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Table 1 Core competencies for successful frugal innovation development met by PCM cooling mattresses [33, 37]

From: Review of a frugal cooling mattress to induce therapeutic hypothermia for treatment of hypoxic-ischaemic encephalopathy in the UK NHS

Feature of frugality

Description

Ruggedisation

• Designed to be used in resource-poor settings.

• Made with tough and long-lasting material. Can be repetitively used for over three years.

• No requirement of constant electricity input, other than a fridge to pre-cool PCMs.

Lightweight

• Portable given the size (620 mm × 460 mm) and weight (13 kg) of the device.

• Ideal for transportation.

Human centric design

• Intuitive and easy to use, with no requirement of additional training.

• Comfortable for babies.

Simplification

• Made of essential components to induce TH compared with high-tech servo-controlled cooling devices.

Adaptation

• An extra PCM layer with lower melting temperature can be added to the device to aid cooling and stabilize temperature in environments with high external temperature.

Affordability

• Cost is 1/10th of high-tech cooling devices (about £1800).

• No recurring expenses or maintenance costs.