Dr Vinay Shankar: Doctor | Author | Innovator

15 Minutes With The Doctor: Learn from Healthcare Entrepreneurs and Innovators

The podcast for inspiring stories from businesses, start-ups and innovators in healthcare and medical technology
15 Minutes With The Doctor: Learn from Healthcare Entrepreneurs and Innovators


The podcast for inspiring stories from businesses, start-ups and innovators in healthcare and medical technology


21: 18 Months & 4000 Patients Later…With Dr Paul Upton From Ultramed

Oct 4, 2018 20:05


On this episode, we are joined by Dr Paul Upton from Ultramed. Paul was the first guest on the show and he discussed MyPreOp – A digital platform built to improve pre-operative assessment for patients and hospitals. Paul returns to the show to discuss what’s happened over the last 18 months, his challenges and successes. All is revealed in this episode. - What is MyPreOp? - How have the results been? - Why aren’t more hospitals using it with more of their patients? - What kinds of recognition has the technology received? - What are the plans for growth? - What would Paul do differently as a medical director after his experience with the Ultramed technology? What is MyPreOp? MyPreOp is an online cloud-based form into which patients enter their own medical data as part of the pre-operative assessment process. This includes standard medical history and other relevant questions which would normally be asked by a nurse in person, but do not usually require an in-person evaluation. The widespread implementation of this assessment could reduce the number of appointments that are necessary for hospitals and patients, while maintaining and even improving the quality of care provided. How have the results been? MyPreOp has been adopted by 8 hospitals, and assessments have been completed by 4,000 patients in the past 18 months. They have received positive feedback from patients, nurses, and anaesthetists. This feedback and continual improvement has resulted in 73 versions of the assessment tool so far. As expected, improvements will continue to come with the adoption of more hospitals and more patient use. Why aren’t more hospitals using it with more of their patients? “It is no secret that many people are resistant to changes to any kind of process, so to this point, the hospitals that have adopted the assessment have only been sending the form to small groups of their patients to test its effectiveness.” Paul and his team believe that patients and nurses are more than capable of handling this shift in procedure if they are given the chance. Even those patients who are not familiar with technology or do not primarily speak English, may prefer filling out the assessment with the assistance of a family member at home to potentially avoid a hospital visit. What kinds of recognition has the technology received? “This technology is ready for widespread adoption into the NHS.” Ultramed has been termed a “commercial supplier” under the UK Government G-Cloud 10 framework, which smooths the procurement route for hospitals who want to purchase MyPreOp. The company has also recently been accepted into the Digital Health Accelerator Program through the Academic Health Sciences Network. This provides opportunities for networking and collaboration with like-minded innovators in the health and care industry. What are the plans for growth? Paul and his team want to change the way that patients receive access to the assessment. Rather than hospitals choosing a small group who will use the form, Paul would prefer that every patient given the opportunity. They estimate that 40% of patients will fill out the assessment prior to their appointments, and that 35% of those patients may not need to come to the typical appointment as a result of the process. “It takes 17 years after something is found to be innovative and useful for it to get halfway through the NHS.” What would Paul do differently as a medical director after his experience with the Ultramed technology? Paul would have spent more time looking around for and learning about innovations in the industry that could have helped him as a medical director. The NHS system is under such high pressure that it often does not even seem feasible to spend time looking, let alone considering implementing a change in procedure, but it could have saved a lot of time and energy. “What you have to do when you want to change management is relieve pressure firs...

20: Patent Masterclass for Healthcare Entrepreneurs & Innovators

Jul 24, 2018 26:10


On this special masterclass episode, we are joined by Phil, a patent attorney with a company called EIP. It’s a longer than usual episode but it covers the essentials in regards to patents. Phil gives us a concise but thorough description of patents, the process for being granted a patent, and some useful guidelines and tips for healthcare entrepreneurs and innovators. What you will learn in this episode: - Patent defined - What can be patented? - When is the ideal time to patent? - Patent process - Costs associated with patenting - Advice for those considering submitting a patent application - Patent defined • A patent is an exclusive right to stop others from exploiting your invention. • An invention is a technical solution to a technical problem; of an industrial nature including functionality, construction, process, or chemicals. - What can be patented? • Any invention with an industrial application, which can include the technical aspects of software. - When is the ideal time to patent? • It is never too early to submit a patent application, but it can be too late. • You must consider strategic factors including the stage of development, the availability of funding, the availability of resources from suppliers, and the willingness of distributors to carry the product. - Patent process • Secure a patent attorney to draft the patent application – It is often to challenging to do yourself. • File a priority application through your patent office. • After a 12 month waiting period, you can then request a search and preliminary opinion to determine if the invention is protectable and then submit a priority claiming application which can include additional information. • After approximately 12 more months, you can submit international applications in the countries where you would like for the patent to be granted, after which the agencies will conduct a thorough investigation of your invention’s viability for patenting. • Next, your patent will be examined and you can submit arguments and amendments until your patent meets requirements. • Finally, you will be subject to various fees after which your patent will be granted. - Costs associated with patenting • You will encounter costs at each stage of the patenting process, ranging from £4,000-£15,000, you also need to account for the renewal and maintenance fees that you will incur during the 20 year patent. - Advice for those considering submitting a patent application • Consider keeping your idea secret until it is protected; be cautious using crowdfunding sites to raise funds if you disclose too much information. • Choose your patent attorney and business advisors carefully, and have them sign Non-Disclosure Agreements. • Determine who actually owns the patented material; this could save you from trouble down the road. • Before you begin this lengthy and expensive process, consider whether applying for a Registered Design or a Trademark could better meet your needs instead. Key Quotes and Links: “The patent gives technical protection to the person who has filed the patent.” “It is important to work out how far along in your development you are and make a strategic choice about when to file your patent application.” “What’s termed ‘state of the art’ is everything that is available at the date that the patent application was made.” UKIPO: https://www.gov.uk/government/organisations/intellectual-property-office EIP: https://www.eip.com/

