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Readings for “Product design for

safety” seminar 15 Feb 2016• Most products one can buy are the result of an engineering design process:

• https://en.wikipedia.org/wiki/Engineering_design_process

• CPSC case study in product recall: section 8.11 of this document “Buckyballs”.

• With the above document in mind, check out the links that come up under

Google™ search for “Buckyballs”. Think about what U.S. regulators could do or

should do about this situation.

• I mean to use ATVs as a case study in the seminar. Find out why so many thousands

of people, mainly young men and children, are killed or paralyzed by ATVs each

year… and what is being done to improve matters?

• Case study: PVC. Is it good, or evil, or what? Burning leads to formation of some

of the most carcinogenic chemicals known. What do you propose we should do to

help prevent this nasty chain of problems?

• The secret life of the Lift (Elevator), superb video by Tim Hunkin

• “Safe design refers to the integration of hazard

identification and risk assessment methods early

in the design process to eliminate or minimise the

risks of injury throughout the life of a product

being designed. It encompasses all design

including facilities, hardware, systems,

equipment, products, layout and configuration.”

• https://www.comcare.gov.au/preventing/preventio

n/safety_in_design

Threads

• A small number of people die or are seriously injured each year, and make headlines; cause celebre.

• A large amount of nearly invisible harm is also caused but goes unnoticed; out of sight, out of mind.

• Engineers make choices that affect both the few and the many. What drives them?

• Greed, stupidity and vested interest. Share price is up.

• I love audience participation so will ask you to think creatively

http://www-mdp.eng.cam.ac.uk/web/library/enginfo/textbooks_dvd_only/DAN/design/why/why.html#top

http://www.cdc.gov/niosh/topics/hierarchy/

http://www.abcoffice.com/guillotine-paper-cutters.htm

http://www.bladerunners.com.au/page1001.html

Engineering – isolate user

from hazard

Substitution – blade shape

changed

Engineering – isolate user

from hazard Er, none?

http://www.cdc.gov/niosh/topics/hierarchy/

Shopping

cart

Shopping cart

http://www.expedit.eu/Food-

Retail/Products/shopping-

trolleys/Family%20shopping/Child%20seat

http://caitlinshappyheart.com/2014/06/sho

pping-trolleys-for-multiples.html

Shopping cart injuries

• http://www.cpsc.gov/en/Media/Documents/Res

earch--Statistics/Injury-Statistics/Public-

Facilities-and-Products/Shopping-Cart-

Injuries-Victims-5-years-old-and-younger/

• Maybe 5000 serious head injuries from falls

per year in the USA, about half from the

basket and half from the seat

Shopping cart design response

http://caitlinshappyheart.com/2014/06/shoppin

g-trolleys-for-multiples.html

http://www.hubert.com/is-

bin/intershop.static/WFS/Hubert-HubertUS-

Site/Hubert/en_US/images/na/4/1/9/41915_300

.jpg

http://arc.typepad.com/photos/uncategorized/shoppingcart4.jpg

https://i.ytimg.com/vi/gO6Tg65tmUY/hqdefault.jpg

For each of these designs, think

about

1. whether previous injury will

actually be prevented;

2. whether there may be new

hazards;

3. whether there are financial or

operational consequences.

http://www.cdc.gov/niosh/topics/hierarchy/

Soda can

Success stories

From https://en.wikipedia.org/wiki/Beverage_can

“Into the 1970s, the pull-tab was widely popular, but its popularity came with a significant

problem, as people would frequently discard the pull-tabs on the ground as litter, or drop

them into the can and risk choking on them.

