[HN Gopher] First AI medical device that detects major skin canc...
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       First AI medical device that detects major skin cancers received
       FDA approval
        
       Author : alimehdi242
       Score  : 23 points
       Date   : 2024-01-19 18:03 UTC (4 hours ago)
        
 (HTM) web link (digialps.com)
 (TXT) w3m dump (digialps.com)
        
       | PUSH_AX wrote:
       | > the device will be priced through a subscription model at $199
       | monthly for five patients or $399 monthly for unlimited use.
       | 
       | Is this normal in the medical industry? It seems a little absurd
       | to me but I know nothing about medical tech.
        
         | m_a_g wrote:
         | It's B2B so I'd say it's normal.
        
         | pixl97 wrote:
         | In general med tech = so expensive your eyes bleed and your
         | brain melts.
         | 
         | I'm assuming they've dropped in price a pretty good amount now,
         | but digital x-ray machines with the require software were near
         | hundred thousand price range and typically tied around some
         | windows operating system. So if the controller came with XP,
         | never expect to go to a new operating system. The companies
         | general answers were, oh, you need a controller with a new OS,
         | spend another $100k for the next gen, which unless you're
         | pumping out huge numbers of xrays was just not going to happen.
        
           | parl_match wrote:
           | >So if the controller came with XP, never expect to go to a
           | new operating system.
           | 
           | That's not necessarily a bad thing!
           | 
           | In our industry, the idea of something using XP is
           | ridiculous. Applying our experience to the medical field is a
           | bad idea!
           | 
           | It's an appliance. It doesn't really matter what OS it runs
           | as long as its stable and certified to do. It spits out
           | imagery which you can then process and view on any compatible
           | device - often a reasonably modern computer running some sort
           | of health informatics platform.
           | 
           | For what it's worth, the "XP" OS is often licensed and
           | supported for well longer than a consumer SKU. IIRC microsoft
           | provided support and security updates for embedded/appliance
           | applications until 2019!
           | 
           | These devices are often not openly networked, or if they are,
           | they are through some sort of gateway that's appropriately
           | locked down and updated.
        
             | pc86 wrote:
             | It's an appliance with huge gaping security flaws that its
             | very creator says you should use under approximately no
             | circumstances.
             | 
             | > For what it's worth, the "XP" OS is often licensed and
             | supported for well longer than a consumer SKU. IIRC
             | microsoft provided support and security updates for
             | embedded/appliance applications until 2019!
             | 
             | You're 100% right but that still means the thing has been
             | sitting around for half a decade with no security updates
             | whatsoever.
             | 
             | There is a fine line between stability and simply being a
             | miser and refusing to update things within a reasonable
             | period of time. Healthcare, especially corporate healthcare
             | run by people other than physicians, is far to much on the
             | miser end of the spectrum.
        
             | pixl97 wrote:
             | >These devices are often not openly networked, or if they
             | are, they are through some sort of gateway that's
             | appropriately locked down and updated.
             | 
             | Possibly in major hospitals with large large IT teams...
             | 
             | But I've worked in a lot of smaller clinics and the term
             | 'often' changes to 'almost never'.
        
         | parl_match wrote:
         | $400 a month, in a reasonably busy dermatologists office, would
         | probably come to about $20 "per use". A lot less if you have
         | multiple patients use it a day.
        
         | candiddevmike wrote:
         | It's normal in the US. Outside the US things are more
         | competitive as companies chase fewer buyers/dollars and have to
         | sell things cheaper. Sometimes this makes certain countries
         | worthless in the eyes of a medical device manufacturer
        
         | pkaye wrote:
         | > The FDA approval was based on results from a multicenter
         | clinical trial led by the Mayo Clinic involving over 1,000
         | patients across 22 clinics.
         | 
         | Medical tech often requires clinical trials so there is some
         | cost to that. And it can also limit how quickly competitors can
         | create a competing device. But $399 monthly for unlimited use
         | doesn't see so bad when a dermatology clinic might see hundreds
         | of patients a month.
        
       | xnx wrote:
       | Google does something similar with Google Lens, though I can't
       | tell what its current status is. Might work outside of the US.
       | 
       | One of the links on their information page is broken:
       | https://health.google/consumers/dermassist/
        
         | candiddevmike wrote:
         | The article says this product uses wavelengths to detect
         | abnormalities, DermAssist seems to be using pictures only. The
         | latter seems like more of a toy and less a real diagnostic
         | tool.
        
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       (page generated 2024-01-19 23:00 UTC)