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
0
982
1620
Pred devetimi leti sem delala
00:14
for the U.S. governmentvlada in IraqIrak,
1
2602
2197
za vlado ZDA v Iraku,
00:16
helpingpomoč rebuildobnoviti the electricityelektrika infrastructureinfrastrukture.
2
4799
3129
pomagala sem na novo zgraditi
električno infrastrukturo.
00:19
And I was there, and I workeddelal in that jobdelo
3
7928
2637
Bila sem tam, delala v tej službi,
00:22
because I believe that technologytehnologijo
4
10565
1850
zato ker verjamem,
da lahko tehnologija
00:24
can improveizboljšati people'sljudje livesživi.
5
12415
2649
izboljša človeška življenja.
00:27
One afternoonpopoldne, I had teačaj with a storekeeperskladiščnik
6
15064
2935
Nekega popoldneva sem pila čaj
z lastnikom trgovine
00:29
at the AlAl RasheedTanek reženj HotelHotel in BaghdadBagdad,
7
17999
2820
v Hotelu Al Rasheed v Bagdadu
00:32
and he said to me, "You AmericansAmeričani,
8
20819
2739
in rekel mi je, "Vi Američani,
00:35
you can put a man on the moonluna,
9
23558
1351
človeka ste uspeli poslati na Luno,
00:36
but when I get home tonightnocoj,
10
24909
1545
ampak ko pridem zvečer domov,
00:38
I won'tne bo be ablesposoben to turnobrat on my lightsluči."
11
26454
2856
ne bom mogel prižgati luči."
00:41
At the time, the U.S. governmentvlada had spentpreživel
12
29310
1657
V tem času je vlada ZDA porabila
00:42
more than two billionmilijardo dollarsdolarjev
13
30967
2360
več kot dve milijardi dolarjev
00:45
on electricityelektrika reconstructionrekonstrukcija.
14
33327
2357
za rekonstrukcijo elektrike.
00:47
How do you ensurezagotovite technologytehnologijo reachesdoseže usersuporabniki?
15
35684
3172
Kako zagotoviš, da tehnologija
doseže uporabnike?
00:50
How do you put it in theirnjihovi handsroke
16
38856
1980
Kako jim jo daš v roke,
00:52
so that it is usefulkoristno?
17
40836
2236
da je uporabna?
00:55
So those are the questionsvprašanja that my colleagueskolegi and I
18
43072
3044
To so vprašanja, ki si jih s kolegi
00:58
at D-RevD-Rev askvprašajte ourselvessami.
19
46116
2113
zastavljamo v D-Rev.
01:00
And D-RevD-Rev is shortkratek for DesignOblikovanje RevolutionRevolucija.
20
48229
3148
D-Rev je okrajšava za Revolucijo dizajna.
01:03
And I tookvzel over the organizationorganizacija fourštiri yearslet agonazaj
21
51377
2594
To organizacijo sem prevzela
pred štirimi leti
01:05
and really focusedosredotočen it on developingrazvoj productsizdelkov
22
53971
2301
in se res osredotočila
na razvoj produktov,
01:08
that actuallydejansko reachdoseči usersuporabniki,
23
56272
2188
ki bi dejansko dosegli uporabnike,
01:10
and not just any usersuporabniki,
24
58460
1486
in to ne katerekoli,
01:11
but customersstranke who livev živo on
lessmanj than fourštiri dollarsdolarjev a day.
25
59946
4055
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
26
64001
1908
Eno izmed naših ključnih področij dela
01:17
is medicalmedicinski devicesnaprave, and while it maylahko not be obviousočitno
27
65909
2513
so zdravstvene naprave
in čeprav morda ni očitno,
01:20
that medicalmedicinski devicesnaprave have something in commonpogosti
28
68422
2132
da imajo medicinske naprave kaj skupnega
01:22
with Iraq'sIraka electricityelektrika gridmreža then,
29
70554
2566
z električno mrežo v Iraku,
01:25
there are some commonalitiesskupne značilnosti.
30
73120
2129
obstajajo skupne točke.