19: Solving The Ultrasound Probe-lem With Victor from Usono

Jun 13, 2018 18:57


In this episode, we chat to Victor from Usono. A Dutch company that specialises in improving and innovating the use of ultrasound in healthcare. They develop smart ultrasound accessories that help to make the application of ultrasound better. Learn how their story started with a university project, why the big ultrasound manufacturers support the product, and about their future ambitions. What you will learn in this episode: - How Usono began. - How does the product work? - How did they know the product was needed? - Why the product didn’t exist before? - Patent protection at an early stage. - Funding the business. - If I could grant you a wish for Usono, - Advice to other entrepreneurs and innovators. How Usono began Benjamin, who is the current CEO met Victor through field hockey at the university campus. Benjamin was studying Bio-medical engineering and was researching developing software algorithms to detect muscle illnesses for children using ultrasound. However, he had a problem. There was no way he could fix the ultrasound probe to the muscle. One day, he asked Victor to design a product that could help him with his problem. Being an industrial design student, and passionate about developing innovation for the medical world, he agreed. “The two of us together with another friend started to work on the project.” They slowly gathered interest from hospitals through the simple tool they had developed to fixate the ultrasound transducer to the upper leg. They later began to liaise with hospital radiologists and cardiologists to help develop the product further. How does the product work? The Probefix was launched a few months ago and allows attachment of the ultrasound device direct to the chest so the heart can be monitored. The Probefix Dynamic is an enhanced version of the first product they created. It focuses on muscle monitoring in the arms or legs and is currently being developed. “We're looking to develop the Probefix and Probefix Dynamic for use in muscle movement using ultrasound for applications in other areas such as stress acute cardiology and to monitor a muscle or an organ for a period of time.” How did they know the product was needed? Usono contacted hospitals directly in regards to their interest for such a product and gathered their feedback. “We're in contact with the ultrasound manufactures such as Philips and they all agree that there is a real need and benefit from using a product such as Probefix.” They discovered sonographers found it uncomfortable to hold the ultrasound probe in the same area for a prolonged period of time. From multiple sources of research, they found that 70-80% of the sonographers suffer from repetitive strain issues which cause them to have significant periods of work causing cost implications for the hospitals. Why didn’t the product exist before? “The ultrasound manufacturers claim it’s too small a business for them.” The ultrasound system is very large and complicated which includes high costs and therefore, such a small accessory is a small-scale business. Hence, they opt to work with accessory suppliers such as ourselves. Patent protection at an early stage. Very early on, a doctor from Erasmus University and another one in the Netherlands found the product very interesting and wanted to demonstrate it at an International Conference. “Our advisors told us that if we wanted our products represented internationally, we had to start the patent process early.” Usono patented the product which helped them innovate openly because the product is protected internationally and therefore, they can present it at multiple venues. How did they fund the business at the beginning? They business began while they were students, it was initially financed through pocket money and part time work. Following this, they were selected for the high tech Excel program, which is a world-rated accelerator program at their campus in Eindhoven.

18: Inventions for Mobility with Lise Pape

May 10, 2018 19:21


In this episode, we have Lise, founder of Walk With Path. Lise was inspired to start the company after she witnessed the challenges her father faced with Parkinson’s disease. The company is focused on increasing mobility and preventing injuries. Lise shares with us how she generates ideas, why users and problems are at the heart of her design processes, and hear more about her journey to creating two physical products. What you will learn in this episode: - How the journey to Walk with Path began? - Issues with current methods in mobility. - What is Path Finder and Path Feel? - The idea and implementation behind Path Finder and Path Feel. - Processes for generating ideas. - Funding for Walk with Path. - Challenges of creating a physical product. How the journey to Walk with Path began? It started in 2014, when Lise had a student project that she was working on while studying innovation design & engineering in London. The final project was about mobility and improving mobility in people with various chronic conditions. “This led to some interest from users and others which gave me the belief in taking the project forward.” That same year, she decided to create a business, on the back of the initial student project. Personal interests led Lise to choose to explore mobility. Her father has mobility issues with Parkinson’s disease and she wanted to test how she could positively impact the issue using design or technology as opposed to current methods. “I've seen the different changes that have happened which were very severe.” Issues with current methods in mobility There are symptoms in Parkinson’s such as ‘freezing of gait’ which have limited drug treatments. This is when someone suddenly feels glued to the floor preventing them from taking another step. “Current drug methods don't really help to alleviate this symptom. They can a little bit, but there's not much assistance during ‘off’ periods.” Lise realised there were various coping strategies which people tried. One of which is cueing, where somebody comes and helps the patient by putting a foot in front of them that they can then use as a cue to step across. This observation led to the idea of having an independent design, which would lead to independence and allow more freedom. What is Path Finder and Path Feel? Path Finder is a visual cueing product attached to the shoe which provides to lead the cue in the walking path of the individual. They will see a green line that they can use as the cue to step across. “It works well with persons with Parkinson’s but we’re also exploring it with other conditions such as stroke and other movement disorders.” Path Feel provides vibrational feedback during walking which focuses on the population with balance issues. They're aiming to launch the program in 2019. The idea and implementation behind Path Finder and Path Feel. These ideas are the result of a user-centered design process of iterative design. This means talking to, and spending time with users as well as doing interviews and performing thorough observations. Lise spoke to people with Parkinson’s and multiple sclerosis, their family members, and healthcare professionals to fully understand the impact these conditions have on their daily lives. She tried to understand their problems and which solutions would be best fit them. “I created ideas, then did testing to the design process that I followed to assess the principles very quickly. This ensures the ideas are validated before spending a lot of effort and time.” Processes for generating ideas When generating the idea, the first thing Lise did was research with the affected user groups and eventually developed a small test product and built upon it each time. People follow different processes but Lise believes this is the best process to fully engage in the problem before thinking about solutions. “The problem should always be the first thing to focus on.” Funding for Walk with Path

17: Creating a Patient-controlled Medical Record with Mohammed from Patients Know Best

Apr 12, 2018 19:19


In this episode, we welcome Mohammad, founder of Patients Know Best. The platform is a patient-controlled medical record system with numerous features for users, including seeing results, communicating with health professionals, and sharing the medical record with family or friends. Learn about Mohammad’s early journey into creating software, how the company has grown to securing contracts which serve up to 2.3 million patients, and how they have started utilising the benefits of blockchain. What you will learn in this episode: - How the journey to Patients Know Best began? - What is Patients Know Best? - How the process works - Integrating multiple health platforms into a single point of access - How Patients Know Best generates income - Benefits of using Blockchain on PKB platform How the journey to Patients Know Best began? Whilst completing his A-levels, Mohammed read a book called Chaos, which was about nonlinear mathematics. It described chaotic systems like the weather, the earth’s geosphere, the immune system and the economy. It explained how chaos influenced each system. However, there wasn't anything about chaotic systems and how to program the model of the human body in the book. This sparked some interest into software and Mohammed decided to learn about it. “During my medical school summers, I would get a programming job. I wrote software to model the immune system and things like a heart attack. It was really interesting to use programming to help understand healthcare better and to deepen my computer skills.” How the process works When a patient attends the hospital for an appointment, the doctors will inform them that they can have access to their records. They are asked if they want to register and 70-90% of patients do agree. The registration process simply involves an email address and password. From then on, you get access to your data although it depends on which hospitals you’ve visited. “It works on a phone or laptop, as long as you have access to internet connection” The platform offers the ability to share all or certain parts of your information to family members or friends. Some incredible features include adding a Fitbit, connecting a glucose monitor, and you can also message your clinical team. Integrating multiple health platforms into a single point of access “The software is great because patients realise they only have to connect to us and we’ll connect them to everybody else.” In the UK, there are at least 4 main primary care IT systems, 6 main hospital IT system, and now there are over 100 connectable health devices. Once Patients Know Best connects to one of these systems or devices, it starts to work instantly. The PKB platform is upgraded weekly. How Patients Know Best generates income Patients Know Best operates as a software as a service business. There is a subscription fee paid by the health institution - The calculation is based on the number of people cared for by the institution. “As a hospital, once you're a subscriber and looking after patients, you can send unlimited amount of data for your patients with storage.” Benefits of using Blockchain on PKB platform Patients Know Best will be working with Dovetail Labs which won a research grant from SBRI Health Enterprise East, where they have built blockchain software to manage healthcare data – They have used blockchain to move data around from primary and secondary care settings. “Blockchain is a very transparent approach because it keeps a log of every transaction.” Blockchain technology is extremely powerful and it will dominate the healthcare and research industry in coming years according to Mohammad. Learn more about Patients Know Best The best place to learn about PKB is through the website: www.patientsknowbest.com

