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Trained repair professionals at hospitals are regularly unable to fix medical devices because of manufacturer lockout codes or the inability to obtain repair parts. During the early days of the COVID-19 pandemic, broken ventilators sat unrepaired for weeks or months as manufacturers were overwhelmed with repair requests and independent repair professionals were locked out of them. At the time, I reported that independent repair techs had resorted to creating DIY dongles loaded with jailbroken Ukrainian firmware to fix ventilators without manufacturer permission. Medical device manufacturers also threatened iFixit because it posted ventilator repair manuals on its website. I have also written about people with sleep apnea who have hacked their CPAP machines to improve their basic functionality and to repair them.

PS: he got it repaired.

  • mkwt@lemmy.world
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    1 month ago

    Medical devices are required to comply with 21 CFR 820 in the United States, which establishes quality management standards. This includes minimum standards for the software development lifecycle, including software verification and validation testing.

    In the EU, broadly equivalent standards include ISO 13485 and IEC 62304.

    If an OEM wants to do a software update, they at minimum need to perform and document a change impact analysis, verification testing, and regression testing. Bigger changes can involve a new FDA submission process.

    If you go around hacking new software features into your medical device, you are almost certainly not doing all of that stuff. That doesn’t mean that your software changes are low quality–maybe, maybe not. But it would be completely unfair to hold your device to the standard that the FDA holds them to–that medical devices in the United States are safe and effective treatments for diseases.

    This may be okay if you want to hack your own CPAP (usually a class II device) and never sell it to someone else. But I think we all need to acknowledge that there are some serious risks here.

    • Crashumbc@lemmy.world
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      1 month ago

      Yeah, I’m a big right to repair person. But medical equipment is a different level. This isn’t just affecting yourself, if a tech screws up people die.

    • RvTV95XBeo@sh.itjust.works
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      1 month ago

      Sure, there are risks, but if there alternatives are pony up $100k for a new exosuit, or just don’t fucking walk again, I see why repair is an enticing option.

  • Egg_Egg@lemm.ee
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    1 month ago

    Where are the horse exoskeletons for horses that fall and get injured in completely unnecessary horse races?

  • RamblingPanda@lemmynsfw.com
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    1 month ago

    repair techs had resorted to creating DIY dongles loaded with jailbroken Ukrainian firmware to fix ventilators without manufacturer permission

    How many jailbreaks are done by Ukrainian hackers? Wasn’t the John Deere firmware from Ukraine as well? Nice job 💖

      • nomous@lemmy.world
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        1 month ago

        Russia as well, lots of former soviet states. I used to talk to a Latvian maths student who was adamant it was the access to free/cheap higher education and poor job prospects.

    • douglasg14b@lemmy.world
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      1 month ago

      You would, but if there’s no reason for them to spend the money on it why?

      This is what regulation is for, and it needs to have teeth.

    • exanime@lemmy.world
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      1 month ago

      They just want him to get a new one… Why repair a $20 battery on a perfectly functioning device when you can force him to get a new $100,000 exoskeleton?

      This is just more capitalist ghouls doing the only thing they know

  • iAvicenna@lemmy.world
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    1 month ago

    any company who locks medical device repair should be burned to the ground. and dont bullshit me about liabilities bla it is more likely cash grab which they get in the form of “extra care packages” or exorbitant repair prices charged after the guarantee period ends.

  • BrightCandle@lemmy.world
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    1 month ago

    A right to repair is long overdue but more than that when it comes to medical devices it’s obvious battery replacement is going to be necessary and should be user accessible.

  • Deceptichum@quokk.au
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    1 month ago

    As its paywalled I can’t see the article and any pictures clearer, but from the image shown isn’t that those tiny battery packs you can use for RC drones etc? Because those things are dirty fucking cheap, I would be furious if that was a $100,000 charge.

  • Queen HawlSera@lemm.ee
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    1 month ago

    Update: He temporarily gained the ability to walk again after touching a spinning steel ball, despite the recovery not lasting he will still be competing in upcoming cross country horse race.

  • cmrn@lemmy.world
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    1 month ago

    Keeping repairs locked into your system of parts/techs can at least feign “safety” or “quality”.

    But essentially just refusing to repair is an absolute fuck you.

    I’ve started choosing the companies I use based much more on the experience offered when their product/service DOESN’T work, rather than when it does.

    • fruitycoder@sh.itjust.works
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      1 month ago

      Right it begs the question.

      Is me not receiving care or having access to care REALLY better for me?

      If the answer can’t clearly be yes, then they are just choosing to make me ill or kill me for their perceived interests.

    • Dark Arc@social.packetloss.gg
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      1 month ago

      For me it’s a mix of what you said and how they treat their employees/where they’re making the product.

      I spend extra time trying to find higher priced, higher quality, more fairly manufactured products.

      • roofuskit@lemmy.world
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        1 month ago

        That latter requirement is usually a good indicator of the former requirement. Companies that take care of their people typically end up making quality products.

    • RvTV95XBeo@sh.itjust.works
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      1 month ago

      I’ve started choosing the companies I use based much more on the experience offered when their product/service DOESN’T work, rather than when it does.

      Easy to do for a cell phone or a toaster, but I can’t imagine there’s a ton of options for exosuits that correct your condition, covered by your insurance, that your doctor is familiar enough with to prescribe (for lack of a better term).

      Some things are annoying to make abandonware, and some things should be criminal.

      • T156@lemmy.world
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        1 month ago

        And it doesn’t preclude the company just deciding your product is no longer worth supporting/going bankrupt.

        It might have been fine and seemingly trustworthy to begin with, and then it stops, a few years down the line.

      • cmrn@lemmy.world
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        1 month ago

        That’s the most dangerous part of it for sure. Inherently, the more a company has a monopoly over an industry, the less incentive they have to actually do a good job with anything.

      • fossilesque@mander.xyz
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        1 month ago

        Don’t buy a Google Pixel. I’ll never get one again because of this. They wanted 250£ to even look at it so I got a new cheap Samsung out of spite.

  • Wilzax@lemmy.world
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    1 month ago

    Medical device manufacturers also threatened iFixit because it posted ventilator repair manuals on its website.

    What the fuck is wrong with people. Anyone who opposes the right to repair for MEDICAL DEVICES is irredeemable.

    • redisdead@lemmy.world
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      1 month ago

      I kind of disagree. Medical devices should be repaired by trained professionals using OEM parts only.

      How’d you feel if your pacemaker’s battery started leaking acid into your body because Kevin from accounting had made a diy drone once and he found a good deal on AliExpress specials batteries.

      Of course, that means manufacturers should be liable for any issues wrt lack of parts or available repairman.

      • JustEnoughDucks@feddit.nl
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        1 month ago

        This is why there are separate rules and standard for implantable, wearable, and supporting medical devices.

        • redisdead@lemmy.world
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          1 month ago

          When your hacked together CPAP sends asbestos directly into your lungs because Bob from maintenance had some spare time to fix it, you’ll be crying about malpractice.

      • Avatar_of_Self@lemmy.world
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        1 month ago

        So, for ventilators, I’d definitely prefer a DIY repair attempt and rolling the dice instead of having a ventilator that doesn’t work, especially when you absolutely need them but don’t have them.