It's sad to see such waste with the Dexcom. A sizeable, single-use coin cell with a total useful life of 15 days, after which the entire unit is discarded.
Insulin is incredibly potent and can easily result in life-altering if not fatal consequences at relatively low ratios of the therapeutic dose, so these things need to be dialed in and extremely reliable.
YouTube teardowns from knowledgeable engineers are a gold mine for learning how real world products are engineered. I always recommend these for early career hardware students and engineers.
What's so wild (and a little disheartening) is that the omnipod is a disposable device. Use it for several days, and throw it out.
This is an extreme corner of quality/cost/reliability optimization. The delivery mechanism has to be extremely repeatable and reliable, it has to fail in safe ways, but at the same time, it has to be cheap enough to throw away.
Durable pumps are all made with very expensive precision mechanisms, lots of metal and high quality plastic.
A friend's coworker had their pump lock on, and inject the entire reservoir of insulin into them. They were discovered in their home by the police after family members lost contact. No idea if it was an Omnipod, but I would hope that all insulin pumps have a separate watchdog circuit to prevent this.
It's always interesting to see how are things build in the Lumafields "Scan of the month". The the most interesting scan from Lumafield I saw was not a Scan of the month, but in "Adam Savage’s Tested: Surprising Flaws in 18650 Lithium-Ion Batteries" [1]
I know people from Lumafield read these comments occasionally, and I'm grateful for all of this!
Why is the Omnipod available[0] to explore in Voyager, but the Dexcom is not? I'd like to send links to both for my diabetic girlfriend to enjoy, who uses those two particular devices.
Great images, OK writeup. There are some bits of bullshit, like "The proximity of microphones to processing hardware minimizes latency". No, the speed of electrical signal propagation (around 2/3 the speed of light) is not significant for microphone placement.
The custom Lipo battery with thermal effects and weight considered is really beautiful to see. I've been curious about custom Lipo battery shapes for rings because my fingers get cold when I wear rings. Would a battery heating up just a bit help make that comfortable for me?
Would a battery heating up just a bit help make that comfortable for me?
In something ring-sized? Maybe for about five minutes, and then the battery dies. (I assume you mean using resistive elements to create heat; heating the actual battery seems like a bad idea.)
My bad, I read the article wrong, they are only concerned with thermal heating while it's charging. I did seem unexpected that a ring could heat up enough to be a concern while being worn.
Yes I think you are right and also fingers tend to swell and shrink with heat and cold so the ring that fits nicely in a cooler room will restrict circulation slightly once I'm feeling warmer, leaving me with one cold ring wearing finger.
Phones catch fire and men tend to stick them in the front pant pocket. But yes true, so far I haven't gotten into smart jewelry. I was pretty into jewelry for a while but never rings because of the cold finger situation. Necklaces can be problematic too. I chipped my front tooth slightly when I jumped wearing a big crystal and smacked myself in the face with it.
Really love these scans! I would love to have on of these at home, just to tinker with devices and understand how they work.
Then I usually want to check the price, see "Talk to sales" an decide probably not the price range that is good for private use.
Nonetheless, great articles and an amazing device.
I’m sure there’s the small issue of radiological safety as well. Obviously one can be trained to not fry yourself with x-rays, but I wouldn’t, say, pick one up off Aliexpress and have at it.
Some of their earlier videos go into a lot of detail on the safety interlocks (including that the radiation near the device can be lower than ambient because it's basically a large chunk of shielding :-)
As for pricing, https://news.ycombinator.com/item?id=45392896 had some numbers from 5 months ago. It seems like the kind of thing that you'd want as a nearby service, unless you needed to do continuous inspection (they have some automated conveyor sampling products too, it looks like.) My last company had a few 3d-printed components that would have been interesting to spot check after wear testing, but for a lot of things, the competition for the scan is "open it up with a screwdriver" :-)
> San Diego does have a bunch of health tech, but it pales in comparison to Boston.
I don't have firm data on this, but colloquially among medical people, San Diego is seen to have more biotech startups than any other metro, including Boston/SF.
Boston has more research, of course, though SD is competitive there as well.
We can disagree about numbers etc, but 'pales' doesn't reflect reality.
I have worked in tech in many different cities and when I worked for a startup in San Diego, we were surrounded by health tech companies of all sizes. I've never worked in Boston, but I would say San Diego is definitely a health tech hub.
