2015 MIT Grand Hack

April 24-26, 2015 | Boston

CAMTech joined MIT Hacking Medicine, General Electric, Microsoft Band and Merck & Co. as a co-sponsor of the 2015 MIT HackMed Grand Hack at the Massachusetts Institute of Technology (MIT) in Boston.

Organized by MIT Hacking Medicine, the second annual event brought together a diverse group of engineers, entrepreneurs, clinicians, developers and business people to meet, ideate and innovate on some of today’s most challenging health issues and diagnose problems from multiple different perspectives. The Grand Hack is MIT Hacking Medicine’s flagship event to innovate in healthcare by bringing the entire spectrum of healthcare stakeholders together in a “hackathon.”

Participants chose to work in one of four different focus areas or “tracks” relating to medical technology: Global Health, Primary Care, Telehealth and Wearables. The two-day hack-a-thon had a record turnout of over 450 participants from 19 states and eight countries, making up a total of 80 teams.

Twenty-two teams competed in the CAMTech Global Health track. The CAMTech Global Health Track focused on developing innovative medical technologies for health challenges faced in low- and middle-income countries (LMICs), with a special focus on global trauma care and pedestrian safety. Issues of cost, quality, and access to health care disproportionately affect developing countries, and the goal of this track was to spur usercentered, value-based and sustainable innovations for resource-constrained settings around the world.

Challenges

Participants are welcome to work on clinical challenges beyond what is listed below!

Challenge
Description
Trauma & Prosthetics in Jordan - Patient acceptance
Acceptance of prosthetics by amputees is always a difficult issue, particularly for upper limb prosthetics. All prosthetics are created for each partiular patient. There is a real need for technology to be used in fitting prosthetics for amputees and for creating prosthetics that are more natural for the amputees.
Fluid management in burn victims
Burn victims (especially ones with more than 30% burns) suffer significant loss of fluid. Current fluid resucitation formulas over- or under-fluid resuscitate such patients. Delay or inaccurate fluid replacement can lead to renal damage and hypovolemic shock.
Poor Intubation of Children in the Field Post Trauma
Pediatric intubation is highly challenging . This is due to the bodies being smaller in size which results in a higher risk of further injuring the C-spine during intubation. As a result, children are normally intubated at the healthcare facilities rather than en-route, which delays treatment and may cause further health challenges. There is a huge demand for a quick and easy way to intubate in the field for children that minimizes the risk to the C-Spine after trauma.
Tube Blockage Causes Damage to Brain
Damage to the brain due to low oxygen levels as a result of the endotracheal tube blockage is a serious issue in treating trauma patients. There is a large need for an accurate way to ensure patency of the ET Tube in intubated patients in the ICU to prevent collection of secretions from blocking the tube that can result in bradycardia and hypoxia.
Lack of Monitoring Pressure Causes Tissue and Nerve Injury of Forearm
When muscles are injured due to trauma, there is an issue of surveying and monitoring the intra-compartmental pressure. As a result, there is often further tissue and nerve damage. There are currently some existing technologies used for monitoring the intra- compartmental pressure, but they are extremely painful, invasive and not always accurate. There is a need for a faster, more a accurate and less painful/invasive way to detect the rising intra- compartmental pressure in the musculoskeletal compartment of the arm due to soft tissue injuries at the ER in order to prevent an impending compartmental syndrome.
Delay in Detecting Spinal Injury
Detection of spinal injury is a time-sensitive endeavor. Today detection is reliant on CT/MRI facilities. This method is not only time consuming and expensive but also unavailable outside a hospital facility. We need a faster way to detect spinal cord injuries in trauma patients.
Immobilization of Injuries to Joints and the Spine
Immobilization of injured joints and the spine is key to preventing further injury. For example, patients with suspected spinal injuries should be immobilized during transportation following any trauma. Similarly, multiple fractures should be immobilized post-trauma to prevent further damage to blood vessels (vascular injury) and/or nerve injury due to dislodged bone fragments.
Identification and Treatment of Snake Bites
Fatal snake bites are a major public crisis in India and other LMICs. The World Health Organization (WHO) estimates that up to five million people suffer from snakebites each year, resulting in 300,000 cases of permanent disability and about 100,000 deaths. Those who survive the bite on the spot, subsequently die due to a delay in reaching a hospital within the crucial golden hour, the inability to identify the type of snake bite, or due to lack of treatment, resulting in an overdose of anti-venom.
Transportation from Road Traffic Accident Site to Healthcare Facility
Most of the factors responsible for road traffic accidents and its fatal consequences are preventable. Results show that the relationship between the time taken to reach a hospital mortality among RTA cases is directly proportional. This observation shows that time factor is very crucial for better outcome of RTA cases. There is a real need for taking urgent steps for establishing ambulance services and provision of pre-hospital care and trauma services. As the timing of admission of cases to the hospital is crucial in saving the life of the victim, there can be a dramatic improvement in the outcome of victims who are admitted to the hospital within one hour of the accident.
Hand-Held Mobile Technology Use While Driving Leads to Accidents
Driver behavior is negatively affected by fatigue, consuming alcohol and the use of mobile technology. Much is being done in terms of educating drivers and enforcing policies to discourage such behavior. However, these approaches are still falling short. How might you think of addressing these issues through technology and innovation?
Increased Vehicular Influx in Rural Settings
In many rural settings in LMICs, the major roads have been constructed to go through the center of villages including markets and residential areas. As a result, there are large masses of populations that are co-habitating with an influx of vehicles.
Infrastucture for Pedestrians and Cyclists
Road traffic injuries are estimated to be an eight leading cause of death globally. Over a third of road traffic deaths in low- and middle-income countries are amoung pedestrians and cyclists. Less than 35% of low-and middle-income countries have policies in place to protect these road users. WHO urges the global community to make a concerted effort to make road infrastructure safer for pedestrians and cyclists.
Overcrowding in Urban Settings
Overcrowding in urban settings in developing countries is a HUGE problem which results in to many vehicles on the road and unsafe enviornments for pedestrians.
Post Trauma Treatment of Patients
Post trauma patients are often in critical conditions and need immediate blood transfusion and other medical procedures that require initial blood tests to confirm blood type. Every second counts during such emergency situtations and any amount of waiting puts lives at risk. In many referral hospitals in Uganda; such as Mbarara Regional Referral Hospital (MRRH), the testing of blood and other samples can only be conducted in the hospital laboratory – a centralised place with a long line of samples waiting to be tested by lab technicians who are very few in number. It takes hours to get patient results back which puts critical patients at risk.
Regulating Temperature trauma Patients.
There is a large issue with regulating tempurature of saline used during treatment of trauma patients. One of the challenges experienced is lack of temperature regulated saline warmers. Saline is a sterile solution of sodium chloride used as a cleaning agent and sometimes applied to a patient during the surgical procedure. At the time of use, saline is required to be at body temperature (37 degrees C). The current method used to warm saline, is by pouring the solution into a plastic bag and dipping it into a jar of hot water. Health workers test the temperature by touch. If it feels overheated, the saline is dipped into a jar of cold water, long enough to make sure that it does not cool too much. It is vitally important to regulate the temperature of the saline to not cause further drop in temperature of the patients during treatment. There is a real need for developing affordable and easy to use saline warmers with a temperature regulator to better treat patients.
Safety Belt Constraints for Pregnant Women during Road Traffic Accidents
The common car seatbelts make driving and travelling difficult for pregnant mothers. The current design of a car seat belt is worn across the belly but during a crash, the sudden jolt of the belt in this position could cause the placenta to tear away from the uterus or cause other injuries. Whereas pregnant mothers have been advised to wear the belt placed low across the hips and over upper thighs, studies have shown that while driving the seat belt often moved up to rest on the abdomen area, which makes the mother even more uncomfortable. This has resulted into mothers travelling or driving without seat belts which exposes them to the risk. At just 55 km/h, a person not wearing a seatbelt in a crash has the same experience as falling from a three-storey building. Research shows that unbelted pregnant women are more than three times likely to lose their baby in a crash, and two times as likely to have excessive maternal bleeding. Even in a minor accident, where injuries are not as severe, a pregnant mother will still be exposed to a five percent chance of losing her baby unborn baby, if she is not restrained by a seatbelt.

