Presented at Lucene/Solr Revolution 2017

1. #WeAreNotWaiting
Using open source tochange healthcare.
@DanaMLewis

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

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

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

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

6. Cruise control makes it easier to drive your
target speed.
@DanaMLewis

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

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

9. …But an artificial pancreas was not yet
commercially available.
@DanaMLewis

10. The current tools are
not perfect….
….and not
interoperable.
@DanaMLewis

11. Leaving me often with this:
@DanaMLewis

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

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

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

15. There are 11 kinds of
people in the room.
Those who have a DIY closed loop artificial pancreas,
those who naturally produce insulin
and those who do not.
@DanaMLewis

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

17. Components of an open source artificial pancreas
(Illustration by Clint Ford for Popular Science)
1. Continuous glucose monitor
2. Small computer (“controller”)
3. Battery
4. Radio stick (“translator”)
5. Insulin pump
@DanaMLewis

18. “Explorer Board”
(tiny artificial pancreas rig)

19. #OpenAPS:
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

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

21. 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

22. There are now (n=1)*401++people with DIY closed loops in the world.
(That’s something like
2,000,000+hours of DIY closed loop experience.)
@DanaMLewis@DanaMLewis

23. We are changing the
future of health care
innovation and
research with
open source.
@DanaMLewis

24. @DanaMLewis

25. 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.
- @DanaMLewis

26. 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

27. Traditional innovation
@DanaMLewis

28. Traditional innovation
User-driven innovation @DanaMLewis

29. #WeAreNotWaiting
to change the future of healthcare.
Are you?
#OpenAPS | @DanaMLewis | www.DIYPS.org | www.OpenAPS.org