They always were supposed to be for marketing, but I did like their in-depth technical analysis. I imagine that took a lot of work/time to write up though. I'm okay with them skipping that sometimes to get more public scans out for me to enjoy. But I also would love their analysis as well!
One thing I really enjoyed about the analysis was how it really explained the nuance of the technology they sell, and there were always lessons in it for how to tweak the machines on different objects/materials, and how to interpret things, and why certain areas looked the way they did.
For example, on the Omnipod[0], why can't I find an attenuation window to see how much medicine is left inside the reservoir? Is it empty? Is the medicine too low in attenuation to be seen? Is the medicine too similar in attenuation to the outer casing to isolate from it? Could it be isolated if the machine were set up / configured with different settings, and if so, what are the tradeoffs?
well, maybe wearables that provide some sort of internal visual scans. But with CT scans delivering 70 times the radiation of a typical x-ray, I think I'd prefer not wearing a portable chernobyl.
Maybe a wearable ultrasound instead?
edit: after a little informal side-searching after posting this, I've learned that people working at Chernobyl, not in the reactor directly, but elsewhere in the sprawling site received anywhere from 1 to 100 CT scans worth of radiation. The firefighters that were on the roof received anywhere from 100 to 1,600 CT scans worth of radiation.
If one is concerned about the potentially damaging effects of radiation, and the relative safety of ultrasound technology springs to mind, then one may be also interested in reading more about the apparently forbidden topic of ultrasound safety studies, if such a person can get past the cognitive dissonance from having been told the consensus opinion on how safe ultrasound is, e.g.:
I personally prefer to approach the topic of "safety" by considering the trade-offs. The knowledge gained through ultrasound significantly outweighs potential risks associated with it.
People still continue to play the lotto thinking they will win, and they reject statistically low risks in lieu of a greater risk created by avoidance. See: any vaccination topic.
When shifting into the topic of a wearable though, the extreme amount of time alone amplifies the risks into outright dangerous levels. I did not seriously believe ultrasound to be safe to that level.
All of those links are for the same book from 2015 (the fourth isn't direct to the relevant article but it's easy to find on the page). Has there been any new information since then?
> Microcephaly incidence increased 1000x within the area of The Network. This was first observed seven months after The Network began its remote prenatal ultrasound program. Do the math.
Almost every baby is exposed to prenatal ultrasound. What do you think was different about that ultrasound program? Why would prenatal ultrasound cause microencephaly there, but not everywhere?
It's sad to see such waste with the Dexcom. A sizeable, single-use coin cell with a total useful life of 15 days, after which the entire unit is discarded.
The entire library of scans on this site is great. It gives me a similar feeling as being a kid and playing around in 'The Way Things Work'[0].
[0] https://www.youtube.com/watch?v=G9Nz1y7Sj74
mikeselectricstuff on YouTube did a teardown on the Omnipod wearable pump a while back, very cool mechanism.
https://www.youtube.com/watch?v=e2MQUUkubgs
Insulin is incredibly potent and can easily result in life-altering if not fatal consequences at relatively low ratios of the therapeutic dose, so these things need to be dialed in and extremely reliable.
YouTube teardowns from knowledgeable engineers are a gold mine for learning how real world products are engineered. I always recommend these for early career hardware students and engineers.
What's so wild (and a little disheartening) is that the omnipod is a disposable device. Use it for several days, and throw it out.
This is an extreme corner of quality/cost/reliability optimization. The delivery mechanism has to be extremely repeatable and reliable, it has to fail in safe ways, but at the same time, it has to be cheap enough to throw away.
Durable pumps are all made with very expensive precision mechanisms, lots of metal and high quality plastic.
A friend's coworker had their pump lock on, and inject the entire reservoir of insulin into them. They were discovered in their home by the police after family members lost contact. No idea if it was an Omnipod, but I would hope that all insulin pumps have a separate watchdog circuit to prevent this.
Did they survive?
It's always interesting to see how are things build in the Lumafields "Scan of the month". The the most interesting scan from Lumafield I saw was not a Scan of the month, but in "Adam Savage’s Tested: Surprising Flaws in 18650 Lithium-Ion Batteries" [1]
[1] https://www.youtube.com/watch?v=-Y23nfAOiXQ
PS: Nice company logo btw. ;)
I know people from Lumafield read these comments occasionally, and I'm grateful for all of this!