16: Creating a Platform to Improve Employee Wellbeing with Soma Analytics

Mar 2, 2018 19:04


In this episode, we talk to Christopher, one of the founders of Soma Analytics. They have developed a tool which supports organisations to improve the mental wellbeing of their employees. We talk about how their unique approach seeks to improve the human potential of a workforce, how they are testing the tool with big name companies, and how they secured vital EU funding. Also covered in this episode: - What is Soma Analytics? - How Soma helps the workforce. - How they secured big companies to use the App. - Evidence of the effectiveness of the app. - How to acquire EU funding. - Advice for healthcare entrepreneurs. What is Soma Analytics? “Soma Analytics has created an app for mental resilience. It's a platform for preventative mental health for employers and organisations.” An employee can track their mental health and complete various programs within the app. The employee’s information is sent to the employers. The app has a dashboard for employers that shows in an anonymised and aggregated way the results and improvements in the mental health of employees over time. The company was started because they had a friend in university who went through a depressive episode due to work related stress. How Soma improves the workforce “Mental health and stress is increasingly becoming a problem for organisations.” Staff leave jobs simply because they're under too much stress. Soma recognised every function of an organization gets measured to the X degree, except human resources, which is actually the most important asset. “The app helps in having insights in how employees feel in an organisation, hence improving the productivity and wellbeing of the workforce.” How they secured big companies to use the App The app is different from many other apps serving a similar purpose directly to customers such as Headspace. Soma operates on business to business basis and caters for both the user and the buyer (organisation). “We roll the application out over different sites in a large workforces creating communications, campaigns and excitement. We believe this approach is quite unique since it's targeted specifically at employers.” Evidence of the effectiveness of the app Soma seek to be science-backed and evidence-based. Recently, they undertook a small randomised controlled trial with healthcare workers at the Mayo Clinic. Also, they are funded by the European Union under Horizon 2020 where their main aim is to validate their solution in a mass control trial across different organisations in Europe. How to acquire EU funding It can be challenging to acquire EU funding as funding is available under many different topics. For example, under the Horizon 2020 there are different aspects funded under academic research as well as in innovation, startups and SMEs. “You have to work through the topics to find which suits you best. You can use the funds you get for research as well as developing the product but that depends on the framework of the funding you're applying too.” There are organisations in the UK that can help people acquire such funding. SAS ventures is one great organisation that could help. Advice for healthcare entrepreneurs “Mistakes are common in entrepreneurship, doing things iteratively is important and it is part of the lean startup methodology.” Reading the lean startup method early on is a key recommended action. Learn more about SOMA Analytics on To find out more about Soma analytics please go to Soma-analytics.com or Twitter: @Somaanalytics If you are interested, Soma have a newsletter where you can get all the information on their events or webinars.

15: Optimising the Dining Industry with Tarryn from Kafoodle

Jan 23, 2018 19:28


In this episode we have Tarryn Gorre who is a chef, nutritionist and founder of Kafoodle. It’s a software company which helps businesses in the hospitality or care sector easily generate food recipes, including nutrition, costing and allergy information. Initially the software targeted restaurants, bars and cafes catering to the 8% of children and 2% of adults that have a food allergy or intolerance. “We’re not really taught nutrition as chefs, we’re taught to cook.” The EU rules changed in 2014, requiring restaurants and cafes to list key allergens in their foods. So, Kafoodle helps chefs save time and therefore money by auto-generating the cost, allergen and nutritional information of recipes. While software options do exist to help chefs manage recipes, the emphasis is mainly on cost rather than health factors. Kafoodle is affordable to the average restaurateur and makes it easy to amend recipes to make them healthier, or cater to dietary requirements. An Innovate UK grant in 2015 saw the software developed for the social care sector. KafoodleCare works with care homes and hospitals, and is now rolling out into schools and corporate canteens. It helps these businesses manage food the way a restaurant would, while meeting dietary requirements and nutrition targets for residents. Currently used in over 2000 locations, Kafoodle is also expanding into catering colleges to cover the education side of food and health. The company’s long-term goal is to use food as medicine by prescribing diets instead of medication. “Care homes can save money, which is what’s key to them in the current climate, but also you’ll have people eating better.” Also covered in this episode: - The benefits of using the software and how it works - What the consumer app offers businesses and consumers - The research and development process for Kafoodle - How Kafoodle generates income - Why this software is needed in care homes - The biggest challenge in developing Kafoodle - Tarryn’s advice to somebody starting a similar journey Find out more: You can find Kafoodle at the website https://kafoodle.com/ or on Twitter @kafoodle. To connect with Tarryn you can email tarryn@kafoodle.com

14: Using Machine-Learning to Reduce No-Shows with Benjamin Fels

Dec 9, 2017 19:15


Today, we have Benjamin, the Co-founder of Macro-Eyes, a machine-learning company that simplifies personalised patient care. One of their products is Sibyl, it’s a scheduling tool that can help predict when patients are most likely to attend their medical appointments, therefore maximising appointment use. Learn about Benjamin’s background in hedge-funds and finding meaningful patterns in data, learn how Sibyl works, and why he wanted to address the not-so-shiny problem of patient scheduling. “Patient scheduling is one of those things that maybe is so ubiquitous that it gets brushed aside for the bigger, shinier, and perhaps more superficial problems.” Sibyl predicts when each patient is most likely to show and then builds a strategic schedule to maximise utilisation and minimise gaps in the schedule. Scheduling is the front-door of care. However, it is incredibly complex and often overlooked. The focus of the Sibyl is to maximise the probability that exactly one patient is going to show up for each slot of the day. “Slot by slot, it recommends the best-fit time for the patient and the provider of care.” In the US, overbooking is a common practice that results in longer wait times during some periods, and idle times when patients don’t show up to appointments. Although in the UK overbooking is not practised, it has been estimated that patient no-shows cost the NHS £1 billion per year. The Sybil technology is 75-80% accurate in its predictions, which allows medical staff to focus their interventions on only the patients most likely to miss appointments. The intelligence inside the technology has been deployed and refined at leading academic medical institutions and in one of the largest health systems in the United States. Over 500 000 medical records and 2 million appointments were analysed to make these predictions, and the tech learns in each new institutions where it’s used. Also covered in this episode: How Benjamin’s background working in a hedge fund helped prepare him for this role - The similarities between machine learning in finance and medicine - How the Sibyl technology works - The lessons we can learn from Amazon about scheduling efficiency - The costs associated with using and developing Sibyl - How efficient and effective scheduling processes can save money Find out more: You can find Sibyl at the website https://www.gosibyl.com/ or on Twitter @gosibyl You can find the company Macro-Eyes at https://macro-eyes.com or on Twitter @macroeyeshealth To connect with Benjamin, you can email him at Benjamin@macro-eyes.com

