Orbel saves lives by creating the habit of hand hygiene. It tackles the issue of poor hand hygiene compliance in hospitals by offering an immediate, single handed dosing solution that, by design, causes habitual use. The jury should award it because not only it is a beautiful and effective design, but it demonstrates how intelligent design can be used to trigger positive, life saving, subconscious actions. What makes it special is that it is the only solution to hand hygiene that has been truly developed from the bottom up with a complete understanding of users, their environments and their psyche.