Clients count on us to be smart, daring, and responsible.   We untangle complexities and challenge conventions, and we’re as concerned about the business aspects of our solutions as we are about the creative.

Disciplines: Research|ID|UI|Engineering
Awards: 2006 IDSA Silver, 2006 MD&DI Silver
Clients: Smiths Medical | St. Paul, MN
Until now infusion sets were cumbersome, indiscreet, painful, and even scary, featuring multiple device parts, exposed needles, medical waste, and upwards of 15+ steps to install. Reduced the number of steps from up to 15 to 3.
Until now the procedure of installing a infusion set into the body was the bane of every pumpers existence, a tedious, painful procedure that requires three hands and upwards of 15+ steps.
How We Helped
  • Reduced the number of steps from up to 15 to 3 » See Cleo’s 3-step advantage
  • Created the first all-in-one system: sterile packaging, inserter and needle-safe disposal container
  • Hid the needle from sight for ease of mind and perceived pain reduction
  • Made the "on-body" part smaller and adjustable on-the-fly to fit any outfit or activity
  • Created a discreet non-medical looking product
Overview
Insulin-dependent diabetics may opt for an insulin pump rather than injections. A pump provides much tighter control of the disease, more flexible eating habits, and lower risk of complications. Insulin pumps rely on disposable infusion sets to deliver insulin to the body. Inserting a set means driving its soft, hollow plastic cannula into the skin with a needle that is then withdrawn; the cannula is affixed to the skin with an adhesive patch and connected via tubing to the pump. Given the development cost (and risk) of designing and producing their own infusion set, Smiths challenged Bridge to help them create a product with significant user benefits over existing designs.
An insulin pump mimics the pancreas, offers convenience and flexibility, and most of all, although there are fewer needles, it means no shots.
Results
Cleo's overarching mission was to make infusion sets easier to live with, from purchase to insertion to disposal. The result of a customer-focused, research-oriented process was a uniquely all-in-one infusion set that's radically different from any competitors': it's an integral sturdy sterile package, easy-to-use insertion tool, comfortable and secure on-body device, and an automatic, needle-safe disposal container. Cleo's unique design and its host of new features reduce complexity, maximize comfort, and ensure safety. A truly collaborative effort between Smiths' engineers and Bridge's industrial designers and researchers, the result exceeded expectations. In an informal race, one user was able to install 10 Cleo's in the time it took his opponent to insert one competitor's set!
» Go to IDSA Awards
» Go to MDEA Awards

Absolute simplicity. Three products in one and only three steps to use.
Our Process
What is Design Research?

Most companies do at least some kind of market research before designing or redesigning their products. This research may be informal, such as input from the sales team on what customers want, or formal, quantitative research, often conducted in focus groups or as part of a larger Six Sigma process. Design research is a fundamentally different way of approaching the innovation process.

Design research means Bridge's designers get immersed in the problem by direct and personal contact and observation of the intended user group. Because we are designers we see issues in a fundamentally different way than market researchers. We are much more interested in "What could be" rather than "What has been". We are not looking to have our users design the product for us by listing out the shortcomings of existing products or suggesting incremental improvements. Instead we are experts at finding out what users really want by understanding the context of how they want the product to fit into their lives. This is how Bridge's designers worked with the engineers at Smiths Medical to create this groundbreaking product.

Immersive Research
We observed dozens of users to learn all the details of how they live with their infusion sets. Candid snapshots gave us unique insight into the nuances how they live with diabetes.



 » Learn more
Immersing ourselves in the issues

Although Bridge already had extensive experience in this area, having designed the CoZmo™ insulin pump, it was important to go back out into the field to confirm or disprove existing theories specific to infusion sets this time. The designers, using a special blend of design research techniques, began immersive research by observing and interviewing dozens of insulin pumpers to learn all the details of how they live with their infusion sets. Disposable cameras and journals sent out in advance allowed the participants to document and ponder their daily routines, giving Bridge unique insight into the nuances of their lives, especially in areas that users have a difficult time articulating. Group and one-on-one interviews followed where Bridge designers discussed, in a structured but flexible format, issues that spanned a wide range of topics (some planned and some serendipitous): education, installation frustrations, pain, infection, scar tissue, fat, clothing, sex, swimming, insurance, general hopes and desires. After several days of videotaped interviews, it became clear that although users can't design their own infusion sets, they do know what they want. They want fast, simple, and foolproof insertion and long-wearing comfort all in a compact design.

