so I know you all must be tired long day right so let me start with a case study
right so let me start with a case study
right so let me start with a case study first of all I’m not a professor I’m
first of all I’m not a professor I’m
first of all I’m not a professor I’m just an engineer so I’ll try to show you
just an engineer so I’ll try to show you
just an engineer so I’ll try to show you what is the case that we would like to
what is the case that we would like to
what is the case that we would like to how many doctors here just in case okay
how many doctors here just in case okay
how many doctors here just in case okay good ingenious any engineers great any
good ingenious any engineers great any
good ingenious any engineers great any commerce people business fantastic
commerce people business fantastic
commerce people business fantastic that’s great so there’s a case it’s
that’s great so there’s a case it’s
that’s great so there’s a case it’s about a male 35 years old 22 kilometers
about a male 35 years old 22 kilometers
about a male 35 years old 22 kilometers from here he’s had multiple visits to
from here he’s had multiple visits to
from here he’s had multiple visits to hospital he has seen orthopedic surgeon
hospital he has seen orthopedic surgeon
hospital he has seen orthopedic surgeon he has seen oncology surgeon he has seen
he has seen oncology surgeon he has seen
he has seen oncology surgeon he has seen a neurosurgeon there are lot of things
a neurosurgeon there are lot of things
a neurosurgeon there are lot of things he has seen and you can see the heart
he has seen and you can see the heart
he has seen and you can see the heart sound you can hear right so that was
sound you can hear right so that was
sound you can hear right so that was it’s yesterday’s heart sound and that’s
it’s yesterday’s heart sound and that’s
it’s yesterday’s heart sound and that’s just two minutes before we got the heart
just two minutes before we got the heart
just two minutes before we got the heart sound is there a difference yeah doctors
sound is there a difference yeah doctors
sound is there a difference yeah doctors right there’s something wrong right yeah
right there’s something wrong right yeah
right there’s something wrong right yeah so we could do that because it’s just my
so we could do that because it’s just my
so we could do that because it’s just my heart sound and it’s just that I’m being
heart sound and it’s just that I’m being
heart sound and it’s just that I’m being diagnosed that I’m healthy and excited
diagnosed that I’m healthy and excited
diagnosed that I’m healthy and excited so just before coming on stage I was
so just before coming on stage I was
so just before coming on stage I was literally excited and how we got to do
literally excited and how we got to do
literally excited and how we got to do this how did we really get the heart
this how did we really get the heart
this how did we really get the heart sound of a person recorded or how do we
sound of a person recorded or how do we
sound of a person recorded or how do we transmit it and how then how can we all
transmit it and how then how can we all
transmit it and how then how can we all hear that I’ll come to that story but
hear that I’ll come to that story but
hear that I’ll come to that story but let’s go step by step so I’ll just end
let’s go step by step so I’ll just end
let’s go step by step so I’ll just end the sounds here so I’m literally
the sounds here so I’m literally
the sounds here so I’m literally speaking from the bottom of my heart and
speaking from the bottom of my heart and
speaking from the bottom of my heart and you could see that so right so how many
you could see that so right so how many
you could see that so right so how many of us think we are creative anybody
of us think we are creative anybody
of us think we are creative anybody maybe okay three four hands right how
maybe okay three four hands right how
maybe okay three four hands right how many of world born creative okay
so you’ve seen that right so
so you’ve seen that right so Michelangelo he was a creative person
Michelangelo he was a creative person
Michelangelo he was a creative person he’s an artist who started with Anna
he’s an artist who started with Anna
he’s an artist who started with Anna Thomas we have Leonardo da Vinci who was
Thomas we have Leonardo da Vinci who was
Thomas we have Leonardo da Vinci who was also an artist but also an engineer so
also an artist but also an engineer so
also an artist but also an engineer so the common thing between these two was
the common thing between these two was
the common thing between these two was creativity so there were artists but
creativity so there were artists but
creativity so there were artists but they were creative people so even if
they were creative people so even if
they were creative people so even if they were artists they were still
they were artists they were still
they were artists they were still exploring different domains different
exploring different domains different
exploring different domains different disciplines and they were trying to come
disciplines and they were trying to come
disciplines and they were trying to come up with different ideas so Michelangelo
up with different ideas so Michelangelo
up with different ideas so Michelangelo actually dissected people as in bodies
actually dissected people as in bodies
actually dissected people as in bodies to understand anatomy much better and
to understand anatomy much better and
to understand anatomy much better and his drawings are still used in anatomic
his drawings are still used in anatomic
his drawings are still used in anatomic classes and there’s a museum about it
classes and there’s a museum about it
classes and there’s a museum about it Mike as in not just Michelangelo
Mike as in not just Michelangelo
Mike as in not just Michelangelo Leonardo Vinci you can hear and you can
Leonardo Vinci you can hear and you can
Leonardo Vinci you can hear and you can see a lot of innovations that he has
see a lot of innovations that he has
see a lot of innovations that he has done all the flights that he has
done all the flights that he has
done all the flights that he has designed hydraulics machines and by
designed hydraulics machines and by
designed hydraulics machines and by qualification by the way he was an
qualification by the way he was an
qualification by the way he was an artist so he has a lot of contributions
artist so he has a lot of contributions
artist so he has a lot of contributions in terms of engineering and although the
in terms of engineering and although the
in terms of engineering and although the background is still artists so if you
background is still artists so if you
background is still artists so if you see there is some common element which
see there is some common element which
see there is some common element which is creativity and hardly I could see any
is creativity and hardly I could see any
is creativity and hardly I could see any hands up but as kids did you really
hands up but as kids did you really
hands up but as kids did you really create different games did you play role
create different games did you play role
create different games did you play role plays different games did you imagine
plays different games did you imagine
plays different games did you imagine things did you have your own two wheeler
things did you have your own two wheeler
