnam Health problem addressed gt gt Every year hundreds of thousands babies die because of respiratory failure Infant mortality could be reduced by application of CPAP relatively simple therapy addressing 90 of cases Diseases treated pneumonia apnea hypoxia and respiratory failure main cause of infant mortality worldwide Product description CPAP is one of the methods used to support infants with respiratory distress and assist them in maintaining cont
7. Training Pelvic trainer and short length of training Maintenance None Product specifications Dimensions mm 385 x 205 x NA Weight kg 0 025 Shelf life 1 year Other features Portable and single use Contact details Jorge E Odon Email odonjorge yahoo com ar Telephone 54 911 518 34205 Fax 54 114 248 7223 http wwwwho int medical_devices en index htm Maternal health Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Blood collection drape estimating postpartum blood loss Country of origin United States of America Health problem addressed gt gt gt Postpartum hemorrhage PPH is the most common cause of maternal deaths worldwide Ninety nine percent of maternal deaths occur in resource poor countries where most deliveries take place at home or in rudimentary health facilities Inaccurate blood loss estimates often delay recognition of PPH and interventions in low resource settings Product description The calibrated blood collection drape was designed to assist in estimating postpartum blood loss in low resource settings Product functionality SSS The blood collection drape consists of a funneled and calibrated collecting pouch attached to a plastic sheet that is placed under the woman s buttocks immediately after delivery Two belts attached to the upper end of the drape are
8. 1 the list of new and emerging health technologies is exhaustive or error free and or that 2 the technologies which are included in the compendium will be embodied in future editions of the compendium and or that 3 the use of the technologies listed is or will be in accordance with the national laws and regulations of any country including but not limited to patent laws and or that 4 any product that may be developed from the listed technologies will be successfully commercialized in target countries or that WHO will finance or otherwise support the develooment or commercialization of any such product WHO disclaims any and all liability and responsibility whatsoever for any injury death loss damage or other prejudice of any kind whatsoever that may arise as a result of or in connection with the procurement distribution and or use of any technology embodied in the compendium or of any resulting product and any future development thereof address global health concerns 201 Compendium of new and emerging technologies that http wwwwho int medical_devices en index html Compendium of new and emerging health technologies
9. The device does not require expertise or individual training is an easy to learn technique as insertion is easy rapid and smooth has very low production costs and is disposable Operating steps 1 Apply one of the insertion spatulas against the inner cuff on one side of the sleeve 2 Perform a sliding motion following the fetal cephalic curvature 3 Repeat steps on opposite side as well as at positions 12 and 6 o clock 4 Withdraw spatulas Pump air into the air chamber through the insufflation cannula Use the traction handle to pull until the fetal cephalic pole is extracted 5 Remove and discard the device Development stage gt gt Phase O of the research was performed in a childbirth simulator simulator S 575 Noelle at the Obstetric Simulation Laboratory in Des Moines University DMU WHO collaborating center Ilowa USA October 21 23 2008 Trials were successful Action physical mechanisms A the air clamp and B conveyor belt generated upon device placement were objectively proved in the simulator obtaining the expulsion of the cephalic pole Future work and challenges gt gt SSS The device is currently undergoing processes for regulatory approval A phase study to evaluate feasibility and safety is currently being developed in Buenos Aires Argentina Use and maintenance Environment of use User Nurse midwife physician Requirements None
10. but its most distinguishing element is the human powered electricity solution By using the well proven self oowered technology simply winding a handle will charge the batteries Each minute of winding provides about 10 minutes of monitoring time Developers came of product Derents Fetal monitoring methods in low income countries are limited to Pinard fetal stethoscopes Current availability of monitoring in the majority of primary and district care facilities in middle and especially low income countries being limited makes this monitoring unreliable The accuracy of the Pinard is without much evidence indicating improved outcomes in situations of fetal distress Doppler ultrasound fetal heart rate monitors are recommended but only 1 of these devices worldwide are available in low income countries Our device aims at a reduction in perinatal mortality and neonatal encephalopathy Operating steps The powerful narrow beam Doppler head is placed on a pregnant woman s abdomen The fetal heart rate is delivered as an audio signal and displayed as a number in beats per minute Development stage gt Our fetal heart rate monitor won the Index Global Design Award in 2009 and has the potential to dramatically improve health outcomes especially for babies Pilot field testing was carried out in 9 South African primary care maternity facilities run only by midwives without doctors The majority of the midwi
11. 1 million 2 expanding distribution channels 3 refining service models to suit our markets Use and maintenance Emvironmentof use User Patient family member nurse midwife physician Requirements Mobile connectivity access to a power o ae rce to charge mobile phones Training 30 60 min walk through of the mobile application oe 3 p Maintenance Technician engineer manufacturer Product specifications Dimensions mm 110 x 47 x 14 approx Retail Price USD Varies Weight kg 0 008 Year of commercialization 2009 Life time Varies by phone model Currently sold in US Botswana Bangladesh Contact details Ting Shih Email Telephone 1 202 618 0188 htto www who int medical_devices en index html Child health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Newborn simulator for resuscitation training Country of origin Norway Health problem addressed UN Millennium Development Goal MDG 4 aims at reducing child mortality by 2 3 from 1990 2015 To date the improvement is far from sufficient particularly for neonatal mortality To reach MDG 4 there is an urgent need to train large numbers of birth attendants in developing countries in neonatal routine care and resuscitation Product description The proposed solution is a highly realistic and affordable newb
12. 300 x 200 x 70 Retail Price USD 50 simulator deflated in a kit with accessories Other features The simulator is portable and reusable Dimensions in use mm3 480 x 230 x 120 SPES Year of commercialization 2009 Weight during transport kg 0 8 3 Pee Currently available in 68 countries identified by UN as focus Weight filled kg 2 2 countries relative to UN Millennium Develooment Goal 4 Life time 3 years Contact details Ingrid L rdal Email newbornsimulator gmail com Telephone 47 51 511 855 47 95 145 168 Fax 47 51 523557 http wwwwho int medical_devices en index htm Maternal health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Non pneumatic anti shock garment Country of origin United States of America Health problem addressed gt gt gt Postpartum hemorrhage PPH in developing countries continues to be the single most common cause of maternal morbidity and mortality accounting for approximately 25 percent of maternal deaths globally Over 90 percent of these deaths occur in developing countries Product description For women suffering from uncontrollable PPH a method to control the bleeding reverse the shock and stabilize the patient for safe transport to a comprehensive obstetric care facility could be lifesaving One method to manage PPH is the use
13. No highly trained personnel required Labour and time saving Sample to result in 2 hours Reduced resource Requirements The only equipment needed is a water bath maintaining a temperature around 63 C Technical superiority Detected 10 or less pathogens with high specificity Better accessibility Shipped and stored at ambient temperatures Cross contamination control Sealed cartridge ensuring amplicon is never exposed Operating steps gt gt Step 1 Sample preparation Use our instrument free nucleic acid extraction device The process takes 15 minutes after soutum specimen liquefied and boiled Step 2 Amplification Amplification can be accomplished with any incubator that keeps a constant temperature CPA takes 60 minutes at 63 C Step 3 Detection and read out Place the CPA reaction tube into the cartridge and lock Read result in 10 minutes Development stage The Isothermal Amplification Diagnostic Kit was approved by TUV for CE marking The manufacturing facilities are EN ISO 9001 2000 and EN ISO 13485 AC 2007 approved One example of product trials conducted Taipei Medical University Municipal Wan Fang hospital Sensitivity 99 Specificity 94 PPV 97 NPV 97 tia ees aes ites nee aie Market education The technologies are new and little known It requires significant effort to educate users promote pro
14. assist in saving the lives of some low birth weight babies the infant warmer described here aims to achieve greater results KMC can enable thermal stabilization but it can only assist in saving a premature baby if it is done continuously Incubators and radiant warmers require electricity and are designed for a hospital setting only In home remedies such as tying hot water bottles to the baby or placing it close to a stove or an electric lamp are extremely dangerous Operating steps gt gt The pouch is heated up to approximately 37 C by placing it in the electric heater which runs off 240V AC power and beginning the heating cycle which takes approximately 20 minutes Then the pouch is removed and placed into the sleeping bag with the infant The pouch will remain above 35 C for over 4 hours providing heat to the infant Development stage gt Design and clinical testing of the device has been completed Currently our product is being manufactured for launch in April 2011 Additionally we have filed for CE approval The product will initially be available in India and then available to the rest of the world Future work and challenges gt gt gt S Our technology will initially be available in India where use will be carefully assessed Monitoring and evaluation will allow for product iteration if needed the product will be made available to the rest of the world subsequently Ideally we would like to
15. been promoted in Kenya and distributed widely among student and faculty groups at MIT Harvard amp SUNYover the past three years for testing in developing countries In 2010 Chuang P a MIT Masters student compared the results of this kit to others in over 550 samples from the Philippines and Boston MA Currently these kits are being distributed on a small scale by Susan Murcott there are efforts underway to move toward commercialization and increased capacity of production Future work and challenges gt gt gt Currently we are looking for assembly facilities in China or India in order to be able to meet large scale demand by the fall of 2011 Use and maintenance Environment off use User Professionals and untrained users alike Setting At home and primary health facilities in rural Training Basic demonstration of proper execution and and urban settings interpretation of the test Approx 20 min Requirements No lab facilities required If a lab is Maintenance Technician available an incubator can be used instead of the waistbelt incubator electric incubation is not required for obtaining proper test results Product specifications Dimensions mm 300 x 150 x 180 Shelf life Months Weight kg 1 36 Retail Price USD Varies on kit size 47 10 tests 146 Consumables All items in the kit except the cooler 25 tests 253 50 tests up to 466 100 tests icepack blacklight and waistbelt incu
16. chain like to low resource health posts or for rural home delivery Use and maintenance Environment Of se User Patient family member nurse midwife physician Setting At home and in health care facilities in rural and _ urban settings Training User instructions are included in the box and J on the primary packaging additional materials for some Requirements The device itself is designed to be portable applications are available from PATH Please contact Steve and requires minimal resources for preparation Depending Brooke at sbrooke path org for more information on the drug or vaccine applied cold chain may be needed Product specifications Dimensions mm max 100 excl pouch x 23 x 10 reservoir Other features Portable and single use height Weight kg 0 002 0 0025 filled excluding pouch Year of commercialization 1998 Currently sold in Indonesia India Argentina Belgium Shelf life 5 years Retail Price USD Varies by drug vaccine and country Contact details Rod Hausser Email Telephone 201 8475185 Fax 1 201 847 4847 htto wwwwho int medical_devices en index htm Child health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Reusable neonatal suction device Country of origin Norway Health problem addressed gt Nearly 1 million newborns in de
17. en index htm Therapeutic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Portable ventilator Country of origin United States of America Health problem addressed gt Patient groups most likely to benefit include those with COPD Cardigenic Pulmonary Edema Immunocompromised patients e g HIV and COPD patients weaning from mechanical ventilation COPD is one of the fastest growing causes for death today worldwide Over the next 20 30 years it is poised to become the 3rd or even 2nd leading causes of death Product description The device will transform ventilatory care through its small size portability ease of use versatility and extended battery life By costing as little as a third of other ICU ventilators and offering both invasive and noninvasive capabilities the device is ideally suited no matter what their location or severity Product functionality The device s primary innovation is owed to its use of micro blower technology and unique gas control algorithms In combination the device is able to meet the needs of a wide variety of ventilatory demands including high leaks seen in noninvasive ventilation while still maintaining patient ventilator synchrony Developer Cains Cr product Deneris ez Most ventilators are large complex difficult or impossible to move around extremel
18. for the counting of parasitized erythrocytes in the blood respectively Product description An integrated solution for cell counting is proposed to bring innovative techniques directly to where they are needed most It relies on dielectrophoresis a method for cell handling and sorting without physical contact exploiting the dielectric properties of cells suspended in a microfluidic sample under the action of electric fields Product functionality A silicon based platform has been developed with microfabricated electrodes customizable for specific diagnostic needs the non uniform electric field for cell manipulation is generated by microelectrodes patterned on the silicon substrate of microfluidic channels using microelectro mechanical systems MEMS technology Developer s claims of product benefits e The number of CD4 T cells per microliter of blood is used for HIV staging The standard for cell enumeration is flow cytometry of lymphocyte subpopulations using antibodies Although high throughput and accurate its cost and technical requirements have limited its use in resource limited areas worldwide A simple and portable microfluidic lab on chip device would be of great benefit Malaria diagnostic indicator is the counting of parasitised erythrocytes in the blood Microscopic inspection of blood smears for parasitised cells is the most applied diagnostic method Integrated mobile diagnostic lab on chip instruments small robust
19. gt The concept was developed for the use in least developed countries LDCs A hand made laboratory sample was manufactured with low tech materials The price for the required material was about 9 Software for the computations of the strut lengths was developed and experiments were performed to prove the capabilities of the design using an optical tracking system The accuracy of the systems was satisfying Future work and challenges gt gt SSS In the study it could be shown that the positioning and mechanical properties of the fixator is satisfying The next steps should include clinical trials to evaluate the biomechanical properties After continuative clinical trials the applicant is willing to provide all required technical information as well as the computation program as an open source and the patent license for use in LDCs Use and maintenance Envronment Off US gt o o User Patient physician Requirements Radiology device orthopedic physician Training The positioning of the pins and wires requires sterile environment the knowledge of an orthopedic physician Maintenance patient medical staff technician Product specifications Dimensions mm max 350 x 350 x 500 Other features Portable and reusable Uses software Weight kg max 3 compatible with telemedicine Consumables Sterile pins and wires Life time Several years Contact details Arne Jansen Email jansen hia
20. gt The device is in form of a testing kit that is plugged into a laptop Data acquired through the device is transferred to the laptop for processing In January 2011 we concluded pre clinical testing the initial results were encouraging but demand another sensor design iteration before entering clinical trials Our next step is to introduce computational capacity within the device and make it independent of a PC Prior to entering the recently concluded development cycle validation studies were performed to demonstrate a proof of concept Future work and challenges gt gt SSS We need to generate sufficient funds to support a plethora of activities like clinical trials furthering IP protection manufacturing and testing Finding partners who can collaborate with us support us for pilot programs is a challenge along with in house team expansion Distribution of the technology is another challenge that we foresee Use and maintenance Environment of use User Nurse midwife physician Requirements Our experience tells us that the Training Training can be done in less than 30 minutes ONCE does not pono wey in Bi COneIIOnee with introductions to use and handling of the device or environments with significantly low ambient which can be administered through a graphical brochure temperatures We are working to improve upon it Maintenance Technician engineer manufacturer a e rate yCh te Oo wd Product specifications
21. of a non pneumatic anti shock garment NASG Product functionality S The NASG is a lightweight neoprene garment that is made up of five segments that close tightly with Velcro The NASG applies pressure to the lower body and abdomen thereby stabilizing vital signs and resolving hypovolemic shock When fitted correctly the reusable NASG forces blood to the essential organs heart lungs and brain Developer Cains Gr product bernette This garment provides an improvement over existing products in that is a validated low cost high quality garment This is achieved by providing direct access to qualified manufacturers who can supply the garment at the price of US 54 purchaser is responsible for freight forward from China and import regulations minimum order is 1 000 units Operating steps 1 Place NASG under woman 2 close segments 1 tightly around the ankles 3 close segments 2 tightly around each calf 3 close segments 3 tightly around each thigh leave knees free 4 close segment 4 around pelvis close segment 5 with pressure ball over the umbilicus 6 Finish closing the NASG using segment 6 Segments 1 2 3 can be applied by two persons simultaneously segments 4 5 6 should only be applied by one Development stage gt gt Clinical trials led by Suellen Miller at the University of California San Francisco are on going Currently the large size device
22. product and any future development thereof Developers whose technology has been included in the compendium shall not in any statement of an advertising commercial and or promotional nature refer to their participation and or inclusion in the compendium In no case shall the latter use the WHO name and or the emblem or any abbreviation thereof in relation to their business or otherwise htto wwwwho int medical_devices en index htm World Health Organization A N y LY S 2 7 y Y Acknowledgements The evaluation of submitted technologies was carried out by the Diagnostic Imaging and Medical Devices unit of the Essential Health Technologies department of the World Health Organization under the direction of Adriana Velazquez Berumen team coordinator and Bj rn Fahlgren technical officer with the support of Lisa Stroux and Heike Hufnagel and under the overall oversight of Steffen Groth Director of the Essential Health Technologies department This evaluation was conducted as part of the Global Initiative on Health Technologies project funded by the Bill amp Melinda Gates Foundation The contribution of the following persons and institutions has been invaluable For the evaluation of submitted technologies we thank Euroscan represented by Sue Simpson and l aki Guti rrez and the following Euroscan members Aurora Llanos from Agencia de Evaluaci n de Technologias Sanitarias de Andalucia AETSA Seville Spai