Why is the Omnipod available[0] to explore in Voyager, but the Dexcom is not? I'd like to send links to both for my diabetic girlfriend to enjoy, who uses those two particular devices.
0: https://voyager.lumafield.com/project/16d13f1d-58f5-4572-b2a...
Great images, OK writeup. There are some bits of bullshit, like "The proximity of microphones to processing hardware minimizes latency". No, the speed of electrical signal propagation (around 2/3 the speed of light) is not significant for microphone placement.
It's AI slop. The descriptions are all meaninglessly specific like that, saying things that are technically true but don't make sense to point out.
Glad they're still doing these. I really enjoyed Scan of the Month and then they just stopped doing new scans after the Moka Pot.
The custom Lipo battery with thermal effects and weight considered is really beautiful to see. I've been curious about custom Lipo battery shapes for rings because my fingers get cold when I wear rings. Would a battery heating up just a bit help make that comfortable for me?
Would a battery heating up just a bit help make that comfortable for me?
In something ring-sized? Maybe for about five minutes, and then the battery dies. (I assume you mean using resistive elements to create heat; heating the actual battery seems like a bad idea.)
My bad, I read the article wrong, they are only concerned with thermal heating while it's charging. I did seem unexpected that a ring could heat up enough to be a concern while being worn.
> my fingers get cold when I wear rings
Unless the ring is shaped as a heatsink/radiator, I imagine it would eventually get into equilibrium, and you wouldn't feel the heat-flux.
Is it possible that the "coldness" comes from its indirect affect on blood-circulation?
Yes I think you are right and also fingers tend to swell and shrink with heat and cold so the ring that fits nicely in a cooler room will restrict circulation slightly once I'm feeling warmer, leaving me with one cold ring wearing finger.
A battery. Which can catch fire. Around your finger?
Phones catch fire and men tend to stick them in the front pant pocket. But yes true, so far I haven't gotten into smart jewelry. I was pretty into jewelry for a while but never rings because of the cold finger situation. Necklaces can be problematic too. I chipped my front tooth slightly when I jumped wearing a big crystal and smacked myself in the face with it.
Really love these scans! I would love to have on of these at home, just to tinker with devices and understand how they work. Then I usually want to check the price, see "Talk to sales" an decide probably not the price range that is good for private use. Nonetheless, great articles and an amazing device.
I’m sure there’s the small issue of radiological safety as well. Obviously one can be trained to not fry yourself with x-rays, but I wouldn’t, say, pick one up off Aliexpress and have at it.
Some of their earlier videos go into a lot of detail on the safety interlocks (including that the radiation near the device can be lower than ambient because it's basically a large chunk of shielding :-)
As for pricing, https://news.ycombinator.com/item?id=45392896 had some numbers from 5 months ago. It seems like the kind of thing that you'd want as a nearby service, unless you needed to do continuous inspection (they have some automated conveyor sampling products too, it looks like.) My last company had a few 3d-printed components that would have been interesting to spot check after wear testing, but for a lot of things, the competition for the scan is "open it up with a screwdriver" :-)
I bet it's something you can lease with a traceable calibration certificate.
San Diego is really a hub for health wearables! Tijuana to an extent too.
Oura - based in SD.
Dexcomm - based in SD.
Omnipod/Insulet - major R&D hub in SD & TJ.
Oura is headquartered in Oulu Finland and the main US office is in SF.
San Diego does have a bunch of health tech, but it pales in comparison to Boston.
> San Diego does have a bunch of health tech, but it pales in comparison to Boston.
I don't have firm data on this, but colloquially among medical people, San Diego is seen to have more biotech startups than any other metro, including Boston/SF.
Boston has more research, of course, though SD is competitive there as well.
We can disagree about numbers etc, but 'pales' doesn't reflect reality.
edit: https://www.cbre.com/insights/local-response/global-life-sci... -- support for it being an important life science market
I have worked in tech in many different cities and when I worked for a startup in San Diego, we were surrounded by health tech companies of all sizes. I've never worked in Boston, but I would say San Diego is definitely a health tech hub.
still not into scroll-jacking, but these breakdowns were well-written and documented.
Is it just me or did the tonality in this one change towards an infomercial?
