A woman whose epilepsy was greatly improved by an experimental brain implant was devastated when, just two years after getting it, she was forced to have it removed due to the company that made it going bankrupt.

As the MIT Technology Review reports, an Australian woman named Rita Leggett who received an experimental seizure-tracking brain-computer interface (BCI) implant from the now-defunct company Neuravista in 2010 has become a stark example not only of the ways neurotech can help people, but also of the trauma of losing access to them when experiments end or companies go under.

192 points

Oh great so even physical ownership doesn’t even mean you own something anymore

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96 points

As much as I share this sentiment in general, in this case its probably more likely that this has something to with liability if something goes wrong with the implant. And I would bet the company never released the schematics and code so that aint helpin.

Could prob be solved if implants would be required to be open source so that third party servicing could happen.

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115 points

Companies that aren’t actively using their IP should be forced to license it to someone who will, or put it in the public domain.

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50 points

All of their code and specs should be required to be put into escrow in case they go out of business.

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6 points

That doesn’t seem like the best idea with expiramental implants. I doubt anyone would want to take on the liability for some defunct company’s implant because there’s no upside for them to do so and a lot of downsides.

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2 points

As part of unwinding a company that is going out of business, they usually do sell off their IP. That doesn’t mean that anyone will continue this particular experiment.

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30 points

Liability could be easily signed away by the patient if she felt that leaving it was a better option. And she/the family can’t sue if the removal makes things worse now, because the company won’t exist. Seems leaving it in was a better risk.

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13 points
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I can’t believe they did a surgery on her without already giving her this option. This is basic bodily autonomy human rights stuff, doctors are not going to do any surgery on a human being because a third party asked them to, and the patient didn’t consent. It’s not something that happens outside of Nazi Germany, with exceptions only in the case where a person’s advance directives are activated; or they are completely incapacitated with no AD.

I suspect they told her the risk of the device killing her or making her life worse was either extremely high, or impossible to judge, and she made the decision on her own to get rid of it. To be clear this is a travesty, and the people running the responsible company should face severe consequences, but I think we’re going off the deep end if anyone believes she was not given an option in this matter. Doctors will straight up leave stuff in you that will kill you if they can’t obtain your consent to fix it.

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14 points

I am guessing/hoping that the device needed maintenance and since nobody can maintain it, it’s removed for safety reasons. I think They wouldn’t perform surgery without such a safety need.

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12 points

The BEST timeline.

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7 points

Sounds like she was in a trial so probably didn’t pay for it and doesn’t own it.

It’s still kind of fucked up that she has to have surgery to remove it but she probably agreed to these terms before it was installed.

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155 points

Clickbait title for extra sensationalism. Nobody physically forced her to have the surgery to remove the implant.

I sympathize with this woman however it was part of the trial for it to be switched off and removed at the end of the trial, which is what she agreed to, though it does raise a lot of questions about medical trials/procedures involving implants.

If the company no longer exists but let her keep the implant, what happens when something goes wrong? Who is responsible, who do medical professionals trying to help with what went wrong contact for context, who bears the cost, what happens if it’s hacked, etc etc. If it was left in and she ended up dying, it’s guaranteed that headlines will talk about it being irresponsible and medical malpractice.

Fwiw, reading the MIT review, this device didn’t prevent her seizures, but monitored brainwave activity and used an algorithm to predict the likelihood of an imminent seizure. She seems to have been an edge case in terms of successi in the trial.

It seems the issue is that this gave her confidence to leave the house to do things. Prior to that she very rarely left the house because of the unpredictability of her seizures. It must suck to have that confidence, and therefore freedom, taken away.

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30 points

It must suck to have that confidence, and therefore freedom, taken away.

It does, yeah.

Thanks for the comment, I was sitting here shitting, thinking how exactly did a company force someone to have brain surgery. Very sensationalist indeed.

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14 points

Did you read it?

She and her husband attempted to fight the demand, attempting to buy the implant outright and, as University of Tasmania ethicist and paper coauthor Frederic Gilbert told the Tech Review, remortgaging their house to do so. They were unsuccessful, and she was the last person to get the Neuravista BCI removed.

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124 points

As a nurse I find it very problematic that they could force her to have brain surgery to retrieve their property.

It might be understandable that they turn it off or stopp support, if it was experimental and the device didn’t pass the necessary aprovals.

But forcing her to have an invasive procedure on her brain with so many dangerous risks. This should be illegal.

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50 points

Yeah theres a lot here that stinks, I’m going to have to find more sources on it.

This clearly violates informed consent, and a whole bunch of study related laws, and laws involving patient care and risks of invasive procedure.