01:27
DespiteKljub the advancednapredno technologytehnologijo,
31
75249
2709
Kljub napredni tehnologiji
01:29
it's not reachingdosegel the people who need it mostnajbolj.
32
77958
2768
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,
33
80726
2408
Govorila bom o enem od svojih projektov,
01:35
the ReMotionReMotion KneeKolena, and it's a prostheticprotetično kneekoleno
34
83134
2907
o Kolenu ReMotion,
ki je protezno koleno
01:38
for above-kneezgoraj-kolena amputeesamputees.
35
86041
2156
za nadkolenske amputacije.
01:40
And this projectprojekt startedzačel when
the JaipurJaipur FootStopala OrganizationOrganizacija,
36
88197
3300
Ta projekt se je začel,
ko je Organizacija Jaipur Foot,
01:43
the largestnajvečji fitterserviser of prostheticprotetično limbsokončin in the worldsvet,
37
91497
2594
največji izdelovalec
protetičnih udov na svetu,
01:46
cameprišel to the BayZaliv AreaObmočje and they said,
38
94091
1469
prišla v Zaliv in rekla
01:47
"We need a better kneekoleno."
39
95560
2970
"Potrebujemo boljše koleno."
01:50
ChancesMožnosti are, if you're livingživeti on
lessmanj than fourštiri dollarsdolarjev a day,
40
98530
3148
Velika možnost je, da če živite z manj
kot štirimi dolarji na dan
01:53
and you're an amputeeamputee,
41
101678
1877
in ste amputiranec,
01:55
you've lostizgubljen your limbokončina in a vehiclevozilo accidentnesreča.
42
103555
2174
ste izgubili svoj ud v prometni nesreči.
01:57
MostVečina people think it's landzemljišče minesmin,
43
105729
1413
Večina pomisli na pehotne mine,
01:59
but it's a vehiclevozilo accidentnesreča.
44
107142
1606
ampak to so prometne nesreče.
02:00
You're walkinghoditi by the sidestran of the roadcesta
45
108748
1856
Hodiš po robu ceste
02:02
and you're hitudaril by a trucktovornjak,
46
110604
1424
in te zadene tovornjak,
02:04
or you're tryingposkušam to to jumpskok on a movingpremikanje trainvlak,
47
112028
1861
ali pa skočiš na premikajoči se vlak,
02:05
you're latepozen for work, and your panthlače legnoge getsdobi caughtujet.
48
113889
3984
zamujaš na delo
in tvoja hlačnica se ujame.
02:09
And the realityrealnost is that if
you don't have much moneydenar,
49
117873
3165
In dejstvo je,
da če nimaš veliko denarja,
02:13
like this youngmladi namedimenovan KamalAlenka right here,
50
121038
2000
kot tale mladenič po imenu Kamal,
02:15
the optionmožnost you really have
51
123038
2204
je možnost, ki jo imaš za premikanje,
02:17
is a bamboobambus staffosebje to get around.
52
125242
2564
bambusova palica.
02:19
And how bigvelik a problemproblem is this?
53
127806
2483
In kako velik problem je to?
02:22
There's over threetri millionmilijonov amputeesamputees everyvsak yearleto
54
130289
2926
Vsako leto več kot
tri milijone amputirancev
02:25
who need a newnovo or replacementzamenjava kneekoleno.
55
133215
3289
potrebuje novo ali nadomestno koleno.
02:28
And what are theirnjihovi optionsopcije?
56
136504
1869
in kaj so njihove možnosti?
02:30
This is a high-endvrhunski. This is
what we'dBili bi call a "smartpameten kneekoleno."
57
138373
2599
To je visoka kvaliteta.
Temu rečemo "pametno koleno."
02:32
It's got a microprocessormikroprocesor insideznotraj.
58
140972
2018
Notri ima mikroprocesorje.
