ABOUT THE SPEAKER
Krista Donaldson - Engineer
Krista Donaldson is the CEO of D-Rev, a non-profit product development company improving the health and incomes of people around the world.

Why you should listen

Prosthetic limbs are expensive and complex, and they must be fit to each individual -- yet having a replacement for a lost limb can mean the difference between working and not, having a social life and not. So, Krista Donaldson and her team at the nonprofit design firm, D-Rev, are attacking the problem on several fronts, from re-engineering the moving parts, to exploring way-new materials that replace expensive titanium, to forming deep local partnerships for distribution and maintenance around the world.

It's the kind of work that D-Rev does; with a mission "to improve the health and incomes of people living on less than $4 per day," their motto is "Design for the other 90%." Taking a truly user-centered approach that could be summarized as "Listen before you build."

As Donaldson wrote in a paper for the WEF: "The world is confounded by difficult problems in healthcare that are ripe for innovative solutions. The information most needed for these solutions ... is readily available -- from the users. They need to be asked: How can we solve X? What is your experience with Y? Instead of focusing on asking people in developing countries to change their behavior, those of us who work in healthcare should sit up and listen to what they have to say."

More profile about the speaker
Krista Donaldson | Speaker | TED.com
TEDWomen 2013

Krista Donaldson: The $80 prosthetic knee that's changing lives

Krista Donaldson: Protetično koleno za 80$, ki spreminja življenja.

Filmed:
1,086,707 views

V zadnjih letih smo prišli do neverjetnega napredka v tehnologiji, a zdi se, da imajo od tega korist le določeni srečneži. Inženirka Krista Donaldson nam predstavi koleno ReMotion, protezo za amputirance z amputacijami nad kolenom, od katerih mnogi zaslužijo manj kot 4$ na dan. Ta dizajn vsebuje najboljšo tehnologijo, a je vseeno veliko cenejši kot druge proteze na tržišču.
- Engineer
Krista Donaldson is the CEO of D-Rev, a non-profit product development company improving the health and incomes of people around the world. Full bio

Double-click the English transcript below to play the video.