things did you have your own two wheeler boom right so that was creativity right
boom right so that was creativity right
boom right so that was creativity right so what happened where did that get
so what happened where did that get
so what happened where did that get killed something happened right we’ll
killed something happened right we’ll
killed something happened right we’ll come to that but we all are say Indian
come to that but we all are say Indian
come to that but we all are say Indian talent right we all know regard Indian
talent right we all know regard Indian
talent right we all know regard Indian talent so we are all supposed to be
talent so we are all supposed to be
talent so we are all supposed to be creative so yeah that’s beautiful but
creative so yeah that’s beautiful but
creative so yeah that’s beautiful but there’s one problem here that we cannot
there’s one problem here that we cannot
there’s one problem here that we cannot always shave like that we cannot always
always shave like that we cannot always
always shave like that we cannot always boil milk like that nor can we always
boil milk like that nor can we always
boil milk like that nor can we always make a coffee like that so the problem
make a coffee like that so the problem
make a coffee like that so the problem is that this is not scalable this is not
is that this is not scalable this is not
is that this is not scalable this is not sustainable so if you do have talent we
sustainable so if you do have talent we
sustainable so if you do have talent we all were creative somewhere down the
all were creative somewhere down the
all were creative somewhere down the line earlier but somewhere up when we
line earlier but somewhere up when we
line earlier but somewhere up when we came to this stage something happened
came to this stage something happened
came to this stage something happened and we are doing some creative work in
and we are doing some creative work in
and we are doing some creative work in meanwhile however it’s not scalable it’s
meanwhile however it’s not scalable it’s
meanwhile however it’s not scalable it’s still like a bit of creativity a bit of
still like a bit of creativity a bit of
still like a bit of creativity a bit of innovation but still it’s not really
innovation but still it’s not really
innovation but still it’s not really going all the way otherwise we would
going all the way otherwise we would
going all the way otherwise we would have had amazing great Indian products
have had amazing great Indian products
have had amazing great Indian products all over the world right so something is
all over the world right so something is
all over the world right so something is missing something is not there something
missing something is not there something
missing something is not there something is not correct so we’ve been all talking
is not correct so we’ve been all talking
is not correct so we’ve been all talking about this great Indian divide of having
about this great Indian divide of having
about this great Indian divide of having doctors engineers
doctors engineers
doctors engineers business right that question everybody
business right that question everybody
business right that question everybody of you have gone through have you right
of you have gone through have you right
of you have gone through have you right so sue Cabana hey what do you want to
so sue Cabana hey what do you want to
so sue Cabana hey what do you want to become a doctor engineer business so if
become a doctor engineer business so if
become a doctor engineer business so if you really see the undergraduate these
you really see the undergraduate these
you really see the undergraduate these are just two thousand fourteen fifteen
are just two thousand fourteen fifteen
are just two thousand fourteen fifteen three percent of just doctors MBBS
three percent of just doctors MBBS
three percent of just doctors MBBS graduates 15 percent engineers
graduates 15 percent engineers
graduates 15 percent engineers technology and 15 percent and MBA
technology and 15 percent and MBA
technology and 15 percent and MBA business so where are the people other
business so where are the people other
business so where are the people other people right forty percent are into arts
people right forty percent are into arts
people right forty percent are into arts humanities and social sciences right so
humanities and social sciences right so
humanities and social sciences right so that’s that’s a good number
that’s that’s a good number
that’s that’s a good number just to remember that there’s so many
just to remember that there’s so many
just to remember that there’s so many creative people in India who are
creative people in India who are
creative people in India who are graduating so we have around 1.5 million
graduating so we have around 1.5 million
graduating so we have around 1.5 million engineers coming out every year we have
engineers coming out every year we have
engineers coming out every year we have around nine like doctors but then one
around nine like doctors but then one
around nine like doctors but then one thought comes to my mind is that why are
thought comes to my mind is that why are
thought comes to my mind is that why are there not a lot of medical device
there not a lot of medical device
there not a lot of medical device innovations that are happening in our
innovations that are happening in our
innovations that are happening in our country so just to give you numbers what
country so just to give you numbers what
country so just to give you numbers what is wrong here is if I can yeah so eighty
is wrong here is if I can yeah so eighty
is wrong here is if I can yeah so eighty percent nearly 80 percent of our medical
percent nearly 80 percent of our medical
percent nearly 80 percent of our medical devices are imported so you guys are
devices are imported so you guys are
devices are imported so you guys are aware of medical devices can be named
aware of medical devices can be named
aware of medical devices can be named few of them any status quo yeah any any
few of them any status quo yeah any any
few of them any status quo yeah any any more devices that you have seen heard of
more devices that you have seen heard of
more devices that you have seen heard of BP monitor ECGs right so while that gets
BP monitor ECGs right so while that gets
BP monitor ECGs right so while that gets fixed let me come to my own personal
fixed let me come to my own personal
fixed let me come to my own personal journey when it happened was when the
journey when it happened was when the
journey when it happened was when the whole thing whether you’re engineer a
whole thing whether you’re engineer a
whole thing whether you’re engineer a doctor and what has to be done in life
doctor and what has to be done in life
doctor and what has to be done in life the great revolution came around third
the great revolution came around third
the great revolution came around third year of engineering and I realized that
year of engineering and I realized that
year of engineering and I realized that I didn’t want to be a normal engineer
I didn’t want to be a normal engineer
I didn’t want to be a normal engineer that was for sure I knew that at some
that was for sure I knew that at some
that was for sure I knew that at some point of time at third year engineering
point of time at third year engineering
point of time at third year engineering I didn’t want to be a normal engineer do