02:34
It can prettylepa much do anything,
59
142990
2085
Lahko naredi praktično vse,
02:37
but it's 20,000 dollarsdolarjev,
60
145075
1697
ampak stane 20,000 dolarjev,
02:38
and to give you a sensesmisel of who wearsnosi this,
61
146772
2206
in da dobite občutek, kdo ga nosi:
02:40
veteransVeterani, AmericanAmeriški veteransVeterani comingprihajajo
back from AfghanistanAfganistan or IraqIrak
62
148978
3243
ameriški veterani, ki se vračajo
iz Afganistana ali Iraka,
02:44
would be fitfit with something like this.
63
152221
2326
bi dobili nekaj takega.
02:46
This is a low-endnizko-end titaniumTitan kneekoleno.
64
154547
2517
To je manj kvalitetno koleno iz titana.
02:49
It's a polycentricpolicentričnega kneekoleno, and all that that meanssredstva
65
157064
2477
Je policentrično in to pomeni,
02:51
is the mechanismmehanizem, is a four-barštiri-bar mechanismmehanizem,
66
159541
2209
da mehanizem, štiriosni mehanizem,
02:53
that mimicsposnema a naturalnaravno humančlovek kneekoleno.
67
161750
2550
posnema naravno človeško koleno.
02:56
But at 1,400 dollarsdolarjev, it's still too expensivedraga
68
164300
2403
Ampak pri ceni 1,400$
je še vedno predrago
02:58
for people like KamalAlenka.
69
166703
2384
za ljudi, kot je Kamal.
03:01
And lastlynazadnje, here you see a low-endnizko-end kneekoleno.
70
169087
2593
In na koncu je tu koleno
najnižje kakovosti.
03:03
This is a kneekoleno that's been designedzasnovan specificallyposebej
71
171680
1831
To koleno je bilo oblikovano posebej
03:05
for poorslabo people.
72
173511
1676
za revne ljudi.
03:07
And while you have affordabilitydostopnost,
73
175187
1833
In ko dobite cenovno dostopnost,
03:09
you've lostizgubljen on functionalityfunkcionalnost.
74
177020
1895
izgubite funkcionalnost.
03:10
The mechanismmehanizem here is a singlesamski axisosi,
75
178915
2651
Mehanizem tu je ena os
03:13
and a singlesamski axisosi is like a doorvrata hingetečaj.
76
181566
2249
in ena os je kot tečaj vrat.
03:15
So you can think about how unstablenestabilen that would be.
77
183815
2285
Lahko si mislite, kako nestabilno je.
03:18
And this is the typetip of mechanismmehanizem
78
186010
1995
To je vrsta mehanizma,
03:20
that the JaipurJaipur FootStopala OrganizationOrganizacija was usinguporabo
when they were looking for a better kneekoleno,
79
188005
3889
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,
80
191894
2357
Naj vam dam občutek,
kako izgleda sistem noge,
03:26
because I'm showingprikazovanje you all these kneeskolena
81
194251
1339
ker vam kažem vsa ta kolena
03:27
and I imaginezamislite it's hardtežko to think
how it all fitsUjema togetherskupaj.
82
195590
2376
in si je najbrž težko zamisliti,
kako vse deluje.
03:29
So at the topna vrh you have a socketvtičnica,
83
197966
2042
Na vrhu imate ležišče,
03:32
and this fitsUjema over someone'snekdo je residualpreostale limbokončina,
84
200008
1946
ki se prilega krnu uda,
03:33
and everyone'svsakogar residualpreostale limbokončina is a little bitbit differentdrugačen.
85
201954
2560
in vsak krn je nekoliko drugačen.
03:36
And then you have the kneekoleno,
86
204514
1184
Potem imate koleno,
03:37
and here I've got a singlesamski axisosi on the kneekoleno
87
205698
1718
tu imam eno os na kolenu,
03:39
so you can see how it rotatesvrti,
88
207416
1712
da lahko vidite, kako se obrača,
03:41
and then a pylonsteber, and then a footstopalo.
89
209128
3963
potem drog in nato noga.
03:45
And we'vesmo been ablesposoben to developrazviti a kneekoleno,
90
213091
2543
Razvili smo koleno,
03:47
a polycentricpolicentričnega kneekoleno, so that typetip of kneekoleno
91
215634
2362
policentrično koleno,
torej tisto vrsto kolena,
03:49
that actsdejanja like a humančlovek kneekoleno, mimicsposnema humančlovek gaithojo,
92
217996
2575
ki posnema človeško koleno, človeško držo
03:52
for 80 dollarsdolarjev retailmaloprodaja.