00:12
NineDevet yearslet agonazaj, I workeddelal
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Pred devetimi leti sem delala
00:14
for the U.S. governmentvlada in IraqIrak,
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za vlado ZDA v Iraku,
00:16
helpingpomoč rebuildobnoviti the electricityelektrika infrastructureinfrastrukture.
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pomagala sem na novo zgraditi
električno infrastrukturo.
00:19
And I was there, and I workeddelal in that jobdelo
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Bila sem tam, delala v tej službi,
00:22
because I believe that technologytehnologijo
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zato ker verjamem,
da lahko tehnologija
00:24
can improveizboljšati people'sljudje livesživi.
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izboljša človeška življenja.
00:27
One afternoonpopoldne, I had teačaj with a storekeeperskladiščnik
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Nekega popoldneva sem pila čaj
z lastnikom trgovine
00:29
at the AlAl RasheedTanek reženj HotelHotel in BaghdadBagdad,
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v Hotelu Al Rasheed v Bagdadu
00:32
and he said to me, "You AmericansAmeričani,
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in rekel mi je, "Vi Američani,
00:35
you can put a man on the moonluna,
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človeka ste uspeli poslati na Luno,
00:36
but when I get home tonightnocoj,
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ampak ko pridem zvečer domov,
00:38
I won'tne bo be ablesposoben to turnobrat on my lightsluči."
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ne bom mogel prižgati luči."
00:41
At the time, the U.S. governmentvlada had spentpreživel
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V tem času je vlada ZDA porabila
00:42
more than two billionmilijardo dollarsdolarjev
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več kot dve milijardi dolarjev
00:45
on electricityelektrika reconstructionrekonstrukcija.
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za rekonstrukcijo elektrike.
00:47
How do you ensurezagotovite technologytehnologijo reachesdoseže usersuporabniki?
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Kako zagotoviš, da tehnologija
doseže uporabnike?
00:50
How do you put it in theirnjihovi handsroke
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Kako jim jo daš v roke,
00:52
so that it is usefulkoristno?
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da je uporabna?
00:55
So those are the questionsvprašanja that my colleagueskolegi and I
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To so vprašanja, ki si jih s kolegi
00:58
at D-RevD-Rev askvprašajte ourselvessami.
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zastavljamo v D-Rev.
01:00
And D-RevD-Rev is shortkratek for DesignOblikovanje RevolutionRevolucija.
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D-Rev je okrajšava za Revolucijo dizajna.
01:03
And I tookvzel over the organizationorganizacija fourštiri yearslet agonazaj
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To organizacijo sem prevzela
pred štirimi leti
01:05
and really focusedosredotočen it on developingrazvoj productsizdelkov
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in se res osredotočila
na razvoj produktov,
01:08
that actuallydejansko reachdoseči usersuporabniki,
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ki bi dejansko dosegli uporabnike,
01:10
and not just any usersuporabniki,
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in to ne katerekoli,
01:11
but customersstranke who livev živo on
lessmanj than fourštiri dollarsdolarjev a day.
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ampak uporabnike, ki živijo
z manj kot štirimi dolarji na dan.
01:16
One of the keyključ areasobmočja we'vesmo been workingdelo on recentlypred kratkim
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Eno izmed naših ključnih področij dela
01:17
is medicalmedicinski devicesnaprave, and while it maylahko not be obviousočitno
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so zdravstvene naprave
in čeprav morda ni očitno,
01:20
that medicalmedicinski devicesnaprave have something in commonpogosti
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da imajo medicinske naprave kaj skupnega
01:22
with Iraq'sIraka electricityelektrika gridmreža then,
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z električno mrežo v Iraku,
01:25
there are some commonalitiesskupne značilnosti.
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obstajajo skupne točke.
01:27
DespiteKljub the advancednapredno technologytehnologijo,
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Kljub napredni tehnologiji
01:29
it's not reachingdosegel the people who need it mostnajbolj.
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ne dosegajo ljudi,
ki jih najbolj potrebujejo.
01:32
So I'm going to tell you about one of
the projectsprojektov we'vesmo been workingdelo on,
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Govorila bom o enem od svojih projektov,
01:35
the ReMotionReMotion KneeKolena, and it's a prostheticprotetično kneekoleno
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o Kolenu ReMotion,
ki je protezno koleno
01:38