Pull tab

invented 1959

Design progression

• http://hubpages.com/food/The-History-of-the-Beer-Can

• http://www.stollemachinery.com/en/september-2006-brief-history-beverage-easy-open-end

Case study: ingestion of “stay tab” part

• http://hkcem.com/html/publications/Journal/2009-4/p265-266.pdf

• It seems the thin aluminium alloy used does not show up on X-rays!

http://www.cdc.gov/niosh/topics/hierarchy/

Elevator

https://en.wikiped

ia.org/wiki/Elevat

or

The secret life of

the Lift

(Elevator),

superb video by

Tim Hunkin

Steel spring

Cast iron lever arms

Cast iron pawls

• “In 1998, it was estimated that approximately

eight millionths of one percent (1 in 12

million) of elevator rides result in an anomaly,

and the vast majority of these were minor

things such as the doors failing to open. Of the

20 to 30 elevator-related deaths each year,

most of them are maintenance-related…”

http://www.cdc.gov/niosh/topics/hierarchy/

Buckyballs

https://www.reddit.com/r/dan

gerousdesign/?count=25&afte

r=t3_3ks0pp

Sweet,

anyone?

http://www.buckyballsstore.com/

http://www.texaschildrensblog.org/2012/08/small-magnets-causing-serious-injuries-death-in-children/

• “The CPSC issued a safety alert in 2011, but the ingestion continued because children thought that Buckyballs looked like candy, and older children tried to mimic tongue piercing by placing them on their tongues, thereby resulting in accidental swallowing of the magnets. At that point the CPSC ruled that warnings could never be effective because once Buckyballs are removed from their packaging, there is no longer any warning about their use.”

What would you do?

• Relatively small numbers of deaths

• Porous customs boundary & fairly ineffective

recall

• Magnets are out there and are going to be both

played with and eaten

• Emotive, politically charged issue

http://www.cdc.gov/niosh/topics/hierarchy/

Table saw

Table saw

http://fcir.org/2013/05/16/power-tool-industry-circles-the-wagons-as-disabling-saw-injuries-mount/

• “Each year, more than 67,000 U.S. workers and

do-it-yourselfers suffer blade contact injuries,

according to government estimates, including

more than 33,000 injuries treated in emergency

rooms and 4,000 amputations.”

• http://www.fairwarning.org/2013/05/after-more-

than-a-decade-and-thousands-disfiguring-injuries-

power-tool-industry-resisting-safety-

solution/#sthash.7DeKdoPl.dpuf

What would you do?

• Ten amputations, or more, every day in the

USA alone

• Not a super common type of tool since mainly

for the commercial or hard-core-hobbyist

carpenter

Saw-stop table saw videos

• http://www.sawstop.com/table-saws/by-model/professional-cabinet-saw?gclid=CjwKEAiAw4e1BRDfi7vghaWU9jESJACzo9juO66BLGQsBbQOimVDLXh2mL-STNFj1wT0sCz9zunUzhoCVz3w_wcB#videos

• http://www.sawstop.com/table-saws/by-model/professional-cabinet-saw?gclid=CjwKEAiAw4e1BRDfi7vghaWU9jESJACzo9juO66BLGQsBbQOimVDLXh2mL-STNFj1wT0sCz9zunUzhoCVz3w_wcB#videos

• “The industry is also trying to keep the

Consumer Product Safety Commission from

requiring injury reduction systems on all table

saws—either SawStop or something similar.”

• http://www.fairwarning.org/2013/05/after-

more-than-a-decade-and-thousands-

disfiguring-injuries-power-tool-industry-

resisting-safety-solution/

http://www.cdc.gov/niosh/topics/hierarchy/

Handgun

https://en.wikipedia.org/wiki/Safety_(firearms)

• “Federal data from the Centers for Disease Control indicate that between 2007 and 2011, an average of 62 children age 14 and under were accidentally shot and killed each year. But our analysis of publicly reported gun deaths shows that the federal data substantially undercount these deaths.”

• http://everytownresearch.org/reports/innocents_lost/

What would you do?

• Relatively small numbers of deaths

• Very common designed object – guns

• Super emotive, politically charged issue

Gun safety

• Procedural

• https://en.wikipedia.org/wiki/Gun_safety

• Mechanical

• RFID http://www.zdnet.com/article/new-gun-

design-uses-rfid-to-boost-safety/

• Biometric http://www.intelligun.com/

• Dr Steve Teret of CIRP

Objections to biometric handguns REF

• “How many fire codes allow fire extinguishers that require a battery to operate?”

• “One shudders to consider the possible tragedy if a policeman had to reboot his handgun, or had problems authenticating, during an altercation with an active shooter.”