13: Doctors Recommend Other Doctors With Dr Kartik Modha

Oct 13, 2017


In this episode, we talk to Dr Kartik Modha, who is the founder of myHealthSpecialist.com and Tiko’s GP Group – A social media group for primary care doctors in the UK. Kartik is listed as one of the 50 most influential GP’s in UK. Learn how he has developed an online platform where doctors recommend other doctors and how his passion to foster collaboration within the profession led to success in digital health. What you will learn in this episode: - What is myHealthSpecialist.com? - How the service works - Balancing being a doctor with a digital health startup - About Tiko’s GP Group on Facebook - The future of digital health for general practice About MyHealthSpecialist.com Myhealthspecialist.com is an online platform which helps people—GPs and patients—find specialists that have been recommended by doctors. The idea came about when Kartik was training to become a GP (Primary care physician). He found long email chains would develop when doctors would discuss which specialists they would suggest recommending in regards to patient requirements. It is a doctor-based specialist recommendation service for the UK. How the service works The majority of specialist members are practicing in NHS and do some additional private work. If Kartik and his team get a recommendation for someone not part of their member network, they will contact clinicians and let them know about the service. Alternatively, if you want to have a professional online profile that shows that you are peer recommended, then you can contact the service directly. The team can take you through a series of steps to optimise your online profile, build up peer recommendations based on existing networks, and offer specialists the option to take part in GP education events. Kartik is passionate about collaboration and improving primary and secondary care relationships. How the website generates revenue For specialists, there is a flat rate subscription fee which enables the service to be free for patients and GP’s. It’s £44 per month currently, the cost of which is can be covered relatively easy through a small number of patient referrals through the site. It’s particularly great for new specialists within the private sector while being more efficient. There is the added benefit of a team managing your online reputation and lead generation, maintaining the technology, and getting more traffic to your profile. Balancing being a doctor with setting up a digital health venture At the beginning, Kartik says there is a lot of excitement so the sheer energy of that is immense, but it has been a lot of work. One thing doctors are particularly good at is multitasking. Kartik’s clinical experience feeds into what he understands about healthcare from a front-line perspective, which has been essential for the platform’s development. Having a brother who worked for Accenture helped with the technical aspects. “GPs have the benefit of knowing a lot about healthcare, including the delivery of it, not just the biomedical side. Combined with the tech side, that has been a real advantage in the digital health space.” About Tiko’s GP Group on Facebook Tiko’s GP Group on Facebook has been helpful for many GPs in the UK and helped Kartik star in the Pulse 50 most influential GPs list for the last few years. The idea was an experiment and he’s shocked that it has become a phenomenon in its own right. One of the biggest issues in general practice is the lack of connectivity. Kartik sought to combat that using social media. It is a place for GPs and GP trainees that is separate from the physical and time barriers that previously existed. Kartik’s view is that anything that fosters communication and connectivity in health care is excellent. The future of digital health for general practice Current work in digital health is focused at improving efficiency. However, Kartik’s view is that general practice is already very efficient.

12: How to Change Rehabilitation Using Gamification with Cosmin Mihaiu

Sep 12, 2017 18:50


In this episode, we welcome co-founder and TED speaker Cosmin from MIRA Rehab. It’s a software platform which uses games in physical rehabilitation. It was built as a result of Cosmin’s health experience when he broke his arm. Learn how it was developed, their challenges and successes, and how gamification can be used in healthcare. What you will learn in this episode: - What is MIRA and how it was invented - The clinical applications of MIRA - The startup costs and success so far - The challenges of creating med-tech software - The pros and cons of gamification in the healthcare What is MIRA and how it was invented MIRA is a software platform that turns physical therapy exercises into video games, making therapy easier to follow. It asks patients to complete the recommended movements to progress through each game level and as a result, the patients are playing and also recovering. While they play, MIRA tracks in real time their progress and compliance. It runs on Windows and uses the Microsoft Kinect device, which is a low-cost motion capture camera that can track the movement from a distance. The idea came about when a group of 4 software engineering students, including Cosmin, wanted to build something cool to participate at the Imagine Cup - A Microsoft software competition for IT students and the idea for Medical Interactive Recovery Assistant (MIRA) was born. The clinical applications of MIRA MIRA is built as a tool to allow the specialist to create tailor-made treatment plans. This system is being used with patients of various ages. It can be used for orthopedic conditions such as frozen shoulder and hip replacements, or even neurological ones like cerebral palsy, acquired brain injuries or stroke. The games that the system has are simple so they can be adapted to a variety of patients. At the moment there are 34 games and 31 exercises that can be combined in 420+ different combinations. Patient progress is measured by a range of factors such as compliance, repetition, speed and performance. The startup costs and success so far The startup costs for installing the system are quite affordable. For the kit to be used at home, the patient needs a Kinect device, which costs £110, and a Windows PC. The pricing of MIRA is as a subscription model, it’s only available to clinical institutions to ensure supervised quality treatment. Depending on the subscription, it is usually £10 per patient per month. Currently, the MIRA team is focusing on the UK market but also selling across Europe. Approximately 60 clinics are using the software so far, some of which have run feasibility studies that showed MIRA can benefit patients in need of physical exercise treatment. Most of the work has been with older people, and the University of Manchester ran a large randomised control trial. The challenge of creating med-tech software From a technical point of view, when Cosmin and the team came up with the idea, they realised they needed to use a device. In 2010, they noted that holding the Nintendo Wii was an issue for some patients. There were also issues with a smart watch type device. The camera option of the Microsoft Kinect is helpful because the patient doesn’t have to hold anything, and being a camera it can track the user from a distance. It only has to be set up once and is accurate in terms of gross movements, even when patients move slowly The pros and cons of gamification in health care Gamification can be used for anything that needs patients to comply with their suggested treatment. Compliance is a big issue in healthcare, getting people to take steps towards better health is positive. Cosmin and the MIRA team did find that the adoption of the gamification concept throughout healthcare was their biggest initial challenge. When we first started, most people…directed us to speak to paediatric institutions. Suggesting that because MIRA has video games,

11: Using Deep Learning in Radiology With Jeroen van Duffelen

Aug 26, 2017 18:13


In this one, we interview Jeroen, the co-founder of Aidence. Aidence started in 2015 when the company saw the opportunity to apply artificial intelligence technologies to medical image analysis. Learn how Aidence can automatically analyse radiological images, how they raised 2.25 million in investment, and the Jeroen’s thoughts on AI in medicine. What you will learn in this episode: - What is Aidence and how it works - How this impacts the future of radiology - Advice for raising capital in the med-tech world - The future of AI in medicine What is Aidence and how it works Aidence is developing artificial intelligence algorithms that focus on the analysis of CT chest radiological images. The software is capable of detecting lung cancer, because the company used algorithms to ‘teach’ the program to detect different types of nodules. It is a supportive tool for radiologists. The algorithm reads thousands and thousands of images. Currently, 45 000 images with lung nodules have been annotated and categorised. These images have been inputted into the AI algorithm so that it starts to learn the features of a nodule/cancer. It can recognise all the different variations based on characteristics such as shape, intensity of pixels, volume etc. How this impacts the future of radiology Before the radiologist receives the images, it has already been sent to Aidence. If Aidence detected a nodule, it will circle the nodule, annotate it, and provide a report describing the characteristic e.g. type of nodule, size, volume and specific location. Currently, it supports the radiologist, in a screening situation or also normal clinical practice. In the future, for potential specific situations such as assessing a single disorder, the system could replace a radiologist but in most situations the radiologists have the broader medical experience and knowledge which is required. It’s very difficult therefore to train an algorithm to detect a rare disease because there are simply not enough examples to feed into it. Artificial intelligence is currently developed by the use of numerous examples which are required for it to effectively diagnose a condition. An algorithm can currently only do a few specific things, depending on how much data has been inputted for analysis. That is the limitation of AI and why they won’t replace radiologists in the short term. Advice for raising capital in the med-tech world Aidence recently raised €2.25 million in investment, but Jeroen says that raising this sum of money for a pre-market, pre-product, revenue business in Europe is difficult. Some of their competitors in the US and Israel have raised $7.5 – 25 million. They plan to use the money to extend their team and product, apply for CE certification and for distribution to first medical specialists. Their advice for anyone trying to raise money for medical technology is to get as much proof on the tech as possible, before trying to raise money. All investors want to know whether you can prove there is commercial viability. AI or IT in health care is so innovative and new that the business models are evolving. Aidence started co-developing with the market, and it was this approach that convinced investors because in collaborating with the market, there is proof of a clear pathway to commercialisation. Currently, Aidence is being used in several institutions in Holland, and with one radiology company in the US, all of which are in pilot phases. They’re also discussing with several NHS trusts in the UK to start pilots as well. At this point, it’s hard to say how much they will charge for the technology but for one particular disease, the price could range anywhere between €1 to €10 per image analysis. The more disorders they can add to the algorithm, the higher the price will become because the value would significantly increase. The future of AI in medicine In the short term,