93
220571
2743
za 80 dolarjev v maloprodaji.
03:55
(ApplauseAplavz)
94
223314
3564
(Aplavz)
03:58
But the keyključ is, you can have this great inventionizum,
95
226878
2554
Ampak ključno je,
lahko imaš ta krasen izum,
04:01
you can have this great designoblikovanje, but how do you get it
96
229432
1986
krasen dizajn,
ampak kako ga dostaviš
04:03
to the people who mostnajbolj need it?
97
231418
1772
do ljudi, ki ga najbolj potrebujejo?
04:05
How do you ensurezagotovite it getsdobi to them
and it improvesizboljša theirnjihovi livesživi?
98
233190
3306
Kako zagotoviš, da pride do njih
in izboljša njihova življenja?
04:08
So at D-RevD-Rev, we'vesmo doneKončano some other projectsprojektov,
99
236496
2936
Pri podjetju D-Rev smo naredili
nekaj drugih projektov
04:11
and we lookedpogledal at threetri things that we really believe
100
239432
2384
in osredotočili smo se na tri stvari,
za katere verjamemo,
04:13
getsdobi technologiestehnologije to customersstranke, to usersuporabniki,
101
241816
3972
da priskrbijo tehnologijo
strankam, uporabnikom,
04:17
to people who need it.
102
245788
1376
ljudem, ki jo potrebujejo.
04:19
And the first thing is that the productizdelek
needspotrebe to be worldsvet classrazred.
103
247164
2721
Prva stvar je, da mora biti
izdelek prvovrsten.
04:21
It needspotrebe to performopraviti on parpar
104
249885
1651
Mora se primerjati
04:23
or better than the bestnajboljši productsizdelkov on the markettrg.
105
251536
2845
ali biti boljši
od najboljših izdelkov na tržišču.
04:26
RegardlessNe glede na of your incomeprihodki levelravni,
106
254381
2146
Ne glede na svoj prihodek
04:28
you want the mostnajbolj beautifullepo,
107
256527
1538
si želiš najlepši,
04:30
the bestnajboljši productizdelek that there is.
108
258065
2688
najboljši izdelek, kar jih je.
04:32
I'm going to showshow you a videovideo now
109
260753
3489
Pokazala vam bom posnetek
moškega po imenu Ash
04:36
of a man namedimenovan AshPepel. You can see him walkinghoditi.
110
264242
1646
Vidite ga kako hodi.
04:37
He's wearingnošenje the sameenako kneekoleno systemsistem here
111
265888
1912
Tu nosi isti sistem kolena
04:39
with a singlesamski axisosi kneekoleno.
112
267800
1606
z eno osjo.
04:41
And he's doing a 10-meter-meter walkhodi testtest.
113
269406
2092
Opravlja desetmetrski test hoje.
04:43
And you'llboš noticeopaziti that he's strugglingbori se
with stabilitystabilnost as he's walkinghoditi.
114
271498
3815
Lahko vidite, da se med hojo
muči z nestabilnostjo.
04:47
And something that's not obviousočitno, that you can't see,
115
275313
2655
In kar ni očitno,
česar ne morete videti, je,
04:49
is that it's psychologicallypsihološko drainingodvajanje
116
277968
2587
da je psihološko izčrpljujoče
04:52
to walkhodi and to be preventingpreprečevanje yourselfsami from fallingpadec.
117
280555
3782
hoditi in obenem paziti, da ne padeš.
04:56
Now this is a videovideo of KamalAlenka.
118
284337
1704
Tu je video Kamala.
04:58
You rememberZapomni si KamalAlenka earlierprej,
holdinggospodarstvo the bamboobambus staffosebje.
119
286041
2733
Spomnite se Kamala od prej,
ko je držal bambusovo palico.
