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Trained repair professionals at hospitals are regularly unable to fix medical devices because of manufacturer lockout codes or the inability to obtain repair parts. During the early days of the COVID-19 pandemic, broken ventilators sat unrepaired for weeks or months as manufacturers were overwhelmed with repair requests and independent repair professionals were locked out of them. At the time, I reported that independent repair techs had resorted to creating DIY dongles loaded with jailbroken Ukrainian firmware to fix ventilators without manufacturer permission. Medical device manufacturers also threatened iFixit because it posted ventilator repair manuals on its website. I have also written about people with sleep apnea who have hacked their CPAP machines to improve their basic functionality and to repair them.

PS: he got it repaired.

  • atrielienz@lemmy.world
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    2 months ago

    We probably shouldn’t let people repair their own brake pads but that’s another argument. Not enough people die from randoms repairing their own brake pads. Repair an insulin pump the wrong way and it will absolutely kill you. Oxygen masks, CPAP machines, pace makers. So many medical devices that people rely on for life or death care.

    I’m all for right to repair. But having seen some of the thing people have done to repair safety items I have serious doubts about the efficacy of someone repairing something wrong and killing their grandma. I can appreciate that not everyone feels the same way. I can appreciate that there are absolutely people out there who can and do repair their own devices, cars, machinery etc, and they may do it well. But there are always going to be people out there who don’t know what they’re doing but will try and then we’ll hear about them on the news because they touched a capacitor or something.

    • linearchaos@lemmy.world
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      2 months ago

      The argument that because some people can’t, or won’t do a good job, no one should isn’t a very good one. Under that same logic you could exclude wiper blades.

      You end up like New Jersey where you can’t pump your own gas. There are already guidelines and fixes for this wrapped around repairing your home power. You’re not allowed to architect major changes without the sign off of somebody who is a registered professional but you’re absolutely allowed to fix things that are already there.

      For more people die from not fixing their brakes, because it’s difficult and expensive than ones who fix their brakes incorrectly.

      • atrielienz@lemmy.world
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        2 months ago

        That depends entirely on who’s safety is on the line. When you repair your brakes wrong (to follow the original example), and it causes a pile up that kills 4.or 8 or 10 people, someone should be held liable for that.

        When you repair the electrical box in your basement wrong and it causes a fire that takes out the houses on either side of you, someone should be held liable for that.

        This is like saying “just because some people who drive drunk kill people doesn’t mean that everyone shouldn’t be able to”. The difference here though is that we know there’s a statistically significant increase in the likelihood of death or serious injury from driving drunk.

        There’s a statistically less likely chance of death or bodily injury when people repair their own devices, but I would wager that has a lot to do with the fact that the pool of people doing it have the knowledge to do so and aren’t completely ignorant of how those devices work, or it takes into account that right to repair also encompasses people getting a third party who is qualified to repair the device to do it, but outside of what the manufacturer allows per user agreement. Once more random laymen start doing it because they are allowed or perceived themselves to be allowed, I would expect that the number of wrongly repaired devices would go up.

        Some states have mandatory car inspections. So for instance, if you repair your brakes wrong and leave a caliper bolt off or don’t grease the slides or any number of other things there’s another qualified person looking over that and noting it. So there’s less possibility that it won’t be fixed properly. We do not have anything like that for medical devices except when they are repaired through the manufacturer.

        I’m not even arguing against the right to repair. I’m just pointing out the hurdles that are going to be there and saying they should be addressed. I’m actually generally for people learning how things work so that they can do simple repairs or even complex repairs if they need to.

        But I still think that some things should be handled by professionals. Or at least with a professional QC’ing the work.

        In the field I work in, work can be done by the owner but only with a qualified and licensed A&P present. Would you suggest that any old person off the street should be able to repair a plane and fly over your house?

        • linearchaos@lemmy.world
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          2 months ago

          I don’t think there’s any solid argument that precludes people from doing maintenance on their own car. There’s always some form of inspection or monitoring that can be done. Brakes in particular are perfectly reasonable. I particularly miss ease of maintaining drum brakes. They were literally designed to be maintained by the end user, you pull the wheel, The drum slides right off and the parts are readily available. If you want to get fancy you could buy a tool to help you remove the spring.

          Things should be designed to be maintained by the end user and the end user could choose to go to a mechanic if they wanted to.

          Honestly what we’re running up against at this point with car maintenance is design to cost. Every part that is maintainable on a car could be designed to be easily maintainable for a cost. Rather than the manufacturer paying that cost, there making us pay the cost at the mechanic. You can literally buy repair parts that are easy and convenient to work with that are improvements over OEM.

          In the case we’re talking about for this article it’s literally a wire on a lithium ion battery pack in a wrist mounted device that failed that they’re refusing to replace.

          And it’s not like he’s going to fall out of the sky and land in somebody’s backyard.

          • atrielienz@lemmy.world
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            2 months ago

            If inspection or monitoring were mandatory you’d have a point. But it isn’t mandatory. Not everywhere. Not even most places. Only 19 of the 50 states require vehicle safety inspections periodically. So at most the vast majority of vehicles probably haven’t had one since the car was new unless the state where that car is registered requires it. For a country that’s very car dependent with car accidents being one of the leading causes of death in the US, that’s terrifying.

    • tabular@lemmy.world
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      2 months ago

      The FDA found there isn’t evidence that 3rd party repair is any less safe than 1st party repair.

      If one part needs to be replaced and the company who owns the patients/copyright tells the manufacturer to not sell it to others then the patient cost is needlessly a whole new machine. How many lives would be saved by lowering cost of getting medical equipment working?

      • atrielienz@lemmy.world
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        2 months ago

        I read the article. Third party repair not being your grandson who’s replacing the seal on your CPAP mask, because that’s not what I mean not does it mean going to a third party repair place.

        It being less safe for the vast majority doesn’t mean that there aren’t going to be people who get it wrong. People repair their brakes wrong all the time. It’s absolutely caused accidents. But not enough to be statistically important in the grand scheme of 8 billion people. That doesn’t mean it doesn’t happen or that it can’t.

        There’s a reason a lot of YouTube videos that show you how to repair things are “for educational purposes only”. It’s because they can be held liable if something bad happens because you followed their guide.

        • tabular@lemmy.world
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          2 months ago

          You focus on an incompetent grandson hypothetical but it’s not as if the 1st party repair is immune from hiring people who can make negligent mistakes, or even take malicious acts. If it’s difficult to replace a seal on a mask then perhaps it’s a CRAP design.

          Companies will preach safety when lobbying against right to repair but when a mask is forced to be recalled for sound/vibration dampening material entering people’s lung they will kick and scream.

          Safety is not my main goal, it is the freedom to do what you want with what you paid for.

          • atrielienz@lemmy.world
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            2 months ago

            I focus on that because it is a danger of people doing the work themselves. I didn’t say that companies weren’t capable of the same problems. I said that it’s unlikely that the grandson would face the same kind of legal repercussions that a business or corporation would and that’s problematic.

            If you’ll take a step back and stop assuming that I’m arguing against right to repair and just look at what I actually said you might see that I have a point.

            And while I agree that there is also risk in not repairing the devices in question or being able to have them repaired by the manufacturer which is a significant risk, I still feel like it’s important that it be said that there exists a risk in people making more technical repairs themselves.

        • GiveMemes@jlai.lu
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          2 months ago

          So because some people are reckless, all people should be unable to fix their shit?

          • atrielienz@lemmy.world
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            2 months ago

            People keep ignoring the fact that I didn’t say that. I actually feel the opposite. You inferred or interpreted what I said that way and that’s on you.