23. restraint systems CRS are an effective way to mitigate the risk of injuries in a crash Product description The device is a low tech child restraint made from materials readily available in developing settings steel plywood and cotton The design was evaluated against the U S Federal standards crash safety for child restraints The primary innovations are the use of low cost materials and low tech manufacturing processes and the novel open source design promotion Product functionality S The device distributes restraint forces over the torso of the child and reduces the likelihood of contact with the interior The system is designed to be used with either two or three point vehicle safety belts to secure the device to the vehicle The device can be used rearward facing for infants or forward facing for appropriate age ranges Developer s claims of product benefits a The restraint is intended to be a sustainable technology to improve road safety for child vehicle occupants in developing settings It is designed using widely available materials so that the fabrication can occur within the country for which it is intended It is a low tech device that requires minimal capital investment the manufacturing process does not depend on expensive techniques This would allow for the child restraint to be sold at low cost The integrity of the design is validated using the dynamic testing methods described by the Fed
24. review data on their smartphone or PC as convenient Development stage Has been in technically evaluated Has been in production for over two years System is classified as a hospital IT product System conforms to DICOM standards Future work and challenges Product is commercialized Use and maintenance gt gt Environment of use User Nurse physician technician Requirements Sending side EKG and or imaging systems and connectivity to internet phone line connection to a Training Web based and or self training CD laptop preferred Maintenance Technician engineer manufacturer 0 Receiving side access to cell phone network on a smartphone and or access to internet and PC Product specifications Other features Portabel and reusable Uses software Telemedecine system Year of commercialization 2009 Currently sold in USA Contact details Mark Irish Email Telephone 1 215 776 0975 Fax 1 856 513 0724 htte wwwwho int medical_devices en index htm Health data monitoring Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Mobile technology to connect patients to remote doctors Country of origin United States of America Health problem addressed gt gt gt S The bottom of the pyramid population in the developing world continues to face fund
25. rwth aachen de Telephone 49 241 80 23222 http wwwwho int medical_devices en index htm Prevention Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Pedograph Country of origin Bangladesh Health problem addressed Diabetic patients lack nerve sensation and hence develop ulcers in soles due to localised high pressure Eventually these turn to gangrene and need leg amputation If the high pressure points can be located and assessed early shoe soles can be designed to spread the pressure which may prevent ulceration Product description An optical sensor has been improvised which together with a computer provides a video of colour coded dynamic foot pressure distribution A composite image is also provided At selected points 6 points in the prototype the time variation of pressure is shown graphically Product functionality Light is passed through a thick transparent plate having a white cover above At points of pressure on the cover total internal reflection breaks down and light rays coming out are scattered down to a video camera placed below The software processes the video data and creates an artificially colour coded contour image and graphs of pressure Developer s claims of product benefits Commercial pedographs are difficult to afford and access in the Third World The improvised version pr
26. sell to Governments and NGOs establishing contacts requires time Additionally this is a novel concept people in rural settings want the product to be recommended by doctors so we are selling to clinicians first Use and maintenance ___ sSSSC SE irtc otter of use Setting At home or in health care facilities Requirements Requirements depend on what model of the heater is used electric or non electric The electric infant warmer can be used in areas with access to electricity supply The rural version does not require electricity Our design is simple to use and therefore does not need specialized operation or operators Product specifications Dimensions heater mm3 440 x 290 x 60 Retail Price USD 150 200 Weight heater kg 2 6 Other features The infant warmer is portable and reusable Dimensions pouch mm3 380 x 220 x 20 Year of commercialization Expected 2011 Weight heater kg 1 3 Currently sold in To be launched in India Dimensions sleeping bag mm3 520 x 250 x 50 Contact details Jane Chen Email christinachao gmail com Telephone 1 830 446 3268 91 983 310 8498 htto wwwwho int medical_devices en index hAtm Prevention Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page lsolator system for laparoscopic surgery Country of origin The Netherlands Health problem addressed g
27. simulate vital signs by squeezing the simulation bulbs The simulator facilitates practice in effective bag mask ventilation as the chest only will rise with correct technique Bo cepi ee o a ac a a The product was introduced in 2009 It is available on a not for profit basis for projects in the 68 developing countries identified by UN as focus countries for MDG4 The use of the Simulator was validated in pilot tests in Kenya Tanzania Pakistan and India and is today a fundamental part of several courses in developing countries in basic newborn resuscitation Future work and challenges gt gt gt SS Financing Although the product is low cost and available on not for profit basis individual health care facilities and educational institutions in low and middle income countries often have limited financial resources and may need to obtain funding from governments or international aid organizations Distribution channels Bureaucracy and often prohibitive customs rates render import to countries where the need is greatest difficult Use and maintenance Environment of use User Nurse midwife physician course instructors students Setting and Requirements The product can be used in all other health care personnel needing refresher training any setting there are no specific requirements to the infrastructure Maintenance Any user Product specifications Dimensions during transport mm3
28. to retrieve and enter patient data including medical images The modular design of the system reflects the clinical encounter For example a patient s weight is automatically used to prompt the clinician in choosing appropriate dosing of drugs Development stage gt Currently the system is being piloted at the Regional Pediatric ART Center Medical College Kolkata Over three hundred children are registered in the system Evaluation of the effectiveness of the system is planned on four dimensions system quality information quality service quality and user satisfaction Future work and challenges gt gt gt S We would like to pilot test the system in other centers that provide care for children with HIV infection Our major challenge is to make the connections with interested stakeholders Capital for sustaining manpower to work on the project is also a major challenge Use and maintenance Environment of use User Nurse midwife physician technician Requirements Standard domestic power and clean Training Orientation to the use of the system environment for computers internet connection of minimum 256 kbps UPS for power backup In the absence of dedicated LAN connectivity for the server dial up or mobile phone based link to the internet Maintenance Technician Product specifications Other features System comprises software and is compatible with telemedicine systems Porta
29. 2007 combating waterborne diseases at the household level Product description gt The water purifier physically removes waterborne bacteria viruses and protozoan parasites from water flow circulating in the device antimicrobial efficacy LRV Escherichia coil gt 6 MS2 virus gt 4 Cryptosporidium oocysts gt 3 Furthermore the water purifier reduces turbidity by filtering particles larger than 0 02 microns Product functionality The water purifier employs a backwashable hollow fiber ultrafiltration membrane and is designed to mechanicaily remove enteric pathogenic bacteria viruses protozoan cysts and turbidity from drinking water without electric power Water is pushed though the ultrafiltration membrane through gravity im water column Developer s claims of product benens The inside out flow characteristic of the hollow fibers in the water purifier allows an optimal longevity of the product This specific configuration together with a specific design of the product allows an easy cleaning of the ultrafiltration membrane The device therefore works efficiently with turbid water over the long term Operating steps Prefilter removes particles larger than 80_m Gravity pushes the water down the plastic hose towards the purification cartridge The purification cartridge which contains an ultrafiltration hollow fibre membrane of 2Onm porosity stops all solid particles microbes bacteria vir
30. 356 htto wwwwho int medical_devices en index htm Assistive devices Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Manual wheelchairs and mobility devices Country of origin United Kingdom Health problem addressed gt An estimated 20 million people in need of a wheelchair in low income countries do not have one Many donated wheelchairs are unsuitable for the local terrain do not fit properly and do not provide adequate comfort or postural support These factors can restrict a person s mobility hinder their health and well being and even cause life threatening secondary complications such as pressure sores Product description The technology encompasses a range of affordable good quality 3 wheel and 4 wheel wheelchairs sports wheelchairs supportive seating and tricycles specifically designed for use in less resourced settings The products are available in a range of sizes and have many adjustable features Each product is flat packed requires local assembly and must be distributed through a wheelchair service Product functionality Products in the range require assembly by trained local staff Basic hand tools are required and pictorial assembly instructions for each product are provided Once assembled to the client s prescription the client is fitted comfortably and given instructions on how to
31. 5 x 50 23 x 59 4 List price of consumables USD approx 360 bag of 50 Weight kg 0 346 Other features Portable and reusable Runs on batteries and uses software Consumables Disposable calibration tip per test l Year of commercialization 2009 first version in 1996 Life time 5 years Currently sold in Most of Europe as well as in Australia and several African Asian North and South American countries Retail Price USD 3500 65 countries Shelf life 20 months List price USD 4295 Contact details Jim McKenzie Email susanjones 5 virginmedia com Telephone 1 412 380 8882 Fax 1 412 380 8850 htto wwwwho int medical_devices en index htm Health data monitoring Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Treatment response software application Country of origin Canada Health problem addressed gt Tracking patient response to specific treatments other than measurable physiological changes laboratory test results survival or death remain a matter of clinical judgment Diagnostic validity and reliability is an ongoing problem in applying evidence based practice The system application presented here provides a gold RCT standard to this problem Product description This application may be used to track and graphically represent individual patient respons
32. 77 Fax 1 760 918 7435 http wwwwho int medical_devices en index html Prevention Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Prefilled auto disable injection system Country of origin United States of America Health problem addressed Solutions are needed in low resource settings to increase access to drug and vaccine delivery It is also necessary to prevent reuse of syringes helping to prevent transmission of bloodborne disease and to minimize waste in these settings Product description The device developed to address this health problem is a compact sterile prefilled nonreusable injection system for delivery of vaccines or drugs Product functionality The prefilled sterile simple to use injection system may allow minimally trained health workers to safely and accurately inject drugs or vaccines that they would not otherwise be allowed to deliver The autodisable feature prevents reuse helping prevent transmission of bloodborne disease between patients The compact prefill device also minimizes waste Developer s claims of product benefits Compared with standard syringes and ampoules depending on the drug delivered the developed injection system is prefilled ensuring an accurate dose by minimally skilled health workers It is individually packaged and steril
33. 981 The company added the adaptation element to low resource settings The system has been proven by extensive use in countries such as Vietnam Laos Cambodia and East Timor following initial studies at National Hospital of Pediatrics in Hanoi in 2006 2007 By now it is a national standard in countries mentioned above being used in over 200 public hospitals treating thousands of patients every year Future work and challenges gt gt gt S The company is not able to generate enough sales through commercial channels because of lack of funds in public healthcare Our strategy is to introduce the technology using charity money and leverage from such demonstration in the future The biggest challenge is to convince local authorities to start soending public funds on such solutions which could make the whole system sustainable Use and maintenance Environmentof use User Nurse physician Settings Rural as well as urban secondary and tertiary n health facilities Training CPAP set 3 days PA EAEE A E R i l ly II Maintenance Nurse physician technician quirements TADE POWE ne PI OA OC uP PONE cylinder concentrator Product specifications Dimensions mm 330 x 330 x 1400 List price USD 2 300 Weight kg 15 Other features Reusable Uses software Consumables none Year of commercialization 2006 Life time 5 years Currently sold in Vietnam Laos Cambodia East Timor Retail Price U
34. Compendium of new and emerging health technologies WHO HSS EHT DIM 1 1 02 World Health Organization 201 All rights reserved World Health Organization 20 Avenue Appia 121 Geneva 27 Switzerland tel 41 22 79 3264 fax 41 22 791 4857 Requests for permission to reproduce or translate WHO publications whether for sale or for noncommercial distribution should be addressed to WHO Press at the above address fax 41 22 79 4806 e mail permissions who int The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country territory city or area or of its authorities or concerning the delimitation of its frontiers or boundaries Dotted lines on maps represent approximate border lines for which there may not yet be full agreement The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned Errors and omissions excepted the names of proprietary products are distinguished by initial capital letters All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication However the published material is being distributed without warranty
35. SD 2 500 Contact details Gregory Dajer Email Telephone 84 43 766 6521 Fax 84 43 766 3844 htte wwwwho int medical_devices en index html Environmental health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Water filter Country of origin United States of America Health problem addressed Infectious diseases caused by pathogenic bacteria viruses protozoa and helminthes are the most common and widespread health risk associated with drinking water WHO 2004 In Ghana where the ceramic pot filter is made 50 of people lack access to improved water supply Ghana has the 4th lowest worldwide rate of sanitation coverage Product description The filter unit consists of a fired clay pot filter element a plastic bucket storage unit a ring lid to support the ceramic pot a tap and a cover lid These filters are made from red clay and wood saw dust or rice husk which gets mixed pressed in mold and fired in a kiln Product functionality Particles bacteria guinea worm cyclops and protozoa are removed by physical straining and also by the mechanisms of sedimentation adsorption diffusion inertia and turbulence The filter element is treated with colloidal silver which may act as a bactericide and viricide Developers came oi product panele The
36. The device uses high power LEDs for a high efficiency treatment and negligible emission of UV IR radiation Product functionality The phototherapy uses a set of 5 high power LEDs positioned 30 cm above the patient The treatment is efficient due to high radiation emitted at the blue range of the spectrum from 400 to 550 nm the most recommended for jaundice treatment The device also provides extra functions such as integrated radiometer and treatment time counter Developers came ol product Denents Traditional devices use fluorescent or halogen lamps or many conventional LEDs Lamps may require filters to attenuate UV IR rays and have a low life expectancy around 2 000h Conventional LEDs are low power devices To work effectively hundreds of LEDs must be used making the phototherapy complex and prone to failure The proposed technology uses only 5 high power LEDs which is equivalent to more than 250 conventional LEDs The result is a compact highly efficient long life time 20 000 h and low cost phototherapy It provides new resources output radiation level adjustment embedded radiometer and irradiance measurement reports In addition it is compact saving space in the intensive care unit Operating steps gt gt Place the device over the newborn 30 cm away Turn it on and press Menu to go to the irradiance level screen Set the irradiance using the up down keys and press E
37. The technique relates to the combined use of existing and readily available products The regulatory framework of those products applies Future work and challenges gt gt SSS The mobile diagnosis has to be integrated in the normal diagnostic procedures and data flow of local health systems including availability of expertise for remote second opinion and immediate feed back Further studies are required for the development of the appropriate ITC network and management system Use and maintenance Environment of use User Nurse midwife physician technician Requirements The technology requires stable power Training Basic instructions approach to light beam supply for microscope and mobile cell phones and centering image avoiding external light interference access to a cell phone network providing MMS etc and less than half an hour trials for good results are needed Maintenance Nurse physician technician Product specifications Consumables None Other features Portable and reusable Runs on batteries and is compatible with telemedicine systems Contact details Livia Bellina Email liviabellina gmailcom Telephone 39 338 911 2818 Dr Eduardo Missoni Email mail eduardomissoni net Telephone 39 347 797 9862 41 797 859 426 htto www who int medical_devices en index html Diagnostic Under development address global health concerns 201 Compendium of new and emerg
38. adequate financial resources infrastructure and a trained workforce are factors that have impeded adoption The cost could be significantly reduced by using personal communication devices such as mobile phones to process and display information The goal of this project is to demonstrate the potential for automated interpretation of information collected from a pulse oximeter The display will minimize the need for training in interpretation optimize the use of information in the pulse oximetry signal and provide intelligent interpretation of results Operating steps The phone oximeter is a pulse oximeter that uses a mobile phone to intelligently analyze and creatively display the information received from a sensor placed on the finger Development stage gt The device has undergone interface usability testing in Vancouver Canada For further usability tests we have sent a team to Mulago Hospital in Uganda There is development on the software and hardware aspects to include other physiological parameters The decision support tools are functioning Automated capillary refill time algorithms and interface have been developed Publications conference posters and presentations have all been well received by the academic community Future work and challenges gt gt gt SS Further financing for development and evaluation of the device and software is required Funding is currently limited to seed funding for the development
