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Type Paper
Location London, ON; Barcelona, Spain; Vietnam; Paris, France
Cite as Citation reference for the source document. Farré, R.; Gozal, D.; Nguyen, V.-N.; Pearce, J.M.; Dinh-Xuan, A.T. Open-Source Hardware May Address the Shortage in Medical Devices for Patients with Low-Income and Chronic Respiratory Diseases in Low-Resource Countries. J. Pers. Med. 2022, 12, 1498. [academic pre print]

Respiratory diseases pose an increasing socio-economic burden worldwide given their high prevalence and their elevated morbidity and mortality. Medical devices play an important role in managing acute and chronic respiratory failure, including diagnosis, monitoring, and providing artificial ventilation. Current commercially available respiratory devices are very effective but, given their cost, are unaffordable for most patients in low- and middle-income countries (LMICs). Herein, we focus on a relatively new design option—the open-source hardware approach—that, if implemented, will contribute to providing low-cost respiratory medical devices for many patients in LMICs, particularly those without full medical insurance coverage. Open source reflects a set of approaches to conceive and distribute the comprehensive technical information required for building devices. The open-source approach enables free and unrestricted use of the know-how to replicate and manufacture the device or modify its design for improvements or adaptation to different clinical settings or personalized treatments. We describe recent examples of open-source devices for diagnosis/monitoring (measuring inspiratory/expiratory pressures or flow and volume in mechanical ventilators) and for therapy (non-invasive ventilators for adults and continuous positive airway pressure support for infants) that enable building simple, low-cost (hence, affordable), and high-performance solutions for patients in LMICs. Finally, we argue that the common practice of approving clinical trials by the local hospital ethics board can be expanded to ensure patient safety by reviewing, inspecting, and approving open hardware for medical application to maximize the innovation and deployment rate of medical technologies.

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Keywords medical devices; low-cost; low- and middle-income countries; flowmeters; mechanical ventilator; cpap device; arduino; 3d printer; open-source hardware, open source hardware
SDG SDG03 Good health and well-being, SDG09 Industry innovation and infrastructure
Authors Ramon Farré, David Gozal, Viet-Nhung Nguyen, Joshua M. Pearce and Anh Tuan Dinh-Xuan
License CC-BY-SA-4.0
Organizations FAST, Western
Language English (en)
Related 0 subpages, 4 pages link here
Impact 239 page views
Created September 13, 2022 by Joshua M. Pearce
Modified February 28, 2024 by Felipe Schenone
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