@Article{info:doi/10.2196/26047, author="Akerib, Daniel S and Ames, Andrew and Breidenbach, Martin and Bressack, Michael and Breur, Pieter A and Charles, Eric and Gaba, David M and Herbst, Ryan and Ignarra, Christina M and Luitz, Steffen and Miller, Eric H and Mong, Brian and Shutt, Tom A and Wittgen, Matthias", title="A Simple Ventilator Designed To Be Used in Shortage Crises: Construction and Verification Testing", journal="JMIR Biomed Eng", year="2021", month="Aug", day="5", volume="6", number="3", pages="e26047", keywords="intensive care; critical care; medicine; ventilator; COVID-19; shortage; equipment; medical device; performance; short-term; engineering; cost; ICU; intensive care unit", abstract="Background: The COVID-19 pandemic has demonstrated the possibility of severe ventilator shortages in the near future. Objective: We aimed to develop an acute shortage ventilator. Methods: The ventilator was designed to mechanically compress a self-inflating bag resuscitator, using a modified ventilator patient circuit, which is controlled by a microcontroller and an optional laptop. It was designed to operate in both volume-controlled mode and pressure-controlled assist modes. We tested the ventilator in 4 modes using an artificial lung while measuring the volume, flow, and pressure delivered over time by the ventilator. Results: The ventilator was successful in reaching the desired tidal volume and respiratory rates specified in national emergency use resuscitator system guidelines. The ventilator responded to simulated spontaneous breathing. Conclusions: The key design goals were achieved. We developed a simple device with high performance for short-term use, made primarily from common hospital parts and generally available nonmedical components to avoid any compatibility or safety issues with the patient, and at low cost, with a unit cost per ventilator is less than {\$}400 US excluding the patient circuit parts, that can be easily manufactured. ", issn="2561-3278", doi="10.2196/26047", url="https://biomedeng.jmir.org/2021/3/e26047", url="https://doi.org/10.2196/26047", url="http://www.ncbi.nlm.nih.gov/pubmed/34458681" }