Millions of newborns worldwide lack access to hearing screening especially in low-resources communities where commercial devices can cost thousands of dollars.
Through Design Justice Studio (formerly Affordable Design and Entrepreneurship) at Olin College, a multi-year student effort has been developing an affordable, open-source Otoacoustic Emissions (OAE) screening tool designed for community healthcare workers. Since 2019 the project team has co-designed with over 30 people from 15 countries in pursuit of an intuitive interface usable from Massachusetts to Guatemala and beyond.
I joined this project for my senior capstone (Fall 2024 - Spring 2025) and was then hired as a summer research assistant to continue the work full-time. Across both phases, I contributed to test framework development, regulatory pathway research, PCB design and fabrication, UI prototyping, international and US-based partner coordination spanning the full life cycle from planning clinical validation to shipping working hardware to our institutional/clinical partners.
This project is a collaboration between Olin College and Babson College, advised by Elizabeth Johansen (Olin), Bradley Minch (Olin), and Siddhartan Govindasamy (Boston College), with funding from EPICS in IEEE, The Peabody Foundation, and an anonymous Olin alum.
Credit: Intelligent Hearing Systems
The first phase of my work focused on laying the groundwork for device validation. Before the screening tool can reach patients, it needs to be tested under controlled, repeatable conditions. I led the development of a standardized testing protocol using the IHS Baby ISAO simulator (a training tool that replicated the acoustic response of a newborn ear) enabling us to collect realistic operating data without requiring human trials during early development of the entire system.
A major part of this effort was coordinating with outside organizations to build the regulatory and clinical background required to initiate preliminary human trials. This meant engaging and aligning our various stakeholders like our audiologists, academic partners, and clinical collaborators. We then went about creating the documentation infrastructure that would support a credible path toward validation.
On the technical side, I began developing a Python-based data collection schema that interfaces with the OAE test board through its serial port, coordinating with logic analyzers and oscilloscopes to capture comprehensive performance data. The goal was to automate device operation during simulated testing sessions and structure the output for analysis, with the architecture designed to eventually support actual clinical trial data collection.
For summer 2025, I was hired as one of three research assistants to take the project's next major step: building the first field-reprogrammable user interface prototypes. Working with teammates Arianne Fong '27 and Antara Mazumdar '28, we designed and built two complete UI prototypes for A/B testing with our clinical partners.
The two prototypes tested a core design question: "Would a graphical LCD screen or an LED-with-icons interface be more effective for community healthcare workers performing hearing screenings?"
Both prototypes simulate a complete hearing screening interaction. Our test users can step through the workflow as if conducting an actual test giving our partners in Guatemala concrete UX to evaluate rather than abstract wireframes or figma prototypes. To define those workflows, I helped distill six years of accumulated user interviews and co-design insights into the interaction flows we integrated into the final designs.
My specific contributions spanned the hardware pipeline. I designed the PCB for the LCD prototype in KiCad (built around the XIAO ESP32-C3 microcontroller), created all of the mechanical enclosure designs in Fusion 360, and handled all manufacturing and assembly — laser cutting, 3D printing, and mechanical integration. I also brought on our part-time team member (Antara '28) to handle the soldering and PCB assembly work, which gave her hands-on experience while keeping the project on schedule.
Once the prototypes were complete, we shipped them to our collaborators in Guatemala and ran virtual co-design sessions to gather feedback. A key design decision was making the prototypes field-reprogrammable — future students can send firmware updates that alter the user interface and then collect additional feedback without needing to ship new hardware. This dramatically accelerates the design iteration cycle across international partnerships.
As part of the summer work, we also researched open hardware licensing frameworks focusing on the CERN Open Hardware License (OHL) and prepared recommendations and reports for our project advisor on how to structure the project's open-source release going forward.
The project targets a 70–80% cost reduction compared to commercial screening devices, and the team is actively working toward a formal open-source release. As part of our summer research, we investigated licensing frameworks, focusing on the CERN Open Hardware License ,and prepared recommendations for the project's long-term open-source strategy.
In August 2025, our team attended and presented at the Open Source Hardware Association's first-ever Open Healthware Conference in New York City. We ran live demos of both UI prototypes, letting attendees interact with the devices and sharing our approach with other teams working on open-source healthcare tools from hearing amplifiers to 3D-printed tourniquets. This project is also featured in the EPICS in IEEE Annual Report (2024).
I really enjoyed being able to apply everything I've learned at Olin and was able to apply it over 12 months of engineering focused on creating more equitable health tools. I was also able to further refine and develop skills in PCB design, mechanical prototyping, medical device test planning, embedded firmware, and cross institutional collaboration.
By having a full picture of what it takes to build medical technology I was able to see both the technical side of things and dive deep into distilling years of user research into our design, working with other institutions to create meaningful deliverables with deep impact.