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Resonaid

A bone conduction hearing screening tool for non-specialist hands.

§ 01  / Context

Hearing loss in adult Singaporeans has become more common over the last decade. Early screening, on the other hand, has not kept up.

People who would go for a regular health check-up would get their temperature taken or blood drawn, but not get a tuning fork test done.

§ 02  / Our Observation

The tuning fork is still the standard first-line hearing screening tool used in primary care.

It is cheap, it is portable, and in skilled hands it works well enough to flag serious hearing problems worth investigating further.

"After speaking with more than 20 doctors, a pattern emerged. General practitioners tend to skip this test. Our early assumption was that the tuning fork itself was to blame."

§ 03  / Research

We corroborated our findings with a specialist.

Working with an Ear Nose Throat doctor introduced us to a world of information and insight, shaping how we should approach this issue. We consulted with her over the course of 13 weeks, and the consults shaped what the project came to be. While the low hanging fruit would be to design a new type of tuning fork, the solution did not feel so straight forward.

So why do some GPs skip the test?

Our research pointed to compliance as the real issue. A better tool means nothing if a GP skips the test anyway. So the goal shifted. To bypass any compliance issues, we needed more screenings and therefore a lower barrier to entry.

§ 04  / Key Insight
// insight

Better accuracy in expert hands is not the goal.

Making screening possible in hands that have no training at all is what changes the picture.

// insight

Accessible hearing testing increases adoption.

This would triage serious cases earlier, especially in underserved communities.

§ 05  / Iteration

We iterated like crazy.

The idea of the tool kept shifting. We were no longer designing something for a doctor with years of medical school behind them. We were designing something that could reproduce the right tuning fork frequencies in the hands of someone with little to no experience running a hearing test. That gap drove a long run of prototypes and several rounds of testing with people from across the medical field.

§ 07  / Outcome

It outperformed the tool it was built to replace.

An A/B comparison against a traditional tuning fork was run with both doctors and patients. Resonaid performed better across speed, accuracy, comfort, ease of use, and how clearly the patient understood their result.

It is now in active R&D with a hospital partner. The next phase is clinical validation in a real screening environment, rather than a controlled test.

§ 08  / Credits
Collaborators

Lu Enze

Beatrice Lum

Leon Pereira

Supervisor

Dr Ching Chiuan Yen

Platform

Design for Medicine

Institution

Division of Industrial Design

National University of Singapore

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