Case Study

A Sense of Vision

Med device company uses on-demand production components to develop and launch wearable technology for the blind

Helping blind people gain a sense of vision—and doing so through their tongues—sounds like pure science fiction. It’s now a reality, however, thanks to the BrainPort V100—a wearable medical device that enables users to process visual images with their tongues.

Users say the effect is like having “streaming images drawn on their tongue with small bubbles,” according to Wicab Inc., the BrainPort’s Wisconsin-based maker.

That comes from the vibrations or tingling that users feel on the surface of their tongue as information about their environment—captured by a small video camera on the BrainPort headset—gets converted into patterns of electronic stimulation through a small, electrode-embedded mouthpiece. Users can learn to gauge the size, shape, and location of objects and whether they’re moving based on those patterns.

This “oral electronic vision device” works because of the brain’s ability to reorganize itself and use one sense in place of another. The late Dr. Paul Bach-y-Rita, a neuroscientist, Wicab co-founder, and University of Wisconsin-Madison professor, began pioneering research into that concept, known as neuroplasticity, in the 1960s.

The BrainPort V100, already for sale in Europe and Canada, achieved a breakthrough recently when the U.S. Food and Drug Administration (FDA) approved it as an assistive device for the blind and visually impaired to use in conjunction with other aids such as a white cane or guide dog.

“The effect is like having streaming images drawn on their tongue with small bubbles.”
Polycarbonate injection-molded production parts
Injection-molded production parts from Proto Labs serve as the medical device’s front visor, camera housing, and side supports.
Transitioning Beyond 3D Printing

Wicab has used 3D-printed parts for rapid prototyping in the past and will continue to use 3D printing for production of the BrainPort Vision Pro headset, Hogle said. But the company was ready to start transitioning from the 3D printing processes—fused deposition molding (FDM), stereolithography (SL), and selective laser sintering (SLS)—it has used.

“3D printing on this particular set of prototypes [Vision Pro] was very difficult to get the resolution required in materials that we use in the field,” Hogle said of those processes. “The FDM process would allow us to use polycarbonate but it doesn’t have the resolution required for [field testing] parts. The other processes, SL and SLS, have the resolution capability, but the material selection is limited, so it's tougher to make parts that can be placed in the field for long periods of time.”

Avoiding those issues led Wicab to have its headset parts made from cast urethane, Hogle said. “And that’s where it started to get expensive to make parts because you have to make molds every time,” he explained. “You can only get so many parts out of a mold in cast urethane.”

Wicab Inc.'s BrainPort V100 Medical Device
Wicab Inc.’s BrainPort V100 medical device helps the visually impaired process images with their tongues.
Next-Gen Prototypes

As Wicab ramps up marketing of the BrainPort V100, it also is testing a new model, the BrainPort Vision Pro, with a newly designed headset featuring 12 to 15 injection-molded parts from Proto Labs. The company hopes the next-generation version will win FDA approval soon, according to Bill Conn, Wicab’s vice president of sales and marketing.

The launch plan includes introducing the BrainPort V100 to insurance companies in the hope of persuading them to approve some reimbursement for the device, which costs $10,000, Conn said. Some eager customers are buying the device themselves.

Users range in age from 16 to 80, Conn said, and have used the BrainPort to aid them in activities like walking to a neighborhood store, rock climbing, and eating in a restaurant, where the device would help a connoisseur of fine dining locate his plate or wine glass visually rather than by feel. Users must complete an FDA-mandated program of three, three-hour training sessions, at a cost of about $600. Wicab has training centers in Chicago and New York City and plans to open others around the country.

Wicab has raised some $26 million since its founding 17 years ago, Conn said. The company initially focused on developing a device to help people with balance issues but, after a clinical trial proved unsuccessful, switched in 2005 to creating one that would aid the blind. That effort got a boost in 2012 with a $3.2 million Defense Department grant and $2.5 million from Google to support a study. Wicab hopes to raise $3 million for additional studies and has received a $3 million investment from a Chinese firm as it seeks to break into that market. The makers are working with a company on developing sign recognition software that will help BrainPort users identify exit and bathroom signs, among other things.

Design work on the next-generation BrainPort Vision Pro began in late 2013 or early 2014, said Rich Hogle, vice president and research and development director at Wicab. Through several iterations, the headset evolved from the sunglasses style of the V100 to the headband-like form of the Vision Pro. Controls for adjusting camera zoom and the strength of the electronic patterns felt on the tongue reside now on the Vision Pro headset instead of on a separate handheld controller used with the earlier iteration. The new device’s hands-free operation makes holding a cane or guide dog leash easier for users.

Injection Molding Versus Cast Urethane

Wicab was getting quotes for another run of cast urethane headset parts when one of its employees contacted Proto Labs. While Proto Labs doesn’t offer urethane casting services, its favorable pricing and turnaround time, particularly for an order of less than 100 parts, persuaded the company to switch to Proto Labs' injection molding service, Hogle said.

“Getting production-quality parts, or near-production quality parts, and the cost that we were able to get them at through Proto Labs, just grabbed our attention.”

“Getting production-quality parts, or near-production quality parts, and the cost that we were able to get them at through Proto Labs, just grabbed our attention,” Hogle said. “In the past, if we wanted injection-molded parts, the tooling alone was so expensive that it sort of ruled it out for prototyping. But now with Proto Labs, we were able to find there was a reasonable tradeoff between having near-production-quality parts in conjunction with quick-turn capability, and that’s what really got us excited about working with Proto Labs.”

Wicab worked with Proto Labs to make minor refinements to the headset design to improve results with the rapid manufacturer’s tooling design process, Hogle said. One challenge was fitting the device's electronics into the tight space available in the headset while making sure it was as small and comfortable as possible.

“Once that was complete, they were able to make the tools and shoot the parts in under 15 business days,” Hogle said. “That was fantastic.”

Proto Labs also helped with material choices, with Wicab selecting polycarbonate because of its finish quality and feel and to meet some material requirements necessary for a medical device, Hogle said.

Functional, End-Use Parts

“Since these are true injection-molded parts, they’re going to last much longer than cast urethane or 3D printed parts would last in the field,” Hogle said. “The durability and material finish, those are the kinds of attributes that are important when you're moving things from the lab out into real users’ hands.”

Hogle expects to continue having Proto Labs make injection-molded parts for the BrainPort Vision Pro headset once it goes into production. The tooling for those parts will be good for additional runs as well.

“We like the fact that at any point we can order additional parts and we know what the cost is going to be, what the quality is going to be, and the delivery time.”

“We like the fact that at any point we can order additional parts and we know what the cost is going to be, what the quality is going to be, and the delivery time,” Hogle explained. “We have the first run of parts now and when we're ready for our second run, we’ll simply place the order and it's a matter of days, not even weeks or months, to get the parts in. With Proto Labs, we can basically get an endless supply of parts given the design we have now.”