Brilliance Phototherapy Device
A blue LED-based phototherapy device for treatment of neonatal jaundice.
Phoenix Medical Systems Private Ltd in Chennai India manufactures, distributes, and sells Brilliance under a license from [D-Rev] (http://d-rev.org/2010/12/brilliance-is-licensed-to-phoenix-medical/ “Brilliance Blog Post – December 22, 2010”)
Retail $400 USD (22,000 INR) in India, [$500 USD outside of India]( http://d-rev.org/2010/12/brilliance-is-licensed-to-phoenix-medical/ “Brilliance Blog Post – December 22, 2010”)
Firefly; Medela Bilibed; Draeger Photo-Therapy; BluLine Phototherapy; Breath of Life (BOL) Phototherapy; Natus neoBLUE
Goal  (http://www.un.org/sustainabledevelopment/sustainable-development-goals/ “http://www.un.org/sustainabledevelopment/sustainable-development-goals/”): to improve and promote good health.
Newborns with mild to severe jaundice. 1 in 6 babies require treatment for jaundice. If not treated these babies are at risk of brain damage or death.
[Hospitals and clinics] (https://d-rev.s3-us-west-2.amazonaws.com/assets-old/pdf/D-Rev-Press-Release-Unprecedented-Licensing-Agreement-Dec-22-2010.pdf “https://d-rev.s3-us-west-2.amazonaws.com/assets-old/pdf/D-Rev-Press-Release-Unprecedented-Licensing-Agreement-Dec-22-2010.pdf”) with neonatal intensive care units (NICUs) or special newborn care units (SNCUs) in developing countries.
Manufacturing & delivery
[Mass produced] (http://www.gsb.stanford.edu/sites/default/files/documents/BrillianceII-AchievingImpactThroughLicensing.pdf “Stanford Graduate School of Business Innosight Innovation Series ‘Brilliance II: Achieving Impact Through Licensing’ June 2012”)
[Patented] (http://www.focusingphilanthropy.org/registryitem.asp?ID=851&title=D-Rev “http://www.focusingphilanthropy.org/registryitem.asp?ID=851&title=D-Rev”)
For sale globally through Phoenix Medical Systems. Online sales inquiry [form:] (http://d-rev.org/brilliance-inquires/ “http://d-rev.org/brilliance-inquires/”)
As of November 2015 D-Rev reported 96,400 babies treated with Brilliance, 81,200 babies treated who would not otherwise have received effective treatment, 1,300 newborn deaths and disabilities averted, based on 1,204 unit installed in 15 countries.^Interview ^with ^representative
Performance & use
* Overall Dimensions: 159.5 cm (height) x 71 cm (width) x 71 cm (depth)
* Light Unit Dimensions: 57.5 cm (length) x 36 cm (width) x 6 cm (depth)
* Total Unit Mass: 20 kg
* Footprint of Stand: 71 cm (length) x 71 cm (width) x 13 cm (depth)
* Height of Base <7.5 cm
* Castors: 2 Lockable
* Height Adjustment Range: 110 cm-160 cm (distance between bottom surface and ground)
* Recommended treatment distance: 35 cm
* Electrical supply: voltage 100-240 VAC ~; frequency 50/60 Hz
* Max power consumption: [60 W] (http://www.d-rev.org/assets/Brilliance_Product_Overview_India.pdf “Brilliance Product Overview http://www.d-rev.org/assets/Brilliance_Product_Overview_India.pdf”)
Illustration available via designer’s [website:] (http://d-rev.org/products/brilliance/?a=design “http://d-rev.org/products/brilliance/?a=design”)
Several hours of training required for physicians, nurses, or midwives who will be responsible for placing infant under the device and overseeing their [care] (http://www.mnhtech.org/uploads/Phototherapy.pdf “Maternal and Neonatal Directed Assessment of Technology-Phototherapy”)
Brilliance LEDs last over 50,000 hours (compared to 3,000 hours for fluorescent bulbs) and will not need to be replaced for the life of the device. Use of LEDs has minimized maintenance requirements as they require replacement every 10 years compared to other common phototherapy devices that use compact fluorescent light bulbs that require replacement every [3-5 months ] (http://d-rev.org/wordpress/wp-content/uploads/2014/07/Brilliance_USD500.pdf “D-Rev Brilliance overview document”)