for above-kneezgoraj-kolena amputeesamputees.
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za nadkolenske amputacije.
01:40
And this projectprojekt startedzačel when
the JaipurJaipur FootStopala OrganizationOrganizacija,
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Ta projekt se je začel,
ko je Organizacija Jaipur Foot,
01:43
the largestnajvečji fitterserviser of prostheticprotetično limbsokončin in the worldsvet,
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največji izdelovalec
protetičnih udov na svetu,
01:46
cameprišel to the BayZaliv AreaObmočje and they said,
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prišla v Zaliv in rekla
01:47
"We need a better kneekoleno."
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"Potrebujemo boljše koleno."
01:50
ChancesMožnosti are, if you're livingživeti on
lessmanj than fourštiri dollarsdolarjev a day,
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Velika možnost je, da če živite z manj
kot štirimi dolarji na dan
01:53
and you're an amputeeamputee,
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in ste amputiranec,
01:55
you've lostizgubljen your limbokončina in a vehiclevozilo accidentnesreča.
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ste izgubili svoj ud v prometni nesreči.
01:57
MostVečina people think it's landzemljišče minesmin,
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Večina pomisli na pehotne mine,
01:59
but it's a vehiclevozilo accidentnesreča.
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ampak to so prometne nesreče.
02:00
You're walkinghoditi by the sidestran of the roadcesta
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Hodiš po robu ceste
02:02
and you're hitudaril by a trucktovornjak,
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in te zadene tovornjak,
02:04
or you're tryingposkušam to to jumpskok on a movingpremikanje trainvlak,
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ali pa skočiš na premikajoči se vlak,
02:05
you're latepozen for work, and your panthlače legnoge getsdobi caughtujet.
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zamujaš na delo
in tvoja hlačnica se ujame.
02:09
And the realityrealnost is that if
you don't have much moneydenar,
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In dejstvo je,
da če nimaš veliko denarja,
02:13
like this youngmladi namedimenovan KamalAlenka right here,
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kot tale mladenič po imenu Kamal,
02:15
the optionmožnost you really have
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je možnost, ki jo imaš za premikanje,
02:17
is a bamboobambus staffosebje to get around.
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bambusova palica.
02:19
And how bigvelik a problemproblem is this?
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In kako velik problem je to?
02:22
There's over threetri millionmilijonov amputeesamputees everyvsak yearleto
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Vsako leto več kot
tri milijone amputirancev
02:25
who need a newnovo or replacementzamenjava kneekoleno.
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potrebuje novo ali nadomestno koleno.
02:28
And what are theirnjihovi optionsopcije?
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in kaj so njihove možnosti?
02:30
This is a high-endvrhunski. This is
what we'dBili bi call a "smartpameten kneekoleno."
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To je visoka kvaliteta.
Temu rečemo "pametno koleno."
02:32
It's got a microprocessormikroprocesor insideznotraj.
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Notri ima mikroprocesorje.
02:34
It can prettylepa much do anything,
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Lahko naredi praktično vse,
02:37
but it's 20,000 dollarsdolarjev,
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ampak stane 20,000 dolarjev,
02:38
and to give you a sensesmisel of who wearsnosi this,
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in da dobite občutek, kdo ga nosi:
02:40
veteransVeterani, AmericanAmeriški veteransVeterani comingprihajajo
back from AfghanistanAfganistan or IraqIrak
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ameriški veterani, ki se vračajo
iz Afganistana ali Iraka,
02:44
would be fitfit with something like this.
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bi dobili nekaj takega.
02:46
This is a low-endnizko-end titaniumTitan kneekoleno.
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To je manj kvalitetno koleno iz titana.
02:49
It's a polycentricpolicentričnega kneekoleno, and all that that meanssredstva
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Je policentrično in to pomeni,
02:51
is the mechanismmehanizem, is a four-barštiri-bar mechanismmehanizem,
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da mehanizem, štiriosni mehanizem,
02:53
that mimicsposnema a naturalnaravno humančlovek kneekoleno.
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posnema naravno človeško koleno.
02:56
But at 1,400 dollarsdolarjev, it's still too expensivedraga
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Ampak pri ceni 1,400$
je še vedno predrago
02:58
for people like KamalAlenka.
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za ljudi, kot je Kamal.
03:01
And lastlynazadnje, here you see a low-endnizko-end kneekoleno.