39. age of oharmaceuticals reagents blood vaccines samples etc Product description gt gt The product consists of a refrigerator powered by batteries which are continuously charged by a fuel cell The fuel cell uses hydrogen produced on the spot from LPG Liquefied Petroleum Gas which is widely available safe easy to transport and handle and with which nearly all people are familiar Product functionality S A power system of approximately 300 W consists of a fuel cell and a fuel processor The fuel processor produces hydrogen by reaction of LPG with water recycled and feeds the fuel cell producing the required power which feeds the battery The system powers continuously the refrigerator and other applications as needed i e telephone center Developer s claims of product benefits The proposed system offers significant advantages over diesel generators three times higher electrical efficiency no noise or vibrations low maintenance requirements high reliability etc or photovoltaics continuous power supply independent of weather conditions more economical The refrigerator battery fuel cell power system are highly integrated and controlled in an automatic fashion while they can be monitored remotely Maintenance is minimal no moving parts and is done in pre defined intervals while reliability is high The power system can be used simultaneously by other applications The devic
40. amental challenges in healthcare due to lack of access low affordability low quality and exploitative care and a reactive emergency driven system Existing solutions lack financial and human resources and show suboptimal use of limited resources Product description We developed an Integrated Mobile Health Technology Platform that enables frontline health providers community health workers rural nurses and doctors to connect patients to remote doctors in order to obtain timely medical diagnosis and administer effective treatment for underserved patients Selected awards Winner at the 2008 MIT 100K Entrepreneurship Competition and Best Telemedicine Innovation at the 2009 World Health Care Congress Product functionality Frontline health providers use the mobile application to perform health risk screening and medical triage to identify health concerns The diagnostics application on the phone instructs health providers with immediate actions to care for the patient or transmits the case to remote doctors for further diagnosis and treatment advice Developer s claims of product benefits This solution is cost effective as it requires no additional equipment or infrastructure by using available mobile phones mobile connectivity and local health providers Training for local health providers takes less than an hour because all users are already familiar with the use of mobile phones Maintenance is minimal as
41. ance results led to piloting the technology in 150 households 3 schools and 13 communities between 2007 and 2008 Successful results motivated the develooment of a scalable model in 2009 In 2010 450 household systems were installed in Mexico as part of a stepped wedge cluster randomized trial In 2011 the UV tube will be installed in at least 8 schools and 38 community systems serving approx 10 000 people cece a IMIM As most water treatment technologies seeking to make real improvements the device must be implemented as part of a program that allows for needs assessment adaptation to local conditions hygiene education operation and maintenance training For this reason the company sees the UV tube being scaled up through partnerships with institutions organizations and or companies that have local presence and are committed to improving the health of the populations they serve Use and maintenance Environment Of use User Self user family member nurse technician Requirements Access to electricity The product consumes 20 watts To disinfect 1 000 liters it only uses 0 1 kilo watt hours of electricity The source can be direct current e g 12 24 volts from a solar powered battery or alternate current e g 110 220 vols from the grid If water is turbid or contaminated pre disinfection filtration is required Training Although the system is easy to use and most people can learn how to operate it from a manual it i
42. and evaluation of the prototype for use during anesthesia in a hospital setting Grant applications have been submitted Development of a low cost sensor is of utmost importance We are currently conducting R amp D to create this sensor Use and maintenance Environment of use User All Requirements Mobile phones are widely available in Training None many developing countries Mobile phones have high efficiency power storage an integrated display and Maintenance Local support services for phones l processing power to analyze the pulse oximeter signals Product specificatons Dimensions mm 100 x 50 x 10 Other features Portable and reusable Runs on batteries Weight kg 0 25 uses software and is compatible with telemedicine systems Consumables None Life time gt 5 years Contact details Mark Ansermino Email part cw bc ca Telephone 1 604 875 2711 Fax 1 604 875 2668 http wwwwho int medical_devices en index htm Drug delivery Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Off grid refrigerator Country of origin Greece Health problem addressed In many areas of the globe especially Africa and Asia many towns and communities are without electricity network while in others it is very weak This creates problems in the long term stor
43. ap and simple intentional leak breathing circuits Future work and challenges None Use and maintenance Environment of use User Nurse physician technician Settings Ambulatory secondary and tertiary health care a l facilities Training Interactive CD ROM self paced User s Manual eae reference material various slide presentations Requirements Basic electrical power 100 240 VAC 50 60 Hz 2 1 A 5 40C temperature range and high pressure oxygen source 40 87 psi via compressed gas tanks or wall outlets Optional available equipment to disinfect breathing circuits if reuable circuits are preferred Maintenance Technician engineer manufacturer Product specifications Dimensions mm 21 3 x 28 5 x 23 5 List price of consumables USD 80 Std Adult reusable ircuit 14 di le circui Weight kg 5 6 including batteries circuit 14 disposable circuit Other features Portable and reusable Runs on batteries So UmaDie gt ic aeall Cr CMP an patch Nake Woe uses software and is compatible with telemedicine systems artificial airway or facemask Year of commercialization 2010 Life time several years Currently sold in US Eastern and Wester Europe all Scandinavia most countries in Asia Pacific India Africa List price CUSD 11 500 Japan Latin America and Middle East Retail Price USD 11 500 Contact details Vance Wilson Email Telephone 1 760 918 10
44. automatic and low cost would be of great benefit Operating steps gt gt The lab on chip will be pre charged with the requested reagents A drop of blood will be introduced and processed by dielectrophoresis Integrated electronics will elaborate and show the results The lab on chip core will be a disposable cartridge while the handheld reader will be reusable for the following diagnostic tests Development stage lt A modular platform based on a silicon substrate has been developed It is composed of functional units with different electrode geometries Characterization modules allow the determination of cells dielectric properties while manipulation stages perform basic operations as cell filtering focusing caging deviation and concentration The modules can be rearranged on a single chip and produced with a standardized cost efficient technology Custom electronics for electrodes excitation have been developed with a custom optical unit for replacing the traditional microscope and observing cells on chip Preliminary testing experiments were performed using yeast cells and blood cells Future work and challenges gt gt gt S The solution is at a research stage and organized in functional modules for cell analysis sorting and concentration arrangeable on a single chip depending on the target application The company working on the proje
45. bator are Other features Portable cooler icepack blacklight and consumables waistbelt incubator reusable Contact details Susan Murcott Email murcott mit edu Telephone 1 617 452 3442 htto www who int medical_devices en index html Health data monitoring Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Mobile health record system for pediatric HIV Country of origin India Health problem addressed gt gt gt 2 5 million children globally are living with HIV infection Most live in resource limited settings The global community has committed to ketsmray ee ee make HIV targeted therapy available to infected children With this iS 25 Jun complaints of ever HIV infection can become a chronic manageable medical condition for these children Unfortunately these children often face a fragmented health system that is not designed for chronic care management i hetp 10 5 19 11 85 mobOspla ae a htt 10 5 19 11 85 mabdspk Product description The device is a web based electronic health record system embedded with a comprehensive pediatric HIV knowledge base and clinical decision support system including automated weight based dosing of ART It allows clinicians to integrate vital pieces of clinical information to manage pediatric HIV at the point of care It has a novel architecture to ensure secure acc
46. been cleaned since last use situation the low price available on a not for profit basis combined with number of use situations dramatically reduces the cost per use compared to existing products Operating steps gt Ensure that the device is clean before use on patient Squeeze bulb to generate vacuum and place the nozzle tip into the newborn s oral or nasal cavity Slowly release bulb squeeze to extract the mucus discharge contents into a water container towel or similar For repetitive suctioning keep the body squeezed until suctioning again Development stage The product has been available on a not for profit basis for newborn resuscitation projects in developing countries since April 2010 It has been FDA device listed and is developed to applicable standards and regulation required for CE marking Self declaration for CE marking is imminent within March 2011 Future work and challenges gt gt SSS Financing Although the products is highly affordable and available on not for profit basis individual health care facilities and educational institutions in low and middle income countries often have limited financial resources and may need to obtain funding from governments or international aid organizations Distribution channels Bureaucracy and often prohibitive customs rates in importing such material to the countries where the need for these products is greatest Use and maintenance
47. ble and reusable Contact details Sangeeta Das Bhattacharya Email sangeetab iitkgp ac in Telephone 91 3222 283 576 Fax 91 3222282772 http wwwwho int medical_devices en index htm Diagnostic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Mobile phone image transmission for diagnosis Country of origin Italy Health problem addressed gt gt Limited training and geographical isolation of laboratory technicians and health workers in general in remote underserved areas severely affect quality of diagnosis hence of control and therapy of many diseases In most cases diagnostic confirmation relies on slow unaffordable unpractical or inappropriate technologies Product description Our solution allows to directly capture high quality images from optical eye piece of a microscope or other optical devices with a camera integrated m phone with no additional adaptors or devices and to send them as MMS via mobile phone network to distant diagnostic centres for prompt diagnosis or second opinion Product functionality The m phone with integrated camera functions as image transmission unit It offers a possibility to connect basic health care facilities in remote areas with more specialised health care facilities in the field of medical image diagnostics Developer s claims of product benefits
48. cermic pot filter made of terracotta clay can be produced in most countries around the world because of the simple component parts and the universality of clay and combustable material inputs Moreover there is the potential to create local self sustaining businesses from this endeavor Operating steps 1 Settle turbid water in a storage vessel before filling the ceramic pot 2 Keep the ceramic pot filled to the top This will improve filtration rate 3 Clean filter with brush provided when flow rate becomes too slow 4 Clean storage unit with soap and filtered water if necessary Disinfect with chlorine bleach iodine or boiling water Development stages _ _ The product is being manufactured in gt 20 countries In Ghana in 2007 it has been approved by UNICEF and the government for emergency distribution during a flood emergency In 2008 it was approved for emergency distribution during a guinea worm outbreak The product is being locally manufactured and sold in the region with the highest rates of diarrhea in Ghana The technology has become known through efforts of several international aid organizations and the work of several reknown academic institutions Future work and challenges gt SSS In Ghana our current challenge is to build a self sustaining enterprise The company is 6 years into this effort and still struggle to reach those who lack improved water at an affordable price Willingn
49. cialized is the wheelchair for rough terrain on the market since 2005 However design reviews and upgrades are carried out periodically Studies were carried out in South Africa to measure the impact the product has had on the quality of life of users Two international NGOs have performed their own successful trials in Angola and the Philippines over a six and two months period respectively The product is distributed to over 20 countries The range includes other commercialized mobility devices and accessories The product has regulatory approval POWO waa Ee ee e III IIM oO Challenges include Provision of products to the end user client is heavily dependent on donated funds competition from other products on the market that are donated to organizations and end users free of charge capital to maintain stock of products to enable quicker dispatch from factory Use and maintenance gt Environment of use User Patient familiy member clinician technician Requirements The product must be distributed through a service centre where local staff have been trained to assess wheelchair users and assemble and fit the products A workshop and clinical assessment areas are required The centre will act as a point for clients to return to for follow up and product maintenance or repairs The products are manual and do not have any special operational requirements Maintenance Patient technician The ease of use of the product can de
50. claimer Eligibility for inclusion in the compendium has been evaluated by EuroScan member agencies and WHO However the evaluation by EuroScan member agencies and WHO has been solely based on a limited assessment of data and information submitted in the developers applications and where available of additional sources of evidence such as literature search results or other publicly available information There has been no rigorous review for safety efficacy quality applicability nor cost acceptability of any of the technologies Therefore inclusion in the compendium does not constitute a warranty of the fitness of any technology for a particular purpose Besides the responsibility for the quality safety and efficacy of each technology remains with the developer and or manufacturer The decision to include a particular technology in the compendium is subject to change on the basis of new information that may subsequently become available to WHO WHO will not be held to endorse nor to recommend any technology included in the compendium Inclusion in the compendium solely aims at drawing stakeholders attention to innovative health technologies either existing or under development with a view to fostering the development and availability of and or access to new and emerging technologies which are likely to be accessible appropriate and affordable for use in low and middle income countries WHO does not furthermore warrant or represent that
51. ct currently holds patents covering the technological background For the specific applications of AIDS and malaria detection further development is under evaluation and the role of possible third parties involved in the development of the project considered Use and maintenance gt Environment of Use _ User Nurse physician technician Setting Rural and urban health care facilities in the field Maintenance No training will be required for Requirements The lab on chip core operates cell maintenance of the technology the lab on chip core will separation A sensor for cell detection can be included in be a disposable cartridge while the handheld reader will the same package Driving electronics can be assembled be reusable for the following diagnostic tests in a compact and battery powered handheld device Product specifications Consumables The lab on chip core will be a disposable The technology utilizes software and may be battery cartridge powered Other features The technology is portable the cartridges single use the handheld reader reusable Contact details Sarah Burgarella Email sarah burgarella gmail com Telephone 39 39 603 6130 Fax 39 39 603 6154 htto www who int medical_devices en index html Diagnostic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on followi
52. ct specifications Dimensions mm 400 x 260 x 520 List price USD 100 Weight kg 1 6 simulator 4 2 complete kit Other features Portable and reusable Consumables None Year of commercialization 2011 Life time 3 years Retail Price USD 100 Contact details Ingrid L rdal Email birthingsimulator gmail com Telephone 47 5151 1855 47 9514 5168 Fax 47 5152 3557 http wwwwho int medical_devices en index htm Child health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Fetal heart rate monitor Country of origin United Kingdom Health problem addressed Every year 1 million babies die during childbirth Complications during childbirth kill half a million mothers and a further 1 million babies within a month of birth Over 99 of these deaths occur in the developing world and many are preventable with timely detection of complicaitons Product description Using advanced Doppler ultrasound technology the monitor detects and measures the fetal heart rate This vital indicator of fetal stress allows rural healthcare workers to make life saving decisions during childbirth Destined for use in low resource settings its design focuses on simplicity of use durability and electrical power independence Product functionality The fetal heart rate monitor is designed for ruggedness and simplicity of use
53. duct beretta The technology of the device evaluates melanin collagen hemoglobin and bilirubin in a patients subcutanteous tissues through a proprietary algorithm and optics system Existing technologies measure the yellowness of the skin as it relates to jaundice Operating steps gt gt Simple button push for calibration place on infants head or sternum and press the measurement button 5 times in succession and the results appears on the screen Test taken in minutes Development stage gt gt This product has been sold globally since 2002 To date over over 5000 units have been delivered to hospitals clinics physicans and community health workers Technical evaluation and health technology assessment review FDA 510K k010052 Regulatory approval complete Conformity assessment has been carried out USA Future work and challenges gt gt SSS The product is not registered as a medical device in all countries Depending on the country of use the product may need to be registered before it is used Use and maintenance Environment of use User Nurse midwife physician Setting Rural and urban health care facilities Training Technique education on how to properly take a Requirements Power supply to charge the battery disposal measurement of calibration tip and cleansing products for pre patient use Maintenance Manufacturer Product specifications Dimensions mm 204