• “When incomplete safety features are introduced with fanfare, people have a habit of relying on them, creating a human vulnerability that leads to accidents.”

• “Many smart firearms safety devices currently

in development boast a battery life of two

years, five years, or even ten years. All designs

have integrated notification systems like beeps

or indicator lights to notify the gun owner that

the battery should be checked or replaced.”

• https://smarttechfoundation.org/faq/

God Bless AmeriNRA

• “Within days of announcing he would carry the [smart] gun, Andy Raymond of Engage Armament in Maryland discovered the NRA had launched an intense counter-campaign against him and people started sending him death threats. Ultimately, these groups do not want to see the NJ law triggered and have resorted to bully tactics to force Raymond to back down.”

• http://www.engadget.com/2014/05/12/smart-gun-explainer/

Insidious but huge causes of injury

• We think of products, maybe, as small objects

made in factories

• But everything produced by humanity could be

called a product...

http://tuoitrenews.vn/international/15949/china-tells-pilots-to-improve-landing-skills-to-

deal-with-beijing-smog

“Studies by the World Bank, WHO, and the Chinese Academy for Environmental Planning

on the effect of air pollution on health concluded that between 350000 and 500000 people

die prematurely each year as a result of outdoor air pollution in China”

http://www.telegraph.co.uk/news/worldnews/asia/china/10555816/Chinas-airpocalypse-

kills-350000-to-500000-each-year.html

PVC burning

• “PVC is a poison plastic. It has earned the title after decades of harming our health and environment. PVC's destructive toxic life begins with manufacturing, continues during product use, and then creates devastating pollution problems when it is disposed. I cannot think of another product that is so destructive throughout its entire life cycle as PVC.”

• http://chej.org/wp-content/uploads/Documents/PVC/bad_news_comes_in_threes.pdf

http://www-mdp.eng.cam.ac.uk/web/library/enginfo/textbooks_dvd_only/DAN/design/why/why.html#top

http://orig01.deviantart.net/3523/f/2009/260/6/e/corporate_greed_by_acidfaithless.jpg

Opioid pills

http://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates

“Illicit fentanyl might be contributing to recent increases in drug overdose deaths involving heroin.”

• “ From 2000 to 2014 nearly half a million persons in the United States have died from drug overdoses. In 2014, there were approximately one and a half times more drug overdose deaths in the United States than deaths from motor vehicle crashes (4). Opioids, primarily prescription pain relievers and heroin, are the main drugs associated with overdose deaths. In 2014, opioids were involved in 28,647 deaths, or 61% of all drug overdose deaths; the rate of opioid overdoses has tripled since 2000.”

• http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6450a3.htm?s_cid=mm6450a3_w

What would you do?

• Large number of deaths of productive

members of society: not “junkies” but ordinary

folks with blue-collar and white-collar jobs.

• Becoming better known but still not in

proportion to the harm caused

53

Project Brief – Current Devices

A current tamper-proof pill

dispenser that retails for $844.95,

from [3]

Bulky

Expensive

Not tamper-proof

A current tamper-proof pill

dispenser that retails for

$589.95, from [3]

JHU ME Senior Design Final Report 2015

Graphical Representation of

Project Output

JHU ME Senior Design Final Report 2015 54

FINGERPRIN

T SCANNER

STEEL CAP

ELECTRONIC

HOLDER

SERVO

MOTOR AND

DISK

CARTRIDGES

PILL EXIT

LOCKING

MECHANISM

2 1

3

4

5

6

8

7

55

Tamper-resistant pill dispenser

List of parts:

1. Fingerprint scanner

2. AC charger port

3. Steel cap = separation between

pills and electronic components

4. Electronic holder

5. Cartridge holder

6. Cartridges

7. Pill exit

8. Locking mechanism

8.5”

JHU ME Senior Design Final Report 2015

Detecting babies in hot cars

• “On average, 38 children die in hot cars each

year from heat-related deaths after being

trapped inside motor vehicles. Even the best of

parents or caregivers can unknowingly leave a

sleeping baby in a car; and the end result can

be injury or even death.”