05:00
He's wearingnošenje one of the earlierprej versionsrazličice of our kneekoleno,
120
288774
2708
Nosi eno izmed
zgodnjih različic našega kolena
05:03
and he's doing that sameenako 10-meter-meter walkhodi testtest.
121
291482
3100
in opravlja enak desetmetrski test hoje.
05:06
And you can see his stabilitystabilnost is much better.
122
294582
3416
Lahko vidite, da je veliko bolj stabilen.
05:11
So worldsvet classrazred isn't just about
technicaltehnično performanceizvedba.
123
299849
3119
Prvovrstnost torej ni samo
v tehničnem pogledu.
05:14
It's alsotudi about humančlovek performanceizvedba.
124
302968
3340
Pomemben je tudi človeški vidik.
05:18
And mostnajbolj medicalmedicinski devicesnaprave, we'vesmo learnednaučili,
125
306308
1858
Ugotovili smo, da je večina
medicinskih pripomočkov
05:20
as we'vesmo dugizkopali in, are really designedzasnovan for WesternersZahodnjaki,
126
308166
2528
zasnovanih za Zahodnjake,
05:22
for wealthierbogatejše economiesgospodarstev.
127
310694
1663
za bogatejša gospodarstva.
05:24
But the realityrealnost is our usersuporabniki, our customersstranke,
128
312357
3262
Ampak v resničnem svetu naše stranke
05:27
they do differentdrugačen things. They sitsedi cross-leggedprekrižanimi nogami more.
129
315619
2553
počnejo drugačne stvari.
Več sedijo po turško.
05:30
We see that they squatčepenje. They kneelpoklekniti in prayermolitev.
130
318172
2842
Čepijo. Gredo na kolena pri molitvi.
05:33
And we designedzasnovan our kneekoleno to have
the greatestnajvečji rangerazpon of motiongibanje
131
321014
2748
Zasnovali smo koleno,
ki ima največji razpon gibanja
05:35
of almostskoraj any other kneekoleno on the markettrg.
132
323762
4084
med skoraj vsemi
koleni na tržišču.
05:39
So the seconddrugič thing we learnednaučili, and this leadsvodi
133
327846
1730
Druga stvar, ki smo jo spoznali,
05:41
into my seconddrugič pointtočka, whichki is that we believe
134
329576
2260
kar vodi k moji drugi točki,
je, da verjamemo,
05:43
that productsizdelkov need to be
designedzasnovan to be user-centricuporabnik-srednji.
135
331836
2717
da mora biti produkt
osredotočen na uporabnika.
05:46
And at D-RevD-Rev, we go one stepkorak furthernadalje and we say
136
334553
2600
V podjetju D-Rev
gremo korak dlje in pravimo,
05:49
you need to be user-obsesseduporabnik-obseden.
137
337153
1900
da moramo biti obsedeni z uporabnikom.
05:51
So it's not just the endkonec useruporabnik
that you're thinkingrazmišljanje about,
138
339053
2720
Tako da ne mislimo samo
na končnega uporabnika,
05:53
but everyonevsi who interactskomunicira with the productizdelek,
139
341773
1976
ampak na vse,
ki se srečajo s produktom,
05:55
so, for exampleprimer, the prosthetistortopeda who fitsUjema the kneekoleno,
140
343749
2714
na primer protetik, ki namesti koleno,
05:58
but alsotudi the contextkontekst in whichki the kneekoleno is beingbiti fitfit.
141
346463
3168
ampak tudi okoliščine,
v katerih ga namesti.
06:01
What is the locallokalno markettrg like?
142
349631
1584
Kakšen je lokalni trg?
06:03
How do all these componentskomponente get to the clinicklinike?
143
351215
1918
Kako vse te komponente pridejo do klinike?
06:05
Do they all get there on time? The supplydobavo chainverige.
144
353133
2322
Pridejo vse tja pravočasno? Veriga oskrbe.
06:07
Everything that goesgre into ensuringzagotavljanje
145
355455
2103
Vse, kar gre v zagotavljanje,
06:09
that this productizdelek getsdobi to the endkonec useruporabnik,
146
357558
1983
da izdelek pride
do končnega uporabnika,
06:11
and it goesgre in as partdel of the systemsistem, and it's used.