54. ducts and gain acceptance Regulatory approval The product obtained CE mark for our TB tests Entry approval from individual governments is still needed requiring time and resources Network A network for distribution and demonstration covering health centers in developing countries needs to be established Use and maintenance Environment of use User Nurse physician technician Setting Rural and urban health care facilities Training Product brochure instruction for use actual Requirements The assays can be used at community health testing kits Training takes about 3 hours centers with minimal or no lab infrastructure and can be performed by personnel with minimal training water and method to boil for bacteria decontamination water bath to maintain temperature between 58 to 65C and temporary electricity battery solar are required Long term storage at larger clinics would need to transport the devices to hard Product specifications torreach areas S Weight 500g 20 tests Other features The diagnostic test is portable and single use Maintenance Nurse physician Shelf time 1 year Year of commercialization 2009 Currently sold in China Thailand Singapore Taiwan Canada and USA research only Consumables Pipette tips Retail Price USD 6 including sample preparation amplification and detection Contact details Qimin You Email giminyou2000 163 com Telephone 86 571 8893 9366 Fax 86 571 8893 9
55. e User Self user Requirements The child restraint can be used in any Maintenance User vehicle in which a safety belt is available to secure the restraint to the vehicle seat The child restraint should not be used in a front seating position that is equipped with an airbag Product specifications Dimensions mm 730 x 430 x 630 Weight kg 7 36 Life time 5 years Retail Price USD Expected max 20 mass manufactured Contact details Matthew P Reed Ph D Email mreed umich edu Telephone 1 734 936 1111 http wwwwho int medical_devices en index htm Environmental health Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Microbial water testing kit Country of origin United States of America Health problem addressed According to WHO 1 8 million people die each year of diarrheal diseases the majority of whom are lt 5 years old One step towards addressing this problem is having simple low cost methods to determine drinking water safety Current methods of testing are expensive require complex lab set ups and trained technicians to conduct tests Product description The kit is designed for users to easily complete microbial water testing under field conditions in the developing world The kit consists of the 10 ml colilert test Iml petrifilm test sterile sampling bag sterile individ
56. e in an injection ready format optimal for low resource settings It is compact and prefilled so generates minimal waste Operating steps 1 Open the foil pouch 2 Push the needle shield into the port 3 Push until you close the gap between needle shield and port 4 Remove the needle shield 5 Hold the device by the port and insert needle into patient 6 Squeeze reservoir firmly to inject Discard according to medical waste procedures Development stage gt gt The injection system was developed around 15 years ago and as a viable container for drugs is fully developed The availability of important drugs in the injection device for use in low resource settings is established in some areas and developing in others Oxytocin hepatitis B vaccine and tetanus toxoid vaccine are availalable in some countries other drugs and vaccines are in early stage development Injectable contraceptives are in their final stage of regulatory approval Betamethasone and gentamicin are still in research stages The unfilled device is available for purchase by pharmaceutical manufacturers worldwide Future work and challenges gt SSS The injection system itself is designed to be portable and requires minimal resources for preparation Depending on the drug or vaccine applied cold chain may be needed Some applications can include a time temperature indicator which allows brief excursions out of the cold
57. e in process to make removal rapid with no complications Development stage The product is in an early stage of the development process Future work and challenges gt gt SSS As an early stage concept the biggest barrier we face is introducing a concept into developing countries and professionally training healthcare workers for inserting the device We also believe that some education will be required to communicate the benefits of a subdermal drug delivery device versus the traditional oral medication to patients Use and maintenance ___ C CSsS SSSSCSG W Erion Of US o o _ User Nurse physician Setting Ambulatory primary and secondary health care Training 2 3 hour training session with demonstration facilities in rural and urban settings Maintenance Nurse physician Requirements Access to a professionally trained healthcare provider Product specifications Other features Single use Contact details Sahil Kirpekar Ali Ansary Email sahilkirpekar gmail com ansary ali gmail com Telephone 44 754 038 192 http wwwwho int medical_devices en index htm Prevention Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Woman s condom Country of origin United States of America Health problem addressed Couples need protection from sexually transmitted in
58. e is safe and requires no skilled personnel Operating steps gt gt The system is autonomous requiring only periodic supply of LPG Water is recycled within the system It operates with automatic control requiring no personnel involvement Maintenance is done at specific intervals every few years A plug power outlet 110 or 220 VAC is available for other uses Development stage gt gt Proof of concept has been completed successfully by prototype systems Testing of the systems took place at normal as well as extreme conditions of heat and humidity The next step is field testing It is proposed to build a number of such systems and place them in various locations Furthermore industrialization studies will be completed and regulatory approvals and permits will be obtained Future work and challenges gt gt gt gt The next step toward implementation of the proposed system application is field testing The challenge is to obtain the necessary funding and collaborating institutions to place units in remote locations in Africa and Asia Successful field testing should be followed by mass production in order to decrease cost For this step it is anticipated that investors will be found especially since many other applications can be identified Use and maintenance Environment of use User Nurse physician technician Setting Rural P
59. e technology to connect patients to remote doctors Newborn simulator for resuscitation training Non pneumatic anti shock garment Oxytocin in prefilled auto disable injection system Parasitological test system Phototherapy for neonatal jaundice treatment Point of use water disinfection system Portable haemoglobin meter Portable ventilator Prefilled auto disable injection system Reusable neonatal suction device Self powered pulse oximeter Solar thermal cooking and autoclave device Transcutaneous bilirubin measurement system for infants Treatment response software application Ventilator using continuous positive airway pressure Water filter http wwwwho int medical_devices en index htm World Health Organization A N y LY S a _ X V Compendium of new and emerging technologies that address global health concerns 201 The compendium of new and emerging technologies that address global health concerns has been created as a neutral platform for technologies which are likely to be suitable for use in low resource settings It is released to encourage the dialogue between ministries of health procurement officers donors technology developers manufacturers clinicians academics and the general public In doing so WHO aims at raising awareness of the pressing need for appropriate design solutions and for further development and technology dissemination The compendium 2011 is a first snapshot of se
60. eady access to power and infrastructure This assembly of tools is innovative for it enables point of care diagnosis of neglected diseases common to the developing world such as malaria and tuberculosis eliminating the need for an advanced medical lab facility and patient travel to distant hospitals for basic diagnostics Operating steps The user sets up backpack in a remote area where medical care is needed and uses the diagnostic tests and basic first aid materials to screen for diagnose and treat illness Development stage gt The backpack has been used in rural clinics and by medical brigades in 14 developing countries and US rural areas A long term feedback project in Ecuador is underway for final product develooment prior to commercialization US manufacturers of custom components are being contracted Once feedback Is incorporated into design the backpack will be ready to be manufactured for commercialization in LM countries Future work and challenges gt gt SSS The capital to establish an entity to oversee the large scale assembly and distribution of the backpacks has not yet been secured Approval of the device will need to be obtained from country s government individual healthcare entities to enter new markets There is also the need to provide end user training Supply chain issues may disrupt regular utilization Replacement parts need to come from the US Use and maintenance
61. eral Motor Vehicle Safety Standard of the U S The child restraints will be readily available since they will be manufactured in country Operating steps gt gt The restraint is placed in a rear seat of the vehicle and is put in the rear or forward facing configuration based on the size and weight of the child Then it is secured to the seat of the car using the seatbelt through the belt routings on the device The harness is adjusted and locked in place at the buckle Development stage gt gt We have fabricated and dynamically tested an initial prototype It was tested in the forward and rear facing configurations in a 49 km hour test in accordance with Federal Motor Vehicle Safety Standard 213 FMVSS 213 The prototype passed all of the major FMVSS injury criteria with the exception of the head excursion limit We are currently developing a second prototype to address this issue to be tested in February 2011 Future work and challenges gt gt gt S We need to develop a prototype that successfully passes all U S FMVSS 213 and ECE R44 criteria Subsequently multiple prototypes need to be tested to ensure they pass consistently Business contacts in the region of interest fit for implementation need to be established and a business and cultural implementation plan developed Another challenge will be raising awareness of the importance of using child restraints Use and maintenance Environment of us
62. es to treatments over time Additionally patients may be assigned to up to four specific treatment groups RCT to compare treatments Students can compare the diagnostic accuracy of their assessments and interventions with experts Product functionality Download and open this is an Excel VBA based application It may be used to track and represent individual patient responses to treatments over time Additionally patients may be assigned to specific treatment groups User defined variables representing treatment and response parameters may be defined across clinically relevant domains Developer s claims of product benefits The application is intended to support physicians or nurses in tracking patients responses to treatment It will permit outcome measurement for any treatment for any disease or health concern The application and manual are available free of charge Operating steps This is a Microsoft Excel software program that is user completed Development stage The current program is complete and self contained Regulatory approval status of the product is completed Conformity assessment has been carried out in Canada Future work and challenges gt gt gt SSS Since posted on the web approximately 1000 individuals have either visited or downloaded the application Future versions will have more robust operability e g automated amalgamation of data from individual cases Use and maintenance
63. esented here can be made in the Third World and offered cost effectively It is also simple to use and robust A diabetic hospital in a Third World country is using a prototype for patient assessment regularly for more than a year It uses a standard Personal Computer Maintenance and repair are also simple Operating steps First a video of the pressure distribution of a walking foot is taken through computer command Next the software is initiated to give the desired dynamic colour contour images and the time variation of pressure at points selected by mouse clicks Patient ID is also entered Development stage gt The prototype is under field trial in a hospital for about a year and is working satisfactorily The hardware and the software both are mature No regulatory approval has been sought so far Product trial Since January 2010 at Bagai Institute of Diebetology and Endocrinology Bagai Medical University Karachi Pakistan More than 150 patients have been studied so far No comparison could be made with available commercial equipment Calibration performed using basic principles of Physics Future work and challenges gt gt SS It is ready to be commercialised However it needs to be compared with a standard device regarding its absolute values of pressure calibration There is no risk involved The device is not well known in low and medium income countries Therefore promotion of its necessity and use is necessa
64. esigned to be easy to handle and insert stable in the vagina during use comfortable for both partners and with good sensation The slim capsule makes the device easy to insert and holds the pouch discreetly until needed It comes with lubricant so the woman can apply the amount of lubricant she and her partner want Operating steps gt gt Inserted into the vagina before sex The Woman s Condom is designed to protect from both pregnancy and STIs It is removed after sex It is intended for only one use The Woman s Condom is packaged unlubricated User applies lubricant to inside of pouch before sex Development stage _ The Woman s Condom is at late stage clinical validation transitioning into early introduction and market development activities CE Mark approval was granted in December 2010 based on compliance with ISO production standards A clinical trial was completed in China and a regulatory dossier is under review Clinical studies underway in the US include a comparative performance and failure mode study and a contraceptive effectiveness study Production scale up is underway to increase production and reduce product cost Future work and challenges gt gt gt S 1 Develop sustainable supply at a cost that meets price points required by the public sector for large scale procurement 2 Balance production volume scale up
65. ess over a desktop or mobile device Product functionality The system is installed on a remote server Users access it over the internet or mobile phone network Access is password protected One can use a PC PDA or mobile phone to retrieve or record patient data from the point of care Data can be text image dicom audio or video SMS alerts can be sent as well Off line browsing data capturing store and forward technology allow for use in low speed internet settings Developer s claims of product benefits A lack of patient centered point of care information is a major barrier to the provision of quality care Pediatric HIV is a chronic disease it requires the collection preservation evaluation and synthesis of a large amount of data over time This information has to be available at the point of care Making this possible is crucial Electronic health records EHRs can help organize clinical information systems and provide point of care clinical decision support Smart EHRs can be a vital tool when health care delivery is fragmented and providers have varying expertise With that in mind we designed this smart web based EHR with built in clinical decision support and an interface for mobile devices for the management of pediatric HIV Operating steps gt Users are doctors data entry operators counsellors and administrators Use is password protected Users access the system with desktop PDA or mobile phone
66. ess to pay ranges from 2 15 but our product price is 25 Moreover emergency distribution of the product is free which distorts the market further even while making the product familiar to a wider customer base We need a reliable stream of buyers support for technical training human resources and financial management and support for further R amp D to improve the product Use and maintenance gt lt lt lt lt Environment of use User Self user family member Requirements This filter removes microbes from unclean water It does not require any power supply internet cell phone etc There is no specialized personnel needed to operate the filter Training Each filter comes with an educational sticker Hands on demonstation training takes 1 hour in groups Maintenance Self user Product specifications Dimensions mm 500 x 42 diameter List price of consumables USD 8 to replace the pot Weih element after three years i Other features Portable and reusable Consumables The ceramic pot filter element needs replacement after 2 3 years Currently sold in The filter is commercialized in certain countries Guatemala Cambodia and largely promoted by Life time 3 years NGOs in other countries Retail Price USD 25 Contact details Susan Murcott Email murcott mit edu Telephone 1 781 631 1161 Fax htto www who int medical_devices en index html World Health Organization N EIN H Dis
67. fections insertion capsule STI and unintended pregnancy Women in particular need a a a better protection options since they are more vulnerable to lt a E STI HIV infection and bear the consequences of pregnancy d Foam shapes i Small thin sections of hydrophilic Many women cannot negotiate safe sex Female condoms EA CAA AEA i j Sections cling lightly to vaginal walls offer alternative protection when men refuse male condom al cane use Lew pralle Pouch Ei urethane material i 0 43 mm E Product description Hea tenbebedprndng Pouch proyides gond sensntion and commiort stability ofthe condom ensures no movement Product description 350 Woman s condom has a crc ata polyurethane pouch a dissolving capsule made of polyvinyl alcohol soft foam shapes adhered to the pouch and an outer ring that keeps the pouch stable and protects the external labia The device is a single use device in a foil package It comes with water soluble lubricant applied at point of use Product functionality The woman inserts the capsule into her vagina it dissolves allowing the pouch to unfold Small foam shapes on the pouch gently cling to the vaginal wall and keep the device from moving during sex A ring at the open end of the pouch protects the external labia The device is packaged with water soluble lubricant applied at point of use Developer s claims of product benefits The Woman s Condom is d
68. g steps gt gt The simulator is strapped on the instructor who acts as the mother and sets the scenario and responds to the student s performance by manually controlling cervix dilatation position of the baby and placenta delivery of the baby delivery of placenta bleeding amount and nature uterus condition and fetal heart sounds Development stage gt gt The simulator will be available for ordering in April 2011 It has been field tested in several countries among others ind USA Norway and by Jhpiego in Ethiopia andTanzania Future work and challenges gt gt SSS Financing Although the product is highly affordable and available on not for profit basis individual health care facilities and educational institutions in low and middle income countries often have limited financial resources and may need to obtain funding from governments or international aid organizations Distribution channels Bureaucracy and often prohibitive customs rates in importing such material to the countries where the need for these products is greatest Use and mamntenance Emvironment Of use User Family member midwife nurse physician Setting and Requirements Any setting no specific infrastructure requirements Access to 3 4 liters of water would be desirable to create simulated blood and to fill the Maintenance Instructor in courses newborn simulator with water Training None required Produ