I didn’t want to be a normal engineer do
I didn’t want to be a normal engineer do the normal 9:00 to 6:00 sharp go to an
the normal 9:00 to 6:00 sharp go to an
the normal 9:00 to 6:00 sharp go to an big industry work on automobile which
big industry work on automobile which
big industry work on automobile which was the sector then or become a software
was the sector then or become a software
was the sector then or become a software engineer even though I have been a
engineer even though I have been a
engineer even though I have been a mechanical engineer get into IT so I had
mechanical engineer get into IT so I had
mechanical engineer get into IT so I had realized by then I don’t know how but
realized by then I don’t know how but
realized by then I don’t know how but there was a point where I realized
there was a point where I realized
there was a point where I realized that I didn’t want to do that I wanted
that I didn’t want to do that I wanted
that I didn’t want to do that I wanted to do something different that was for
to do something different that was for
to do something different that was for sure
sure
sure I wanted to do something which is
I wanted to do something which is
I wanted to do something which is unpredictable at least something which
unpredictable at least something which
unpredictable at least something which not everybody has done something which
not everybody has done something which
not everybody has done something which is very innovative one thing something
is very innovative one thing something
is very innovative one thing something which is very creative and at that point
which is very creative and at that point
which is very creative and at that point I realized that I had to walk out of
I realized that I had to walk out of
I realized that I had to walk out of that line of what people are doing of
that line of what people are doing of
that line of what people are doing of doing either a masters or going for a
doing either a masters or going for a
doing either a masters or going for a job or whatever is for the studies in
job or whatever is for the studies in
job or whatever is for the studies in that direction so as a mechanical
that direction so as a mechanical
that direction so as a mechanical engineer I took a detour and I did my
engineer I took a detour and I did my
engineer I took a detour and I did my masters in bioengineering and then I
masters in bioengineering and then I
masters in bioengineering and then I ended up doing a PhD into medical device
ended up doing a PhD into medical device
ended up doing a PhD into medical device testing and evaluation my mother still
testing and evaluation my mother still
testing and evaluation my mother still asks me okay so what do you do you’re an
asks me okay so what do you do you’re an
asks me okay so what do you do you’re an engineer you go to hospitals you talk to
engineer you go to hospitals you talk to
engineer you go to hospitals you talk to doctors you attend surgeries and what
doctors you attend surgeries and what
doctors you attend surgeries and what exactly is happening so I try to tell
exactly is happening so I try to tell
exactly is happening so I try to tell that I’m doing okay nothing bad so but
that I’m doing okay nothing bad so but
that I’m doing okay nothing bad so but then it’s still a dilemmas and how do
then it’s still a dilemmas and how do
then it’s still a dilemmas and how do you explain people even a lot of say
you explain people even a lot of say
you explain people even a lot of say when you get married and then people ask
when you get married and then people ask
when you get married and then people ask so what does the guy do it’s still
so what does the guy do it’s still
so what does the guy do it’s still difficult to explain them what exactly
difficult to explain them what exactly
difficult to explain them what exactly so I do have a doctor’s degree in me in
so I do have a doctor’s degree in me in
so I do have a doctor’s degree in me in front of my name but he’s not a medical
front of my name but he’s not a medical
front of my name but he’s not a medical doctor he’s an engineer so why does he
doctor he’s an engineer so why does he
doctor he’s an engineer so why does he go to hospitals then there’s big
go to hospitals then there’s big
go to hospitals then there’s big confusion there but I had to do that
confusion there but I had to do that
confusion there but I had to do that and the reason is this is the number so
and the reason is this is the number so
and the reason is this is the number so if you see 80% of our medical devices
if you see 80% of our medical devices
if you see 80% of our medical devices are imported so all of us who are
are imported so all of us who are
are imported so all of us who are taxpayers we are actually paying for
taxpayers we are actually paying for
taxpayers we are actually paying for imported devices and that is a reason
imported devices and that is a reason
imported devices and that is a reason why the healthcare cost is increasing so
why the healthcare cost is increasing so
why the healthcare cost is increasing so what we are trying to do here we have a
what we are trying to do here we have a
what we are trying to do here we have a small team and we’re trying to see can
small team and we’re trying to see can
small team and we’re trying to see can we do something here can we have some
we do something here can we have some
we do something here can we have some innovative medical devices in the
innovative medical devices in the
innovative medical devices in the country and I’m just going to share with
country and I’m just going to share with
country and I’m just going to share with you three different stories three small
you three different stories three small
you three different stories three small stories which we have collected
stories which we have collected
stories which we have collected throughout this what we have come across
throughout this what we have come across
throughout this what we have come across and if that is something I can share and
and if that is something I can share and
and if that is something I can share and let me try so if you really see status
let me try so if you really see status
let me try so if you really see status cope right everybody knows how it
cope right everybody knows how it
cope right everybody knows how it originated that’s 200 years back
originated that’s 200 years back
originated that’s 200 years back somebody trying to put the ear using a
somebody trying to put the ear using a
somebody trying to put the ear using a scope and try to hear the heart or lung
scope and try to hear the heart or lung
scope and try to hear the heart or lung sounds okay what has changed in that
just to her earpieces there’s a tube now
just to her earpieces there’s a tube now it becomes a plastic and you still put
it becomes a plastic and you still put
it becomes a plastic and you still put the chess piece so I don’t know how why
the chess piece so I don’t know how why
the chess piece so I don’t know how why people have not questioned this I was
people have not questioned this I was
people have not questioned this I was surprised that stethoscope by every
surprised that stethoscope by every
surprised that stethoscope by every average doctor used still almost the
average doctor used still almost the
average doctor used still almost the same design which has been there for a
same design which has been there for a