147
359541
4421
in gre noter kot del sistema
in se uporabi.
06:15
So I wanted to showshow you some of the iterationsponovitev
148
363962
1866
Hotela sem vam pokazati nekaj različic,
06:17
we did betweenmed the first versionrazličico, the JaipurJaipur KneeKolena,
149
365828
4593
ki smo jih naredili med prvo verzijo, kolenom Jaipur,
06:22
so this is it right here.
150
370421
1821
to je tole tukaj.
06:24
(ClickingTako, da kliknete)
151
372242
1726
(Klikanje)
06:25
NoticeObvestilo anything about it?
152
373968
2218
Opazite nekaj?
06:28
It clicksklikov.
153
376186
2561
Klika.
06:30
We'dMi bi seenvidel that usersuporabniki had actuallydejansko modifiedspremenil it.
154
378747
2866
Videli smo, da so jih uporabniki
dejansko predelali.
06:33
So do you see that blackčrna striptrak right there?
155
381613
3512
Vidite ta črni trak tu?
06:37
That's a homemadedoma noisehrup dampenerodklon.
156
385125
2992
To je doma narejen dušilec hrupa.
06:40
We alsotudi saw that our usersuporabniki had modifiedspremenil it
157
388117
2218
Naši uporabniki so ga spremenili
06:42
in other waysnačinov.
158
390335
1434
še na druge načine.
06:43
You can see there that that particularzlasti amputeeamputee,
159
391769
1790
Lahko vidite, da je tale amputiranec
06:45
he had wrappedzaviti bandagespovoji around the kneekoleno.
160
393559
2229
ovil povoje okoli kolena.
06:47
He'dOn bi madeizdelane a cosmesiscosmesis.
161
395788
1724
Polepšal ga je.
06:49
And if you look at the kneekoleno,
162
397512
2196
In če pogledate koleno,
06:51
it's got those pointykoničastih edgesrobovi, right?
163
399708
3454
ima te ostre robove, kajne?
06:55
So if you're wearingnošenje it underSpodaj pantshlače or a skirtkrilo
164
403162
2203
Če ga torej nosite pod hlačami ali krilom
06:57
or a sariSari, it's really obviousočitno
165
405365
2260
ali sarijem, je res očitno,
06:59
that you're wearingnošenje a prostheticprotetično limbokončina,
166
407625
1596
da nosite protezo,
07:01
and in societiesdružb where there's socialsocialno
stigmastigma around beingbiti disabledonemogočeno,
167
409221
4192
in v družbah, kjer je invalidnost
družbeno stigmatizirana.
07:05
people are particularlyzlasti acuteakutni about this.
168
413413
2957
so ljudje na to zelo pozorni.
07:08
So I'm going to showshow you some
of the modificationsspremembe we did.
169
416370
2316
Pokazala vam bom nekaj naših predelav.
07:10
We did a lot of iterationsponovitev, not just
around this, but some other things.
170
418686
2915
Naredili smo veliko različnih ponovitev.
07:13
But here we have the versionrazličico threetri,
the ReMotionReMotion KneeKolena,
171
421601
2428
Tu je tretja različica kolena ReMotion,
07:16
but if you look in here, you can see
172
424029
1819
ampak če pogledate sem,
07:17
the noisehrup dampenerodklon. It's quietertišji.
173
425848
4718
vidite dušilec hrupa. Tišji je.
07:22
The other thing we did is that
we smoothedzglajena the profileprofil.
174
430566
3653
Druga stvar, ki smo jo naredili, je,
da smo zgladili profil.
07:26
We madeizdelane it thinnertanjša.
175
434219
1432
Stanjšali smo ga.
07:27
And something that's not obviousočitno is that we
176
435651
1708
In čeprav to ni očitno,
07:29
designedzasnovan it for massmasa productionproizvodnjo.
177
437359
3201
smo ga zasnovali za množično proizvodnjo.
07:32
And this goesgre into my last pointtočka.
178
440560
1696
Tu pridemo do zadnje točke.
