1. How open source is changing healthcare.
Closing the loop:
How open source is changing healthcare.
@DanaMLewis

2. There are 10 kinds of people in the room.
(Those who appreciate binary jokes and those who do not.)
@DanaMLewis

3. There are 10 kinds of people in the room.
(Those who naturally produce insulin
(Those who appreciate binary jokes and those who do not.)
@DanaMLewis

4. Getting diagnosed with a chronic disease is like being struck by lightning.
@DanaMLewis

5. Food, hormones, sickness, stress
Insulin, exercise, sickness, stress
@DanaMLewis

6. In diabetes, insulin is the “gas” pedal.
@DanaMLewis

7. @DanaMLewis
An artificial pancreas is the closest thing to “cruise control” for diabetes.

8. The current tools are not perfect….
Insulin Pump
Continuous Glucose Monitor (CGM)
@DanaMLewis

9. Because this is what it takes:
@DanaMLewis

10. Leaving us often with this:

11. If we can’t change existing devices… what if we could add *new* tools?
@DanaMLewis

12. Enter open source (and social media).
@DanaMLewis

13. From reactive to predictive: an “open loop”
@DanaMLewis

14. We already have in our pockets the tools needed for an “artificial pancreas”.
@DanaMLewis

15. Components of an open source artificial pancreas
Continuous glucose monitor
Insulin pump
@DanaMLewis

16. Components of an open source artificial pancreas
Continuous glucose monitor
Computer (“controller”)
Battery
Radio stick (“translator”)
Insulin pump
@DanaMLewis
(Illustration by Clint Ford for Popular Science)

17. (continuous glucose monitor)
(insulin pump)
OpenAPS “rig”
@DanaMLewis
(continuous glucose monitor)

18. Before:
After:

19. #OpenAPS is an open and transparent effort to make safe and effective basic Artificial Pancreas System (APS) technology widely available to reduce the burden of Type 1 diabetes.
@DanaMLewis

20. #OpenAPS: @DanaMLewis
Taking the DIY, artificial pancreas from (n=1) to (n=1)*many by:
Focusing on safety
Limiting dosing ability in hardware and software
Using same dosing calculations a person would use
Responding (or not) to unexpected data
Tolerating communication failures
Failing back safely to standard device operation
@DanaMLewis

21. OpenAPS.org Github.com/ openaps
Documentation
Code
Reference Design
@DanaMLewis

22. Who is regulating this activity? Users are.
Most users “test” their own medical devices.
The QA approach is even stronger when utilizing open source tools made with/by/for the community.
(Individual experiments with “off label” use of medical devices are not a regulated activity.)
@DanaMLewis

23. people with DIY closed loops in the world.
There are now (n=1)*683++
people with DIY closed loops in the world.
(That’s something like
4,700,000+
hours of DIY closed loop experience.)
@DanaMLewis

26. It’s not rocket science..
@DanaMLewis

27. (Me, anytime someone says “but you’re not a _______”.)
@DanaMLewis

28. Not traditional.. But yet we are: @DanaMLewis Engineers Engineers
Programmers
Scientists
Researchers
Rocket Scientists
Engineers
Developers
Scientists
Researchers
Inventors
@DanaMLewis

29. Traditional innovation
@DanaMLewis

30. Traditional innovation
@DanaMLewis
User-driven innovation

31. We are changing the future of health care innovation with
open source.
@DanaMLewis

32. This matters:

33. Imagine what else is possible if you use your open source knowledge and skills to partner with someone in your life?
---
With open source, there are endless opportunities to improve lives of those we love.

34. There are 10 kinds of people in the room.
Those who will consider using open source skills to solve healthcare problems,
and those who will not.
@DanaMLewis

35. #WeAreNotWaiting to change healthcare with open source. Are you?
#OpenAPS | |