69. he evaluation studies workflow studies and clinical studies We need to find contacts involved with laparoscopic surgery in low and middle income countries General surgeons military surgeons Hospital managers or others experts in the field of laparoscopy in extramural settings or developmental area s can help us to set up a first pilot study after the system is certified Use and maintenance Environment of use User Physician Requirements CO gas supply light source for Training Short instruction about the system to scrap endoscope portable endoscopic camera with monitor nurse and surgeon Assembly Nurse physician Product specifications Dimensions mm 40 x 45 x 200 Weight kg 0 3 Year of commercialization Expected 2013 Contact details Tim Horeman Email t horeman tudelft nl Telephone 31 15 278 5097 31 646 261 592 Fax 31 15 278 4717 htto www who int medical_devices en index html Diagnostic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Lab in a backpack point of care screening diagnostic Country of origin United States of America Health problem addressed According to MicroClinic 70 of people in sub Saharan Africa live in rural areas while 90 of their healthcare facilities are in urban areas Many people in Africa Latin America and Asia do not have ready acce
70. his clinical test to people with low access to health services Product functionality The portable hemoglobin meter is a micro processed photometer In a disposable vial containing Drabkin s reagent 10 uL of blood sample are dropped Reaction follows inside the vial also used as the lecture cuvette Hemoglobin content is read and calculated by a microprocessor and proprietary software Results are presented in a LCD display Developer dame oi producit berne Tts The portable hemoglobin meter shows the same accuracy of the golden standard methods with more toughness and low cost reagents Also the reagents are stable for a long periods and extreme environmental conditions The use of the injection vial containing the reagent as a cuvette reduces the number of operations reduces costs soeeds lecture and allows portability The equipment is battery rechargeable driven allowing the use in any environment Operating steps After cleaning the skin a puncture is done and a 10 uL blood sample is collected with a micropipette and transferred to the reagent vial After 30 seconds of mixing the vial is inserted in the equipment and a button is pressed The sample hemoglobin content is exhibited in the display in g dL Development stage gt gt The device is fully developed and extensively tested over 20 000 patients In Brazil validation was performed by PP SUS program a governmental trial of innovative technologies for publ
71. histopathology processing is used to diagnose and in some cases screen for disease The process involves sampling sectioning and staining tissue specimens prior to microscopic evaluation which is highly resource intensive and provides diagnostic information at a single location and point in time The high resolution microendoscope integrates in vivo microscopy and optical labelling to provide anatomical and functional indications of disease enabling similar cellular level diagnostic information to be acquired without the need to remove and process the specimen and streamlining the process of diagnosis Using the microsendoscope is cost effective and has the potential to diagnose cancer in its early stages Additionally the device is portable and battery powered Operating steps gt A contrast agent is applied to the tissue site The fiber optic probe is placed on the site to obtain images of the cellular morphology The images are presented on a computer screen in real time and interpreted by a trained user The fiber optic probe is disinfected between each patient Development stage gt Technical aspects of the product have been evaluated in the laboratory Preliminary field testing of prototype versions of the product has been conducted in the US China Guatemala and Botswana establishing feasibility of the technique In vivo cervical imaging studies have involved over 250 patients to date with microendoscope images and biopsie
72. ic health care PAHO and IPTI are performing tests process n BR LOA 1000065 001 Researchers from S o Paulo University and FIOCRUZ Foundation are performing tests in anemia trials Future work and challenges gt gt gt gt S For the moment it is commercialized only in Brazil in compliance with the standards from Brazilian national regulatory legal demands ANVISA The company needs to perform international certifications additionally they also need investors and or commercial partners interested in business improvement Use and maintenance Environment Of se User Nurse physician technician Requirements Powered by batteries and designed for a global environment use there are no special requirements Training One to two days blood collection practice by The tests are disposable and previously steniized puncture and pipette Maintenance Manufacturer Product specifications Dimensions mm 167 x 108 x 37 List price of consumables USD 1 0 vial Weight kg 0 358 Other features Portable and reusable Runs on batteries uses software Consumables Hemoglobin meter reagent vial tips i Year of commercialization 2010 Life time several years Retail Price USD 41000 List price USD 1500 Currently sold in Brazil Contact details Jair Ribeiro Chagas Email jchagas gmail com Telephone 55 4739 1964 55 7833 5298 Fax 55 4792 4326 http wwwwho int medical_devices
73. ica Ecuador Spain Finland France Indonesia Iran Iraq Jamaica Lithuania Malaysia Mexico Nicaragua Paraguay Peru Poland Portugal Russia Syria Sudan Other features Portable and reusable It utilizes software Sweden Uruguay Venezuela Vietnam Yemen Consumables Eye protector Year of commercialization 2005 Contact details Djalma Luiz Rodrigues Email rukarin massaro uol com br Telephone 55 2412 3743 Fax 55 11 2412 3743 http wwwwho int medical_devices en index htm Environmental health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Point of use water disinfection system Country of origin United States of America Health problem addressed gt gt Worldwide gastrointestinal illness GI is estimated to cause over 1 5 million deaths annually In addition an estimated 4 billion cases every year make GI the third highest cause of morbidity globally Unsafe drinking water is recognized as one of the major pathways responsible for the transmission of GI causing pathogens Product description The UV tube is a low cost easy to operate and maintain point of use water disinfection system that uses ultraviolet light to inactivate pathogens at a fast flow rate of 5 liters per minute without producing unpleasant or harmful disinfection by products The UV Tube is appropriate for hou
74. ications Life time Approx 40 uses List price USD 53 76 Other features Portable and reusable Currently sold in United States of America Contact details Paul LaBarre Email plabarre path org Telephone 1 206 285 3500 Fax 1 206 285 6619 http wwwwho int medical_devices en index htm Maternal health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Oxytocin in prefilled auto disable injection system Country of origin United States of America Health problem addressed gt gt Postpartum hemorrhage PPH is the leading cause of maternal death worldwide Women delivering outside of health facilities or in facilities with constrained resources may not receive the WHO recommended dose of 10 IU of oxytocin for the prevention of PPH There is a need for an easy to use delivery system for oxytocin that increases access Product description An easy to use compact prefilled auto disable injection system is used to deliver Oxytocin A time temperature indicator on each package indicates heat exposure Oxytocin in this device can enable minimally trained health workers to provide the PPH prevention dose in low resource facilities emergency situations or remote locations Product functionality As a prefilled system the easy to use device allows caregivers to safely inject drugs or
75. ient technician Requirements Product should be stored at room B temperature 15 C to 30 C Training none Maintenance none Product specifications Dimensions mm 35 x 35 x 70 Other features Portable Single use Weight kg 0 02 Year of commercialization 2007 Consumables none Currently sold in Brazil Saudi Arabia United Arab Emirates Shelf time 3 years Retail Price USD 1 5 Contact details Jos Carlos Lapenna Email jciz globo com Telephone 55 40233888 Fax 55 40233888 htto www who int medical_devices en index html Child health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Phototherapy for neonatal jaundice treatment Country of origin Brazil Health problem addressed gt Neonatal jaundice hyperbilirubinemia is a frequent issue in newborns Approximately 60 of newborns become clinically jaundiced It is a clinical condition generally benign and reversible if properly treated but its exacerbated intensification may generate serious sequela into the central nervous system which may lead patient to death Product description Phototherapy is an efficient mean to treat hyperbilirubinemia By emitting blue light over the patient s skin it converts toxic bilirubin molecules in the blood into less toxic isomeric forms by photo oxidation and photoisomerization
76. images lab results or any other type of information cannot be adequately reviewed by the required clinicians and appropriate treatment cannot be prescribed Product description The medical communication system is a technology that allows any type of medical data to be transmitted from the point of care to the desired specialist s The data is transmitted securely and rapidly for delivery to mobile devices or computers so that physician s can review the data and provide opinions Product functionality The system is a proprietary push delivery and review platform allowing remote review using the internet and cell phone network of EKG s medical images Medical data is recorded at the point of care and then uploaded to the system s server from which it is then delivered to a physician s smartphone or PC The transaction is fully traceable and secure Wevelopers Claims Gr produci beneris Current practice includes mailing video tapes DVD s or faxing data to desired physician These methods suffer from systemtic insufficiencies and are slow and non traceable Our system offers a technically sound and more accessible solution Given the prevalence of cell phone networks and the internet it is easily reachable Operating steps gt Data is acquired at the point of care and uploaded to a secure server Physician reviews data and has the option to respond back to the point of care or forward to a colleague Physician can
77. ing technologies that Please see disclaimer on following page Mobile phone pulse oximeter Country of origin Canada Health problem addressed gt gt gt Hypoxemia iS a common complication of childhood infections particularly pneumonia Pneumonia impacts developing countries disproportionately and accounts for over 2 million deaths a year worldwide Hypoxemia is a recognized risk factor for death and correlates with disease severity and is difficult to detect until onset of cyanosis Product description The phone oximeter has been developed using a commercial wireless pulse oximeter and custom software for smartohone or laptop computer User friendly software has signal processing algorithms for oxygen saturation respiratory rate and heart rate from the olethysmographic waveform Clinical rules and the training module are under development Product functionality The phone oximeter combines a pulse oximeter sensor and module with a mobile phone Our pulse oximeter device conveys the quality and trend of physiological data through its user interface The ease of use presentation of warning signals and reliance on symbols mean that it can aid clinicians in detecting clinical events and clinical decisions Developer s claims of product benefits Pulse oximetry is not widely used in developing countries Current devices are expensive and designed for use by clinical experts In
78. inuous positive airway pressure while breathing on their own Our solution is customized for the use in hospitals with basic infrastructure and limited resources It is simple in use with only short training required Product functionality CPAP provides mixed gas flows down the inspiratory limb to nasal cannula while expired gas returns via the expiratory limb to the pressure bottle The medical staff is able to control appropriate mix of gases as well as desired temperature humidity and flow Developers darm Gr producit boneti Complete CPAP system is design to be used in the low resources settings The only requirement is power supply and oxygen The system provides its own air compressor humidifier oxygen and air blender air heater All the functions can be controlled by the user through simple interface requiring minimum training The system is fully reusable and washable limiting the need for consumable parts to nasal connectors It allows to keep running expenses at very low level keeping the treatment costs at less than a few dollars per patient Operating steps Connect the system to oxygen and power source Connect the tube circuite to the patient Turn the system on Set the desired oxygen concentration and flow rate set the temerature and humidity Development stage gt gt The device is based on the concept of the CPAP technology developed by Colin Sullivan at Royal Prince Alfred Hospital Australia 1
79. is cleared by the US Food and Drug Administration and has been tested in low income settings The device is ready for manufacturing and sale in China Future work and challenges gt gt gt SSS NASG Sizes The NASG is not a one size fits all PPH tool Three sizes small medium and large of NASG have been developed to accommodate the significant population dependent anthropomorphic variations around the world In interviews in Nigeria the company also learned that an extra large size NASG was desired to accommodate larger women in that region Only the large size NASG has been qualified with manufacturers Cleaning of the NASG Cleaning is another challenge There is no established method of accurately tracking the number of uses and cleanings thus it is difficult to identify when sufficient degradation has occurred to retire the NASG and replace it with a new one Use and maintenance gt gt lt Environment of use User Familiy member nurse midwife physician technician Setting At home and in health care facilities in rural or o urban settings Training Pathfinder International has developed course g curriculum and training materials which vary in length Requirements Water and bleach for cleaning depending on target audience and whether the intended user is applying or removing the garment Maintenance Hospital orderlies are generally responsible for cleaning Product specif
80. itoring is also essential during anesthesia It is called the 5th vital sign Product description Our pulse oximeter is a portable easy to use monitor that measures blood oxygen saturation levels and the pulse rate It is designed for use in low resorce settings and is rugged reliable and has its own on board human powered energy source Product functionality The oximeter offers the highest quality pulse oximetry on the market It analyses the entire p graphic wave form locating the onset of a pulse and resulting in extreme pulse detection It has excellent low perfusion and motion compensating performance warning the user and preventing inaccurate readings Developer s claims of product benefits gt This a monitor specifically designed for use in low resource settings or where electricity supply is a problem The S O monitor is rugged and reliable and has its own on board power generator Human energy is converted into electricity and saved in rechargeable batteries The monitor gives 10 15 minutes of monitoring per minute of winding The monitor may also be recharged using grid power when available The pulse oximeter is designed to be compatible with a wide range of probes to take advantage of generic offerings when available Unlike monitors designed for mainstream medical markets it is very simple to use at low cost Operating steps The S O monitor is a solution to the problem of measuring blood
81. ity studies have been completed in multiple countries The contraceptive effectiveness study has been completed results are anticipated in 2011 Regulatory applications for Europe and the United States are in process Production scale up under way at manufacturing facility Future work and challenges gt gt gt gt gt Before inserting the diaphragm women are encouraged to wash hands Women may need coaching training to learn about vaginal anatomy to identify the cervix and the pubic bone the two vaginal landmarks needed for positioning Diaphragms are recommended for use with contraceptive gel to increase effectiveness After removing the diaphragm the woman washes the device with soap and water and dries it before storing it in the carrying case Storage temperature should be between O 40 degrees Celsius Use and maintenance Ss Environment of use User Self user nurse midwife physician Requirements Before inserting the diaphragm women Training Clinical studies show that women canlearnto are encouraged to wash hands Diaphragms are insert and correctly position the diaphragm by reading recommended for use with contraceptive gel to increase the instructions for use However most women report effectiveness After removing the diaphragm it needs to they prefer some coaching from a health care provider be washed with soap and water and dried before storing or another woman who has used the device to confirm t in the carryi
82. l health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Fetal heart rate monitor by mobile phone Country of origin Australia Health problem addressed gt gt gt The interpretation of the fetal heart rate and activity requires expensive equipment operated by a trained midwife Thus for women in resource poor locations the options for regular screening of fetal well being are limited Product description gt gt The solution consists of a software application that can be run on a mobile phone This software transforms inexpensive fetal monitoring devices that merely let the user hear the fetal heart beat into a system that calculates fetal heart rate stores it over time tracks fetal movement and provides this data to a remote midwife in the same form as standard hospital equipment Product functionality S The software on the phone analyses the sound of the fetal heart to calculate the heart rate using a beat to beat accuracy algorithm Data is sent to a server and can then examined by a midwife using a web browser Developer s claims of product benefits Fetal cardiotocography can currently only be undertaken in a centre with the appropriate equipment and staff Devices used in the field are limited to producing either just the sound of the fetal heart beating or displaying an instantaneous heart rate on an LCD screen Accurate as
83. llowing page Infant warmer Country of origin United States of America India Health problem addressed gt gt gt 20 million low birth weight babies are born yearly 4 million die and those that survive grow up with severe problems like low IQ early onset of diabetes heart disease Incubators are costly and usually available in urban areas Home solutions include wrapping hot water bottles around their bodies placing them over hot coals or under light bulbs Product description We have developed a low cost infant warmer that can work without electricity and provides heat to an infant at a constant temperature the key factor needed for survival Our product costs less than 1 of traditional incubators has no moving parts is portable and is safe and intuitive to use It also complements skin to skin care Product functionality The re usable warmer provides heat to infants weighing 1 5 3 0 kg It is comprised of a phase change material PCM pouch a heater that heats the pouch to 37 C a sleeping bag that holds the infant and the pouch in adjacent compartments to promote sustained warming The pouch will remain above 35 C for 4 6 hrs providing heat to the infant Developer s claims of product benefits Other technologies include Kangaroo Mother Care KMC Indian and Chinese low cost incubators and radiant warmers donated traditional incubators and at home remedies While these solutions
84. local phone stores are capable of maintaining the mobile devices The service reduces travel costs minimizes time to obtain treatment from weeks to minutes and is accessible locally to underserved patients via health workers or close by rural clinics Operating steps Frontline health providers use mobile phones to access the diagnostics application They enter patient symptoms information by going through a series of decision tree based medical algorithm For cases requiring remote doctor consultation the phone transmits the patient symptoms information via mobile broadband or SMS MMS to the remote doctor Development stage The product was technically evaluated and tested for clinical effectiveness via concordance rates between in person and mobile transmitted remote diagnosis in Egypt Ghana Botswana the US We pursue various partnerships Partners include mHealth Alliance BRAC Sajida Foundation Mobinil Egypt Orange Botswana University of Pennsylvania Medical School Harvard MIT American Academy of Dermatology Future work and challenges gt gt SSS Our applications and business model were tested through pilots in over 10 countries The basic technology proposition was proven and patient acceptability demonstrated We are now ready to test commercial scalability by 1 improving our technology platform to support large scale usage from current 500 000 beneficiaries to gt
