Co.Design

The Next Big Frontier In Industrial Design

Here's a hint: It's going to be in your doctor's office.

Misfit Wearables, the firm behind the activity monitor Shine, announced last week that it has successfully raised $15.2 million to create “new, yet to be launched” products for next year. Misfit Wearables' CEO Sonny Vu hinted that these new products might be medical, making Misfit one of the growing number of companies blurring the boundaries between consumer electronics and medical devices.

I am an industrial designer who has worked on a range of medical devices--from diagnostic to therapeutic, disposable to reusable, as well as instruments and controllers--and I see this as a challenge and an opportunity for medical device companies. It's time to learn from personal devices and for designers to help bridge the gap between personal and medical.

This isn't simply about applying an iPhone strategy to the design of medical products. Unlike technology such as Smartphones, where new versions offer incremental improvements over the previous iterations by being smaller, faster, lighter, etc., medical devices always have a clear, often non-negotiable, set of priorities. Most procedures, for example, involve multiple participants so tools have to be optimized for proper use. In addition, patient safety is always paramount.

But while medical devices have strict design needs, I have always believed that the role of the designer is about more than just solving the functional requirements. As devices get smarter, users more discerning, and boundaries between personal and medical devices less defined, innovative device manufacturers should rethink the role design can play in the success of their products.

Get Smarter About User Interfaces

In the past, many procedures relied mostly on the skill of the practitioner, but today the communication and collaboration between the practitioner and the device is coming to the fore. Medical devices are becoming more intelligent and capable, and therefore inherently more complex. Devices perform complicated computations and analyses using multiple inputs and this introduces a design problem: How do you communicate the data to practitioners in a manner that they can easily understand and act on?

This means the designer is increasingly responsible for effective user interfaces. The challenge, then is to design devices, interfaces, and interactions in a way that enhance the practitioner’s skills while performing most of the heavy lifting of computing and analysis.

While the digital interfaces are becoming more robust, the physical interfaces are becoming simpler--yesterday’s “screen with many buttons” today is a touch screen.

Take for example Sonosite’s x-porte ultrasound console, which reinterprets the traditional hard button approach onto a completely touch-screen experience. This reinforces what has become one of my firm beliefs--the need for much closer collaboration between ID and UI designers.

Don't Forget: The Patient Is Watching

Consumers are savvy and the multitude of easy to use, appealing consumer electronics products definitely influences people’s expectations for medical devices. There are new precedents for interaction, capability, speed, performance, and level of fit and finish that both medical professionals and patients demand from medical devices (not to mention the increase in medical devices now targeted directly to the patient).

Customers also take very important cues about the quality and reliability of the device from the way the it looks, feels, and behaves: a large, responsive touch-screen comes across as more advanced than a small, lo-res screen with large bezel and a multitude of buttons. Similarly, size, weight, materials and fit and finish hugely impact perception. Performance, functionality, and efficacy are clearly the most important priorities, and deserve the designer’s attention. However failing to consider the appearance, behavior and design execution of the product can stand in the way of adoption, acceptance and ultimate success.

AliveCor, seems to be taking the right approach with its heart rate monitoring system that includes a device, an intuitive and appropriate UI to turn a smartphone into an ECG device as well as a clinician facing interface that gives your doctor easy access to your ECG data. By contrast, other medical devices still look like science projects.

At the same time, we need to balance this “consumerization" with the reality that medical devices have a much longer life cycle than a consumer electronics device. While your phone may appear outdated after a year, a medical practice will expect to use its imaging, monitoring, diagnostic, therapeutic equipment for many years. It is the role of the designer to separate the fashion trends from those with longer “timeless” impact on utility and usefulness.

Finding the Right Form for the Function

In an area where safety, performance, and efficacy are key drivers, it’s often difficult to talk about aesthetics. Aesthetics should never come at the expense of safety and performance, but I would argue that accounting for the look and feel of the device can improve the patient experience.

Medical devices are used in emotionally charged situations and the appearance and behavior of devices can set people at ease or make them tense. In recent research we reviewed a device that offers voice commands to guide paramedics during resuscitation. While well intentioned, we learned that users often disabled that feature because voice commands instructing a paramedic to speed up compressions, left bystanders (like a patient’s family member) with the impression that the paramedic was “doing it wrong.”

The appearance of the device impacts users’ perceptions: outdated or state-of-the-art, reliable or flimsy, approachable or restrictive, valuable or disposable. This perception determines how users will interact with it, and how much they trust the device or practitioner. Finding the right message, and presenting the device and its manufacturer in the best possible light are important parts of the designer’s job. The animation that your Nike+ app plays when you reach your goal is fun, but likely will be very different if your life depended on measuring the outcome.

Three Design Imperatives

The design of medical devices places severe requirements on the designer in an inherently high-stakes subject matter. At a time when technology and context are imposing additional complexity on products, user expectations as to the quality of the physical object as well as the quality of its behavior are also steadily increasing.

While most medical device manufacturers already invest in design at some level, I will argue the bar is steadily moving higher:

First, we must focus on all aspects of device functionality in all of its use cases. As devices become more capable and intelligent, the job of managing that complexity to provide clarity of information and operation will require better design.

Second, consumer electronics continue to push expectations for the level of build quality, visual refinement, and attention to detail that users demand--health care practitioners and patients alike.

Third, this high level of refinement must prevail throughout all touch points of the product experience, from the hardware and software to the services.

For us as designers, this offers some of the most challenging questions I have seen in my career--as well as a rich opportunity to test and extend our thinking and talent.

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6 Comments

  • Luis Augusto zambotti

    Nice topic to discuss the improve of design in medical products. When I had graduated in 2012 in Design, my conclusion work was about a new design for a muscular injection pen and my focus in that work was to make the act of inject get more comfortable in a way that the patient not see the injection which is inside of the pen and don't need to apply it in themselves. making this act less stressful for the patient who have to have this kind of treatment. If you want to see this work go to my online portfólio, to see the 3D render and an animation where I show how it works. My portfólio is: http://gutozamba.carbonmade.co...

  • Anthony Reardon

    I enjoyed this deep look into industrial design Fernd.

    The one thing that stands out to me is you are not emphasizing the end-user enough.

    With a medical device, there are no doubt multiple end-users, and key stakeholders like medical practitioners might be your target customer. However, look at the service they perform and follow that all the way to the end-user who is the patient. Design consideration for patients should not be an ancillary afterthought.

    For example, you might design that paramedic support device with every intention of serving their needs, but overlook the essential experience extended all the way down to their customer.

    You don't make this error if you are focused on the ultimate customer of healthcare as your top priority, and then all other design priorities naturally come into alignment around that.

    Best, Anthony

  • Fernd van Engelen

    Hey, Anthony
    Thanks for your comment. I'm not at all suggesting that we discount the person at the receiving end of a medical device - their safety and well being are always the number one priority. The reality though is that in order to ensure patient safety you need to focus on getting the best, most intuitive, most capable, most error-proof set of tools in the hands of the practitioner. Only then can technology fade into the background while serving its purpose: support the medical professional.
    Tx,
    f

  • Josh Hansen

    I disagree...
    The biggest imperitive is to empower doctors with tools that help them improve/save lives.
    Nice write-up Fernd!