same design which has been there for a long time so then it really came down
long time so then it really came down
long time so then it really came down that so maybe there is no need for
that so maybe there is no need for
that so maybe there is no need for innovating something there was no need
innovating something there was no need
innovating something there was no need for having a better status quo there was
for having a better status quo there was
for having a better status quo there was no need for coming out and say that
no need for coming out and say that
no need for coming out and say that let’s have something better than what we
let’s have something better than what we
let’s have something better than what we have today but then that was not true
have today but then that was not true
have today but then that was not true so when we spoke to doctors try to
so when we spoke to doctors try to
so when we spoke to doctors try to understand a good incident happened was
understand a good incident happened was
understand a good incident happened was so doctor number dodge here so the left
so doctor number dodge here so the left
so doctor number dodge here so the left person he actually works in a rural
person he actually works in a rural
person he actually works in a rural hospital and he says that I have to take
hospital and he says that I have to take
hospital and he says that I have to take a lot of pain to really screen and scan
a lot of pain to really screen and scan
a lot of pain to really screen and scan people who have different heart sounds
people who have different heart sounds
people who have different heart sounds and lung sounds and all these people
and lung sounds and all these people
and lung sounds and all these people have to either go to a Metro City to see
have to either go to a Metro City to see
have to either go to a Metro City to see a specialist who is a cardiologist or a
a specialist who is a cardiologist or a
a specialist who is a cardiologist or a pulmonologist and then if the
pulmonologist and then if the
pulmonologist and then if the pulmonologist says that oh it’s okay
pulmonologist says that oh it’s okay
pulmonologist says that oh it’s okay it’s just a normal problem all the way
it’s just a normal problem all the way
it’s just a normal problem all the way the guy has to come back so if you see
the guy has to come back so if you see
the guy has to come back so if you see there was a problem that we have less
there was a problem that we have less
there was a problem that we have less number of doctors the three percent and
number of doctors the three percent and
number of doctors the three percent and there’s a huge population so the doctor
there’s a huge population so the doctor
there’s a huge population so the doctor to patient ratio is very low so here the
to patient ratio is very low so here the
to patient ratio is very low so here the idea was can instead of the patient the
idea was can instead of the patient the
idea was can instead of the patient the heart sound or the information of the
heart sound or the information of the
heart sound or the information of the patient traveled to the doctor who’s an
patient traveled to the doctor who’s an
patient traveled to the doctor who’s an expert and then say out of the 10 only
expert and then say out of the 10 only
expert and then say out of the 10 only these two need to come so that is how we
these two need to come so that is how we
these two need to come so that is how we actually came up so these engineers who
actually came up so these engineers who
actually came up so these engineers who came up with the digital status Co what
came up with the digital status Co what
came up with the digital status Co what you can hear is actually a heart sound
you can hear is actually a heart sound
you can hear is actually a heart sound which is much better than what you can
which is much better than what you can
which is much better than what you can hear with a normal scope it is amplified
hear with a normal scope it is amplified
hear with a normal scope it is amplified it is filtered you can have your
it is filtered you can have your
it is filtered you can have your Bluetooth connectivity it can be
Bluetooth connectivity it can be
Bluetooth connectivity it can be transmitted to your mobile it can be
transmitted to your mobile it can be
transmitted to your mobile it can be transferred to Internet but that’s the
transferred to Internet but that’s the
transferred to Internet but that’s the beauty of getting engineers and doctors
beauty of getting engineers and doctors
beauty of getting engineers and doctors together imagine what they could do here
together imagine what they could do here
together imagine what they could do here that was amazing and now we didn’t stop
that was amazing and now we didn’t stop
that was amazing and now we didn’t stop there so the middle guy he’s taking a
there so the middle guy he’s taking a
there so the middle guy he’s taking a role of an entrepreneur now say it’s
role of an entrepreneur now say it’s
role of an entrepreneur now say it’s beautiful to have a great device working
beautiful to have a great device working
beautiful to have a great device working and showing that okay you take any
and showing that okay you take any
and showing that okay you take any status cope connect the device it
status cope connect the device it
status cope connect the device it becomes digital but the problem is how
becomes digital but the problem is how
becomes digital but the problem is how does it reach all of you some
does it reach all of you some
does it reach all of you some to start a business somebody’s to
to start a business somebody’s to
to start a business somebody’s to manufacture is somebody has to package
manufacture is somebody has to package
manufacture is somebody has to package it somebody’s to sell it
it somebody’s to sell it
it somebody’s to sell it somebody’s to collect the check from you
somebody’s to collect the check from you
somebody’s to collect the check from you guys right so finally there is one guy
guys right so finally there is one guy
guys right so finally there is one guy there’s an engineer who is now saying
there’s an engineer who is now saying
there’s an engineer who is now saying that I want to become an entrepreneur
that I want to become an entrepreneur
that I want to become an entrepreneur it’s a beautiful story doctor engineer
it’s a beautiful story doctor engineer
it’s a beautiful story doctor engineer and entrepreneur coming together medical
and entrepreneur coming together medical
and entrepreneur coming together medical device coming along rural population all
device coming along rural population all
device coming along rural population all your doctors can have heart sounds
your doctors can have heart sounds
your doctors can have heart sounds murmurs everything recorded you can show
murmurs everything recorded you can show
murmurs everything recorded you can show to your seniors anything that has been
to your seniors anything that has been
to your seniors anything that has been recorded earlier day can be transmitted
recorded earlier day can be transmitted
recorded earlier day can be transmitted to you not in a situation where the
to you not in a situation where the
to you not in a situation where the doctor the tutor or the mentor is trying
doctor the tutor or the mentor is trying
doctor the tutor or the mentor is trying to make you hear a sound which only he