10: Augmented Reality in Medical Education With Brad Waid

Aug 12, 2017 19:18


In this episode, we talk to Brad Waid, a school teacher turned Augmented Reality expert. He is rated the top 14th influencer for AR in the world. Today, he shares his insights with using AR in medical education. Learn from his experience working on Anatomy 4D, how to develop an effective user interface, and his thoughts on the future of AR. What you will learn in this episode: - How Brad discovered augmented reality - The use of AR in medical education - The UX considerations of AR - What to do if you have an idea for AR in the medical industry - The future of AR in the medical education space How Brad discovered augmented reality A school teacher for 10 years, Brad was at a conference in 2013 where a speaker was explaining new technology. When they introduced augmented reality, he thought it was the most amazing thing he had seen. He began researching and found a medical experience in AR. He brought this into the classroom and saw the opportunities it created for deep engagement with his students. Following this, he began to work with companies to create educational AR experiences. I felt it was my duty to learn everything I could about augmented reality in every industry and bring it into education as best I could. The use of AR in medical education A company called Daqri based in LA was commissioned by a U.S. Medical School to create an experience where students could train and work on the human body outside of the lab. The result is an app called Anatomy 4D. Students had a 3-foot vinyl mat, they would scan it and all of a sudden they had a life size human body laying on their workspace. They could rotate it, go in and isolate all the different body systems. The human body AR was so successful that the University asked Daqri to follow it up with an AR version of the human heart. Daqri’s research verified that when people are using AR to learn, it’s more efficient, more engaging, and they retain the information longer. The traditional way to learn anatomy is by dissection, but students are usually limited to a couple of hours per week in the lab. The benefit of AR is that you can access it at whatever time you want. It also allows you to have the visual component right in front of you, while your hands are free to manipulate your environment. It’s multi-sensory learning using the power of technology to multiply the resources. Brad worked with Daqri for 2.5 years where he assisted in the design and user experience of their AR products. The UX considerations of AR There are three main considerations for user experience in the augmented reality space. Firstly, it has to be simple - Users need to pick it up and use it easily. Secondly, whatever is being built needs to be an improved method or experience in comparison to what is currently available – It might be something that’s never been built. Lastly, you must make sure that there’s no lag in the experience. Make sure you have the processing power behind it and that the target is robust enough to hold the experience. It’s better to have a simpler application with no lag than a very deep application where you have to wait – It’s what customers demand. What to do if you have an idea for AR in the medical industry Run your idea by a trusted person and get their feedback. Once you have that and you really believe in your idea, start building it and you never look back. Release a basic version or a minimally viable product. Test it with users and then iterate from there onwards. The costs for creating basic models can vary greatly. Some people do it with just their blood, sweat and tears. Otherwise, it can cost anywhere from $25,000 to $100,000. If you have an idea in AR, now is a great time to get started. The future of AR in the medical education space Brad believes AR in medical education will become commonplace and many institutions are already using it on a complex level. With big data and cloud computing,

09: Using AI To Connect Thoughts To Similar Minds With Pouria Mojabi

Jul 28, 2017 19:25


On this show, we have Pouria from Paralign. It’s an AI powered mental health app which allows you to journal your thoughts and mood, and connect with similar minds. Pouria has previously raised 5.6 million for Vitagene. Today, he shares his key insights from a decade in digital health and how they built this unique app. What you will learn in this episode: - What is Paralign and how does it work? - Considerations when using technology for mental health - Why Pouria developed an app for mental health - Finding investors in the mental health space - Advice to others thinking about innovating in the digital health space What is Paralign and how does it work? Rachel is interested in the role technology can play to help us with mental health and wellness. Rachel has also been involved in the development in healthcare apps, one as a consultant and one as a co-founder. One of the apps was aimed primarily at supporting carers and people affected by chronic conditions. Paralign is an anonymous thought and mood tracker. With every thought you record, it connects you to people who have experienced something similar. It also creates a universe of mindfulness content, guided meditations, educational videos tailored to your thoughts and moods. It’s like a forum for mental health, but it’s much more than that. Once people express themselves, the custom-made AI processes different thoughts using graph theory and clustering technology. It can then connect you to similar minds and offer specific support. It could be a community, educational material, or a suggestion of an on-demand coaching session or a support hotline. The beta version went viral. It trended on Reddit, the front page of Inc. Magazine and Entrepreneur.com. Bloggers from different countries started writing about the app in Chinese, French, Russian, Croatian, and Spanish. Now they have users from 90 different countries. Considerations when using technology for mental health The similar minds feature allows you to connect to others feeling the same. There is a possibility that vulnerable patients are at risk or their experience becomes negative due to the responses of other users. Paralign manages that by allowing users to report thoughts and conversations. There are moderators 24/7 reviewing these issues. They also notify the reported users and remind them of the community guidelines. There’s only one rule, which is that you have to empower other users on the platform. There are also monitoring tools in the back-end of the app, listening on certain key words that suggest a user is having thoughts of self-harm or suicide. This allows the Paralign team to get involved, either by talking to that user or by sending a suicide hotline for them to call. Why Pouria developed an app for mental health Pouria has been in the digital health space for 10 years. He’s worked at hospitals, academia and other digital health startups, including co-founding Vitagene. He and his cofounders see the fundamental issue in digital health platforms being that many don’t understand what users go through emotionally or mentally. One of the goals with Paralign was to solve that problem. They also lost their friend to depression and through that experience, made it their mission to do something about this space. The challenges of finding investors in the mental health space Mental health is a difficult space to get investors, because there is still a lot of stigma. In the US, investors have gained little in mental health startups, so fundraising for Paralign has been challenging. They managed to find investors who saw the vision and potential. So far, Pouria and the team have raised $150,000 and they’re in the process of closing a $500,000 seed round. Previously, Pouria had raised $5.6M for Vitagene. The most vital thing he took from that venture was connections. If you want to be a founder and raise money for your startup,