07:34
We really, trulyresnično believe that if a productizdelek
179
442256
1971
Resnično verjamemo, da če naj bi produkt
07:36
is going to reachdoseči usersuporabniki at the scaleobsega that it's neededpotrebno,
180
444227
2337
dosegel uporabnika v tisti meri,
kot je potrebno,
07:38
it needspotrebe to be market-driventržno usmerjen,
181
446564
1835
mora biti osredotočen na trg,
07:40
and market-driventržno usmerjen meanssredstva that productsizdelkov are soldprodano.
182
448399
3245
kar pomeni, da se produkt prodaja.
07:43
They're not donatedpodarili. They're not heavilymočno subsidizedsubvencionira.
183
451644
3123
Ni podarjen. Ni subvencioniran.
07:46
Our productizdelek needspotrebe to be designedzasnovan to offerponudbe valuevrednost
184
454767
2213
Proizvod mora biti zasnovan tako,
da nudi vrednost
07:48
to the endkonec useruporabnik.
185
456980
1301
končnemu uporabniku.
07:50
It alsotudi has to be designedzasnovan to be very affordablecenovno dostopne.
186
458281
2179
Biti mora oblikovan tako, da je dostopen.
07:52
But a productizdelek that is valuedvrednoti by a customerstranka
187
460460
2174
Ampak produkt, ki ga stranka ceni,
07:54
is used by a customerstranka,
188
462634
1711
ga tudi uporablja,
07:56
and use is what createsustvarja impactvpliv.
189
464345
2173
in uporaba je tisto, kar ustvari učinek.
07:58
And we believe that as designersoblikovalci,
190
466518
1759
Kot oblikovalci verjamemo,
08:00
it holdsdrži us accountableodgovoren to our customersstranke.
191
468277
3230
da imamo odgovornost do naših strank.
08:03
And with centralizedcentralizirano manufacturingproizvodnja,
192
471507
2616
In s centralizirano proizvodnjo
08:06
you can controlnadzor the qualitykakovost controlnadzor,
193
474123
2027
lahko nadzoruješ kakovost
08:08
and you can hitudaril that $80 pricecena pointtočka
194
476150
1728
in lahko dosežeš mejo 80 dolarjev
08:09
with profitdobiček marginsmarže builtzgrajeno in.
195
477878
2490
z že vštetimi profitnimi maržami.
08:12
And now, those profitdobiček marginsmarže are criticalkritično,
196
480368
2156
In te profitne marže so ključne,
08:14
because if you want to scaleobsega, if you want to reachdoseči
197
482524
1669
ker če se hočeš meriti, doseči
08:16
all the people in the worldsvet who possiblymorda need a kneekoleno,
198
484193
2259
vse ljudi na svetu,
ki morda potrebujejo koleno,
08:18
it needspotrebe to be economicallyekonomsko sustainabletrajnostno.
199
486452
3157
mora proces biti ekonomsko vzdržen.
08:21
So I want to give you a sensesmisel of where we are at.
200
489609
2596
Želim, da dobite občutek, kje smo.
08:24
We have fitfit over 5,000 amputeesamputees,
201
492205
3576
Namestili smo proteze
že več kot 5000 amputirancem
08:27
and one of the bigvelik indicatorskazalniki
we're looking at, of courseseveda,
202
495781
2219
in eden izmed glavnih indikatorjev,
je vprašanje,
08:30
is, does it improveizboljšati livesživi?
203
498000
1913
ali proteza izboljšuje življenja?
08:31
Well, the standardstandard is, is someonenekdo
204
499913
1736
Torej, standard je tale: ali nekdo
08:33
still wearingnošenje theirnjihovi kneekoleno sixšest monthsmesecev laterpozneje?
205
501649
2525
šest mesecev kasneje še vedno nosi koleno?
08:36
The industryindustrijo averagepovprečje is about 65 percentodstotkov.
206
504174
2703
Povprečje v industriji
je okrog 65 odstotkov.
08:38
OursNaša is 79 percentodstotkov,
207
506877
2292
Naše je 79 odstotkov
08:41
and we're hopingv upanju to get that highervišje.
