Reviews & Profiles
Giving babies air at birth
Posted Tuesday, September 30 2014 at 08:53
At a recent hackathon, where software developers come together to work on a specific project, a team of scientists came up with a prototype of the Augmented Infant Resuscitator (AIR), which is meant improve how fast and safely babies are revived when they fail to breathe at birth
It was his first time to attend a hackathon. All the way from Mbarara in western Uganda to Boston in Massachusetts, USA, the rules were clear: you pitch a clinical problem and a solution, within 24 hours you team up and come up with a prototype.
He had no idea what he was going to pitch, but as a pediatrician, Dr Data Santorino, had seen babies die at birth and knew he wanted something around that issue. As a national trainer for a project ‘Helping Babies Breathe’ that teaches neonatal resuscitation techniques, he appreciated the gravity of the problem.
Uganda’s neonatal mortality rate is 27 deaths per 1,000 live births. This is Millennium Development Goal number four, one of the statistically unprogressive ones. As he was searching for a solution to pitch, he saw Kristian Olson, a master trainer at Helping Babies Breathe (who later became part of the team) walk into the room with a resuscitator. Finally, Dr Santorino knew what problem and solution he would pitch.
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“The hackathon was our match maker,” Dr Santorino, who is also a lecturer at Mbarara University of Science and Technology (MUST), says on the event that connected him to computer scientists.
A multi-disciplinary team was formed consisting of Dr Santorino, Oslon a clinician and also the Medical Director of CAM Tech at Massachusetts General Hospital (MGH), Craig Mielcarz a software engineer and Kevin Cedrone a mechanical engineering at MIT.
Together, they came up with a prototype of the Augmented Infant Resuscitator (AIR) in 24 hours, which will monitor in real time and capture data on the quality of resuscitation of babies.
“Our technology has the potential to save lives. It’s feasible, has a sustainable, business model, can spread globally and has two markets for clinical use and training,” said Data also the Uganda country manager CAMTech. “In time it will get in the training market faster and in multiple geographical areas.”
Elizabeth Bailey, director Consortium for Affordable Medical Technologies (CAMTech) says a hackathon is usually the spark. The hard work comes afterwards with things like mentoring, keeping teams together and commercialisation of the devices.
The team of four inventors meets online every week to map the way forward and they still have a lot to learn. Oslon says he knew nothing about IP but with the mentoring that comes in a hackathon he has learnt so much.
“The innovation is now under field testing,” says Dr David Bangsberg, a professor at Harvard University and director, Centre for Global Health at Mass General Hospital (MGH).
If it hits the market, the gadget may cost between Shs7500 and Shs12,500 per piece or retail at Shs37,500. Globally, the scientists are confident it will prevent at least 80 per cent deaths of the 1.8 million new born baby deaths and still births of babies who experience oxygen depriving events at birth annually. In Uganda, it is the third leading cause of deaths of newborn babies.
It is a joint invention between MUST and Mass General Hospital’s Global Health Centre, says Bangsberg. It is also a land mark Intellectual Property, shared between two worlds and the first ever for MUST. Its licence recognises the four inventors and has a clear share of revenue between the investors and the two institutions.
Bailey says the AIR could present an interesting business model especially considering that in the Global health space, making a public health impact is bigger than making money. But concedes, sustainability is also key to the manufacturer.
“As African innovators we need partnerships that support our weak areas. There is a lot we can contribute to global health because we understand global health problems better,” says Dr Santorino.