08: The Personal Brand Of Dr Rachel Thomas

Jul 15, 2017 19:13


In this episode, we talk to Dr Rachel Thomas - A practicing doctor, healthcare innovator, author and speaker. Her first book was written as a medical student! Today, Rachel shares her perspectives on writing, the impact of technology on healthcare, and how she became the British Medical Association’s Young Author of the Year 2016. What you will learn in this episode: - Rachel’s journey into medicine - How Rachel applies her tech interests in her current medical practice - Perspectives on mental health optimisation and the impact of technology - How Rachel became an author, a speaker and the British Medical Association’s Young Author of the Year 2016 - How an accident changed her views on patient experience - Advice to other healthcare professionals that want to become writers - Where to find out more about Rachel Rachel’s journey into medicine Dr Rachel Thomas has been interested in different areas of health and wellness for a long time. Her first degree was in Biomedical Engineering and Science at Sydney University and included a year at UC Berkeley. She was inspired by the infectious optimism for health-tech in California. After returning to Sydney, she worked at a company that used technology to create devices to help with respiratory problems. A foray into modeling saw Rachel move to London. After moving to UK, she studied Medicine. How Rachel applies her tech interests in her current medical practice Rachel is interested in the role technology can play to help us with mental health and wellness. Rachel has also been involved in the development in healthcare apps, one as a consultant and one as a co-founder. One of the apps was aimed primarily at supporting carers and people affected by chronic conditions. Mental health optimisation and the impact of technology Rachel is particularly interested in mental health optimisation - It’s beneficial for all of us to look at techniques that can protect mental health and help prevent mental health problems. From a general mental health point of view, she believes we live in a very interesting time. The information that we have to process on a daily basis has pretty much doubled in the last 20 years. Just looking at the average anxiety levels of people on the street, our general levels are basically equal to what psychiatric in-patients had in the 1950s. One side of the argument is that technology is creating a lot of these problems, but the flip side of the argument is that technology also holds a lot of potential for helping people with mental health problems. It is certainly opening up conversations and decreasing stigma. How Rachel became an author, a speaker and the British Medical Association’s Young Author of the Year 2016 Rachel has written two books for medical students and doctors, both published by Wiley-Blackwell. The first book she actually proposed to the publisher whilst she was still a medical student. Practical Medical Procedures at a Glance and Medical School at a Glance are both aimed at making the lives of medical students and doctors easier. She believes she won the British Medical Association Young Author Award due to the innovative nature of her book and the fact that it was written as a medical student. Rachel discusses her publishing deals and how public speaking is a natural progression for her. It’s an opportunity to talk about key issues in health and technology. How an accident changed her views on patient experience Rachel had an accident a year and a half ago which she found to be an interesting experience in many ways. She questioned parts of the patient experience, it sparked an interest in the importance of the mind and a focus on positivity in regards to healing. Advice to other healthcare professionals that want to become writers Rachel discusses the multiple avenues beyond only writing in books. For instance, Rachel writes for Huffington Post and the BMJ.

07: Building A Virtual Physiotherapy Service With Paul Bryce

Jul 1, 2017 17:59


On this episode, we have co-founder and physiotherapist Paul from JimJam - A digital health platform where patients can access online physiotherapists via video. Learn how to create a remote consultation platform, how to address the clinical challenges of using video consultations, and listen to Paul’s thoughts on competition and disruptive technology in healthcare. What you will learn in this episode: - What is JimJam? - How physiotherapy works remotely - How to ensure safety during remote consultation - The importance of red flag identification - Choosing a price point for disruptive technology - Why Paul welcomes competition - The biggest challenge for JimJam What is JimJam? JimJam is a digital physiotherapy platform. The platform allows people to have a remote physiotherapy consultation in real time using video chat technology. The clinical reason to build JimJam is to remove barriers to access clinicians at the appropriate time. Research tells us that early intervention and active rehabilitation are important, both are facilitated by having a remote consultation. Additionally, we have an aging population, so there are an increasing number of people trying to access a diminishing resource. By providing people the opportunity to get quick access to a physiotherapist, there is evidence it reduces demands on the health service. How physiotherapy works remotely One obvious limitation of online services is that you can’t touch a patient during physical examination. However, although you can’t touch the patient, you can examine them. The look and move components can be covered by asking the patients to do certain movements. There are many tests that can be done that are movement related (e.g. does a patient have restricted movement?). These tests can be replicated without having to be in the same room. How to ensure safety during remote consultation JimJam is incredibly robust on clinical governance. All JimJam physiotherapists are HTPC registered and CSP registered. When the physiotherapists arrive at the working diagnosis, they’ll explain what the patient can expect (e.g. day 1, week 1, month 1). They’ll describe the need for and specifics of the active rehabilitation based on their particular presentation. The importance of red flag identification During a remote consultation, the physiotherapist has to be alert to red flag identification. The majority of red flag identification comes during the subjective assessment. This is why the people that work with JimJam tend to be senior clinicians, because they have the experience and knowledge base to make it extremely safe. Choosing a price point for disruptive technology The price point for JimJam is £19.99, this was chosen for a number of reasons. The premise of remote consultations in physiotherapy is disruptive, making it appealing also means making it cost effective. This price is for our B to C market.The majority of the fee—80%—goes to the physiotherapist, which is in line with standard locum pay for physiotherapists. The rest is to run and use the platform. Occupational health and other B to B customers are currently more profit generating for JimJam than single customers. Large organisations that have a captive audience of staff need to access services like this rapidly, to have a healthy workforce. Why Paul welcomes competition One of the things about competition, especially for disruptive technology, is that you can almost look upon it as proof of concept. JimJam responds to competition by improving iterations of the platform and how they provide services. This kind of platform already exists for GP services (Babylon Health), so it’s in the public consciousness. “There’s space for everyone, as long as what you do, you do well.” The biggest challenges for JimJam The biggest challenge for JimJam has been the confusion and disconnect around how remote consultations can work: “With physiotherapy,

06: Improving Pregnancy With A Data-driven App with David Schärf

Jun 16, 2017 19:00


David is the CEO and co-founder of the app Femisphere. The app supports women in pregnancy by tracking their health data, providing curated content, and by offering an interface to connect with their doctor. Learn how they collaborated with UNICEF and the World Health Organisation, how they integrated numerous patient data points, how they continuously improve their app, and their focus on business to business markets. What you will learn in this episode: - Why is Femisphere needed? - How did Femisphere link in with UNICEF and the World Health Organisation? - What are Spheres? - What drives app updates? - Do doctors pay for the app? - Current partnerships and plans for growth - What advice does David have for medical app creators? Why is Femisphere needed? There was a need from pregnant women for quality information with tracking and better support in their pregnancy. This was recognised by patients and by healthcare professionals. The original intention was to create a generic patient profile to cover various diseases, but they decided to change to a ‘vertical’ approach. Pregnancy is an experience with many doubts, questions, and first-time interactions. Fifty percent of patients had questions with no immediate answers. The app has a variety of validated content (videos and articles) to help in multiple subjects. In addition to pregnancy, Femisphere now covers the first year after the child has been born. How did Femisphere link in with UNICEF and the World Health Organisation? A few years ago, those organisations were looking for new ways of promoting initiatives that promote breastfeeding. Team Femisphere struck out an exclusive and collaborative partnership. What are spheres? The app has a feature called ‘spheres.’ These are coloured visual representations of personal data. They allow tracking of your personal data and special moments in an easily understandable format. What drives the app updates? The app is being continually updated in view of app store reviews and user feedback. Additionally, they use qualitative feedback from users by way of gathering insights from video recordings of app use. Do doctors pay for the app? The app is free for doctors. There's a premium (paid) version of the app which allows patients to access their full medical record and to connect directly with their doctor through the app. Additionally, the premium version of the app has more content. Current partnerships and plans for growth Femisphere is working with an insurance company in Abu Dhabi which has provided multiple insights within this culture. They're also working with one of the largest clinics in Germany. They're looking to expand to the UK and US, as well as investing money to localise and translate the app for different regions. It has been easier to work with B2B companies initially and then scale for further growth in all markets. What advice does David have for medical app creators? David is a fan of the lean start-up method and the Business Model Canvas. Validate your idea. Don't be shy, and don't be worried about others stealing your idea: “The secret sauce is never the idea itself. The hard part is the execution. Talk to as many people (customers, partners, anyone who will listen) as you can, and don't be shy about changing things to solve another problem. At first, create a solution that delivers one to three features very well.” Find Femisphere on the app store or google play or visit onelife.me. You can also connect on Twitter and Facebook. If you enjoyed the show and found the content valuable you can help in two ways. Subscribe to the show in iTunes and leave an honest rating or review. Both of those things really help to spread the word about new shows.