to make you hear a sound which only he
to make you hear a sound which only he hears and you are hearing something else
hears and you are hearing something else
hears and you are hearing something else and you think that what you have heard
and you think that what you have heard
and you think that what you have heard is what he is trying to tell you so
is what he is trying to tell you so
is what he is trying to tell you so there’s a confusion there and we’re
there’s a confusion there and we’re
there’s a confusion there and we’re trying to reduce that also but that’s a
trying to reduce that also but that’s a
trying to reduce that also but that’s a beautiful story of how do we innovate
beautiful story of how do we innovate
beautiful story of how do we innovate and come up with a medical device a
and come up with a medical device a
and come up with a medical device a digital simple digital status quo for
digital simple digital status quo for
digital simple digital status quo for diagnosis the second story that I’ll
diagnosis the second story that I’ll
diagnosis the second story that I’ll move on is you see this the first image
move on is you see this the first image
move on is you see this the first image the top left so that is how suturing
the top left so that is how suturing
the top left so that is how suturing used to be done right you have a cut
used to be done right you have a cut
used to be done right you have a cut they used to put ants break the heads
they used to put ants break the heads
they used to put ants break the heads and lakes and the aunt used to hold on
and lakes and the aunt used to hold on
and lakes and the aunt used to hold on but that was barbaric as in that was
but that was barbaric as in that was
but that was barbaric as in that was like ancient and then you have lots of
like ancient and then you have lots of
like ancient and then you have lots of ants along the suture keep holding on
ants along the suture keep holding on
ants along the suture keep holding on that position would we have still loved
that position would we have still loved
that position would we have still loved to do suturing like the Hat right
to do suturing like the Hat right
to do suturing like the Hat right definitely no so it mean while something
definitely no so it mean while something
definitely no so it mean while something happens some doctor said that I wish
happens some doctor said that I wish
happens some doctor said that I wish there was a device or something a needle
there was a device or something a needle
there was a device or something a needle is who chair something came up
is who chair something came up
is who chair something came up some engineer spoke to each the doctors
some engineer spoke to each the doctors
some engineer spoke to each the doctors came across and needles and sutures came
came across and needles and sutures came
came across and needles and sutures came along right so there was a some
along right so there was a some
along right so there was a some innovation progression which happened
innovation progression which happened
innovation progression which happened and suturing came into picture but then
and suturing came into picture but then
and suturing came into picture but then now as we are moving with technology we
now as we are moving with technology we
now as we are moving with technology we moved on to laparoscopic surgery which
moved on to laparoscopic surgery which
moved on to laparoscopic surgery which is keyhole surgeries instead of a big
is keyhole surgeries instead of a big
is keyhole surgeries instead of a big incision now you have just three holes
incision now you have just three holes
incision now you have just three holes you put a camera inside and then your
you put a camera inside and then your
you put a camera inside and then your long instruments go inside and you try
long instruments go inside and you try
long instruments go inside and you try to do the job which first of all reduces
to do the job which first of all reduces
to do the job which first of all reduces the incision size and the infection but
the incision size and the infection but
the incision size and the infection but then the problem which comes with
then the problem which comes with
then the problem which comes with minimal invasion is that you’ve already
minimal invasion is that you’ve already
minimal invasion is that you’ve already lost your wrist you have long
lost your wrist you have long
lost your wrist you have long instruments you are trying to operate so
instruments you are trying to operate so
instruments you are trying to operate so that’s what the problem with a doctor
that’s what the problem with a doctor
that’s what the problem with a doctor Indian doctor is
Indian doctor is
Indian doctor is now that problem is not there anywhere
now that problem is not there anywhere
now that problem is not there anywhere else usually it’s not seen because
else usually it’s not seen because
else usually it’s not seen because outside India people do one or two
outside India people do one or two
outside India people do one or two surgeries maximum in India we do a lot
surgeries maximum in India we do a lot
surgeries maximum in India we do a lot of surgeries in a day right there’s a
of surgeries in a day right there’s a
of surgeries in a day right there’s a sequenced the doctor is supposed to work
sequenced the doctor is supposed to work
sequenced the doctor is supposed to work because the patient ratio you have to
because the patient ratio you have to
because the patient ratio you have to work now imagine the doctor trying to do
work now imagine the doctor trying to do
work now imagine the doctor trying to do all the kind of gimmicks that are
all the kind of gimmicks that are
all the kind of gimmicks that are supposed to be done for suturing and
supposed to be done for suturing and
supposed to be done for suturing and you’re trying to suture which is a wall
you’re trying to suture which is a wall
you’re trying to suture which is a wall abdominal wall which is no top side the
abdominal wall which is no top side the
abdominal wall which is no top side the whole instrument has to be like this it
whole instrument has to be like this it
whole instrument has to be like this it goes in the wrong way so what happened
goes in the wrong way so what happened
goes in the wrong way so what happened again a brilliant doctor dr. Suraj
again a brilliant doctor dr. Suraj
again a brilliant doctor dr. Suraj Deshpande from Kolhapur who couldn’t
Deshpande from Kolhapur who couldn’t
Deshpande from Kolhapur who couldn’t decide is to be engineer or a doctor
decide is to be engineer or a doctor
decide is to be engineer or a doctor when he was in 12th a very senior doctor
when he was in 12th a very senior doctor
when he was in 12th a very senior doctor was head of the laparoscopic Society he
was head of the laparoscopic Society he
was head of the laparoscopic Society he actually said that I really need to
actually said that I really need to
actually said that I really need to solve this problem because it I am tired
solve this problem because it I am tired
solve this problem because it I am tired of training people of how to do correct
of training people of how to do correct
of training people of how to do correct suturing and the current devices are
suturing and the current devices are
suturing and the current devices are having problem so he came to us and dr.
having problem so he came to us and dr.
