 So Andreas who are you and why are you here? I'm Andreas Larsson from MSF in Sweden I'm here to showcase a new autoclave concept so a steam sterilizer to sterilize surgical instruments in the field. Okay and so first you're saying new and so that implies that we have an existing solution so far for steam sterilization of surgical instruments. Yes. A big thing called a TVM90 as far as I'm aware. Yes and there are several different types of systems for this but one of the there are several problems today with the existing systems. I mean it's you know partly difficult to use, consumes a lot of water for instance and there's a lot of valves to you know take care of. It's quite technical. Quite technical it takes a long time as well but the most important thing we don't really know for complex instruments like hollow, cannular instruments if the sterilization quality is good enough. So there's questions of quality and that has implication for infection for patients also. Exactly. I mean a brief word Dr. Jay about the importance of decent sterilization. I think it's really important. I think we struggle in most of our projects especially the surgical projects to sterilize equipment. Just one question. Can you Andreas can you tell us what's different about your product? Why is it an improvement on what's already available? First of all it's the existing solutions are great in many cases so it's not this is not for all situations but for example in orthopedic surgery we really need to to to have the highest level of quality. The existing solutions are not good enough. Part of the improvements are resource efficiency. So we use 70% less water and the average cycle completion time the time it takes to actually sterilize thing is about half the time. But most importantly we have been able to ensure now and verify that this actually meets the highest level of sterilization which we also have proved that the existing auto case don't don't do that for these hollow devices. So we've been using an electronic testing system as a complement to the traditional which is called bio-addict tests and it shows that this is this is an improvement and we we're actually also updating our let's say in infection control guidelines to to make sure that that we know when to use this kind of machines and when to use the others and so on. In fact the elephant in the room is where is your machine Yes I couldn't bring it today I mean it's a 350 kilo machine and I would have loved to bring it here but it's actually on its way to Haiti because the next six months we're going to feel tested there because obviously we are tested in in the training space in Brussels. So you don't beat the testing already? We've done these testing we know we're done parallel tests with existing machines but you know in the field where it's matter where it matters we see how people will use it is it easy to replace parts is it easy to maintain does it do what we think we'll do so six months of testing in Haiti first of all and then we can say what what. Haiti is an interesting context because as far as I'm aware it's a very high-level hospital they provide orthopedic surgery if I'm not wrong and so you've given yourself a real challenge is the first test you're not making it easy for yourself. No but I mean that's the context I mean if we'll send this to to another context where you don't have the electricity you don't have that kind of stable infrastructure this machine is not the right machine right and it was it was Kunduz which unfortunately I mean it's in Afghanistan and it's Haiti so now we're sending it to Haiti and that's like a very good test for this machine it will be in the next month so and so one of the challenges I've heard about Haiti is the fact that they use the American electrical system and so 110 volts and 60 Hertz is opposed to 240 and 50 Hertz yeah I mean that we know that I mean designing something testing it you know it's a totally different ballgame I think I mean in the end we will have to make probably a lot of adjustments in the field and we have people from the manufacturer that's coming there and we have sterilization export experts on board back in Europe. So this is a team effort as far as I understand it's MSF there's a private company and there's the sterilization experts attempt to work on the customer quality can you talk more about that relationship? Yeah I think I mean the partnership is crucial because obviously within MSF we don't know all these kind of things and we have PhDs in sterilization that really knows how to manipulate these processes and make them work effectively and we have universities that have been working on on the heater elements because they break down in the previous versions and that kind of stuff to make sure I mean people have been let's say dry boiling instruments for 50,000 euros you know because you forgot to put in water you need to you know prevent those kind of things from happening as well so this large network of private companies experts consultants obviously within MSF and also with ICRC and other organizations that have similar issues I think. Fantastic great well good luck in Haiti because that's the real test that's coming up and we look forward to finding out more and I'm where can we find out more information about this under the MSF Sweden innovation website is that correct? Yeah exactly. So you can follow your project live. Yeah and through the MSF innovation Twitter account as well we will update from the field when we will test it. So as a reminder that's at MSF underscore innovation is that correct? Exactly. You're going to give us live tweets when the thing goes bang in Haiti the first time. Yeah. Good congratulations. Thank you very much.