85. ment stage gt The system is currently being tested by users A local hospital in Sukabumi serves as base unit Community healthcare centres and a moving ambulance are the testing grounds The test results show that the system is beneficial for supporting local community healthcare services This year a limited number of devices will be produced by a local manufacturer Mass production is planned for next year Regulatory approval application is in preparation Future work and challenges gt gt gt SSS The biggest challenge to commercialize the product is to find a reliable investor who is willing to give financial support for mass production Moreover to deploy the product and the technology will require government policy to set up a national telemedicine network which lead to an eHealth application In order to ensure user and patient safety there must be a legal framework Use and maintenance Envronment Of US gt o User Nurse midwife physician technician Setting Ambulatory primary and secondary health care Training Required for training are the portable facility in urban and rural settings telemedicine unit a PC and access to internet Duration Requirements Stable power supply maintenance of the training is 5 days personnel specialized operator access to internet Maintenance Technician engineer manufacturer access to a cell phone network laptop hospital info
86. ml Diagnostic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Parasitological test system Country of origin Brazil Health problem addressed gt gt Intestinal parasites types of helminthiasis and protozooses are endemic and afflict more than 1 billion people all over the world particularly affecting the mental and physical development of our children Affected children are unable to develop their abilities which consequently compromises the Human Development Index of the respective country Product description We developed a product to easily detect the extent of parasite infestations The product allows for accurate and economic analysis integration into national health plans in communities of low and medium incomes The product is a prefilled container used for filtering concentrating and recovering parasites from fixed preserved body waste Product functionality In a vial with preservative solution a stool sample is collected by the patient At the laboratory the technician places the vial upside down in a tray and waits for 15 minutes allowing the preserved sample to pass through the filter system Subsequently the sample can be directly analysed under the microscope Developer Calne Gr product berne tio u Our product unlike other methodologies does not need any equipment
87. n Setefilla Luengo l aki Imaz and Jesus G Enriquez from the Agencia de Evaluacion de Tecnologias Sanitarias AETS Madrid Spain Maria Rosaria Perrini and Antonio Migliore from the Agenzia Nazionale per i servizi sanitari regionali AGENAS COTE Rome Italy Deanne Forel from the Australian Safety and Efficacy Register of New Interventional Procedures Surgical ASERNIP S North Adelaide Australia Brendon Kearney Simon Towler Paul Fennessy and Mandy Forster from the Australia and New Zealand Horizon Scanning Network ANZHSN HealthPACT Adelaide Australia Linda Mundy and Janet Hiller from the Adelaide Health Technology Assessment AH TA Adelaide Australia I aki Guti rrez Ibarluzea from the Basque Office for Health Technology Assessment Osteba Vitoria Gasteiz Spain Dr Kees Groeneveld and Cees Postema from the Health Council of the Netherlands GR The Hague Ihe Netherlands i Martin Flattery from the Health Information and Quality Authority HIQA Dublin Ireland Orna Tal and Nina Hakak from the Division of Medical Technology Policy DMTP Ministry of Health Jerusalem Israel k Inger Norderhaug Marianne Klemp and Tove Ringerike from the Norwegian Knowledge Centre for the Health Services NOKC HTA and Dissemination Dept Oslo Norway For their collaboration we thank the Center for Global Health at the University of Michigan represented by Kathleen Sienko Amir Sabet Sarvestani for his organi
88. n contamination of the environment and personnel Furthermore the MSIS trocar system protects the patient against contamination sources if the environment is not completely sterile Finally the gas leakage is reduced to a minimum since the gas outflow is stopped by the protective foils trocar balloon and unique coupling mechanism of the Isolator Operating steps gt gt After insertion the special trocar balloon shields the incision and trocar while the coupling and sleeve foil shields the tip and shaft from the surrounding air and potentially contaminating surfaces If uncoupled a safety valve pin prevents that the instruments penetrate the coupling If correctly locked on the trocar the coupling releases its safety pin and the instrument can now enter the abdomen Development stage _ lt In vitro test series were performed when an isolator system is used on a pressurized 2OMMHg contained small environment that mimics the abdomen the pressure stays constant after the gas supply is stopped and the instrument was used to grab some internal elastic bands Based on the early tests results STW covers a large part the costs for expanded Workflow and clinical tests The other part is funded by Erasmus MC Rotterdam and LUMC Leiden and TU Delft Future work and challenges gt gt SS In Dec 2010 the Dutch government approved a 2nd valorization grant for t
89. ng case Storage temperature should be correct position and use between O 40 degrees Celsius Maintenance Self user Product specifications Dimensions mm 75 x 67 Life time 5 years Weight kg 0 008 Other features Reusable Consumables Contraceptive gel Contact details Maggie Kilbourne Brook Email mkilbou path org Telephone 1 206 285 3500 Fax 1 206 285 6619 http wwwwho int medical_devices en index htm Drug delivery Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Subcutaneous drug delivery device Country of origin United Kingdom Health problem addressed Non adherence to treatment is considered a major cause of inadequate tuberculosis TB treatment by the WHO The problem of drug resistance arises from patients not completing the treatment course There is a huge need felt for an assured way of increasing compliance this will reduce the number of patients developing resistance and improve tuberculosis control programmes Product description The need to enforce therapeutic compliance is addressed by creating a drug delivery system that can release the appropriate therapy over the full treatment period The subdermal delivery system will release the proper drugs at a controlled rate assuring proper treatment of affected patients at a target cost competitive with current treatment cost
90. ng page Portable system for pre cancer screening at point of care Country of origin United States of America Health problem addressed gt gt gt Today more than 70 of the world s cancer deaths occur in developing countries where more than 80 of patients present with advanced disease at the time of diagnosis Advanced imaging tools are generally only available at regional centers in industrialized countries in low and middle income countries most diagnoses are based on clinical signs and symptoms There is a demand for objective point of care cancer screening tools Product description The device is a portable battery powered system to screen for pre cancer at the point of care The device is essentially a wide field epi fluorescence microscope coupled with a flexible fiber optic imaging bundle 1 mm in diameter that can identify the differences between normal and pre cancerous epithelial tissues in situ Product functionality After applying a fluorescent dye to the tissue to be imaged the tip of a flexible fiber optic bundle is placed on the tissue Light emitted from the tissue returns through the same fiber and is imaged onto a digital camera Images of cellular detail can be viewed in real time on a computer screen and interpreted by a trained user for diagnosis Developer s claims of product benefits n In high income countries cytology or biopsy collection followed by
91. nipulator that can be locally produced in developing countries The struts length can be adjusted to software that takes into account the biomechanical limitations of tissues A hand made laboratory sample was manufactured with a cost of the materials of 9 Product functionality After fracture or correction osteotomy the external fixator is connected to the bone segments with pins and or wires In case of a correction of the bone geometry the position and strut lengths of the fixator system are entered in the open source software that computes the required movement of the bone segments via change of strut lengths with respect to biomechanical limitations Developer s claims of product benefits gt The developed system is much cheaper compared to external fixator systems with six degrees of freedom in industrial countries The technical detail data and the computation program will be provided as open source so the complete system can be locally produced and operated in developing countries Operating steps Connect the wires and or pins to the bone segments connect the fixator parts to the wires pins until the structure is complete in case of deformity correction measure the geometry of the fixator and the bone segments enter the data in the software software computes the strut lengths for the treatment change strut lengths remove fixator after the bone healing is completed Development stage gt
92. no tests are indirect and the available molecular tests are complex and expensive It is the responsibility of scientific and business communities to provide rapid simple accurate and affordable technologies and products Product description Our TB diagnostic is based on 5 core technologies 1 Glass transition of reagents for ambient temperature transport storage 2 Instrument free sample preparation 3 Isothermal Nucleic acid amplification 4 Visual read out a DNA lateral flow device LFD 5 Cross contamination control device The TB DNA test with these integrated technologies can be delivered and performed at almost any location Product functionality Sample preparation using syringe and a membrane unit no centrifugation Amplification proprietary Cross Priming Amplification CPA technology water bath is the only instrument needed Lateral flow strip detection visual readout in an enclosed device cross contamination proof Glass transition of reagents the entire kit can be transported stored at ambient temperature Developer gt Cains Cr producit Denett The amplification method CPA and cross contamination proof detection device are the primary inventions The glass transition method and sample preparation device are improvements on existing technology Cost effectiveness No setup cost almost no instrument cost Ease of use and Maintenance Single test package simple operation Reduced training Requirements
93. not require a highly skilled attendant Product description This device has been designed on the basis of a double physical ohenomenon consisting of a conveyor belt and an air clamp It consists of a polyethylene sleeve with a cuff like fold on the fetal insertion edge which fits the fetal head diameter This sleeve is introduced using two flexible plastic soatulas 3 mm thick that allow placing the device in the adequate final position around the foetus head Product functionality The atmospheric air entering during the sleeve introduction and application is generally enough to produce the air clamp and fix the sleeve around the fetal s head However this effect may be enhanced by insufflating a small amount of air through an insufflation cannula This adds to the sliding effect occurring between the inner parts of the fold upon force exertion Developer s claims of product benefits Medical advantages The devices decreases the risk of fetal maternal injury contributes to the physiologic development of the second stage of labour contributes to contraction forces and maternal pushing efforts could reduce prolonged second stage could reduce postpartum hemorrhage uterine atony through a reduction in the second stage of labor could significantly decrease operative delivery could reduce the incidence of perineal damage and could decrease perinatal infections acquired through the birth canal Technical advantages
94. notebook and communication means It can be placed in an ambulance or in remote community healthcare centres The system operates in real time or indirect mode Data transmission is done via a selected communication link which can be adjusted according to the communication facility available on site Developers Claims ot product benens This device offers a number of advantages i e the device is developed in a modular way so it increases cost effectiveness since the user may select medical instruments based on her his requirements In addition this portable telemedicine unit is provided with multi application features that can be developed together with the user so it is more acceptable to the local context Availability of multiple communication links within the device enables the system to transmit medical data via a variety of communication channels Hence it alleviates the telecommunication infrastructure barrier that is usually found in rural areas This will increase better healthcare accessibility for people in rural areas Operating steps gt gt Set up the device which is linked to the base unit The monitor will display the applications menu Pick recording and reporting menu Fill in the patient medical record Measure patient biosignals and save the data Select a communication link Recorded data is sent to the base unit A doctor will evaluate the data and give a response to the patient in the rural area Develop
95. nter to confirm Be sure the newborn is exposed to the light at the chest and abdomen area Protect the newborn s eyes Development stage The product is being manufactured and commercialized It has been fully validated and clinically tested Studies verify that the blue high power LEDs are more efficient for jaundice treatment The market confirms those studies It has the Brazilian ANVISA regulatory approval the CE marking and it is currently obtaining the UL recognition approval C oy T a III eee Promoting the technology s easy of use efficient treatment system and affordable cost in low and middle income countries is the greatest challenge Assistance herein is required e g through workshops by professionals to explain the importance and advantages and to make users familiar with new functions that improve the treatment quality like the embedded radiometer and the timer Use and maintenance Environment of use User Nurse physician Setting Secondary and tertiary hospitals Training Concept presentation 2 hours training Requirements Power supply 100 to 240 Vac 50 or 60Hz Maintenance Technician ambient temperature between 18 C and 28 C air humidity l between 10 and 95 eye protection for the patient Product specifications Dimensions mm 250 x T16 x 50 Currently sold in Algeria Australia Bolivia Brazil Colombia Weight kg 1 Costa R
96. of any kind either expressed or implied The responsibility for the interpretation and use of the material lies with the reader In no event shall the World Health Organization be liable for damages arising from its use World Health Organization y Y LY 5 A M SS Ni Under development Assisted vaginal delivery instrument Blood collection drape estimating postpartum blood loss Fetal heart rate monitor by mobile phone Infant warmer Isolator system for laparoscopic surgery Lab in a backpack point of care screening diagnostic Low technology child restraint car seat Microbial water testing kit Mobile health record system for pediatric HIV Mobile phone image transmission for diagnosis Mobile phone pulse oximeter Off grid refrigerator Orthopaedic external fixator Pedograph Point of use water purifier Portable cell sorting and counting device Portable system for pre cancer screening at point of care Portable telemedicine unit Portable transcutaneous haemoglobin meter Single size contraceptive diaphragm Subcutaneous drug delivery device Woman s condom http wwwwho int medical_devices en index htm World Health Organization A N y 4 Xi Commercialized Birthing simulator for training Fetal heart rate monitor Isothermal nucleic acid amplification system for POC diagnosis Manual wheelchairs and mobility devices Medical data communication system Mobil
97. or reagents to perform the parasitological examination of feces The system includes a special filter inside made of polyester with 266 micra which renders the sample much cleaner and makes it easier to find the parasites In just one step the sample is ready to be analysed under the microscope Another important difference is the new preservative liquid that does not use formalin or any other toxic and aggressive reagent an exclusive development to preserve the environment and the people that work directly with this kind of process Operating steps By the patient Open the vial and with the help of a spoon provided collect a portion of feces and put it inside the vial directly into the preservative liquid Close the vial and bring it to the laboratory By the Technician Homogenize the sample by shaking the vial turn over the vial and put it in the tray provided for 15 minutes Place two drops directly on glass microscope plate Development stage The product is on the market since 2007 and it number of laboratories that choose this method is growing Conformity assessment ISO 9001 2008 ISO 13485 2003 CE Mark FDA Future work and challenges gt gt S SSS The technology is ready to be used in any country It is accessible affordable available and applicable The company needs to find funding to move to the next stage supply worldwide Use and maintenance Environment Of use User Pat
98. orn simulator The baby s status can be simulated as desired to facilitate effective role playing in relevant scenarios covering basic newborn care as well as standard resuscitation measures The simulator is available with affordable therapeutic tools Product functionality By squeezing the bulbs connected to the simulator an instructor can simulate three vital signs Crying soontaneous breathing and palpable umbilical pulse Depending on how the learner assesses the situation and acts the instructor can easily provide feedback to the learner by changing the vital signs Developer s claims of product benefits The simulator facilitates effective and affordable simulation training in low resource settings that can improve quality of neonatal resuscitation as it is Very low cost available at USD 50 Allows assessment of key competencies e g ability of trainee to ventilate adequately Durable easy to take apart reassemble transport Culturally sensitive available in dark or light complexion The simulator is also highly realistic It has the size and appearance of a newborn baby and natural weight feel and touch when filled with water As it comes deflated in a compact container and can be emptied between uses distribution and transport of the simulator is convenient Operating steps The simulator is easily prepared for use by filling the body with 2 liters of water alternatively by air An instructor can
99. oxygen saturation in developing world health environments By turning the crank human energy is efficiently converted into electricity and stored in rechargeable batteries Generic probes ranging from pediatric to adult provide accurate pulse and saturation levels Development stage The pulse oximeter is currently available and in production It is manufactured in India Pilot field testing was carried out in South African secondary hospitals and its performance was congruent with gold standard high end pulse oximeters Regulatory approval is completed Future work and challenges Product is commercialized Use and maintenance gt Environment Of us User Nurse midwife physician Setting Rural Ambulatory primary and secondary health _ care facilities Training none a Requirements none Maintenance Nurse physician technician Product specifications Dimensions mm 170 x 85 x 75 List price USD 600 Weight kg 0 7 Other features Portable and reusable Runs on batteries Uses software Consumables none Year of commercialization 2011 Life time 5 years Currently sold in South Africa Shelf life 3 years Contact details James Briaris Email james briaris gmail com Telephone 44 7595 943 259 Fax htto wwwwho int medical_devices en index htm Environmental health Commercialized address global health concerns 201 Compendium of new and emerging
