Humans have lots of basic requirements that need to be met in order to stay alive. Food is a necessary one, though it’s possible to go without for great stretches of time. Water is more important, with survival becoming difficult beyond a few days in its absence. Most of all, though, we crave oxygen. Without an air supply, death arrives in mere minutes.
The importance of oxygen is why airway management is such a key part of emergency medicine. It can be particularly challenging in cases where there is significant trauma to the head, neck, or surrounding areas. In these cases, new research suggests there may be an alternative route to oxygenating the body—through the rear.
What would it be like to have to design and build a ventilator, suitable for clinical use, in ten days? One that could be built entirely from locally-sourced parts, and kept oxygen waste to a minimum? This is the challenge [John Dingley] and many others faced at the start of COVID-19 pandemic when very little was known for certain.
Back then it was not even known if a vaccine was possible, or how bad it would ultimately get. But it was known that hospitalized patients could not breathe without a ventilator, and based on projections it was possible that the UK as a whole could need as many as 30,000 ventilators within eight weeks. In this worst-case scenario the only option would be to build them locally, and towards that end groups were approached to design and build a ventilator, suitable for clinical use, in just ten days.
A ventilator suitable for use on a patient with an infectious disease has a number of design constraints, even before taking into account the need to use only domestically-sourced parts.
[John] decided to create a documentary called Breathe For Me: Building Ventilators for a COVID Apocalypse, not just to tell the stories of his group and others, but also as a snapshot of what things were like at that time. In short it was challenging, exhausting, occasionally frustrating, but also rewarding to be able to actually deliver a workable solution.
In the end, building tens of thousands of ventilators locally wasn’t required. But [John] felt that the whole experience was a pretty unique situation and a remarkable engineering challenge for him, his team, and many others. He decided to do what he could to document it, a task he approached with a typical hacker spirit: by watching and reading tutorials on everything from conducting and filming interviews to how to use editing software before deciding to just roll up his sleeves and go for it.
We’re very glad he did, and the effort reminds us somewhat of the book IGNITION! which aimed to record a history of technical development that would otherwise have simply disappeared from living memory.
You can watch Breathe for Me just below the page break, and there’s additional information about the film if you’d like to know a bit more. And if you are thinking the name [John Dingley] sounds familiar, that’s probably because we have featured his work — mainly on self-balancing personal electric vehicles — quite a few times in the past.
Join us on Wednesday, May 5 at noon Pacific for the Open-Source Oxygen Hack Chat with Maher Daoudi and the OxiKit Team!
In such tumultuous times, it may be hard to remember last week, let alone last year. But if you dig back a bit, you may recall what a panic the world was in at this point in 2020 about the ventilator crisis. With COVID-19 cases on the rise and the potential for great numbers of patients needing intensive care, everyone and their brother was hacking together makeshift ventilators, in the well-intentioned belief that their inventions would help relieve the coming shortage of these lifesaving medical mechanical miracles.
As it came to pass, though, more COVID-19 patients have benefited from high-flow oxygen therapy than from mechanical ventilation. That’s great news in places where medical oxygen is cheap and easily available, but that’s always the case. We’ve seen recent reports of hospitals in India running out of oxygen, and even rural and remote areas of the developed world can find themselves caught without enough of the vital gas.
To meet the world’s increasing demand for high-flow oxygen therapy, the team at OxiKit has developed an open-source oxygen concentrator that can be built for far less than what commercial concentrators cost. By filtering the nitrogen out of the air, the concentrator provides oxygen at 90% or higher purity, at a flow of up to 25 liters per minute.
Oxikit founder Maher Daoudi and some of the technical team will join us for this Hack Chat to discuss the details of making oxygen concentrators. We’ll learn about how they work, what the design process for their current concentrator was like, and how they got past the obstacles and delivered on the promise of high-flow oxygen for the masses.