Brainstorming

Through years of experience we have observed that better briefed teams are much more innovative, contrary to popular belief that the best ideas will come from people who are unclouded by existing practice. Bridge hosted a briefing session based on our user research, helping Smiths understand and rank customer requirements until the whole team had a deep feel for what users really wanted and needed. The project team (which included people representing an assortment of ranks and roles from both Bridge and Smiths) brainstormed in a series of short "mini-brainstorm" sessions over 2 days. Each mini-brainstorm was structured around a particular question centered on an essential customer desire; ie "How can we reduce & speed steps in the insertion process?"

Brainstorming
This diverse and open minded the team generated 200+ ideas over a 2 day span, of which a handful of them turned out to be the kernels that Cleo was built on.
Conceptualization

Hundreds of brainstorm ideas, from silly to sublime, were documented, ranked for potential, and sorted by Bridge. With more interpretation, thought, and sketching, Bridge designers generated a set of about a half-dozen possible product concepts synthesizing the best of the brainstorm ideas. After a presentation of each concept and discussions about its particular goals, strong points and failings, inherent issues and possible solutions, the team selected the top ideas for further development. The all-in-one set was a clear winner, and happily dovetailed well with an integral inserter tool already underway in Smiths' engineering department.

Concept Development
Although Bridge has the capability to do detail engineering in-house, in this case our role was to ensure the voice of the user was diligently represented throughout the whole process into production.
Prototyping and Refinement

As Smiths engineered Cleo's mechanism and detailed parts for production, Bridge provided design guidance to be sure "softer" user needs were represented in every detail of the design. We helped refine the fastener that locks the infusion set onto the cannula, keeping in mind that people with diabetes may well have impaired manual dexterity. We suggested and detailed the knurled texture of the product's triple-duty sterile packaging/inserter tool/needle-safe container so that it provided a good grippy surface and conveyed a soft drink level of disposability -"twist me open and throw me away". And we guided the overall look of the product, which had to a walk a line between trust-inspiring solidity and guilt-free disposability - with flair and consumer appeal that never announces its user has a medical condition.

Disciplines: Research|ID|UI
Awards: 2003 MDEA SILVER
Clients: Smiths Medical | St. Paul, MN
New to insulin pumping, Smiths needed a compelling product to win market share from a dominant player. Using our design research skills to deeply understand users, we created a product that’s easy to use yet allows complex treatment options through its revolutionary user interface. Its design forced all competitors to improve their usability.
At the time Smiths considered developing this product it was well-known that insulin pumps were beneficial to people with diabetes.  Early research by Smiths indicated that pump users were early adopters prepared to put up with the complexities of then-current insulin pumps.  The challenge was to create a pump that could broaden the user group and bring the benefits to many more people with diabetes.
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How We Helped
  • Created a product personality through the interface that was truly the first insulin pump a wide variety of people with diabetes could use
  • Went from newcomer to #2 in the market in a span of 2 years
  • Shook up the industry: the competition copied key features
  • Garnered great feedback from users
  • Demonstrated to Smiths management that early
Overview

Insulin-dependent diabetics may opt for an insulin pump rather than injections. A pump provides much tighter control of the disease, more flexible eating habits, and lower risk of complications. Insulin pumps rely on disposable infusion sets to deliver insulin to the body. Inserting a set means driving its soft, hollow plastic cannula into the skin with a needle that is then withdrawn; the cannula is affixed to the skin with an adhesive patch and connected via tubing to the pump. Given the development cost (and risk) of designing and producing their own infusion set, Smiths challenged Bridge to help them create a product with significant user benefits over existing designs.
An insulin pump mimics the pancreas, offers convenience and flexibility, and most of all, although there are fewer needles, it means no shots.
Results
Cozmo’s adjustable interface and simple design overcame the obstacle of perceived technical complexity, and provides effective, adjustable diabetes treatment over a variety of treatment options.  Plain English terms, programmability, and personalization make Cozmo simple to use, and better at managing the disease. The overall capability of Cozmo—its ease of use, ability to personalize safety features, small size and weight, larger insulin cartridges, and overall treatment orientation–makes insulin pump therapy a much more attractive alternative to multiple daily injections for the million people in the U.S. with Type I Diabetes and for the two million people with Type II diabetes requiring insulin injections.
Absolute simplicity. Three products in one and only three steps to use.