100. pend on the local infrastructure i e often buildings are inaccessible so may prevent the user from independently accessing the building Training Training is required to assess the client and assemble the product Training for the full product range is a minimum of three days Basic workshop hand tools and clinical equipment such as a therapy bed and foot blocks are required Product specifications Dimensions mm approx 1212 x 740 x 865 Year of commercialization 2005 Currently sold in Argentina Australia East Timor Ethiopia Ghana India Kiribati Lebanon Lesotho Liberia Malawi Life time 5 years Nepal Pakistan Papua New Guinea Serbia Sierra Leone Solomon Islands South Africa Sri Lanka Sudan Thailand Uganda Zimbabwe Weight kg 22 Retail Price USD 171 Contact details Natalie Snell Email manual wheelchairinfo gmail com Telephone 44 1275 464 012 Fax 44 1275 464 019 htto www who int medical_devices en index html Health data monitoring Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Medical data communication system Country of origin United States of America Health problem addressed gt Access to medical opinion by cardiovascular specialists can be difficult to obtain in rural or poor areas As a result medical data obtained at the point of care such as EKG s medical
101. perm and prevent pregnancy The single size device fits most women Unlike traditional sized diaphragms that come in multiple sizes a pelvic exam is not needed to assess size and fit of the device Developer s claims of product benefits The diaphragm is a reusable single size cervical barrier designed to offer the same barrier protection as a standard diaphragm with improved user acceptability The one size device simplifies service provision no pelvic fit exam required to assess size The rim bends with gentle spring force that makes the device easy to insert and remove and comfortable to wear The fingertip removal dome allows a finger or thumb to hook the rim for removal Silicone is more durable than latex diaphragms The device has an overall length of 75 mm and width of 67 mm Operating steps gt gt Add contraceptive gel to the cervical cup Compress the rim by squeezing at the grip dimples Insert the diaphragm deeply in the vagina to cover the cervix Push the front of the device up behind the pubic bone Wear the diaphragm at least 6 hours after sex but no longer than 24 hours before removing to wash the device Development stage gt gt gt The diaphragm is at late stage clinical validation translating into early introduction and market development activities The design is the output of a user centered development process including women and couples from multiple sites Safety and acceptabil
102. ptic probe Weight kg 2 27 Other features Portable and reusable Runs on batteries Consumables Contrast agents cleaning supplies for uses software and is compatible with telemedicine systems Contact details Rebecca Richards Kortum Email Rkortum rice edu Telephone 1 713 348 3823 Fax 1 713 348 3160 http wwwwho int medical_devices en index htm Health data monitoring Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Portable telemedicine unit Country of origin Indonesia Health problem addressed gt gt gt Community healthcare services in rural areas are impeded by the scarcity in transport infrastructures poor facilities lack of medical experts and limited communication means This state leads to problems such as a high maternal mortality rate And if there is a disease outbreak it may not be easy to alleviate the situation Product description The device is a portable telemedicine unit to be used in a mobile telemedicine system in conjunction with a PC server as a base unit They communicate with each other via multi communication means Kabel Elektroda EKG via GSM CDMA internet and satellite The device can be used for many health services such as recording and reporting and teleconsultation Product functionality SS The device is set up with medical instruments a camera a
103. ries in Basic Emergency Obstetric Care Product description The birthing simulator supports efficient training in Basic Emergency Obstetric and Newborn Care in developing countries It allows the instructor to create very compelling simulations of normal to more complex birthing scenarios and is particularly suitable for training control of post partum hemorrhage the leading cause of maternal deaths Product functionality SS Behind the birthing suit the instructor can manually control cervix dilatation position of the baby delivery of the baby delivery of placenta bleeding amount and nature uterus condition and fetal heart sounds These parameters can be combined to create situations and responses to interventions in all stages of labour Developers Claims or product Denients The simulator is distinctively different from other birthing simulators available in the market It aims to respond to the needs of a supportive device that can improve quality of BEMOC as presented in International Journal of Gynecology amp Obstetrics by being highly realistic where essential particularly in simulating post partum hemorrhage and uterus contraction and culturally adapted It facilitates effective communication training and integrated training with newborn routine care and resuscitation It is flat packed for easy transport and storage highly affordable durable and easy to use Operatin
104. rimary and secondary health care Training None facilities Maintenance Technician Requirements System requires only supply of LPG Location of installation must be accessible by truck to transport LPG bottles Product specifications SSS Dimensions mm 600 x 600 x 1000 List price of consumables USD 0 4 kW h or 2 day Weight kg 50 Other features Not portable Reusable Consumables Liquefied Petroleum Gas LPG Year of commercialization 2012 expected Retail Price USD 4000 4500 at manufacturing stage Contact details Xenophon Verykios Email Telephone 30 694 756 4620 Fax 30 261091 1565 htto wwwwho int medical_devices en index htm Therapeutic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Orthopaedic external fixator Country of origin Germany Health problem addressed gt gt The use of an external fixator for fracture reduction as well as correction osteotomies of deformed long bones represents an established method in the area of orthopaedic and traumatologic surgery The aim is the reconstruction of a physiologic bone geometry and a preferably fast save and painless bone healing Product description The device is an external fixator design concept for bone fracture stabilization and gradual deformity correction based on a 3RPS spatial 3RPR planar ma
105. rmany Portugal US Contact details Alex Kee Koo Yak Email akayconsult gmail com Telephone 60 16 772 2774 Fax 60 722 3907 http wwwwho int medical_devices en index htm Child health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Transcutaneous bilirubin measurement system for infants Country of origin United States of America Health problem addressed gt Hyperbilirubinaemia is a common condition in many newborns affecting nearly 1in 10 newborns and nearly 90 of premature infants in the first week of life If undetected and untreated the levels of bilirubin may rise high enough to pass through the blood brain barrier and is deposited in the brain causing kinikterus and brain damage Product description The device provides a numerical measurement of predicted bilirubin count in mg dL or mol L within a clinically beneficial range that has been correlated with total serum bilirubin concentration measured by High Pressure Liquid Chromatography HPLC Product functionality The device works by directing white light into the skin of the newborn and measuring the intensity of the specific wavelengths that are returned By knowing the spectral properties of the components within the skin one can subtract out the interfering components and determine the concentration of bilirubin Developers Claims Gr pro
106. rmation system Product specifications Dimensions mm 460 x 323 x 158 List price USD 5000 Weight kg max 5 Other features Portable and reusable Uses batteries Life time 5 10 years and software Retail Price USD 5545 Contact details Dr Ediana Sutjiredjeki Email ediana_sutjiredjeki yahoo com Telephone 62 22 251 4264 62 811 217 763 Fax 62 22 251 4264 http wwwwho int medical_devices en index htm Diagnostic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Portable transcutaneous haemoglobin meter Country of origin India Health problem addressed gt gt gt Anaemia affects nearly 1 62 billion people globally It is responsible for nearly a million maternal and child deaths annually mostly related to complications during pregnancy Half of these are due to nutritional deficiencies and can be prevented by providing supplements but blood transfusion is indispensable for the severely affected Product description The proposed solution is a needle free hand held device that can be used by a doorstep healthcare worker or a midwife to screen people for anaemia in low resource settings With a negligible recurrent battery cost it can scan for hemoglobin in less than a minute classify the severity of anaemia that can be read out by even a low skilled personal Product functionality
107. ry among the doctors in these countries Use and maintenance Environment of use User Technician Setting Urban in secondary and tertiary health care Training On job training one day facilities Maintenance Technician Requirements Typically mains ac power supply 220V 15 It includes a personal computer desktop or laptop However battery operation using a rechargeable battery is possible if using a laptop computer Power requirement 15W at 12V excluding that for the laptop Product specifications Dimensions mm 750 x 500 x 500 Retail Price USD 6000 Weight kg 25 Other features Reusable Runs on batteries uses Consumables none software and is compatible with telemedicine devices Life time 15 years Currently sold in Pakistan product trial Contact details K Siddique e Rabbani Email ksrabbani gmail com Telephone 880 817 022 834 Fax 880 2 861 5583 http wwwwho int medical_devices en index htm Prevention Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Point of use water purifier Country of origin Switzerland Health problem addressed gt gt gt Endemic diarrheal disease caused by waterborne bacteria viruses and protozoan parasites is a leading cause of mortality or morbidity in the developing world affecting 4 billion people leading to 1 8 million lives lost WHO
108. s Product functionality The multi drug reservoir will contain the TB drugs arranged in the appropriate monthly dosage regimen for the treatment of tuberculosis The implantable system will contain TB drugs encapsulated into responsive nanoparticles which in turn release the TB drugs into the circulation in a continuous and controlled manner Developer s claims of product benefits There exists no foolproof solution for assuring patient compliance Without proper compliance to TB treatment there is increasing develooment of resistant TB strains Multi drug therapy for TB typically consists of two ohases the intensive phase which is the first 2 months of treatment and the continuation phase which is the following 4 months Our product will be targeted at the latter 4 months when lower and sustained drug doses are needed The technology is based on encapsulating the TB drug Isoniazid INH in a biodegradable polymeric matrix with slow drug release We plan for the device to be biocompatible and biodegradable with compartments in a polymeric based implant to release the drug in a sustained and controlled manor Operating steps gt gt A local anaesthetic 2 xylocaine may be injected in the area just before inserting the device to make it pain free For the insertion of the device the local health worker nurse previously involved in delivering the TB drugs can be trained to insert the device Designs ar
109. s recommended that they participate in a basic 20 30 minute training session Maintenance Trained nurse community member technician Product specifications Dimensions mm 600 x 150 x 150 Year of commercialization 2009 Weight kg 3 Currently sold in Mexico but projects can be established in new countries Life time 3 5 years Retail Price USD 45 Other features Reusable can run on batteries Contact details Fermin Reygadas Kara Nelson Email reygadas gmail com Telephone 1 510 898 8306 1 510 643 5023 Fax 1 510 642 7483 htte wwwwho int medical_devices en index htm Diagnostic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Portable haemoglobin meter Country of origin Brazil Health problem addressed gt gt Anemia is one of the most common blood disorders globally Iron deficiency anemia is the most prevalent nutritional disorder in the world Anemia diagnosis is frequently not performed or the test results are delayed causing aggravations or even sequels in the most vulnerable population children and pregnant women Product description Portable low cost hemoglobin meters that are user friendly and reliable can be a great aid to change the global anemia scenario Avoiding the displacement of patients and shortening the diagnostic process this solution can spread t
110. s acquired at sites considered to be normal and abnormal by expert visual impression Current evaluation of data from these sites aims to establish the diagnostic accuracy of the device relative to biopsy Results are not yet available The current version of the device is an advanced prototype A patent is pending Future work and challenges gt gt gt SSS To make this technology available in the developing world we need to secure the appropriate regulatory approval and identify financing manufacturing and distribution partners Depending on the site of the cancer barriers to cultural and social acceptability would be similar to those associated with a standard gynecological exam Use and maintenance Envronment ofuse User Physician technician Requirements The microendoscope can operate under Training Medical personnel experienced in cancer existing infrastructure constraints It is powered by a screening techniques will need additional training in single 12V rechargeable battery for up to 6 hours It interpreting the images to form a diagnosis Personnel requires connection to a laptop personnel trained to would also need training in proper cleaning and interpret the images for diagnosis and a method to sterilization of fiber optic probe end sterilize the fiber optic probe Maintenance Technician engineer Product specifications Dimensions mm 254 x 203 2 x 50 8 fiber o
111. seholds schools clinics and small communities Product functionality The UV tube uses a 15 watt germicidal lamp to deliver a UV C 254nm dose of 900 J m 2 to inactivate virus protozoa and bacteria suspended in water The dose is more than twice the minimum recommended by the US NSF ANSI Standard 55 providing a safety factor that guarantees its effectiveness even in certain non ideal conditions Developers came Or prodticl benee a The UV tube was developed by an interdisciplinary team of students and professors who recognize that a wide array of safe water options are urgently needed in order to address the severe and widespread health problems caused by drinking water contaminated with pathogens Through rigorous laboratory and extensive field testing the UV Tube was designed to be an effective easy to use low cost and adaptable point of use safe water solution Operating steps To disinfect water a user has to 1 turn on the switch 2 confirm that the lamp is on 3 open the water valve 4 wait for the safe storage container to fill up 1 minute for each 5 liters 5 close the water valve 6 drain the system 7 turn off the switch No consumables required but every 1 3 years some components need replacement Development stage The product was validated in the laboratory and a prototype tested in 24 households in Mexico in 2005 Positive water quality and user accept
112. sequently become available to WHO WHO will not be held to endorse nor to recommend any technology included in the compendium Inclusion in the compendium solely aims at drawing stakeholders attention to innovative health technologies either existing or under development with a view to fostering the development and availability of and or access to new and emerging technologies which are likely to be accessible appropriate and affordable for use in low and middle income countries WHO does not furthermore warrant or represent that the list of new and emerging health technologies is exhaustive or error free and or that 2 the technologies which are included in the compendium will be embodied in future editions of the compendium and or that 3 the use of the technologies listed is or will be in accordance with the national laws and regulations of any country including but not limited to patent laws and or that 4 any product that may be developed from the listed technologies will be successfully commercialized in target countries or that WHO will finance or otherwise support the development or commercialization of any such product WHO disclaims any and all liability and responsibility whatsoever for any injury death loss damage or other prejudice of any kind whatsoever that may arise as a result of or in connection with the procurement distribution and or use of any technology embodied in the compendium or of any resulting
113. sessment of fetal well being requires more than this in terms of examining heart rate over time to determine a baseline variability and response to fetal movement This product offers improvements in that it records heart rate over time correlates it with fetal movements and can communicate this data for remote diagnosis or confirmation Being a software solution the system uses existing mobile phone hardware and existing portable fetal monitors vastly reducing the cost Operating steps gt Instructions are provided on the mobile phone screen Once the program is started these instructions consist of 1 Connect the portable monitor to the phone 2 Position the probe and listen for the fetal heart then press start 3 Press the movement button when the baby kicks 4 Press Stop to finish and upload Once upload is complete an automated email is sent from the server to the midwife with a link to the plot of fetal heart rate and activity Development stage gt The system has been trialled at Mercy Hospital Mount Lawley Western Australia in a pilot trial with 15 20 mothers All could use the system with minimal training and the diagnosis from the system matched the one from simultaneous monitoring by the hospital monitor Future work and challenges gt gt gt SSS The current challenge is to conduct a larger scale trial in the field Funds are needed to buy equipment for trials and to tailor the applica
114. ss to healthcare facilities where diseases can be diagnosed At the same time most diseases from which people in the developing world suffer are preventable Product description The Diagnostic Lab in a Backpack contains tools to perform physical exams and laboratory tests in a point of care setting tools include an oil immersion microscope centrifuge otoscope ophthalmoscope glucometer pulse oximeter sohygmomanometer rapid diagnostic tests and first aid supplies An integrated battery charged via wall power or a solar panel provides power for more than 8 hours Product functionality gt In response to challenges provided by healthcare providers working in resource poor settings a backpack was designed for point of care health providers in rural areas in the developing world The Diagnostic Lab in a Backpack contains tools to diagnose major health issues such as malaria and tuberculosis Developer s claims of product benefits The existing technologies to diagnose disease in developing countries are located in medical lab facilities These resources are not readily accessible in low and middle income countries especially for those who must travel great distances at personal expense to reach a hospital or health clinic The Diagnostic Lab in a Backpack allows health care personnel to travel to remote locations with the tools necessary to diagnose diseases and provide basic health care in areas without r
115. stem has been demonstrated in the field More and more countries are recognizing the need to reduce maternal mortality and the easy and safe delivery of oxytocin has been identified as an important tool but more must be done to raise awareness The next phase of work will include efforts to raise awareness increase demand and ensure a sustainable supply Use and maintenance gt Environment of use User Nurse midwife physician technician Setting At home and in health care facilities in rural and urban settings Training User instructions are included in the box and on the primary packaging additional materials are available Requirements Cold chain is ideal but the time temperature from PATH at http www path org projects uniject indicator on the package allows for brief excursions outside oxytocinresources php training Training requires no more the cold chain like to low resource health posts or to a than 1 day woman s home Product specifications Dimensions mm foil pouched product 148 x 56 x 10 Other features Portable and single use reservoir height Year of commercialization 2009 Weight kg 0 0025 filled excluding pouch Currently sold in Argentina Guatemala India Shelf life 24 months Retail Price USD Varies by country Contact details Steve Brooke Email sbrooke path org Telephone 1 206 302 4712 Fax 1 206 285 6619 htto www who int medical_devices en index ht
