Design and Development of an Emergency BVM-based Ventilator with 2D Look-up Table Control Algorithm

Document Type : Research Paper

Authors

1 M.Sc., Department of Mechanical Engineering, Tarbiat Modares University, Tehran, Iran

2 Assistant Professor, Department of Mechanical Engineering, Tarbiat Modares University, Tehran, Iran

Abstract

Since the outbreak of Covid-19 in (2019), the number of people suffering from respiratory diseases has not only internationally increased sharply but also the situation for other patients altered severely; therefore, the demand for inexpensive, portable, and utile ventilation medical devices with a high production rate increased and this need must have been met apace especially in less developed and deprived areas. This fact accordingly concerned academics which led to numerous design concepts with different mechanisms. By hiring a multiple criteria decision-making procedure (TOPSIS); we were able to choose the mechanism which meets requirements of our preference criteria. A dual rack and pinion mechanism provided the possibility of mechanical Ambu-bag based ventilation at any specified rate, and a 2-D look-up table-based control algorithm was applied to this work-developed system which takes the advantage of DC motor’s rotational encoder elimination. The calibration procedure and test results are also brought into detail.

Keywords

Main Subjects

References

[1] G. Milavetz, "Global Surveillance, Prevention and Control of Chronic Respiratory Diseases: A Comprehensive Approach," Journal of Pharmacy Technology, Vol. 24, No. 2, pp. 122-122, 2008, doi: https://doi.org/10.1177/875512250802400215.
 
[2] J. B. Soriano et al., "Prevalence and Attributable Health Burden of Chronic Respiratory Diseases, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017," The Lancet Respiratory Medicine, Vol. 8, No. 6, pp. 585-596, 2020, doi: https://doi.org/10.1016/S2213-2600(20)30105-3.
 
[3] S. J. Tzotzos, B. Fischer, H. Fischer, and M. Zeitlinger, "Incidence of ARDS and Outcomes in Hospitalized Patients with COVID-19: A Global Literature Survey," Critical Care, Vol. 24, No. 1, pp. 1-4, 2020, doi: https://doi.org/10.1186/s13054-020-03240-7.
 
[4] World Health Organization, "Clinical Management of Severe Acute Respiratory Infection (SARI) When COVID-19 Disease Is Suspected: Interim Guidance, 13 March 2020," (No. WHO/2019-nCoV/clinical/2020.4) World Health Organization, 2020, https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf.
 
[5] C. Guérin and P. Lévy, "Easier Access to Mechanical Ventilation Worldwide: An Urgent Need for Low Income Countries, Especially in Face of the Growing COVID-19 Crisis," Vol. 55, No. 6, 2020, doi: https: 10.1183/13993003.01271-2020.
 
[6] B. El Majid, A. El Hammoumi, S. Motahhir, A. Lebbadi, and A. El Ghzizal, "Preliminary Design of an Innovative, Simple, and Easy-to-build Portable Ventilator for COVID-19 Patients," Euro-Mediterranean Journal for Environmental Integration, Vol. 5, No. 2, p. 23, 2020, doi: https://doi.org/10.1007/s41207-020-00163-1.
 
[7] A. M. Al Husseini, H. J. Lee, J. Negrete, S. Powelson, A. T. Servi, A. H. Slocum, and J. Saukkonen, "Design and Prototyping of a Low-cost Portable Mechanical Ventilator," Transactions of the ASME-W-Journal of Medical Devices, Vol. 4, No. 2, p. 027514, 2010, doi: 10.1115/1.3442790.
 
[8] T. Ort et al., "MIT Emergency-vent: An Automated Resuscitator Bag for the COVID-19 Crisis," in 2021 43rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2021: IEEE, pp. 4998-5004, doi: https://doi.org/10.1109/EMBC46164.2021.9630882.
[9] O. M. Blacker D, Wettergreen M, Kavalewitz A, Malya R, Cruz F. OEDK. "ApolloBVM - Emergency Use Ventilator." https://oedk.rice.edu/apollobvm/ (accessed 14 Jan, 2023).
 
[10] R. Malya et al., "A Novel Augmentation Device for Ventilation Utilizing the Bag Valve Mask in Ems and Resource Limited Settings," Circulation, Vol. 140, No. Suppl_1, pp. A14208-A14208, 2019, https://www.ahajournals.org/doi/abs/10.1161/circ.140.suppl_1.14208.
 