having problem so he came to us and dr. Suresh this point explained the problem
Suresh this point explained the problem
Suresh this point explained the problem so there’s a young engineer who is there
so there’s a young engineer who is there
so there’s a young engineer who is there on the right corner and he took it as a
on the right corner and he took it as a
on the right corner and he took it as a challenge and then he came up with
challenge and then he came up with
challenge and then he came up with different mechanisms to solve the
different mechanisms to solve the
different mechanisms to solve the problem and I will try and see if I can
problem and I will try and see if I can
problem and I will try and see if I can see the video is working here yeah so
see the video is working here yeah so
see the video is working here yeah so maybe that spa’s but what we came up was
maybe that spa’s but what we came up was
maybe that spa’s but what we came up was a device instead of the long ends which
a device instead of the long ends which
a device instead of the long ends which are grasping we actually gave a multi
are grasping we actually gave a multi
are grasping we actually gave a multi degree of freedom to that so the whole
degree of freedom to that so the whole
degree of freedom to that so the whole device had a wrist inside the patient’s
device had a wrist inside the patient’s
device had a wrist inside the patient’s body so it could do multiple degrees of
body so it could do multiple degrees of
body so it could do multiple degrees of freedom and it can rotate the third
freedom and it can rotate the third
freedom and it can rotate the third story that I would like to share here is
story that I would like to share here is
story that I would like to share here is that’s the first one of the first
that’s the first one of the first
that’s the first one of the first sockets which was given to amputees so
sockets which was given to amputees so
sockets which was given to amputees so once you have an amputation either
once you have an amputation either
once you have an amputation either prosthesis is given process is just a
prosthesis is given process is just a
prosthesis is given process is just a functional leg that is given to support
functional leg that is given to support
functional leg that is given to support and maybe you can walk so you must have
and maybe you can walk so you must have
and maybe you can walk so you must have seen pirates right they have that wooden
seen pirates right they have that wooden
seen pirates right they have that wooden log the stake which is just put on and
log the stake which is just put on and
log the stake which is just put on and they keep on walking we were surprised
they keep on walking we were surprised
they keep on walking we were surprised to realize that the leg which is still
to realize that the leg which is still
to realize that the leg which is still used by most of the amputees in India is
used by most of the amputees in India is
used by most of the amputees in India is still very much similar where you have a
still very much similar where you have a
still very much similar where you have a socket which fits to the patient and
socket which fits to the patient and
socket which fits to the patient and there is almost a hinge joint and that’s
there is almost a hinge joint and that’s
there is almost a hinge joint and that’s it a Jaipur foot which was a brilliant
it a Jaipur foot which was a brilliant
it a Jaipur foot which was a brilliant innovation
innovation
innovation but once the patient comes to Mumbai to
but once the patient comes to Mumbai to
but once the patient comes to Mumbai to get this leg say Mahalakshmi there is a
get this leg say Mahalakshmi there is a
get this leg say Mahalakshmi there is a center where you can get such a leg the
center where you can get such a leg the
center where you can get such a leg the amputee comes to that then he has to
amputee comes to that then he has to
amputee comes to that then he has to wait almost eight hours because
wait almost eight hours because
wait almost eight hours because plaster-of-paris is put the socket is
plaster-of-paris is put the socket is
plaster-of-paris is put the socket is the mold is made then again that is to
the mold is made then again that is to
the mold is made then again that is to be poured in plaster of Paris the
be poured in plaster of Paris the
be poured in plaster of Paris the negative is made then again a SDP pipe
negative is made then again a SDP pipe
negative is made then again a SDP pipe is worn you put on it then it is filed
is worn you put on it then it is filed
is worn you put on it then it is filed finished and all this process takes
finished and all this process takes
finished and all this process takes almost eight hours
almost eight hours
almost eight hours now if the amputee or the patient has
now if the amputee or the patient has
now if the amputee or the patient has come early morning he can walk back the
come early morning he can walk back the
come early morning he can walk back the same day in case he comes at twelve
same day in case he comes at twelve
same day in case he comes at twelve o’clock in the afternoon he has to wait
o’clock in the afternoon he has to wait
o’clock in the afternoon he has to wait all the way overnight to get his leg the
all the way overnight to get his leg the
all the way overnight to get his leg the next day now what is the average cost
next day now what is the average cost
next day now what is the average cost for staying overnight in Mumbai so
for staying overnight in Mumbai so
for staying overnight in Mumbai so that’s that’s huge right and if you are
that’s that’s huge right and if you are
that’s that’s huge right and if you are coming with your families and support
coming with your families and support
coming with your families and support and you’re actually losing your daily
and you’re actually losing your daily
and you’re actually losing your daily wage there’s a huge cause so what we
wage there’s a huge cause so what we
wage there’s a huge cause so what we tried here there’s again there’s a
tried here there’s again there’s a
tried here there’s again there’s a beautiful team which came up and the
beautiful team which came up and the
beautiful team which came up and the team had a doctor you can see yeah
team had a doctor you can see yeah
team had a doctor you can see yeah there’s a doctor physiotherapist on the
there’s a doctor physiotherapist on the
there’s a doctor physiotherapist on the left-hand side there’s a engineer on the
left-hand side there’s a engineer on the
left-hand side there’s a engineer on the right-hand side and this all worked out
right-hand side and this all worked out
right-hand side and this all worked out they tried to see if the time can be
they tried to see if the time can be
they tried to see if the time can be reduced to make the same socket so
reduced to make the same socket so
reduced to make the same socket so instead of actually making a plaster of
instead of actually making a plaster of
instead of actually making a plaster of Paris
Paris
Paris mold what they did was they took some
mold what they did was they took some
mold what they did was they took some photos now if you take photos instead of
photos now if you take photos instead of
photos now if you take photos instead of the patient traveling from that long
the patient traveling from that long
the patient traveling from that long part or the rural area only the data or
part or the rural area only the data or
part or the rural area only the data or the information travels it goes to cloud
the information travels it goes to cloud
the information travels it goes to cloud and it a 3d model of the patient can be
and it a 3d model of the patient can be
and it a 3d model of the patient can be made here the socket can be made and
made here the socket can be made and
made here the socket can be made and transmitted we even realize further that
transmitted we even realize further that
transmitted we even realize further that there’s even bigger problem with
there’s even bigger problem with
there’s even bigger problem with all-zero and 3G and everything it’s
all-zero and 3G and everything it’s
all-zero and 3G and everything it’s still difficult to upload images from a
still difficult to upload images from a
still difficult to upload images from a rural area so the engineers again has on
rural area so the engineers again has on
rural area so the engineers again has on the right hand side guy he said no I
the right hand side guy he said no I
the right hand side guy he said no I cannot have that much data transmitted