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In na koncu je tu koleno
najnižje kakovosti.
03:03
This is a kneekoleno that's been designedzasnovan specificallyposebej
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To koleno je bilo oblikovano posebej
03:05
for poorslabo people.
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za revne ljudi.
03:07
And while you have affordabilitydostopnost,
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In ko dobite cenovno dostopnost,
03:09
you've lostizgubljen on functionalityfunkcionalnost.
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izgubite funkcionalnost.
03:10
The mechanismmehanizem here is a singlesamski axisosi,
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Mehanizem tu je ena os
03:13
and a singlesamski axisosi is like a doorvrata hingetečaj.
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in ena os je kot tečaj vrat.
03:15
So you can think about how unstablenestabilen that would be.
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Lahko si mislite, kako nestabilno je.
03:18
And this is the typetip of mechanismmehanizem
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To je vrsta mehanizma,
03:20
that the JaipurJaipur FootStopala OrganizationOrganizacija was usinguporabo
when they were looking for a better kneekoleno,
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ki ga je uporabljala Organizacija
Jaipur Foot, ko so iskali boljše koleno.
03:23
and I just wanted to give you a sensesmisel
of what a legnoge systemsistem looksizgleda like,
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Naj vam dam občutek,
kako izgleda sistem noge,
03:26
because I'm showingprikazovanje you all these kneeskolena
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ker vam kažem vsa ta kolena
03:27
and I imaginezamislite it's hardtežko to think
how it all fitsUjema togetherskupaj.
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in si je najbrž težko zamisliti,
kako vse deluje.
03:29
So at the topna vrh you have a socketvtičnica,
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Na vrhu imate ležišče,
03:32
and this fitsUjema over someone'snekdo je residualpreostale limbokončina,
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ki se prilega krnu uda,
03:33
and everyone'svsakogar residualpreostale limbokončina is a little bitbit differentdrugačen.
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in vsak krn je nekoliko drugačen.
03:36
And then you have the kneekoleno,
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Potem imate koleno,
03:37
and here I've got a singlesamski axisosi on the kneekoleno
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tu imam eno os na kolenu,
03:39
so you can see how it rotatesvrti,
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da lahko vidite, kako se obrača,
03:41
and then a pylonsteber, and then a footstopalo.
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potem drog in nato noga.
03:45
And we'vesmo been ablesposoben to developrazviti a kneekoleno,
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Razvili smo koleno,
03:47
a polycentricpolicentričnega kneekoleno, so that typetip of kneekoleno
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policentrično koleno,
torej tisto vrsto kolena,
03:49
that actsdejanja like a humančlovek kneekoleno, mimicsposnema humančlovek gaithojo,
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ki posnema človeško koleno, človeško držo
03:52
for 80 dollarsdolarjev retailmaloprodaja.
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za 80 dolarjev v maloprodaji.
03:55
(ApplauseAplavz)
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(Aplavz)
03:58
But the keyključ is, you can have this great inventionizum,
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Ampak ključno je,
lahko imaš ta krasen izum,
04:01
you can have this great designoblikovanje, but how do you get it
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krasen dizajn,
ampak kako ga dostaviš
04:03
to the people who mostnajbolj need it?
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do ljudi, ki ga najbolj potrebujejo?
04:05
How do you ensurezagotovite it getsdobi to them
and it improvesizboljša theirnjihovi livesživi?
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Kako zagotoviš, da pride do njih
in izboljša njihova življenja?
04:08
So at D-RevD-Rev, we'vesmo doneKončano some other projectsprojektov,
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Pri podjetju D-Rev smo naredili
nekaj drugih projektov
04:11
and we lookedpogledal at threetri things that we really believe
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in osredotočili smo se na tri stvari,
za katere verjamemo,
04:13
getsdobi technologiestehnologije to customersstranke, to usersuporabniki,
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da priskrbijo tehnologijo
strankam, uporabnikom,
04:17
to people who need it.
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ljudem, ki jo potrebujejo.
04:19
And the first thing is that the productizdelek
needspotrebe to be worldsvet classrazred.
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Prva stvar je, da mora biti
izdelek prvovrsten.
04:21
It needspotrebe to performopraviti on parpar
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Mora se primerjati
04:23
