Smart hearing health: a world first all-in-one assessment system

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Team Consulting supported a start-up company, TympaHealth, in the design, development and commercialisation of the world's first all-in-one hearing health assessment system. The TympaHealth device is a portable smartphone-enabled otoscope with accompanying smartphone app. It allows trained staff to carry out a full ear examination and hearing test and to safely perform ear wax removal with microsuction. Within 15 months, Team achieved the industrialisation and CE marking of this Class I medical device, compliant with the MDR.


Client: TympaHealth

Sector: MedTech


  • Industrial design
  • Human factors
  • Optical
  • Electronics
  • Mechanical
  • Quality
  • Design for manufacture
  • Project management
  • Manufacturer management

Team staff on project: 10

Poster for the UX Design Awards 2020 showing the portable otoscope


Smart hearing health

Half a billion people in the world currently suffer from hearing loss. Unfortunately, whilst hearing can often be improved by simple ear wax removal, access to hearing services is disjointed. Patients often go back and forth between ear wax removal services and hearing test/aid providers.

Our client, TympaHealth, an investor-funded start-up company, had a vision for a portable all-in-one hearing health assessment system which allows health professionals to deliver the whole ‘ear clinic’ in the community. This vision required the commercialisation of a smartphone-enabled otoscope device and accompanying app.

We advanced the client’s initial product vision through two stages of development by applying user feedback gained during use of a first generation ‘pilot’ system. We identified and introduced new features whilst optimising usability and handling for a second generation ‘commercial’ system. These iterations involved our designers and engineers working seamlessly with a Singapore-based manufacturing partner selected by Team Consulting for TympaHealth.


The device

The TympaHealth device comprises an ergonomically designed handle, cradle and speculum. Using smartphone technology and a custom designed lens system to capture and share images, the design allows healthcare associates to conduct a high-definition assessment of the ear with ease.


Usability and ergonomics

Feedback from clinical studies informed our critical decision to reconfigure the handle design to improve usability and ergonomics. By building the handle at an angle, the device can be held more comfortably for longer periods of time by both left and right-handed users, without compromising grip or control.

Illustration of someone using the digital otoscope phone attachment

"As a designer, it’s been a privilege to be part of TympaHealth’s journey, helping them develop their initial concept through two generations of devices and realising their vision to bring their product to market. This is a dream project for any designer or engineer; working with a start-up company who appreciate the challenges of medical device development and allow the design team the flexibility to explore different options and push the boundaries of what is possible." Steven McLellan, Senior Consultant, Team Consulting.



The system uses a smartphone camera to capture and record images of the ear canal. By introducing a custom-designed optical system in the device, we were able to improve image quality to meet the needs specified by healthcare professionals. The design of the optics evolved through a series of functional engineering prototypes. These prototypes varied in fidelity, from early rigs set-up on an optical bench to fully functional handheld prototypes with replaceable lenses.

"Following user feedback, we fined-tuned the optical system to ensure a commercially viable product which provides high image quality, usability and appropriate cost of manufacture. The feedback from healthcare professionals was crucial to the development of the device. We established a program of work early on and developed representative prototypes which were critical to enable optimisation of the optical system." Steven Fowler, Senior Consultant, Team Consulting.



Outer ear illumination was another key component necessary to creating a clear image. The 1st generation device used the integrated flash of the smartphone. However, to enhance image quality, the outer ear required higher intensity illumination. To achieve this, we incorporated battery-powered LED illumination into the base of the speculum, fitting components within the handle to ensure suitable weight distribution. In addition, we developed a charging base to provide power to both the phone and cradle between uses.

View of the digital otoscope electronics being assembled


We helped TympaHealth select ISO 13485 accredited manufacturing partners based in Singapore, and worked with them to optimise the design for manufacture. Because of the relatively low production volumes, the device was designed for hand-assembly. Components were produced using methods including die casting, machining and injection moulding. We managed the fabrication and assembly of printed circuit boards at a subcontractor level.

View of the digital otoscope manufacturing process

"Team’s ability to understand TympaHealth’s technical requirements, design challenges, to make critical decisions, evolve the design and produce prototypes quickly allowed TympaHealth to conduct numerous rounds of user studies (enhancing the design in the process) and obtain universal positive user feedback to secure funding and produce commercially viable products." Dr. Krishan Ramdoo, Founder and CEO, TympaHealth.

To read more information, click here.

Team Consulting is a multi-award winning medical device design consultancy serving a global client base from a 13th century barn in the Cambridge countryside.

Team Consulting Ltd