a novel device and system to screen newborns for …m t w t f s s month it is recommended that all...

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Nitin Sisodia, CEO Sohum Innovation lab [email protected] India Stanford India Biodesign fellow A novel device and system to screen newborns for hearing loss in resource constrained settings screening for all

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Page 1: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Nitin Sisodia, CEO Sohum Innovation lab

[email protected]

Stanford India Biodesign fellow

A novel device and system to screen newborns for hearing loss in resource constrained settings

screening for all

Page 2: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

1 World Health Organisation. Newborn and Infant Hearing screening. Current issues and guiding principles for action: who press, 2010. 2 “Deafness and its Prevention-Indian Scenario.” Indian Journal of Pediatrics; 1997; 64 : 801-8093 M. Shamim Ansari, “Screening programme for hearing impairment in newborns: A challenge during rehabilitation for all.” Asia Pacific Disability Rehabilitation Journal; 2004; 83 Vol. 15 No. 1

INDIA

1 in every 5 children born with

hearing loss are born in India.(1,2,3)

Hearing loss is one of the most common birth disorders.

500,000 babies are born with hearing loss every year all over the world

90% are born in the developing countries

Page 3: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Saving time by decreasing preparation time and by checking both ears simultaneously.

The novel method of automation detects the signal without getting effected by noise

The novel algorithm takes care of the movement of the baby and thus test can be conducted without sedation

The cost is decreased through non- disposable electrodes and service based model.

The easy to use electrode system requires very less skill to place the electrode

Too many births too little time

Lack of skilled care givers

Noises are a challenge

$

Prohibitive costs

$$

Sedation is high risk

Massscreening

Noiseimmunity

Innovativealgorithm

Sustainablecost structure

Minimal human error

Page 4: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

4

ABR  Signal

S-muli  through  earphone

Signal  condi-oning:  Amplifica-on  filtering

Signal  Acquisi-on:  Analog  to  digital  conversion

Signal  Analysis:  Automated  hearing  screening

three  electrodes  on  the  scalp

Technology

Sohum innovation lab, [email protected]

Page 5: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

_

+ G

ABR Signal

Signal Conditioning – Amplification filteringSignal Acquisition – Analog to digital conversionSignal Analysis – Automated hearing screening

G

_

+

Brainstem Evoked Response Audiometry

Stimulithrough microphone

Page 6: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

After care

Awareness

TechnologyComprehensive solution

Network of Audiologist/ENT

New media for parents and healthcare providers

Affordable and appropriate for low resource settings

Page 7: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

m t w t f s s

monthIt is recommended that all activities are done when the child is rested, fed and ready to play, and is done under close adult supervision. For any of the activi-ties, never use objects that are sharp, toxic, might electrocute or are dangerous

to the baby in any way.Act early by talking to your child’s doctor if your child is missing milestones or is achieving them late. © 2012 Sohum innovation lab | http://sohumforall.com

01

Wake up the Lata Mangeshkar inside of you. Try

to add her name in the song. Try to sing the

song with movements. Try to sing in a low

growly voice or a high squeaky voice.

Stand behind the baby and clap

or sound a rattle. Your

baby will be startled

by any sudden

noise.

Does she blink or

open eyes widely

to sudden sounds, or stop

sucking or start to cry?

[ ] Yes [ ] Not yet

Place your baby on

your lap. Rock him/

her to the rhythm of a

nursery rhyme or lullaby.

Sing and sway with the rhythm.

Awareness: Growth calendar

Page 8: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

After care: Network of ENT, Pediatricians and Audiologists

Sohum innovation lab, [email protected]

Page 9: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Implementation plans across India for Hearing health

National rural health mission All India Institute of speech and hearing, Mysore

National Institute of Mental health and Neurosciences (NIMHANS),Bangalore

National deafness prevention program

Maternal and child care,State and central govt programs

Sound Hearing 2030

Rehabilitation council of India

Ministry of Health

St Johns Institute of Medical Sciences, Bangalore

Ali Yavar Jung national Institute of hearing health

Manipal Institute of Allied Health Sciences

National and state level program Institutes

Sohum innovation lab, [email protected]

Page 10: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Health worker/Entrepreneur

Maternity homes/ NICUPediatrician

Audiologistand specialists

General physician

Child, parents, society

URBAN RURAL

Sohum certification

Referred for further care

• Early identification of hearing impairment• Normal growth and learning• Early intervention saves money in comparasion

to late rehabilitation

• Provides employment• Shared revenue model provides

incentive to screen all newborns

• Additional revenue• Better quality of care and services to

their customers• Additional revenue • Increased popularity through

better reliability of tests

• Increased access to patients through referrals

Institutional births Births at home

Page 11: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Future plan

Product refinement, IP

Proof of concept

You are here now.

Clinical trials on adults, Prototype 3

Sohum innovation lab, [email protected]

10 ready to use products, Clinical trials on 800 newborns, CE mark

First batch of product launch

Page 12: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Department of BiotechnologyGovernment of India

Rising  Star

Recognition and Grant support:

2011

2012

Robert howard Medical Technology

Next step award2013

Page 13: A novel device and system to screen newborns for …m t w t f s s month It is recommended that all activities are done when the child is rested, fed and ready to play, and is done

Screening for all !www.sohumforall.com

nitin@sohumforall