or better than the bestnajboljši productsizdelkov on the markettrg.
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ali biti boljši
od najboljših izdelkov na tržišču.
04:26
RegardlessNe glede na of your incomeprihodki levelravni,
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Ne glede na svoj prihodek
04:28
you want the mostnajbolj beautifullepo,
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si želiš najlepši,
04:30
the bestnajboljši productizdelek that there is.
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najboljši izdelek, kar jih je.
04:32
I'm going to showshow you a videovideo now
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Pokazala vam bom posnetek
moškega po imenu Ash
04:36
of a man namedimenovan AshPepel. You can see him walkinghoditi.
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Vidite ga kako hodi.
04:37
He's wearingnošenje the sameenako kneekoleno systemsistem here
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Tu nosi isti sistem kolena
04:39
with a singlesamski axisosi kneekoleno.
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z eno osjo.
04:41
And he's doing a 10-meter-meter walkhodi testtest.
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Opravlja desetmetrski test hoje.
04:43
And you'llboš noticeopaziti that he's strugglingbori se
with stabilitystabilnost as he's walkinghoditi.
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Lahko vidite, da se med hojo
muči z nestabilnostjo.
04:47
And something that's not obviousočitno, that you can't see,
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In kar ni očitno,
česar ne morete videti, je,
04:49
is that it's psychologicallypsihološko drainingodvajanje
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da je psihološko izčrpljujoče
04:52
to walkhodi and to be preventingpreprečevanje yourselfsami from fallingpadec.
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hoditi in obenem paziti, da ne padeš.
04:56
Now this is a videovideo of KamalAlenka.
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Tu je video Kamala.
04:58
You rememberZapomni si KamalAlenka earlierprej,
holdinggospodarstvo the bamboobambus staffosebje.
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Spomnite se Kamala od prej,
ko je držal bambusovo palico.
05:00
He's wearingnošenje one of the earlierprej versionsrazličice of our kneekoleno,
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Nosi eno izmed
zgodnjih različic našega kolena
05:03
and he's doing that sameenako 10-meter-meter walkhodi testtest.
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in opravlja enak desetmetrski test hoje.
05:06
And you can see his stabilitystabilnost is much better.
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Lahko vidite, da je veliko bolj stabilen.
05:11
So worldsvet classrazred isn't just about
technicaltehnično performanceizvedba.
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Prvovrstnost torej ni samo
v tehničnem pogledu.
05:14
It's alsotudi about humančlovek performanceizvedba.
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Pomemben je tudi človeški vidik.
05:18
And mostnajbolj medicalmedicinski devicesnaprave, we'vesmo learnednaučili,
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Ugotovili smo, da je večina
medicinskih pripomočkov
05:20
as we'vesmo dugizkopali in, are really designedzasnovan for WesternersZahodnjaki,
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zasnovanih za Zahodnjake,
05:22
for wealthierbogatejše economiesgospodarstev.
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za bogatejša gospodarstva.
05:24
But the realityrealnost is our usersuporabniki, our customersstranke,
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Ampak v resničnem svetu naše stranke
05:27
they do differentdrugačen things. They sitsedi cross-leggedprekrižanimi nogami more.
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počnejo drugačne stvari.
Več sedijo po turško.
05:30
We see that they squatčepenje. They kneelpoklekniti in prayermolitev.
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Čepijo. Gredo na kolena pri molitvi.
05:33
And we designedzasnovan our kneekoleno to have
the greatestnajvečji rangerazpon of motiongibanje
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Zasnovali smo koleno,
ki ima največji razpon gibanja
05:35
of almostskoraj any other kneekoleno on the markettrg.
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med skoraj vsemi
koleni na tržišču.
05:39
So the seconddrugič thing we learnednaučili, and this leadsvodi
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Druga stvar, ki smo jo spoznali,
05:41
into my seconddrugič pointtočka, whichki is that we believe
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kar vodi k moji drugi točki,
je, da verjamemo,
05:43
that productsizdelkov need to be
designedzasnovan to be user-centricuporabnik-srednji.
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da mora biti produkt
osredotočen na uporabnika.
05:46
And at D-RevD-Rev, we go one stepkorak furthernadalje and we say
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V podjetju D-Rev
gremo korak dlje in pravimo,
05:49
you need to be user-obsesseduporabnik-obseden.
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da moramo biti obsedeni z uporabnikom.
05:51
So it's not just the endkonec useruporabnik
that you're thinkingrazmišljanje about,
