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Problem Definition

Ambu-bags (Fig 1a) are standard CPR devices that are typically used manually to perform resuscitation. We are looking for someone to design a makeshift emergency ventilator that will squeeze this bag automatically at a specified amplitude and rate. This will be used to keep patients alive while they wait for a proper ventilator. The device can use something like an Arduino and a RC servo or stepper, and a simple user interface to set rate and amplitude. The device should be easy to fabricate so that many of these can be made quickly.

Dimensions of Performance

Simplicity of assembly
How many hours / tools needed to assemble
Number of parts, specialized manufacturing
Safety / reliability
How many problems can this device sense, detect or mitigate
Duplicate sensors, pressure sensors, position encoders
Feature settings
Rate, amplitude, flow profile, ...
User interface
Modular design allowing more complex sensing/control
Cost
Commercial-off-the-shelf components
Minimal sourcing for components

Device Use Case

Dual use: hospital and home setting
Home care use if people are not able to be admitted to a hospital
Temporary hospital usage before access to ventilator is available
Making as few assumptions as possible
Perhaps even EMS usage
Can be used from hours to days (this has already been done manually)
Patients will be sedated and paralyzed
System cannot handle if patient tries to breathe in
Will only be used with intubated patients
Masked ventilation causes aerosolization of virus
Non-ideal rooming situations mean that this needs to be strongly avoided
Marked ventilation is not recommended, even at home → system would need to detect when the patient tries to breathe and support them (pressure support ventilation)
Open source design meant for DIY enthusiasts and hospital technicians, not factory production
Exhalation is a passive process regulated by the PEEP valve such that pressure is maintained in the lungs
The PEEP valve is not a pressure regulator for inhalation, this will be controlled externally
Blood oxygenation is the key metric → ventilator doesn't need to measure CO2, have a gas mixer, etc. as these figures can be read from blood metrics
First use case is ICU's where there is sufficient oversight, then designs will be gradually moved to less supervised settings

This is war time medicine. Less is more.

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