• http://www.kidsandcars.org/heatstroke.html

What would you do?

• Relatively small numbers of deaths

• Very common designed object – cars

• Emotive, politically charged issue

Schematic of experimental setup to check

whether a baby could be detected.

(a) CO2 cylinder

and regulator

CO2

(b) Volume flow

indicator

(c) CO2 sensor

SE-0127 K-30 CO2 sensor fan and sensor.

ATV

https://en.wikipedia.org/wiki/All-terrain_vehicle#/media/File:Four_wheeler.jpg

http://onsafety.cpsc.gov/wp-content/uploads/ATV-Safety-InfographicEnglish650X6200.jpg

SAE Baja

• Somewhat international competition, mainly

USA engineering students

• Strict rule set defines roll cage and engine

• 40 years of competitions, millions of hours of

track time, and no fatalities.

• The secret? The roll cage and four point

harness. That’s all.

Helmet detector (JHUMESD & CIRP

2012-13)

• Helmet wearing is thought to prevent about

half of all deaths while riding ATVs.

• So the thinking was: invent a system that shuts

down the ATV unless a helmet is detected.

Features

• IR Transmitter and Receiver on ATV

• 100Hz pulsed signal

• Polarizing reflectors on helmet

• Differential circuit to detect return signal

Helmet Recognition Block Diagram

Figure 11: Helmet Recognition Concept Animation

IR TransmitterHelmet Retro-

ReflectorATV IR Detector

Alert

69

Max

Range:

~2.5 Feet

Team R.I.D.E.; Johns Hopkins University Mechanical Engineering Senior Design. May 8, 2012

A creative idea to help deal with the

torrent of Buckyballs• What if…

• There was a cell phone app for parents.

• If any product hurts a child, or causes a near miss, the parent could take a snap of the product & its packaging (esp. bar code).

• Users could also submit pictures of items found on line or in stores.

• Some reward might be given for useful submissions.

• A crowdsourced service, behind the scenes, would try to categorize submissions.

• New hazards would be seen faster and new channels of entry would be spotted faster.

• Bentham’s panopticon

The opposite of Buckyballs...

regulators gone mad?

• Has Kavi told you about his research into

motorcycle helmets made in third world

countries?

• Few, or none, are certified to U.S. standards.

• That’s unsafe, isn’t it? The factories that make

them should be shut down, shouldn’t they?

Final remarks

• The elevator – so ubiquitous – got serious

design attention & investment. The lift is now

safer than the stairs.

• The collaboration of engineering students and

public health researchers can be very potent

because the students can afford to prototype

technology that affect only a few tens of

families each year.

Final remarks

• Some serious product design related safety

hazards can be laid at the feet of engineers

who did not consider every kind of end user, or

every stage of the life of a product. My

answer? Better education.

• My thanks to CIRP, to Kavi, to Sue, to all our

colleagues, for this chance to speak to you

today.

Appendix: Home “space heaters”

http://www.nfpa.org/research/reports-and-statistics/fire-causes/appliances-and-

equipment/heating-equipment

53,600 home fires in the USA from all causes in 2011 alone

Appendix: Window blinds

• http://www.rospa.com/campaigns-

fundraising/current/blind-cord/

• Rather slow moving video but it does show a

rich selection of designs that are safer than the

usual looped cord venetian blind:

• https://vimeo.com/141160650

Appendix: Window blinds

• “After a 30-year delay in which several hundred children have died or been injured, the chairman of the Consumer Product Safety Commission has launched a new effort to ban window blinds with potentially hazardous cords.

• “I don’t know what the issue is, other than greed,” said Elliot Kaye, the CPSC Chairman in an interview to be broadcast tonight on ABC News' "World News With David Muir" and "Nightline".

• Kaye says the window blind industry has used lobbyists and public relations campaigns to resist efforts that began in 1985 to address the risks of blind with accessible cords.

• “The industry has done an excellent job,” Kaye said, “of working the system to keep the government off its back.“”

http://abcnews.go.com/US/30-years-hundreds-deaths-injuries-push-window-blind/story?id=35026540