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Tako da ne mislimo samo
na končnega uporabnika,
05:53
but everyonevsi who interactskomunicira with the productizdelek,
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ampak na vse,
ki se srečajo s produktom,
05:55
so, for exampleprimer, the prosthetistortopeda who fitsUjema the kneekoleno,
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na primer protetik, ki namesti koleno,
05:58
but alsotudi the contextkontekst in whichki the kneekoleno is beingbiti fitfit.
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ampak tudi okoliščine,
v katerih ga namesti.
06:01
What is the locallokalno markettrg like?
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Kakšen je lokalni trg?
06:03
How do all these componentskomponente get to the clinicklinike?
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Kako vse te komponente pridejo do klinike?
06:05
Do they all get there on time? The supplydobavo chainverige.
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Pridejo vse tja pravočasno? Veriga oskrbe.
06:07
Everything that goesgre into ensuringzagotavljanje
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Vse, kar gre v zagotavljanje,
06:09
that this productizdelek getsdobi to the endkonec useruporabnik,
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da izdelek pride
do končnega uporabnika,
06:11
and it goesgre in as partdel of the systemsistem, and it's used.
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in gre noter kot del sistema
in se uporabi.
06:15
So I wanted to showshow you some of the iterationsponovitev
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Hotela sem vam pokazati nekaj različic,
06:17
we did betweenmed the first versionrazličico, the JaipurJaipur KneeKolena,
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ki smo jih naredili med prvo verzijo, kolenom Jaipur,
06:22
so this is it right here.
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to je tole tukaj.
06:24
(ClickingTako, da kliknete)
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(Klikanje)
06:25
NoticeObvestilo anything about it?
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Opazite nekaj?
06:28
It clicksklikov.
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Klika.
06:30
We'dMi bi seenvidel that usersuporabniki had actuallydejansko modifiedspremenil it.
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Videli smo, da so jih uporabniki
dejansko predelali.
06:33
So do you see that blackčrna striptrak right there?
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Vidite ta črni trak tu?
06:37
That's a homemadedoma noisehrup dampenerodklon.
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To je doma narejen dušilec hrupa.
06:40
We alsotudi saw that our usersuporabniki had modifiedspremenil it
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Naši uporabniki so ga spremenili
06:42
in other waysnačinov.
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še na druge načine.
06:43
You can see there that that particularzlasti amputeeamputee,
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Lahko vidite, da je tale amputiranec
06:45
he had wrappedzaviti bandagespovoji around the kneekoleno.
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ovil povoje okoli kolena.
06:47
He'dOn bi madeizdelane a cosmesiscosmesis.
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Polepšal ga je.
06:49
And if you look at the kneekoleno,
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In če pogledate koleno,
06:51
it's got those pointykoničastih edgesrobovi, right?
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ima te ostre robove, kajne?
06:55
So if you're wearingnošenje it underSpodaj pantshlače or a skirtkrilo
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Če ga torej nosite pod hlačami ali krilom
06:57
or a sariSari, it's really obviousočitno
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ali sarijem, je res očitno,
06:59
that you're wearingnošenje a prostheticprotetično limbokončina,
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da nosite protezo,
07:01
and in societiesdružb where there's socialsocialno
stigmastigma around beingbiti disabledonemogočeno,
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in v družbah, kjer je invalidnost
družbeno stigmatizirana.
07:05
people are particularlyzlasti acuteakutni about this.
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so ljudje na to zelo pozorni.
07:08
So I'm going to showshow you some
of the modificationsspremembe we did.
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Pokazala vam bom nekaj naših predelav.
07:10
We did a lot of iterationsponovitev, not just
around this, but some other things.
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Naredili smo veliko različnih ponovitev.
07:13
But here we have the versionrazličico threetri,
the ReMotionReMotion KneeKolena,
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Tu je tretja različica kolena ReMotion,
07:16
but if you look in here, you can see
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ampak če pogledate sem,
07:17
the noisehrup dampenerodklon. It's quietertišji.
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vidite dušilec hrupa. Tišji je.
07:22
The other thing we did is that
we smoothedzglajena the profileprofil.
