Yesterday NASA’s Jet Propulsion Laboratory announced that their ventilator design has received Emergency Use Authorization from the US Food and Drug Administration. This paves the way for the design to be manufactured for use in the treatment of COVID-19 patients.
JPL, which is tightly partnered with the California Institute of Technology, designed the ventilator for rapid manufacturing to meet the current need for respiratory tools made scarce by the pandemic. The design process took only 37 days and was submitted for FDA approval around April 23rd. They call it VITAL — Ventilator Intervention Technology Accessible Locally — a nod to NASA’s proclivity for acronyms.
Operating under the idea that a Constant Positive Airway Pressure (CPAP) machine isn’t very far removed electrically or mechanically from a proper ventilator, [Trammell Hudson] has performed some fascinating research into how these widely available machines could be used as life support devices in an emergency situation. While the documentation makes it clear the project is a proof of concept and is absolutely not intended for human use in its current state, the findings so far are certainly very promising.
For the purposes of this research, [Trammell] has focused on the Airsense S10 which currently retails for around $600 USD. Normally the machine is used to treat sleep apnea and other disorders by providing a constant pressure on the lungs, but as this project shows, it’s also possible for the S10 to function in what’s known as Bi-level Positive Airway Pressure (BiPAP) mode. Essentially this means that the machine detects when the user is attempting to inhale, and increases the air pressure to support their natural breathing.
Reflashing the firmware on the S10 CPAP
Critically, this change is made entirely through modifications to the S10 firmware. No additional hardware is required, and outside of opening up the device to attach an STM32 programmer (a process which [Trammell] has carefully documented), there’s nothing mechanically that needs to be done to the machine for it to operate in this breathing support function. It seems at least some of the functionality was already included via hidden diagnostic menus which can be enabled through a firmware patch.
As many of these CPAP machines feature cellular data connections for monitoring and over-the-air updates, [Trammell] believes it should be possible for manufacturers to push out a similarly modified firmware on supported devices. Of course, the FDA would have to approve of something like that before the machines could actually be used as emergency, non-invasive ventilators. They would also need to have viral filters installed and some facility for remote control added, but those would be relatively minor modifications.
Hackaday editors Elliot Williams and Mike Szczys check out the week’s awesome hacks. From the mundane of RC controlled TP to a comprehensive look into JTAG for Hackers, there’s something for everyone. We discuss a great guide on the smelly business of resin printing, and look at the misuse of lithium battery protection circuits. There’s a trainable servo, star-tracking space probes, and a deep dive into why bootstrapped ventilator designs are hard.
Take a look at the links below if you want to follow along, and as always tell us what you think about this episode in the comments!
Take a look at the links below if you want to follow along, and as always, tell us what you think about this episode in the comments!
Ventilators are key in the treating the most dire cases of coronavirus. The exponential growth of infections, and the number of patients in respiratory distress, has outpaced the number of available ventilators. In times of crisis, everyone looks for ways they can help, and one of the ways the hardware community has responded is in work toward a ventilator design that can be rapidly manufactured to meet the need.
The difficult truth is that the complexity of ventilator features needed to treat the sickest patients makes a bootstrapped design incredibly difficult, and I believe impossible to achieve in quantity on this timeline. Still, a well-engineered and clinically approved open source ventilator might deliver many benefits beyond the current crisis. Let’s take a look at some of the efforts we’ve been seeing recently and what it would take to pull together a complete design.
Experts on cognition tell us that most people think they know more than they really do. One particular indicator for that is if someone is an expert in one field and they feel like all other fields relate to theirs (everything boils down to math or chemistry or physics, for example). This causes them to be overconfident on things they don’t actually know about. When it became clear that the current virus crisis might lead to a shortage of ventilators, many electronic experts set about to design low-cost easy to replicate ventilators. How hard is it, after all, to squeeze a bag once every few seconds? But it turns out, there are a lot of details you need to know to do it right. [Real Engineering] and [Real Science] joined to create an excellent video that covers a lot of what you need to know. You can see the video below. The video shows a few designs that — while motivated by altruism — would probably do more harm than good if used on real patients.
The video’s creator is a biomedical engineer who worked in the past for Medtronic — a maker of ventilators who, by the way, recently open-sourced one of their designs. They also had [Dr. Rohin Francis], who has a medical YouTube channel, fact check the video. and provide some on-screen background We learned a few new medical terms and found that a high-end ventilator made in one factory gets built at about 225 per week. They think they can increase to 500.
[Armstrong] has a lot of good points, although we aren’t sure you need the complexity of a real-time operating system just to squeeze a bag. If anything, that seems like it might make it more susceptible to unexpected operation. However, we agree with his comments that you should have closed-loop control to make sure the device is working, alarming when the device isn’t working, and watchdog timers to guard against lockup.
Hackaday editors Mike Szczys and Elliot Williams sort through the hardware hacking gems of the week. There was a kerfuffle about whether a ventilator data dump from Medtronics was open source or not, and cool hacks from machine-learning soldering iron controllers to 3D-printing your own solder paste stencils. A motion light teardown shows it’s not being done with passive-infrared, we ask what’s the deal with Tim Berners-Lee’s decentralized internet, and we geek out about keyboards that aren’t QWERTY.
Take a look at the links below if you want to follow along, and as always tell us what you think about this episode in the comments!
Take a look at the links below if you want to follow along, and as always, tell us what you think about this episode in the comments!
