Otter Keeps Newborns Warm Without a Reliable Power Supply

Keeping a newborn warm is a medical necessity, not simply a matter of comfort. In hospitals with unreliable electricity, a power outage can interrupt the equipment meant to provide that warmth. Keeping those devices clean and working adds another challenge when replacement parts are difficult to get. It’s easy to admire sophisticated medical technology, but I’m more interested in a basic question here: how well does it work when the hospital can’t count on the infrastructure around it?

The missing mattress is the detail that makes Otter worth a closer look. Developed by US nonprofit Design that Matters and Vietnamese medical device manufacturer MTTS, this portable newborn warmer is designed for hospitals where electricity is unreliable and maintaining equipment can be difficult. Its job is to help keep newborns warm when the infrastructure supporting their care can’t be counted on.

Designers: Design that Matters and MTTS

At first glance, Otter looks closer to a clear hospital bassinet than a complicated piece of medical equipment. Rounded transparent walls sit above a dark base, with a compact display perched along the rim. I like that restraint. A caregiver can see the baby and reach inside without a large enclosure getting in the way, a practical consequence of the open design.

The unusual decision is underneath the baby. Many conductive warmers use a removable water or gel mattress to transfer heat. Otter replaces that component with an integrated, heat-conducting polycarbonate bassinet. According to its Seoul Design Award project description, that removes the problem of replacing torn mattresses and reduces opportunities for exposed heating elements and bacteria in seams. It’s a thoughtful piece of editing: change one component, and several maintenance and hygiene problems become easier to manage.

A firm surface might initially seem like an odd choice for a product intended for newborns. Here, though, the reasoning deserves attention. Design that Matters describes a smooth interior without fabric, seams, or gaps, intended to make disinfection easier between patients. That doesn’t prove fewer infections, and cleaning still has to happen. But designing a surface around the person responsible for cleaning it feels like a particularly useful kind of empathy.

The battery addresses another interruption: losing power. MTTS’s manual says backup power activates automatically when the AC supply stops, with operating time dependent on the number of battery cells installed. That automatic handover matters because it removes a task at an already disruptive moment. Otter still needs recharging, so this is temporary independence from the outlet, not an indefinitely off-grid system. The manufacturer lists its weight with batteries at about 11 pounds.

The controls follow a similarly practical logic. The display provides temperature information and battery status, while an optional skin probe adds patient skin-temperature monitoring. MTTS also lists alarms for heater, sensor, and power failures. I’m more interested in that information being available than in how sophisticated the interface looks. A screen earns its space here by helping staff understand whether the warmer is doing its job and when attention is needed.

Otter also has a role alongside skin-to-skin care. Design that Matters documents its use in Zambia to provide supplemental warming while a mother takes a break from kangaroo mother care. That context makes the product feel more considered to me. A mother needs time to wash, use the bathroom, or rest, and those ordinary needs belong in the design brief. Equipment should accommodate the people providing care as well as the patient receiving it.

None of this makes Otter a home nursery accessory or a substitute for clinical judgment. Its manual specifies operation by qualified personnel, regular checks of the baby’s temperature, and precautions against overheating and burns. Those limits are important precisely because the object looks so approachable. Simpler equipment can make a task easier to perform, but it doesn’t make newborn care a simple task.

Otter is already beyond the concept stage. Design that Matters reports deployment in Vietnam, Zambia, and the Philippines, with more than 800 newborns treated as of January 2026. It also received the 2026 Seoul Design Award Grand Prize. The recognition is welcome, but the more persuasive design argument is in the details: a mattress that doesn’t need replacing, a surface made for cleaning, and backup power that takes over automatically. I’d rather see ingenuity spent on those interruptions than on another feature a busy caregiver has to learn.

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CRA-Carlo Ratti Associati’s Hospital of the Future Puts Nature at the Center of Healing

What if a hospital felt less like a clinical institution and more like a campus you actually wanted to spend time in? That’s the central idea behind the winning proposal for the Hospital of the Future in Brescia, developed by CRA-Carlo Ratti Associati, Park Associati, and Politecnica Building for Humans, alongside a multidisciplinary team including Openfabric, Dotdotdot, Eckersley O’Callaghan, and Studio Mattioli. Unveiled at Teatro Grande in Brescia and attended by regional government officials including the President of Lombardy, Attilio Fontana, the project carries significant institutional weight.

It’s designed around the principles of One Health — the idea that human health, environmental systems, and social infrastructure are fundamentally inseparable — and translates that philosophy directly into architecture. With construction set to begin in 2028 and an investment of approximately $300 million USD, with additional funding expected from the Lombardy Region, it is one of the most ambitious healthcare redesigns in Italy’s recent history.

Designer: CRA- Carlo Ratti Associati, Park Associati & Politecnica Building for Humans

The design takes its structural cues from engineer Angelo Bordoni’s early twentieth-century masterplan — specifically its hexagonal core and radial layout — and reinterprets them as the foundation for something far more porous and alive. Nature doesn’t decorate the edges here; it runs through the entire campus. Patients, staff, and visitors move through landscape as much as through architecture, with views of the Brescia Prealps framed from patient rooms and natural light pulled deep into the building’s core.

The Main Hospital organizes itself around three interconnected wings that open the complex toward the city. At street level, a continuous glazed lobby creates an urban threshold overlooking a new public square — the kind of civic gesture that signals the building belongs to its city, not just its institution. Inside, the logic is deliberately legible: clear circulation, acoustic comfort, calibrated daylight, and spatial proportions that reduce the psychological weight of being in a hospital. Each patient room is treated as a space of recovery first, with landscape connection as a measurable design strategy rather than an afterthought.

The Children’s Hospital takes a different formal approach — three cylindrical volumes of varying heights arranged around terraces and internal courtyards that function as therapeutic gardens. A full-height atrium anchors the entrance, housing play areas and consultation zones within a bright, protected space that reads more like a community building than a ward.

Connecting everything is the CareRing, a continuous ring stretching over one kilometre that separates operational and logistics flows below ground from a tree-lined public landscape above. It’s the project’s most conceptually elegant move: infrastructure that doubles as a park, connecting the campus to the city while embodying the One Health principle that human health and environmental health are the same conversation.

The structure itself uses hybrid timber-and-steel construction with dry assembly techniques, reducing embodied carbon and shortening build time. The modularity is intentional — the building is designed to reconfigure as medical technology and models of care evolve, which at this scale and investment horizon, they inevitably will. The new hospital delivers 60,500 square metres of clinical space and more than 745 beds, with historic pavilions repurposed for academic and research use in partnership with the University of Brescia’s Faculty of Medicine.

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