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Druga stvar, ki smo jo naredili, je,
da smo zgladili profil.
07:26
We madeizdelane it thinnertanjša.
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Stanjšali smo ga.
07:27
And something that's not obviousočitno is that we
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In čeprav to ni očitno,
07:29
designedzasnovan it for massmasa productionproizvodnjo.
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smo ga zasnovali za množično proizvodnjo.
07:32
And this goesgre into my last pointtočka.
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Tu pridemo do zadnje točke.
07:34
We really, trulyresnično believe that if a productizdelek
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Resnično verjamemo, da če naj bi produkt
07:36
is going to reachdoseči usersuporabniki at the scaleobsega that it's neededpotrebno,
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dosegel uporabnika v tisti meri,
kot je potrebno,
07:38
it needspotrebe to be market-driventržno usmerjen,
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mora biti osredotočen na trg,
07:40
and market-driventržno usmerjen meanssredstva that productsizdelkov are soldprodano.
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kar pomeni, da se produkt prodaja.
07:43
They're not donatedpodarili. They're not heavilymočno subsidizedsubvencionira.
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Ni podarjen. Ni subvencioniran.
07:46
Our productizdelek needspotrebe to be designedzasnovan to offerponudbe valuevrednost
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Proizvod mora biti zasnovan tako,
da nudi vrednost
07:48
to the endkonec useruporabnik.
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končnemu uporabniku.
07:50
It alsotudi has to be designedzasnovan to be very affordablecenovno dostopne.
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Biti mora oblikovan tako, da je dostopen.
07:52
But a productizdelek that is valuedvrednoti by a customerstranka
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Ampak produkt, ki ga stranka ceni,
07:54
is used by a customerstranka,
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ga tudi uporablja,
07:56
and use is what createsustvarja impactvpliv.
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in uporaba je tisto, kar ustvari učinek.
07:58
And we believe that as designersoblikovalci,
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Kot oblikovalci verjamemo,
08:00
it holdsdrži us accountableodgovoren to our customersstranke.
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da imamo odgovornost do naših strank.
08:03
And with centralizedcentralizirano manufacturingproizvodnja,
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In s centralizirano proizvodnjo
08:06
you can controlnadzor the qualitykakovost controlnadzor,
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lahko nadzoruješ kakovost
08:08
and you can hitudaril that $80 pricecena pointtočka
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in lahko dosežeš mejo 80 dolarjev
08:09
with profitdobiček marginsmarže builtzgrajeno in.
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z že vštetimi profitnimi maržami.
08:12
And now, those profitdobiček marginsmarže are criticalkritično,
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In te profitne marže so ključne,
08:14
because if you want to scaleobsega, if you want to reachdoseči
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ker če se hočeš meriti, doseči
08:16
all the people in the worldsvet who possiblymorda need a kneekoleno,
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vse ljudi na svetu,
ki morda potrebujejo koleno,
08:18
it needspotrebe to be economicallyekonomsko sustainabletrajnostno.
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mora proces biti ekonomsko vzdržen.
08:21
So I want to give you a sensesmisel of where we are at.
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Želim, da dobite občutek, kje smo.
08:24
We have fitfit over 5,000 amputeesamputees,
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Namestili smo proteze
že več kot 5000 amputirancem
08:27
and one of the bigvelik indicatorskazalniki
we're looking at, of courseseveda,
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in eden izmed glavnih indikatorjev,
je vprašanje,
08:30
is, does it improveizboljšati livesživi?
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ali proteza izboljšuje življenja?
08:31
Well, the standardstandard is, is someonenekdo
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Torej, standard je tale: ali nekdo
08:33
still wearingnošenje theirnjihovi kneekoleno sixšest monthsmesecev laterpozneje?
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šest mesecev kasneje še vedno nosi koleno?
08:36
The industryindustrijo averagepovprečje is about 65 percentodstotkov.
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Povprečje v industriji
je okrog 65 odstotkov.
08:38
OursNaša is 79 percentodstotkov,
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Naše je 79 odstotkov
08:41
and we're hopingv upanju to get that highervišje.
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in želimo ga še zvišati.
08:44
Right now, our kneeskolena are wornnosili in 12 countriesdržave.
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Zdaj naša kolena