* Lifetime of [10 years] (http://www.mnhtech.org/uploads/Phototherapy.pdf “http://www.mnhtech.org/uploads/Phototherapy.pdf”) with proper care and maintenance [(assuming 18 hrs usage per day)] (http://d-rev.org/wordpress/wp-content/uploads/2014/07/Brilliance_USD500.pdf “D-Rev Brilliance overview document”),
* Warranty information available from [Phoenix Medical Systems.] (http://www.phoenixmedicalsystems.com/products/infant-care-products/jaundice-management?page=shop.product_details&flypage=flypage.tpl&product_id=19&category_id=5 “http://www.phoenixmedicalsystems.com/products/infant-care-products/jaundice-management?page=shop.product_details&flypage=flypage.tpl&product_id=19&category_id=5”)
* Peak Spectral Irradiance: > 40 µW/cm²/nm (at recommended treatment distance measured with Ohmeda Medical BiliBlanket II Meter)
* Peak Wavelength: 450 – 465 nm
* Emission Spectrum: 445 – 470 nm (maximum bounds of FWHM range)
* Effective Surface Area: 25 cm x 50 cm at recommended treatment distance
* Irradiance Ratio: >0.4 (minimum/maximum irradiance)
* Time Totalizer: Machine run time totalizer; [Therapy time totalizer] (http://www.d-rev.org/assets/Brilliance_Product_Overview_India.pdf “‘Brilliance Product Overview’ http://www.d-rev.org/assets/Brilliance_Product_Overview_India.pdf”)
During tests at Stanford University School of Medicine, Brilliance outperformed state-of-the-art phototherapy devices (that often cost upwards of $3,000 USD). Brilliance was also found to meet American Academy of Pediatrics standards for effective jaundice [treatment] (http://www.d-rev.org/assets/Brilliance “http://www.d-rev.org/assets/Brilliance”) Brilliance received CE mark in October 2013, certifying that the product meets European Union standards for [safety and quality.](http://d-rev.org/products/brilliance/ “http://d-rev.org/products/brilliance/”)
Stanford University School of Medicine.
Error in obtaining the proper distance between the patient and the phototherapy device can result in under or over dose of the [patient] (http://www.mnhtech.org/uploads/Phototherapy.pdf “http://www.mnhtech.org/uploads/Phototherapy.pdf”)
Eye covers; Gonad covers; [Bassinet] (http://www.mnhtech.org/uploads/Phototherapy.pdf “http://www.mnhtech.org/uploads/Phototherapy.pdf”)
Research & standards
Poster presentation at 2011 Pediatric Academic Socies (PAS) and Asian Society for Pediatric Research (ASPR) conference in Denver Colorado. “Evaluation of an Affordable LED Phototherapy Device for Resource-Limited Settings” B. K. Cline, H. J. Vreman, H. H. Lou, K. M. Donaldson, V. K. Bhutani, D-Rev: Design for the Other 90%, Palo Alto, CA; Dept. of Mechanical Engineering, Stanford University, Stanford, CA; Div. Of Neonatology, Dept. of Pediatrics, Stanford University, [Stanford, CA](http://www.d-rev.org/assets/2011_PAS_Poster_Brilliance_Benchtop_Results.pdf “http://www.d-rev.org/assets/2011_PAS_Poster_Brilliance_Benchtop_Results.pdf”)
IEC 60601, Safety and Effectiveness of Medical Electrical Equipment, International Electrotechnical Commission
ISO 14971, Medical devices – Application of risk management to medical devices, International Organization for Standardization
ISO 15223-1: Medical devices – Symbols to be used with medical device labels, International Organization for Standardization
American Academy of Pediatrics phototherapy standard: >30 μW/cm2/nm.
Additionally, Phoenix Medical Systems (manufacturer) holds the following standards: ISO 9001:2000 and ISO 13485:2003 certifications, International Organization for Standardization
Stanford University study used the Standardized Bench Method (as referenced by: VremanHJ, Wong RJ, Murdock JR, Stevenson DK. Standardized bench method for evaluating the efficacy of phototherapy devices. Acta Paediatr 2008; 97: 308-316.)
Have you used this product? Seen it in the field? We invite you to share your experience, including photos and videos.