Click that speech bubble to the right, and you’ll be taken directly to the Hack Chat group on Hackaday.io. You don’t have to wait until Wednesday; join whenever you want and you can see what the community is talking about. Continue reading “Open-Source Oxygen Hack Chat”→
By pretty much any metric you care to use, 2020 has been an unforgettable year. Usually that would be a positive thing, but this time around it’s a bit more complicated. The global pandemic, unprecedented in modern times, impacted the way we work, learn, and gather. Some will look back on their time in lockdown as productive, if a bit lonely. Other’s have had their entire way of life uprooted, with no indication as to when or if things will ever return to normal. Whatever “normal” is at this point.
But even in the face of such adversity, there have been bright spots for our community. With traditional gatherings out of the question, many long-running tech conferences moved over to a virtual format that allowed a larger and more diverse array of presenters and attendees than would have been possible in the past. We also saw hackers and makers all over the planet devote their skills and tools to the production of personal protective equipment (PPE). In a turn of events few could have predicted, the 2020 COVID-19 pandemic helped demonstrate the validity of hyperlocal manufacturing in a way that’s never happened before.
For better or for worse, most of us will associate 2020 with COVID-19 for the rest of our lives. Really, how could we not? But over these last twelve months we’ve borne witness to plenty of stories that are just as deserving of a spot in our collective memories. As we approach the twilight hours of this most ponderous year, let’s take a look back at some of the most interesting themes that touched our little corner of the tech world this year.
If you have worn a mask and glasses together for more than a quarter of a second, you are probably annoyed that we don’t have a magical solution for foggy lenses. Moisture-laden air is also a good indicator of where unfiltered air is escaping. Most masks have some flexible metal across the nose bridge that is supposed to seal the top, but it is woefully inadequate. The Badger Seal by [David Rothamer] and [Scott Sanders] from the University of Wisconsin-Madison College of Engineering is free to copy during the COVID-19 pandemic, even commercially. It works by running an elastic cord below the jaw and a formable wire over the nose to encourage contact all around both mouth and nose.
Since the COVID-19 pandemic started, we’ve seen several attempts to create homebrew ventilators designed to address the shortage of these lifesaving machines. Unfortunately, most hackers aren’t terribly experienced when it comes to designing practical medical equipment. So while many of the designs might have appeared functional on the workbench, there’s little chance they’d get used in any official capacity.
The open source DP Ventilator is still clearly the product of a couple plucky hackers, but we think it shows a level of design maturity that’s been missing in many of the earlier attempts. Made primarily with 3D printed components, this mechanical device is designed to operate a hand-held manual resuscitator; essentially standing in for a human operator. This makes the design far less complex than if it had to actually pump air itself, not to mention safer for the patient since the resuscitator (often referred to as an Ambu Bag) installed in it would be a sterile pre-packaged item.
In the video after the break, you can see just how much thought and effort has been put into the device’s touch screen interface. With a few quick taps the medical professional operating the DP Ventilator can dial in variables such as breathing rate, pressure, and volume to match the patient’s needs. While the Arduino Mega 2560 at the machine’s heart wouldn’t pass muster for any regulating body in charge of medical devices, we think with a few more tweaks, this design is getting close to something that might actually be able to save lives.
The dongle is a DIY copy of one that Medtronic makes, which of course they don’t sell to anyone. It makes a three-way connection between the patient’s monitor, a breath delivery system, and a computer, and lets technicians sync software between two broken machines so they can be Frankensteined into a single working ventilator. The company open-sourced an older model at the end of March, but this was widely viewed as a PR stunt.
This is not just the latest chapter in the right-to-repair saga. What began with locked-down tractors and phones has taken a serious turn as hospitals are filled to capacity with COVID-19 patients, many of whom will die without access to a ventilator. Not only is there a shortage of ventilators, but many of the companies that make them are refusing outside repair techs’ access to manuals and parts.
These companies insist that their own in-house technicians be the only ones who touch the machines, and many are not afraid to admit that they consider the ventilators to be their property long after the sale has been made. The ridiculousness of that aside, they don’t have the manpower to fix all the broken ventilators, and the people don’t have the time to wait on them.
We wish we could share the dongle schematic with our readers, but alas we do not have it. Hopefully it will show up on iFixit soon alongside all the ventilator manuals and schematics that have been compiled and centralized since the pandemic took off. In the meantime, you can take Ventilators 101 from our own [Bob Baddeley], and then find out what kind of engineering goes into them.