nosijo v 12 državah.
08:47
This is where we want to get, thoughčeprav,
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To pa želimo doseči
08:48
in the nextNaslednji threetri yearslet.
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v naslednjih treh letih.
08:50
We'llBomo doubledvojno the impactvpliv in 2015,
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Vpliv bomo podvojili v letu 2015
08:52
and we'llbomo doubledvojno it eachvsak of
the followingsledi yearslet after that.
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in vsake naslednje leto
ga bomo spet podvojili.
08:55
But then we hitudaril a newnovo challengeizziv,
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Ampak potem se pojavi
nov problem
08:57
and that's the numberštevilka of skilledusposobljeni prosthetistsprosthetists
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in to je število izučenih protetikov,
08:59
who are ablesposoben to fitfit kneeskolena.
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ki znajo nameščati kolena.
09:02
So I want to endkonec with a storyzgodba of PrinimaPrinima.
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Rada bi končala z zgodbo o Prinimi.
09:05
PrinimaPrinima was 18 yearslet oldstar
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Prinima je bila stara 18 let,
09:07
when she was in a caravto accidentnesreča
where she lostizgubljen her legnoge,
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ko je doživela prometno nesrečo,
kjer je izgubila nogo,
09:10
and she traveledpotoval 12 hoursure by trainvlak
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in 12 ur je potovala z vlakom,
09:13
to come to the clinicklinike to be fitfit with a kneekoleno,
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da je prišla v kliniko
na namestitev kolena.
09:15
and while all of the amputeesamputees who wearobrabo our kneeskolena
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Medtem ko se nas vsi,
ki nosijo naša kolena,
09:18
affectvplivati us as the designersoblikovalci,
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dotaknejo kot oblikovalcev,
09:20
she's particularlyzlasti meaningfulsmiselno to me
as an engineerinženir and as a womanženska,
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je ona še posebej pomembna zame
kot inženirko in kot žensko,
09:24
because she was in schoolšola,
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ker se je šolala,
09:26
she had just startedzačel schoolšola to studyštudija engineeringinženiring.
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pravkar je pričela s študijem inženirstva.
09:29
And she said, "Well, now that I can walkhodi again,
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In rekla je: "Sedaj lahko spet hodim,
09:31
I can go back and completepopolna my studiesštudije."
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lahko grem nazaj
in zaključim svoj študij."
09:33
And to me she representspredstavlja the nextNaslednji generationgeneracije
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Zame predstavlja naslednjo generacijo
09:36
of engineersinženirji solvingreševanje problemstežave
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inženirjev, ki rešujejo probleme
09:39
and ensuringzagotavljanje meaningfulsmiselno technologiestehnologije
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in zagotavljajo, da pomembne tehnologije
09:42
reachdoseči theirnjihovi usersuporabniki.
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dosežejo svoje uporabnike.
09:44
So thank you.
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Torej hvala.
09:46
(ApplauseAplavz)
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(Aplavz)
Translated by Nika Kotnik
Reviewed by Klavdija Cernilogar

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ABOUT THE SPEAKER
Krista Donaldson - Engineer
Krista Donaldson is the CEO of D-Rev, a non-profit product development company improving the health and incomes of people around the world.

Why you should listen

Prosthetic limbs are expensive and complex, and they must be fit to each individual -- yet having a replacement for a lost limb can mean the difference between working and not, having a social life and not. So, Krista Donaldson and her team at the nonprofit design firm, D-Rev, are attacking the problem on several fronts, from re-engineering the moving parts, to exploring way-new materials that replace expensive titanium, to forming deep local partnerships for distribution and maintenance around the world.

It's the kind of work that D-Rev does; with a mission "to improve the health and incomes of people living on less than $4 per day," their motto is "Design for the other 90%." Taking a truly user-centered approach that could be summarized as "Listen before you build."

As Donaldson wrote in a paper for the WEF: "The world is confounded by difficult problems in healthcare that are ripe for innovative solutions. The information most needed for these solutions ... is readily available -- from the users. They need to be asked: How can we solve X? What is your experience with Y? Instead of focusing on asking people in developing countries to change their behavior, those of us who work in healthcare should sit up and listen to what they have to say."

More profile about the speaker
Krista Donaldson | Speaker | TED.com