She had to agree to the surgery to remove it at some point, and it could not have been in informed consent documentation, because she could have revoked that agreement before the surgery.

I doubt this story. I really doubt this.

However, I don’t know shit about fuck about Australian law.

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21 points

One relevant detail is that this was not a self contained device, it was for monitoring likelihood of seizures and had an external wireless interface. So my guess (this is pure speculation) on what happened is, the company owned the monitoring device, and the signals from the in-brain device were proprietary and encrypted. They couldn’t force her to have surgery but they could take back the external interface which was their property, and without that the in-brain device did nothing. Then the patient agreed to surgery because there was no further benefit to keeping it in her head and probably greater health risks to doing so.

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0 points

I’m sure if she revoked the informed consent they never would have done the implant to begin with. It’s an experimental procedure so you kind of need to agree to being expiramented on to participate.

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5 points
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You can revoke your informed consent agreement at any time, including after a study has concluded, though it doesn’t usually do you much good after it’s done. it specifically means that you no longer agree to understanding the risks and benefits.

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An awful lot of EULAs (software or otherwise) include odious clauses or terms easily misused. I daresay even most, since US and international contract law is heavily biased towards industrial corporations being permitted to include and enforce such terms.

Often, court cases are about arguing that a clause in question is, in fact, odious and unenforceable without causing undue suffering.

If the patient dies or suffers permanent health effects from the extraction surgery, I anticipate a wrongful death lawsuit may well follow.

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2 points

Such EULAs are often pointless in Australia, and she is Australian, as it is impossible for an Australian to sign away any of their rights.

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-6 points

I mean if she agreed to it by contract there’s not much to argue.

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17 points

You can’t just put anything in a contract and say you can’t argue it.

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-3 points

You can. They can do the surgery or they can be sued, it’s a binary choice.

Morals are a different story but legally no, it’s quite clear and arbitration agreements are pretty literally sections of contracts that say you can’t argue certain things in certain ways.

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She and her husband attempted to fight the demand, attempting to buy the implant outright…

It was compulsory brain surgery for a repo.

In other words the company interests superceded the patient’s

This is the sort of inciting incident that triggers cyberpunk dystopian adventures that conclude in a blaze of electrical grid collapses, warehouse explosions and mass spiritual awakening. Then the protagonist moves to Amsterdam.

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28 points

It was compulsory brain surgery for a repo. … This is the sort of inciting incident that triggers cyberpunk dystopian adventures

Sure is.

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9 points

That was my first thought as well. Glad to see it posted, because it’s sort of a niche cult classic.

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7 points

I still can’t believe how good it is.

Paris Hilton is a good actress in this film.

Fuckin’ wild.

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5 points

Fingers crossed this woman doesn’t end up with a Zydrate addiction. It comes in a little glass vial, you know.

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4 points

A little glass vial?

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4 points

Reminds me of repo, the generic opera.

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91 points

I feel like maybe research on medical implants like this should be done by the state.

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69 points

At least, when the company goes defunct, they should be forced to sell it to a company that’s required to maintain the upkeep for products using the IP they bought or the government should eminent domain

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29 points
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So should a lot of research, for public benefit. Medical absolutely, space absolutely.

The problem with that model is no one acquires immoral levels of wealth, which means those that set policy don’t get as large of bribes.

And as a species, our actions have spoken on no uncertain terms, we’d literally rather destroy our only habitat and ourselves then let go of the dream of living like modern Pharoahs on the backs of others.

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4 points

You’re not wrong, and I hate that about your comment.

Take your upvote and go.

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-16 points

What could possibly go wrong with your idea

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17 points
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It got us to the moon.

Then we decided to sell off our society for private profit under the lie that we’d all benefit.

Biggest reason this country has gotten this cartoonishly shitty, why our commons like bridges are literally collapsing.

Public research was slower and more considered, as it didn’t have the very unscientific sole goal of “how do we monetize this half-baked discovery NOW?!” with no other consideration let alone to societal consequences, but publically funded research yielded social benefits we all reaped through the commons. Reckless growth/metastasis for private profit is giving us technologies that make us miserable and that only truly benefit private shareholders at our expense. Plus you know, the whole reverse terraforming our only world against us, again for short term private profit.

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5 points

OK, good point. Research yes. Somebody still needs to control and manage the things. That concerns me. I’m not imagining a medical /brain implant version of nasa. My problem is when politicians start imposing politics to the situation. I don’t want the governments or private companies dicking around in my brain imposing fad or outrage of the day changes. Standards good, control, not so good.

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3 points

For-Profit Medical Corporations would miss out on some lowest effort, unethical, low margins for their extreme profiteering opportunities?

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