208
509169
2944
in želimo ga še zvišati.
08:44
Right now, our kneeskolena are wornnosili in 12 countriesdržave.
209
512113
3013
Zdaj naša kolena
nosijo v 12 državah.
08:47
This is where we want to get, thoughčeprav,
210
515126
1610
To pa želimo doseči
08:48
in the nextNaslednji threetri yearslet.
211
516736
1518
v naslednjih treh letih.
08:50
We'llBomo doubledvojno the impactvpliv in 2015,
212
518254
2500
Vpliv bomo podvojili v letu 2015
08:52
and we'llbomo doubledvojno it eachvsak of
the followingsledi yearslet after that.
213
520754
3118
in vsake naslednje leto
ga bomo spet podvojili.
08:55
But then we hitudaril a newnovo challengeizziv,
214
523872
1833
Ampak potem se pojavi
nov problem
08:57
and that's the numberštevilka of skilledusposobljeni prosthetistsprosthetists
215
525705
2019
in to je število izučenih protetikov,
08:59
who are ablesposoben to fitfit kneeskolena.
216
527724
3108
ki znajo nameščati kolena.
09:02
So I want to endkonec with a storyzgodba of PrinimaPrinima.
217
530832
2681
Rada bi končala z zgodbo o Prinimi.
09:05
PrinimaPrinima was 18 yearslet oldstar
218
533513
1647
Prinima je bila stara 18 let,
09:07
when she was in a caravto accidentnesreča
where she lostizgubljen her legnoge,
219
535160
2868
ko je doživela prometno nesrečo,
kjer je izgubila nogo,
09:10
and she traveledpotoval 12 hoursure by trainvlak
220
538028
3441
in 12 ur je potovala z vlakom,
09:13
to come to the clinicklinike to be fitfit with a kneekoleno,
221
541469
2427
da je prišla v kliniko
na namestitev kolena.
09:15
and while all of the amputeesamputees who wearobrabo our kneeskolena
222
543896
2593
Medtem ko se nas vsi,
ki nosijo naša kolena,
09:18
affectvplivati us as the designersoblikovalci,
223
546489
2176
dotaknejo kot oblikovalcev,
09:20
she's particularlyzlasti meaningfulsmiselno to me
as an engineerinženir and as a womanženska,
224
548665
4267
je ona še posebej pomembna zame
kot inženirko in kot žensko,
09:24
because she was in schoolšola,
225
552932
1564
ker se je šolala,
09:26
she had just startedzačel schoolšola to studyštudija engineeringinženiring.
226
554496
2724
pravkar je pričela s študijem inženirstva.
09:29
And she said, "Well, now that I can walkhodi again,
227
557220
2155
In rekla je: "Sedaj lahko spet hodim,
09:31
I can go back and completepopolna my studiesštudije."
228
559375
2408
lahko grem nazaj
in zaključim svoj študij."
09:33
And to me she representspredstavlja the nextNaslednji generationgeneracije
229
561783
3170
Zame predstavlja naslednjo generacijo
09:36
of engineersinženirji solvingreševanje problemstežave
230
564953
3032
inženirjev, ki rešujejo probleme
09:39
and ensuringzagotavljanje meaningfulsmiselno technologiestehnologije
231
567985
2445
in zagotavljajo, da pomembne tehnologije
09:42
reachdoseči theirnjihovi usersuporabniki.
232
570430
1784
dosežejo svoje uporabnike.
09:44
So thank you.
233
572214
2038
Torej hvala.
09:46
(ApplauseAplavz)
234
574252
3804
(Aplavz)
Translated by Nika Kotnik
Reviewed by Klavdija Cernilogar

▲Back to top

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

Data provided by TED.

This site was created in May 2015 and the last update was on January 12, 2020. It will no longer be updated.

We are currently creating a new site called "eng.lish.video" and would be grateful if you could access it.

If you have any questions or suggestions, please feel free to write comments in your language on the contact form.

Privacy Policy

Developer's Blog

Buy Me A Coffee