116. t In upcoming economies China India the demand for better health care is on the rise however variation in facility quality across these countries is extreme Outside a sterile environment patients are not protected from infection sources outside the body Also the medical staff is not protected from potentially harmful exposure to the patient Hepatitis B HIV Product description The patented trocar system for minimally invasive surgery creates a barrier between the trocar site and the surrounding environment by creating a small local clean room that prevents gas leakage around the trocar and instruments Now the patient is protected against infection sources outside the body Also the medical staff is protected against potentially harmful exposure to the patient Product functionality After the tip of a trocar is inserted the sticky pad of the trocar balloon is pressed to the skin around the incision At this point the trocar tube is fixed in the abdominal wall and the incision and tube are completely isolated Now isolated instruments can be locked on and unlocked from the isolated trocar The coupling prevents outflow of CO2 gas or inflow of surrounding air during coupling or decoupling at all times Developers came ol product benens The MSIS trocar system enables the surgeon to perform laparoscopy on infected patients while the Isolator drastically reduces the risk o
117. technologies that Please see disclaimer on following page Solar thermal cooking and autoclave device Country of origin Malaysia Health problem addressed gt gt Currently almost half the world s population has no access to safe drinking water and the situation is expected to worsen with increasing global pollution When water is heated to 65 C for at least 6 minutes it is pasteurized and rendered free from most water borne pathogens e g responsible for diarrhea dysentery cholera and thus safe for human consumption It is a challenge to provide pasteurized water in a renewable and sustainable way Product description Solar kettle thermos flask and solar vacuum tube oven a solar thermos tube based system deployable in all climate so long as sunlight intensity is viable only need diffused and not necessary strong direct sunlight Can also be used to boil water cook bake and autoclave as the stagnating temperature is 220C Also a thermos Product functionality On the average 1kW of gratis solar energy hits 1m2 of land The reason why we are not grilled by the sun is because as soon as solar heat hits the ground it dissipates into the ambience In making it viable for any cooking use solar heat must be accumulated over time and conserved from being leaked into the ambience concentration is unnecessary Developers came ol product Deneits Empirical field test pro
118. tied around the woman s abdomen to optimize blood collection Developer s claims of product benefits The blood collection drape consists of a funneled and calibrated collecting pouch attached to a plastic sheet that is placed under the woman s buttocks immediately after delivery Two belts attached to the upper end of the drape are tied around the woman s abdomen to optimize blood collection Operating steps gt gt The current standard of practice is visual estimation which has been shown to be inaccurate Our product shows potential to improve the accuracy and is easy to use Development stage The blood collection drape was developed for use in a randomized clinical trial in village India in 2002 A randomized controlled hospital based study was conducted in India in 2003 which showed that the blood collection drape was more accurate than visual estimation Future work and challenges Use and maintenance Environment Of US User Nurse midwife Setting Rural areas at home and in primary health care Training None facilities Maintenance single use Requirements None Product specifications Retail Price USD 1 2 Other features Portable and single use Contact details Stacie Geller Email sgeller uic edu Telephone 1 312 413 7752 Fax 312 413 7423 htto www who int medical_devices en index html Child health Under development address globa
119. tion for a specific country The main challenge in terms of low and middle income countries is the distribution of the device In high income countries mothers would perform self scans at home with their own equipment For lower income countries a more suitable model is to provide the device to local health workers who can use one device on many patients Use and maintenance lt Environment Of USe o o User patient nurse midwife physician Setting Rural and urban at home and in primary health Training Usage instructions provided via the phone care facilities screen Instructions take the mother step by step Requirements Access to a network either cell phone through the process wifi or fixed line Internet ideally at point of use or Maintenance Patient nurse physician manufacturer within easy reach i e Visiting health worker can perform scans in people s homes saving the data to the phone then upload from a health post with network access Product specifications Consumables None Other features Runs on batteries uses software and is a telemedicine system Contact details Dr Martin Masek Email masek_m hotmail com Telephone 61 8 6304 6410 Fax 61 8 9370 6100 http wwwwho int medical_devices en index htm Under development Child health address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on fo
120. ually wrapped graduated 1 mL pipettes a blacklight cooler bag icepack a wastebelt incubator and simple instructions Product unetonalty _ _ eaaaaes The product contains two tests that together check for total colifoms and E coli standard indicators for microbial water quality in a statistically significant manner The colilert test consists of a tube to which 10 ml of water is added where the petrifilm requires just a 1ml addition to its film Both tests are incubated for 24 hours Developer s claims of product benefits This product can be used by professionals and untrained individuals alike empowering communities to take control of their own water sources Both tests and the kit as a whole have been demonstrated to correlate in a significant way to the other product standard at a fraction of the cost Operating steps Collect a sample water using the sterile sampling bag Keep on ice if not tested immediately Open the Colilert tube and add 10 ml of the sample Cap and shake Using a 1ml pipette add sample water to the petrifilm Roll the cover over the surface to minimize air bubbles Place both tests in your wastebelt incubator for 24 hours Read results Development stage gt gt The original invention is by Prof Robert Metcalf with contributions made by Susan Murcott to improve to portability of the kit The product has
121. use the product safely and carry out basic maintenance The products are manual and easy to maneuver by the client or an attendant Developer scams OF product Derients The complete product range can be uniquely shipped in any volume to service centres around the world and provides a means to facilitate and expedite the provision of appropriate manual wheelchairs in low income countries Providing a range promotes choice for people with disabilities and ensures they receive a product that is most suited to their need and aids their rehabilitation The products are affordable high in quality and durability and use locally available components The adjustable features optimize comfort The majority of products are supplied with a pressure relieving cushion a life saving device that is often not provided with other donated wheelchairs Training is provided to local staff to ensure they have the skills to assemble fit and adjust the products correctly and competently Operating steps The products are assembled according to the assembly instructions Once set up the client is fitted with the wheelchair or mobility device If necessary adjustments can be made to maximize comfort for example the footrest backrest height or seat depth can be altered Once the client is happy he or she is then able to self propel manually or can be assisted by an attendant Development stage gt gt The first product commer
122. uses protozoan parasites and turbidity Development stage gt The water purifier is commercially available and has been used in emergencies such as in Indonesia Haiti Pakistan as well as programs in Kenya It has been technically evaluated and tested in low income settings Regulatory approval is completed Free sales certificate available in Vietnam Future work and challenges Use and maintenance Environment of use User Self user Setting Rural and urban At home Training Owner s manual Requirements Attach the device to the wall or to the Maintenance Self user ceiling at home Product specifications Dimensions mm 1700 x 190 x 170 Other features Portable and reusable Weight kg 0 53 dry Life time 3 years Shelf life 2 years Contact details Daniel Frauchiger Email Telephone 41 21 310 7333 Fax 41 21 310 7330 http wwwwho int medical_devices en index htm Diagnostic Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Portable cell sorting and counting device Country of origin Italy Health problem addressed gt gt gt Developing countries are suffering most from the two global diseases HIV AIDS and malaria A great bottleneck is the lack of dedicated mobile robust easy to use and low cost diagnostic equipment for CD4 T cell enumeration and
123. vaccines with minimal training The system prefilled with Oxytocin ensures that an accurate dose is delivered to a patient with minimal preparation minimum waste and a guarantee that the syringe and needle will not be used again Developers Cialis OF product onee sa Current practice is to use a syringe and two 5 IU ampoules or one 10 IU ampoule of Oxytocin Oxytocin in described injection system is prefilled with 10 IU and ensures an accurate dose by minimally skilled health workers It is individually packaged and sterile in an injection ready format optimal for low resource settings It is compact and prefilled so generates minimal waste Operating steps 1 Check the time temperature indicator 2 Open the foil pouch 3 Activate the device 4 Remove the needle shield 5 Continue to hold the injection device by the port and insert the needle into the patient 6 Squeeze the reservoir to inject the oxytocin 7 Do not re cap 8 Dispose according to medical waste procedures Development stage gt Oxytocin in conjunction with described injection device is currently being produced in Argentina and India Oxytocin in Uniject is commercially registered in Argentina Guatemala Honduras Paraguay and India Additional registrations in Latin America and Africa are being pursued Future work and challenges gt SSS The value of oxytocin in conjunction with described injection sy
124. veloping countries die from birth asphyxia each year A similar number are disabled due to compromised breathing at birth To stimulate spontaneous breathing or bag mask ventilate effectively an open airway is mandatory Often this requires clearing the mouth and nose of mucous and meconium using vacuum Product description The proposed solution is a bulb suction device that is particularly suitable for use in developing countries It is clinically effective easy and safe to use available at a low price and reusable when disinfected in accordance with instructions over the product s lifespan The device is also suitable for large scale training of birth attendants Product functionality The product benefits newborns suffering from birth asphyxia and in need of clearing the upper airways Squeezing the bulb generates vacuum so that the birth attendant can extract mucus and meconium froim the baby s mouth and nostrils Developers Calms Or product Generis aaa This product is an improvement over the neonatal suction devices typically used in low resource settings Ci e mouth suction or hand bulb suctions available in non cleanable versions and mainly intended for single patient use as it can be easily opened cleaned and boiled for disinfection after use it is made of very durable silicone and withstands several hundred times of reuse The transparent material makes it easy for the user to see whether it has
125. veral health technologies which might have the potential to improve health outcomes or to offer a solution to an unmet medical need in low resource settings The compendium specifically focuses on innovative technologies that are not yet widely available in developing countries and product concepts under way Technologies in the compendium are presented in one page summarizing the health problem addressed the proposed solution and product specifications based on data and information provided by the developers of the technologies concerned Eligibility for inclusion in the compendium has been evaluated by EuroScan member agencies and WHO However the evaluation by EuroScan member agencies and WHO has been solely based on a limited assessment of data and information submitted in the developers applications and where available of additional sources of evidence such as literature search results or other publicly available information There has been no rigorous review for safety efficacy quality applicability nor cost acceptability of any of the technologies Therefore inclusion in the compendium does not constitute a warranty of the fitness of any technology for a particular purpose Besides the responsibility for the quality safety and efficacy of each technology remains with the developer and or manufacturer The decision to include a particular technology in the compendium Is subject to change on the basis of new information that may sub
126. ves a stagnating temperature of 220 C and a liter of water in a 1 liter capacity device boils unattended within 1to 3 hrs depending on the local and incidental intensity of sunlight Being a vacuum or evacuated vessel the device keeps hot water and food hot with a mere 3 C overnight loss It therefore can even deliver the much appreciated cup of hot beverage early in the morning even when the sun is still asleep a disadvantage that plagues most solar devices Operating steps As simple as assemble pour in the water cork it place in direct sunlight with the bottom of the tube pointing towards the Equator Can be left unattended Come back later to harvest the solar heated boiled water Development stage Commercialized and sold in the market already Future work and challenges none Use and maintenance Environment of use User All persons in need of pasteurized hot water Requirements Nothing really can even be deployed to the most remote areas of the world and space so long as there is infra red light although sunlight is best being an abundant ubiquitious and gratis resource Training none Product specifications Dimensions mm 750 x 60 x 60 List price USD 50 Weight kg 1 0 Other features Portable and reusable Consumables none Year of commercialization 2003 Life time Several years Currently sold in Malaysia Singapore New Zealand il Pri P l USA Retail Price USD 150 Ge
127. ves who used the monitor preferred it to the Pinard as the device was easy to charge it was very easy to obtain a reading and quick to identify the fetal heart rate within 30 seconds Future work and challenges The fetal heart rate monitor is currently available and in production Use and maintenance Environment of use User Nurse midwife physician Setting Rural Primary and secondary health care facilities Training none Requirements none Maintenance Technician Product specifications Dimensions mm 170 x 85 x 75 List price USD 550 Weight kg 0 7 Other features Portable and reusable Runs on batteries Uses software Consumables none Year of commercialization 2010 Life time 5 years Currently sold in United Kingdom South Africa and other Shelf life 3 years African countries Contact details James Briaris Email james briaris gmail com Telephone 44 7595 943 259 Fax htto wwwwho int medical_devices en index htm Diagnostic Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Isothermal nucleic acid amplification system for POC diagnosis Country of origin China Health problem addressed gt gt One major limitation of effective tuberculosis control is the lack of a suitable diagnostic technology Current technologies such as sputum smear microscopy are insensitive Immu
128. with private sector market development as well as social marketing and public sector programming 3 Invest in market development develop alternative distribution networks invest in promotion advocacy to effectively reach key market segments 4 Develop coordinated mechanism for regulatory approvals to increase access 5 Develop mechanism to aggregate Use and maintenance Envronmentofuse o _ User Self user Requirements Female condoms require some coaching Training Training tools are available from PATH and counseling to learn to use comfortably and confidently Product specifications Shelf life 3 years Other features Single use Contact details Patricia Coffey PhD Email pcoffey path org Telephone 1 206 285 3500 Fax 1 206 285 6619 http wwwwho int medical_devices en index htm Commercialized Maternal health Commercialized address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Birthing simulator for training Country of origin Norway Health problem addressed gt gt gt Appropriately skilled birth attendants could save the majority of the annual 350 000 maternal deaths In order to achieve the UN Millennium Development Goal 5 of dramatically reducing maternal mortality by 2015 there is an urgent need to train large numbers of birth attendants in developing count
129. y expensive and above all extremely uncomfortable Invasive ventilation also carries significant risks of its own including Ventilator Associate Pneumonia which often accompanies intubation and is one of the leading causes of death for ventilated patients This is also a major reason why immunocompromised patients should whenever possible be ventilated noninvasively At low cost it offers both invasive and noninvasive capabilities therefore our device is ideally suited for patients in respiratory distress no matter what their location or their severity Operating steps The device employs a micro blower to generate airflow and connects directly to oxygen supplies to provide between 21 100 oxygen enriched pressurized gas Pressure and flow sensors provide signals to a very sophisticated controls algorithm to precisely meter pressure flow and volume even in leak prone noninvasive applications Development stage gt The device was market released July 2010 and is sold worldwide Several investigators have compared the device s performance to other ventilators in various patient populations and under different clinical conditions such as leak prone noninvasive applications The results of such studies show the relative superiority of the device s design elements and precise gas delivery One bench study demonstrates the unique ability of the device to maintain accurate volume control mode delivery even while using che
130. zational support and the following contributors Dana Anderson Doug Anderson Brian Holcomb Charles Jiang Tejkaran Gill Chris Maue Kelley Maynard Ally Schafer Kim Song Mike Weist Daniel Williams Mike Yee Joseph Perosky Rajen Kumar Anthony McCoy Michael McHenry Sofia Meissner Rebecca Schewe Mott Lee Schrauben Manan Shah Nijika Shirvastwa Roy Smoot Lindsay Towens and Caitlin Winget We would like to thank Karina Reyes Moya for administrative support throughout the project The compendium was produced by Adriana Velazquez Berumen Bjorn Fahlgren Lisa Stroux and Heike Hufnagel Illustrations were provided by the developers who submitted the technologies Graphic design and layout Jillian Reichenbach Ott Gen ve Design http wwwwho int medical_devices en index html Under development Child health Under development address global health concerns 201 Compendium of new and emerging technologies that Please see disclaimer on following page Assisted vaginal delivery instrument Country of origin Argentina Health problem addressed gt gt gt World wide 10 20 of deliveries require some form of intervention frequently a Caesarean section Instrumental vaginal deliveries forceps and vacuum extraction account for 2 23 of deliveries This orofile makes the introduction of a new device which would prioritise maternal and fetal safety is easy to use disposable and particularly relevant does

Download Pdf Manuals

Related Search

Related Contents

HP t5700 Quick Reference Guide  manual de instalación acometidas esp.  Samsung Моно лазерный принтер ML-2160 20 стр/м Инструкция по использованию  音声応答による サービスを提供するシステムです。  Exzellenz Wireless HDMI Set - In  Panasonic 7160-0348  105030_BA_E_LED Flat Par 152x10mm RGB  Deutz Fahr Katalog Tobias  ER5000D Escalade International Limited  I Programmazione del ricevitore  

Copyright © All rights reserved. Failed to retrieve file