Monetary awards of over $13,000 were awarded to winning teams, including:
The Global Health Track First Prize – $1,000: This was awarded to Team Nyweza (pronounced: Nuw-ey-za). Nyweza means “hold on” in Ugandan, and the device is a modular safety bar that protects women riding in boda boda motorcycle taxis in poor resource areas. The product is economically viable as well, since it uses locally made parts and includes a large, flat panel for advertising, allowing boda boda drivers to charge higher rates for much safer rides.

The Global Health Track Runner-Up Prize – $500: This award was given to The One Dollar Ultrasound Initiative, established by a team who proposed a company that could provide free ultrasounds in rural clinics by lowering overhead expenses and the cost per scan.
The Global Health Track Second Runner-Up Prize – $500: This award was given to Team TO-U, which was a novel approach of contraception using ultrasound technology.

In addition, through a sponsorship with Anheuser-Busch InBev (AB InBev), chair of the cross-industry road safety coalition Together for Safer Roads, CAMTech awarded a $1,000 prize for the best new technology that can improve safety for pedestrians on a global scale:

The AB InBev Pedestrian Safety Prize – $1,000: Team Prelt won this prize for their design of a pregnancy seatbelt which aims to eliminate pressure on a woman’s pelvic area. The device includes multiple belts – one that straps across the woman’s shoulder and two others that constrict the thighs and lower body area. In addition, Team Prelt automatically qualified to submit a full proposal for the CAMTech-AB InBev Innovation Award, a $10,000 award and an opportunity to pitch their innovation to a network of Silicon Valley incubators and venture capitalists that can help drive sustainability and scale. The award will also enable teams to gain access to the CAMTech and AB InBev network of road safety experts to get input from the field.

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