05: How To Develop An App Which Helps You Think Like An Expert Doctor With Dr Lorin Gresser

Jun 2, 2017 18:51


Today, we have Dr Lorin Gresser, who is the creator of DEM Dx, a medical education app. The app teaches diagnostic skills by utilising the approach taken by experts in medicine. Learn how Lorin has integrated the process of decision making in medicine into an educational app, her approach to validate the app, and how she built a team of expert physician contributors. What you will learn in this episode: - What is the DEM Dx app and why is it important? - Decision Making in Medicine and DEM Dx - The success of the DEM Dx app & validation - Keeping the app up-to-date - Entrepreneurial lessons Dr Gresser learned throughout her career What is the DEM Dx app and why is it important? Doctors are taught about diseases and their symptoms, but the real world works in reverse, where symptoms appear first and a doctor must make decisions to arrive at a conclusion. The DEM Dx app utilises the thought processes of expert doctors through decision trees. Decision Making in Medicine and DEM Dx The app ensures that you aren't skipping steps or narrowing the decision making funnel too quickly. For example, the natural bias for chest pain is something heart related, but chest pain may also come from multiple other causes. The success of the DEM Dx app & validation Dr Gressler won a Woman of Innovation in 2016 award from Innovate UK. She is using those funds to run a study to see how DEM Dx changes decision making behaviours and to validate how effective the app is – This is something that is not done typically in the mobile app field. They are close to 20 000 downloads in the last 5 months, with only a limited amount of marketing. Dr Gresser is continuing to find ways to make the app useful and make sure people use it as part of their daily or weekly habits. It has spread very well through word-of-mouth between physicians and students. Keeping the app up-to-date As an app, they'll be able to push out updates as they go. For example, they could add images or audio files demonstrating heart murmurs. The app does not require the latest guidelines as it is focused on the thought process behind making decisions and diagnosis in medical care. Entrepreneurial lessons Dr Gresser learned throughout her career In business, you're expected to fail, and it's okay to fail, because those failures can lead you to the successful projects or provide skills to apply to those other projects. It's also helpful to have a network of other entrepreneurs to get advice and support. Find out more about DEM Dx at www.demdx.com. You can download the DEM Dx app on the Apple app store and contact DEM Dx by sending an email through the website.

04: How A Rugby Head Guard Was Developed As A Medical Device with Mark Ganly

May 18, 2017 19:59


On this show, we have the co-founder of N-Pro. He shares with us their story on how they have developed a unique new rugby head guard. Learn why he was inspired to create the head guard, the importance of end-user research, and the intricacies of classing a product as a medical device with CE mark approval. What you will learn in this episode: What is N-Pro and the idea The reason a new approach to helmet development was needed The innovative process that went into creating N-Pro The benefits of classing the product as a medical device and how the product was tested Some thoughts about the ethics of animal testing The challenges of working in a field of innovation Advice for people dealing with the press and media What is N-Pro and the idea N-Pro was founded by Mark and his wife, in part because of their backgrounds. Mark had a company that was developing sports helmets for the Irish sport called Hurling, and he was also involved in the development of safety standards for sports helmets. Meanwhile his wife, is involved in the medical device industry. The reason a new approach to helmet development was needed The area of head injuries in sport is a controversial and emotive topic. While there are developments in the diagnostic space, Mark and his wife were more interested in reducing the risk factors of the injury happening in the first place. There are two major risk factors for head injuries in rugby: linear impacts (90 degree blows to the head) and rotational impacts (glancing blows that make the head spin). The innovative process that went into creating N-Pro The co-founders could see a huge unmet clinical need in the sport. They applied it to the principles and processes that had traditionally been used in the medical environment. The benefits of classing the product as a medical device and how the product was tested There are a number of companies around the world looking at sports helmet development, but according to Mark, lots of companies are making unvalidated claims. When you’re looking at addressing a clinical issue, he believes all those products should be under medical device directives. N-Pro has been through over 3 years of research and development. They started with the traditional way you would test sports head gear—bench testing and drop testing. The next step was a pre-clinical animal study. Some thoughts about the ethics of animal testing Although some people are against animal testing, it’s still used in the medical field. Pre-clinical studies are very common in the medical device industry. Most medical devices, apart from very low-grade risk products, would have used pre-clinical studies, which some people might not know. However, that’s what commonly happens. You have to test a number of factors in the product before you can move into human testing. The challenges of working in a medical field which evolving There is always more to learn in the field of concussion research in sports. Mark says the current N-Pro product is only the first version of the product. They have several other designs planned for it and will be constantly innovating the product as new research and development occurs. Advice to people dealing with the press & media Head injuries are a hot topic so there are stories all the time. In terms of giving advice, he suggests managing expectations with the press. They have said clearly that the product is designed to reduce risk factors. However, a lot of the time people like to turn it into a sensational headline, that this is going to solve this issue. Mark has remained consistent in his message in the fact of this sensationalism: “We’ve always said it’s a multifactorial response that’s needed here to address this issue.” Find out more at the website www.n-pro.com or on Twitter: @nprosports I hope you enjoyed the conversation today - Please leave a review and subscribe on iTunes. Thanks for listening!

03: Creating a Revolutionary Handheld Ultrasound Device with Dave Willis

May 3, 2017 19:53


Today’s guest shares his expertise from years of working in the ultrasound industry. Their unique handheld ultrasound device can link directly to a smartphone or tablet. Dave Willis, the co-founder of Clarius, tells us how their mobile device can change the way doctors work, how they created the device, and their unique sales strategy. 1:00 Dave introduces his company Clarius and his product, which is a groundbreaking ultrasound device that connects to any tablet or smartphone running iOS or Android. 1:30 He was inspired to create the device when he visited a hospital department and heard how the number of consultants was much greater then available ultrasound ma-chines. 2:58 Dave’s company has removed typical hardware that ultrasound machines use and has enabled consultants to literally work with whatever mobile phone device they have in their pockets. 3:48 At the moment, the device is limited to Android and iOS as the vast majority of physicians are using devices with those systems. 4:42 Dave’s background is in ultrasound and working directly with physicians. 5:45 He feels the big advantage of his device is accessibility and affordability. 6:53 In the past, anything sub $10,000 with good image quality was difficult to find. Image quality is extremely important to new users. 8:00 The device doesn’t remove the need for training. That is still required, but it makes a range of diagnosis and treatments much more accessible to physicians. 9:20 Dave feels that this technology could be a good fit in quite a number of developing nations. 9:48 A good friend of Dave’s had developed his own ultrasound product previously, so when Dave relayed the earlier story about the hospital department with limited ultrasound equipment, they began working to create a device. A three-year window followed with development of an open source wireless system to talk to any operating system. 10:57 The product was primarily funded internally. 11:39 Dave discusses acquiring FDA and CE approval. A key tip is not to make any outrageous claims about your product in this process. The process of approval is typically six months from starting tests to final submissions based on feedback from the authorities. 13:30 Dave recommends newcomers to engage a third-party reviewer to help them with getting a product ready for the approval review. 14:23 Dave discusses their sales strategy which involves direct sales to end-users which is atypical of the industry. This can allow a dramatic cost reduction for the customer. 16:19 Clarius’s focus is point-of-care. They don’t plan to replace the big ultrasound ma-chines in the radiology department - getting smaller machines into point-of-care departments is where the biggest growth will occur in next few years. 17:45 Dave shares his personal experiences to show how ultrasound can improve accuracy for simple procedures. 18:36 The best point of contact for Dave is www.clarius.me where there is information and testimonials about the product. I hope you enjoyed the conversation today - Please leave a review and subscribe on iTunes. It really does help the show! Thanks for listening! Read on to see how Dave answered my final question: Vinay: What advice would you give to aspiring healthcare entrepreneurs and innovators? Dave: I think a couple of things. One is certainly a clear understanding of the end user. I've seen a lot of devices get on the market and fail because they miss the fundamental use model. Either they were too expensive or the image quality wasn't good enough. I think it's imperative to really understand the marketplace that you're trying to address. Then of course just having a passion for that. We were quite lucky, the founder and myself, that our whole background has really been ultrasound for a lot of years. So it was fairly easy for us to step in and we did come up with a very good product to address the mar...