Our Process
What is Design Research?

Most companies do at least some kind of market research before designing or redesigning their products. This research may be informal, such as input from the sales team on what customers want, or formal, quantitative research, often conducted in focus groups or as part of a larger Six Sigma process. Design research is a fundamentally different way of approaching the innovation process.

Design research means Bridge's designers get immersed in the problem by direct and personal contact and observation of the intended user group. Because we are designers we see issues in a fundamentally different way than market researchers. We are much more interested in "What could be" rather than "What has been". We are not looking to have our users design the product for us by listing out the shortcomings of existing products or suggesting incremental improvements. Instead we are experts at finding out what users really want by understanding the context of how they want the product to fit into their lives. This is how Bridge's designers worked with the engineers at Smiths Medical to create this groundbreaking product.

Immersive Research
We observed dozens of users to learn all the details of how they live with their infusion sets. Candid snapshots gave us unique insight into the nuances how they live with diabetes.

» Learn more
Caution: this is not the usual focus group research

It is important to note that this early discovery phase must be done carefully, with an eye to the fact that it is gathering qualitative data. Those people interpreting the findings must not become slaves to the numbers. A major challenge facing any medical company aiming for a better or even revolutionary product is how to listen for what customers really want in a next-generation solution. Rhall Pope, VP of R&D at Smiths Medical, was faced with this dilemma when they began the Cozmo project. He says, “Because customers of existing products are referenced to the way those products work, it is very hard for them to tell you what they want unless you change the whole framework of how you ask the question.  In most cases they have a hard time thinking the product can even be different. So I think what early design research does is to get the team thinking outside of an existing product model or market perception of what the product should do. Instead it uncovers the value of the product to the user and where this value could be enhanced.”

Brainstorming

Through years of experience we have observed that better briefed teams are much more innovative, contrary to popular belief that the best ideas will come from people who are unclouded by existing practice. Bridge hosted a briefing session based on our user research, helping Smiths understand and rank customer requirements until the whole team had a deep feel for what users really wanted and needed. The project team (which included people representing an assortment of ranks and roles from both Bridge and Smiths) brainstormed in a series of short "mini-brainstorm" sessions over 2 days. Each mini-brainstorm was structured around a particular question centered on an essential customer desire; ie "How can we reduce & speed steps in the insertion process?"

Conceptualization

Hundreds of brainstorm ideas, from silly to sublime, were documented, ranked for potential, and sorted by Bridge. With more interpretation, thought, and sketching, Bridge designers generated a set of about a half-dozen possible product concepts synthesizing the best of3ws the brainstorm ideas. After a presentation of each concept and discussions about its particular goals, strong points and failings, inherent issues and possible solutions, the team selected the top ideas for further development. The all-in-one set was a clear winner, and happily dovetailed well with an integral inserter tool already underway in Smiths' engineering department.

Concept Development
Although Bridge has the capability to do detail engineering in-house, in this case our role was to ensure the voice of the user was diligently represented throughout the whole process into production.
Prototyping and Refinement

As Smiths engineered Cleo's mechanism and detailed parts for production, Bridge provided design guidance to be sure "softer" user needs were represented in every detail of the design. We helped refine the fastener that locks the infusion set onto the cannula, keeping in mind that people with diabetes may well have impaired manual dexterity. We suggested and detailed the knurled texture of the product's triple-duty sterile packaging/inserter tool/needle-safe container so that it provided a good grippy surface and conveyed a soft drink level of disposability -"twist me open and throw me away". And we guided the overall look of the product, which had to a walk a line between trust-inspiring solidity and guilt-free disposability - with flair and consumer appeal that never announces its user has a medical condition.

Disciplines: ID | ERGONOMICS | UI | ENGINEERING
Awards:
Clients: Allergan | Irvine, CA
This patented, pocket-sized drug delivery device, with its novel pump dispenser, allows glaucoma sufferers to accurately administer their own eye medicine. A special challenge for this project was designing for a predominantly over 70-year-old user group.