cannot have that much data transmitted
cannot have that much data transmitted so even work further and he came down to
so even work further and he came down to
so even work further and he came down to a parametric model or equation where you
a parametric model or equation where you
a parametric model or equation where you just take few measurements of the
just take few measurements of the
just take few measurements of the patient you SMS them and a 3d model of
patient you SMS them and a 3d model of
patient you SMS them and a 3d model of the patient is created here and that can
the patient is created here and that can
the patient is created here and that can be 3d printed and if you can just see if
be 3d printed and if you can just see if
be 3d printed and if you can just see if that video can be played
yes so if you see the leg over there at
yes so if you see the leg over there at the bottom side it is a 3d printer one
the bottom side it is a 3d printer one
the bottom side it is a 3d printer one of the first 3d printed sockets which
of the first 3d printed sockets which
of the first 3d printed sockets which was fitting to the patient the patient
was fitting to the patient the patient
was fitting to the patient the patient is from the man he’s a volunteer who was
is from the man he’s a volunteer who was
is from the man he’s a volunteer who was said that I would like to try this out
said that I would like to try this out
said that I would like to try this out he’s an electrician and he walked there
he’s an electrician and he walked there
he’s an electrician and he walked there so I wish we could see the video but
so I wish we could see the video but
so I wish we could see the video but maybe we’ll do it later on but it was
maybe we’ll do it later on but it was
maybe we’ll do it later on but it was really happy and then we could see the
really happy and then we could see the
really happy and then we could see the satisfaction when the patient could walk
satisfaction when the patient could walk
satisfaction when the patient could walk with his own leg on a different ground
with his own leg on a different ground
with his own leg on a different ground and there was a knee which was fitted to
and there was a knee which was fitted to
and there was a knee which was fitted to him which was developed in IIT Madras so
him which was developed in IIT Madras so
him which was developed in IIT Madras so the whole time for this now has been
the whole time for this now has been
the whole time for this now has been reduced to few hours so the patient
reduced to few hours so the patient
reduced to few hours so the patient doesn’t matter what time he comes he
doesn’t matter what time he comes he
doesn’t matter what time he comes he still gets it and plaster of Paris has
still gets it and plaster of Paris has
still gets it and plaster of Paris has been eliminated which is not
been eliminated which is not
been eliminated which is not environment-friendly
environment-friendly
environment-friendly so we’re trying to give the whole leg we
so we’re trying to give the whole leg we
so we’re trying to give the whole leg we are not trying to do here any kinds of
are not trying to do here any kinds of
are not trying to do here any kinds of Myo controlled and electronically
Myo controlled and electronically
Myo controlled and electronically controlled leg and which knows it’s gait
controlled leg and which knows it’s gait
controlled leg and which knows it’s gait and pattern we are not doing that
and pattern we are not doing that
and pattern we are not doing that high-end work here
high-end work here
high-end work here the problem was we have visited patients
the problem was we have visited patients
the problem was we have visited patients who said that ok I do have the high end
who said that ok I do have the high end
who said that ok I do have the high end leg it’s just that it is very difficult
leg it’s just that it is very difficult
leg it’s just that it is very difficult to operate in therapy humidity and dust
to operate in therapy humidity and dust
to operate in therapy humidity and dust this electronics doesn’t work there so
this electronics doesn’t work there so
this electronics doesn’t work there so can you have some kind of mint in his
can you have some kind of mint in his
can you have some kind of mint in his shop where do I go if this doesn’t work
shop where do I go if this doesn’t work
shop where do I go if this doesn’t work every day so they said give us something
every day so they said give us something
every day so they said give us something very simple something which we can even
very simple something which we can even
very simple something which we can even fix at our own end so that’s where we
fix at our own end so that’s where we
fix at our own end so that’s where we try to reduce on the effort that was
try to reduce on the effort that was
try to reduce on the effort that was required for that and this was a simple
required for that and this was a simple
required for that and this was a simple story is three different stories but
story is three different stories but
story is three different stories but like this we have come up with different
like this we have come up with different
like this we have come up with different medical devices working with lot of
medical devices working with lot of
medical devices working with lot of doctors and engineers put together and
doctors and engineers put together and
doctors and engineers put together and we came up in case you missed something
we came up in case you missed something
we came up in case you missed something this is the slide you can have a look so
this is the slide you can have a look so
this is the slide you can have a look so we came up with a different process of
we came up with a different process of
we came up with a different process of developing innovative medical devices
developing innovative medical devices
developing innovative medical devices and that process can be divided into
and that process can be divided into
and that process can be divided into four DS define develop deliver and
four DS define develop deliver and
four DS define develop deliver and deploy and each stage has a part where
deploy and each stage has a part where
deploy and each stage has a part where you can have team building where doctors
you can have team building where doctors
you can have team building where doctors and engineers understand do clinical
and engineers understand do clinical
and engineers understand do clinical immersion doctors come to our
immersion doctors come to our
immersion doctors come to our engineering labs we go to their
engineering labs we go to their
engineering labs we go to their operation theaters try to understand the
operation theaters try to understand the
operation theaters try to understand the problem define it very well a
problem define it very well a
problem define it very well a well-defined problem is half done and
well-defined problem is half done and
well-defined problem is half done and then we deliver before that we develop
then we deliver before that we develop
then we deliver before that we develop the solution by actually making
the solution by actually making
the solution by actually making engineering
engineering
engineering and manufacturing the prototypes and
and manufacturing the prototypes and
and manufacturing the prototypes and then we deliver it by testing it
then we deliver it by testing it
then we deliver it by testing it rigorous testing to say that this is
rigorous testing to say that this is
rigorous testing to say that this is going to be a very good device which can
going to be a very good device which can
going to be a very good device which can be used by the patient or the doctor and
be used by the patient or the doctor and
be used by the patient or the doctor and then deploying finding a way so that it
then deploying finding a way so that it
then deploying finding a way so that it reaches the people it was designed for
reaches the people it was designed for
reaches the people it was designed for this having ideas is not enough so how
this having ideas is not enough so how
this having ideas is not enough so how does it really reach the people it was
does it really reach the people it was
does it really reach the people it was designed for so that also we come across
designed for so that also we come across
designed for so that also we come across so so far we have worked on 300 problems
so so far we have worked on 300 problems
so so far we have worked on 300 problems develop some 150 prototypes find about