02: Capturing Data Effectively From Patients with Bruce Hellman

May 2, 2017 15:36


Bruce Hellman is Co-Founder of an innovative app called uMotif. Today, he discusses the app he has developed. It is changing the traditional approach of how clinicians and researchers gather information from patients. Discover the importance of design and a patient-centred approach to create impact. 00:26 This episode’s guest Bruce Hellman, CEO and Co-Founder of uMotif is introduced. 01:06 Bruce begins to describe briefly his company and the app that they have developed. It is essentially a cutting edge digital research tool to help patients and practitioners in the realm of healthcare. 01:42 After meeting some patients with Parkinson's disease, they pointed out to Bruce how beneficial the technology his company was developing would be in tracking their symptoms. The system can now track sixteen clinical conditions. 02:30 Initially the system was designed to track Bruce’s sleep patterns, but when he and his co-founder met some patients, it morphed into something entirely different. 03:03 Bruce went along to an open entry competition to win funding for his concept, and through this competition he was lucky enough to secure funding and meet patient groups. These competitions still exist, and are useful opportunities for any of the listeners that may have an idea to pursue. 04:27 Design is the difference between Bruce’s app and other systems that exist. From the word go, he wanted to do something different and something that was easier to use then other apps out there. Bruce’s co-founder was a designer, so implementing good design was a core part of the business. 05:15 Over the 4 years of its existence, the company has evolved and matured, but Bruce feels having a strong technology team is a key part of the business. All of Bruce’s developers are in house. 06:14 Bruce accepts you can outsource work, but he encourages people to see if they can do a lot of their set up work in-house. 06:48 Bruce describes how his company started collaborations with Hundred for Parkinsons and Cloudy with a Chance of Pain. 8:00 Bruce had no connections in the industry when he started. He recommends going to meet-ups and networking events. If you are going to do something that is going to make a difference to people, clinicians and practitioners are always ready and willing to talk. 9:09 The app is free to patients, and Bruce intends that to always be the case - revenue is made from charging the hospital or research study. 9:48 The platform can be customised to meet the requirements of different research studies. 10:27 The future as Bruce sees it, is that any patient will be able to use digital technology to capture more high quality data and engage patients on an easy-to-use platform. This provides high quality data to be used in clinical research. 11:10 Already huge amounts of data is imported from wearables and web data for use in the platform. 11:52 When the focus is on providing a patient with a high quality experience, it is easy to obtain quality data, and Bruce feels this approach has worked best. To set out to get data first and provide a quality experience second would not be equally effective. 12:43 Bruce’s advice is to be as focused as you can on the problem you intend to solve. A product that makes a financial impact on healthcare is more likely to be successful. 13:36 Bruce’s app can reduce costs through patient-generated data by increasing efficiency of trials. Lowering the cost of trials is a huge benefit. 14:34 More information can be found at uMotif.com or on Twitter:@umotif Thanks for listening! Please leave a review and subscribe on iTunes. Your reviews are really helpful and I look forward to reading them!

01: How to create a new platform for pre-operative assessment – Dr Paul Upton

Apr 28, 2017 17:25


In this episode, we’ve got Dr Paul Upton from Ultramed. I met Paul at a med-tech innovation conference in 2016, and loved the new pre-op assessment platform he has developed. Today, he shares his story so far and reveals some valuable tips on how he developed his product. 00:28 This episode’s guest Dr. Paul Upton is introduced. 00:54 Paul’s background started as a clinician in the NHS before he moved into the development of the Peninsula Medical School where he played a significant role including writing some of the curriculum and then he moved to medical management. He has now at the age of 55 retired from the NHS and is a co-founder of Ultramed. 1:57 He wishes he had set up his own company earlier as he has always enjoyed the management side of things. 2:38 Paul met his co-founder on an airplane of all places. The guy he sat next to - Alan was a creative designer. Together, they combined their NHS and creative design skills to solve the problems associated with pre-procedure assessment of patients. Their product is essentially an easy online system for patients to input their own data before assessment to streamline the whole pre-op system. 3:32 They have now expanded to include a cath-lab system, an endoscopy and a radiology system - in essence, a whole suite of tools. 3:55 During his time in the NHS, Paul saw the problems with getting people ready for these procedures and applied his knowledge to have one system to solve multiple problems. 4:20 The key problem is the way the data is collected from patients. We are all used to doing tax returns etc. online, so Paul and Alan have presented an attractive looking interface to avoid filling out reams of paper before each procedure. 5:05 Benefits of this method include a high level of interaction from the system to get in depth data and there is built in clinical support that suggests tests to the practitioners before the patient has his/her procedure. 5:52 The system also includes ICD10 integration to gather income data. ICD is the international classification of diseases. As a result, it helps the hospital as well as the patient. 7:23 The company is only just over 2 years old. The key to it being successful in a short space of time has been being able to get the concept conveyed quickly in front of actual people. Paul has found that not only secondary care, but tertiary care centres are also interested in his product. 8:38 Paul’s experience has enabled him to be able to speak to both clinicians and managers. Often, he has found that people trying to sell a product to the NHS have been more successful if they have passion and belief in what they are trying to sell - it creates a positive vibe. 9:48 His lightbulb moment came when he was about to go into theatre and realised that the sending out forms was so inefficient. At this point, he felt that surely there was a better way to do things, and within 2 months himself and his partner had incorporated the company. 10:47 Paul feels its all very well having an idea, but having somebody with design and technology background are crucial. The creative design and concept is important, but so is marketing - which is actually essential. 12:10 In terms of finding a partner, Paul feels there are lots of small software developers out there that are relatively easy to find to contribute to a project. A designer does need to be working in the computer end of things. He describes his partner’s contribution to the project. 13:27 Startup costs are an interesting phenomenon. Unlike working freelance in consultancy, you can’t bill anybody for your time, you need to factor these costs along with your product costs - and hopefully the end result is a viable company with a product. 14:38 Paul’s top tip to aspiring medical entrepreneurs is talk to somebody who has done it before and go in with your eyes wide open. He also discusses a seed investment scheme to help entrepreneurs with new high risk ...