[11]"Open-Source Ventilator." http://opensourceventilator.ie/.
 
[12] R. L. Kshetry et al., "Design and Analysis of a Low-cost Electronically Controlled Mobile Ventilator, Incorporating Mechanized AMBU Bag, for Patients during COVID-19 Pandemic," Journal of Healthcare Engineering, Vol. 2022, 2022, doi: https://doi.org/10.1155/2022/6436818.
 
[13] A. Petsiuk, N. G. Tanikella, S. Dertinger, A. Pringle, S. Oberloier, and J. M. Pearce, "Partially RepRapable Automated Open Source Bag Valve Mask-based Ventilator," HardwareX, Vol. 8, p. e00131, 2020, doi: https://doi.org/10.1016/j.ohx.2020.e00131.
 
[14] Z. Fang, A. I. Li, H. Wang, R. Zhang, X. Mai, and T. Pan, "AmbuBox: A Fast-deployable Low-cost Ventilator for COVID-19 Emergent Care," SLAS Technology, Vol. 25, No. 6, pp. 573-584, 2020, doi: https://doi.org/10.1177/2472630320953801.
 
[15] A. Christou, M. Ntagios, A. Hart, and R. Dahiya, "GlasVent—The Rapidly Deployable Emergency Ventilator," Global Challenges, Vol. 4, No. 12, p. 2000046, 2020, doi: https://doi.org/10.1002/gch2.202000046.
 
[16] J. Arcos-Legarda and A. Tovar, "Mechatronic Design and Active Disturbance Rejection Control of a Bag Valve-based Mechanical Ventilator," Journal of Medical Devices, Vol. 15, No. 3, p. 031006, 2021, doi: https://doi.org/10.1115/1.4051064.
 
[17] B. D. Singer and T. C. Corbridge, "Basic Invasive Mechanical Ventilation," South Med J, Vol. 102, No. 12, pp. 1238-45, 2009, doi: https://doi.org/10.1097/smj.0b013e3181bfac4f.
 
[18] R. Diaz and D. Heller, "Barotrauma and Mechanical Ventilation," StatPearls Publishing, Treasure Island (FL), 2023, https://www.ncbi.nlm.nih.gov/books/NBK545226/.
 
[19]      K. P. Yoon and C.-L. Hwang, Multiple Attribute Decision Making: An Introduction. Sage publications, 1995, https://doi.org/10.4135/9781412985161.
 
[20] P. Cajander, L. Edmark, R. Ahlstrand, A. Magnuson, and A. de Leon, "Effect of Positive End-expiratory Pressure on Gastric Insufflation during Induction of Anaesthesia When using Pressure-controlled Ventilation via a Face Mask: A Randomised Controlled Trial," European Journal of Anaesthesiology, Vol. 36, No. 9, p. 625, 2019, doi: https://doi.org/10.1097%2FEJA.0000000000001016.
 
[21] R. L. Chatburn, M. El-Khatib, and E. Mireles-Cabodevila, "A Taxonomy for Mechanical Ventilation: 10 Fundamental Maxims," Respiratory Care, Vol. 59, No. 11, pp. 1747-1763, 2014, doi: https://doi.org/10.4187/respcare.03057.
 
[22] L. Ashworth, Y. Norisue, M. Koster, J. Anderson, J. Takada, and H. Ebisu, "Clinical Management of Pressure Control Ventilation: An Algorithmic Method of Patient Ventilatory Management to Address “Forgotten but Important Variables”," Journal of Critical Care, Vol. 43, pp. 169-182, 2018, doi: https://doi.org/10.1016/j.jcrc.2017.08.046.
 
[23] K. Deden, "Ventilation Modes in Intensive Care," Lübeck, Germany: DrägerwerkAG & Co, 2010, https://www.draeger.com/Content/Documents/Content/nomenklatur-bk-gesamt-9066477-en_new.pdf.
 
[24] A. Mora Carpio and J. Mora, "Ventilation Assist Control," StatPearls [Internet]. StatPearls Publishing, 2022, https://pubmed.ncbi.nlm.nih.gov/28722886/.
                                   
Iranian Journal of Mechanical Engineering Transactions of the ISME
Volume 24, Issue 2 - Serial Number 41
September 2023
Pages 42-59

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