develop some 150 prototypes find about
develop some 150 prototypes find about 25 bills there’s some 12 devices which
25 bills there’s some 12 devices which
25 bills there’s some 12 devices which are coming out successful in last two
are coming out successful in last two
are coming out successful in last two and a half years so we’re trying our bit
and a half years so we’re trying our bit
and a half years so we’re trying our bit we’re trying our bit but that’s not bad
we’re trying our bit but that’s not bad
we’re trying our bit but that’s not bad two and a half years and 12 devices is
two and a half years and 12 devices is
two and a half years and 12 devices is okay
okay
okay so I’ll just come to one part my
so I’ll just come to one part my
so I’ll just come to one part my learnings or what we as a group have
learnings or what we as a group have
learnings or what we as a group have learnt while doing medical device
learnt while doing medical device
learnt while doing medical device innovation first is that be curious as
innovation first is that be curious as
innovation first is that be curious as in as doctors my only urge to you guys
in as doctors my only urge to you guys
in as doctors my only urge to you guys is that question whatever you are seeing
is that question whatever you are seeing
is that question whatever you are seeing as and there can always always be a
as and there can always always be a
as and there can always always be a different way of doing things so be
different way of doing things so be
different way of doing things so be curious ask why so you could be the guys
curious ask why so you could be the guys
curious ask why so you could be the guys who could develop the next generation of
who could develop the next generation of
who could develop the next generation of medical devices by trying to understand
medical devices by trying to understand
medical devices by trying to understand the procedures what are being used
the procedures what are being used
the procedures what are being used currently question them then the second
currently question them then the second
currently question them then the second part is that try and see if the problem
part is that try and see if the problem
part is that try and see if the problem is good enough what is the need for the
is good enough what is the need for the
is good enough what is the need for the problem is there a good impact do you
problem is there a good impact do you
problem is there a good impact do you really want to make a health impact a
really want to make a health impact a
really want to make a health impact a social impact
social impact
social impact try to see that then you can see the
try to see that then you can see the
try to see that then you can see the most important part of the whole thing
most important part of the whole thing
most important part of the whole thing that I’m trying to say is collaborate
that I’m trying to say is collaborate
that I’m trying to say is collaborate doctors and engineers have to leave
doctors and engineers have to leave
doctors and engineers have to leave their ivory towers and try to come
their ivory towers and try to come
their ivory towers and try to come together and work together when was the
together and work together when was the
together and work together when was the last time an engineer saw doctor any
last time an engineer saw doctor any
last time an engineer saw doctor any engineers right yeah so when was the
engineers right yeah so when was the
engineers right yeah so when was the last time you saw your doctor only when
last time you saw your doctor only when
last time you saw your doctor only when we are not well and doctors when did you
we are not well and doctors when did you
we are not well and doctors when did you meet your engineering friends right so
meet your engineering friends right so
meet your engineering friends right so we have a very secluded domains in which
we have a very secluded domains in which
we have a very secluded domains in which we are trying to sit but I think there
we are trying to sit but I think there
we are trying to sit but I think there is a lot which can happen if we travel
is a lot which can happen if we travel
is a lot which can happen if we travel those barriers these are mental blocks
those barriers these are mental blocks
those barriers these are mental blocks all we need to do is talk to each other
all we need to do is talk to each other
all we need to do is talk to each other and say hey I wish there is something
and say hey I wish there is something
and say hey I wish there is something like this which could really help me in
like this which could really help me in
like this which could really help me in my surgery or if that could help the
my surgery or if that could help the
my surgery or if that could help the patient much better
patient much better
patient much better can there be some technology which can
can there be some technology which can
can there be some technology which can do like that it’s just all about
do like that it’s just all about
do like that it’s just all about identifying the problems and working
identifying the problems and working
identifying the problems and working together
together
together but yes we have to move move out of our
but yes we have to move move out of our
but yes we have to move move out of our domains comfort zones not just that we
domains comfort zones not just that we
domains comfort zones not just that we have tried that a lot of creativity is
have tried that a lot of creativity is
have tried that a lot of creativity is there we as born Indians or as born
there we as born Indians or as born
there we as born Indians or as born intellectuals we can actually come up
intellectuals we can actually come up
intellectuals we can actually come up with different ways of solving the same
with different ways of solving the same
with different ways of solving the same problem and we can engineer the
problem and we can engineer the
problem and we can engineer the solutions and not all just having an
solutions and not all just having an
solutions and not all just having an idea or a prototype or a solution is not
idea or a prototype or a solution is not
idea or a prototype or a solution is not enough we have to go all the way make
enough we have to go all the way make
enough we have to go all the way make sure that the users that it was designed
sure that the users that it was designed
sure that the users that it was designed for get it so if we have to become
for get it so if we have to become
for get it so if we have to become entrepreneurs let’s be entrepreneurs if
entrepreneurs let’s be entrepreneurs if
entrepreneurs let’s be entrepreneurs if we are supposed to have NGOs through
we are supposed to have NGOs through
we are supposed to have NGOs through which this is manufactured let’s do that
which this is manufactured let’s do that
which this is manufactured let’s do that if there is an Indian manufacturing
if there is an Indian manufacturing
if there is an Indian manufacturing company if that can be empowered by
company if that can be empowered by
company if that can be empowered by giving a novel solution let’s do that so
giving a novel solution let’s do that so
giving a novel solution let’s do that so in all I’d like to conclude saying that
in all I’d like to conclude saying that
in all I’d like to conclude saying that the only two major things when you see
the only two major things when you see
the only two major things when you see this happiness of having medical devices
this happiness of having medical devices
this happiness of having medical devices being used by various patients in last
being used by various patients in last
being used by various patients in last few years so I am glad that I took that
few years so I am glad that I took that
few years so I am glad that I took that detour I’m glad that I walked away from
detour I’m glad that I walked away from
detour I’m glad that I walked away from what everybody was trying to do so there
what everybody was trying to do so there
what everybody was trying to do so there only two key messages if I can if I can
only two key messages if I can if I can
only two key messages if I can if I can share my learnings is that leave it
share my learnings is that leave it
share my learnings is that leave it better than what you found and ask for
better than what you found and ask for
better than what you found and ask for help and try to help thank you very much
help and try to help thank you very much
help and try to help thank you very much [Applause]
”
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