They always were supposed to be for marketing, but I did like their in-depth technical analysis. I imagine that took a lot of work/time to write up though. I'm okay with them skipping that sometimes to get more public scans out for me to enjoy. But I also would love their analysis as well!
One thing I really enjoyed about the analysis was how it really explained the nuance of the technology they sell, and there were always lessons in it for how to tweak the machines on different objects/materials, and how to interpret things, and why certain areas looked the way they did.
For example, on the Omnipod[0], why can't I find an attenuation window to see how much medicine is left inside the reservoir? Is it empty? Is the medicine too low in attenuation to be seen? Is the medicine too similar in attenuation to the outer casing to isolate from it? Could it be isolated if the machine were set up / configured with different settings, and if so, what are the tradeoffs?
0: https://voyager.lumafield.com/project/16d13f1d-58f5-4572-b2a...
Could be, the company behind the website would like to sell you an industrial CT scanner.
I dont want CT scans of wearables. I want wearables that can do CT scans.
That is not even close to feasible with today's level of technology, and will not be for quite some time.
well, maybe wearables that provide some sort of internal visual scans. But with CT scans delivering 70 times the radiation of a typical x-ray, I think I'd prefer not wearing a portable chernobyl.
Maybe a wearable ultrasound instead?
edit: after a little informal side-searching after posting this, I've learned that people working at Chernobyl, not in the reactor directly, but elsewhere in the sprawling site received anywhere from 1 to 100 CT scans worth of radiation. The firefighters that were on the roof received anywhere from 100 to 1,600 CT scans worth of radiation.
> Maybe a wearable ultrasound instead?
If one is concerned about the potentially damaging effects of radiation, and the relative safety of ultrasound technology springs to mind, then one may be also interested in reading more about the apparently forbidden topic of ultrasound safety studies, if such a person can get past the cognitive dissonance from having been told the consensus opinion on how safe ultrasound is, e.g.:
https://www.amazon.com/Studies-Conducted-Indicate-Prenatal-U...
https://www.westonaprice.org/book-reviews/50-human-studies-j...
http://whale.to/c/50_human_studies.html
https://harvoa.substack.com/p/dbr
The jury may still be out?
I personally prefer to approach the topic of "safety" by considering the trade-offs. The knowledge gained through ultrasound significantly outweighs potential risks associated with it.
People still continue to play the lotto thinking they will win, and they reject statistically low risks in lieu of a greater risk created by avoidance. See: any vaccination topic.
When shifting into the topic of a wearable though, the extreme amount of time alone amplifies the risks into outright dangerous levels. I did not seriously believe ultrasound to be safe to that level.
> a wearable though, the extreme amount of time alone amplifies the risks
The time, and also the proximity.
As I understand it, the potential dangers of a lot of these kinds of things dissipate quite rapidly with distance.
But with wearables, the emitters are quite literally strapped against the body (practically zero distance).
All of those links are for the same book from 2015 (the fourth isn't direct to the relevant article but it's easy to find on the page). Has there been any new information since then?
The 50 studies in the cited 2015 book ought to span a range of time, and their keywords could be used to search literature for more recent material.
> Has there been any new information since then?
Since you asked, there apparently was a 2017 followup book by the same author. These links are for that book:
https://harvoa.org/chs/pr/dusbk2.htm
https://www.amazon.com/Ultrasound-Causation-Microcephaly-Vir...
https://www.goodreads.com/book/show/36466945-ultrasound-caus...
That book claims:
> Microcephaly incidence increased 1000x within the area of The Network. This was first observed seven months after The Network began its remote prenatal ultrasound program. Do the math.
Almost every baby is exposed to prenatal ultrasound. What do you think was different about that ultrasound program? Why would prenatal ultrasound cause microencephaly there, but not everywhere?
> not everywhere?
Are you absolutely certain that there is not an unexplained uptick in brain damaged newborns/children in the USA?
And that its cause is not some thing(s) that "almost every" one of them is subjected to repeatedly?
And that it is not just a case of better/more/over diagnosis?
IDK about by you, but there are literal nurseries/schools for the brain-damaged kids popping up on Main Street. That's how many there seem to be.
So yeah, maybe they're not in that study. But that means they don't exist?
I don't think that's comparable to what happened in Brazil at that time.