NEONATAL AND PAEDIATRIC LUNG SIMULATOR Zulkifly Abdullah Malaysia Mechanical Engineering Anna Basiuras Poland Biomedical Engineering Alexandra Duman Romania Industrial Design SUPERVISORS: Marta Díaz- Universitat Politècnica de Catalunya Pedro Brotons- Hospital pediàtric Sant Joan de Dèu EPS-IDPS 2014 Laura Viscarri Spain Industrial Design TABLE OF CONTENTS 1 Introduction 2 - System description - Users - Current devices - Description of Lung simulator - Goals of the project 4 Conclusions Research 5 Further work 3 Concept - Design Use Elements Mechanism Functions Materials Interface Prototype testing Market comparison SUMLUNG| 2 DEFINITION OF LUNG SIMULATOR A device used to simulate the behaviour of the respiratory system in order to check ventilator’s capabilities through the adjustment of four parameters. FUNCTION PARAMETERS Scenario to simulate INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG| 3 GOALS OF THE PROJECT REMOTELY CONTROLLED LUNG SIMULATOR EASY CONSTRUCTION PORTABLE INTRODUCTION RESEARCH TWO LUNG SIZES CONCEPT DIFFERENT MEDICAL SCENARIOS ACCURATE ADJUSTMENT CONCLUSION FURTHER WK. SUMLUNG| 4 SYSTEM DESCRIPTION BODY (MANNEQUIN) DISPLAY INTERFACE CONTROL INTERFACE LUNG SIMULATOR VENTILATOR - Flow rate - Spontaneous breathing - Pressure - Volume of air - Real time monitoring of respiration curves - Resistance of airways - Leaks of air - Compliance (lung elasticity) REMOTE/ MANUAL CONTROL OF LUNG PARAMETERS INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG| 5 USERS Control the lung simulator PROFESSORS STUDENTS Generate real clinical scenarios Evaluate the students Develop practical and analytical skills Learn how to interact with a ventilator DOCTORS AND RESEARCHERS Identify different diseases Adjust parameters of real diseases Compare data from different medical scenarios Transport the simulator to different places INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG| 6 CURRENT DEVICES LUNG SIMULATORS VENTILATOR: SERVO-I Smart Lung - INTRODUCTION Their own Resistors adjustment Compliance mechanism No spontaneous breathing Manually controlled RESEARCH CONCEPT CONCLUSION - Flow rate - Pressure - Real time monitoring of respiration curves - Volume of air FURTHER WK. SUMLUNG| 7 DESIGN LOW WEIGHT Ventilator connection REMOTELY CONTROLLED INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG| 8 DESIGN COMPACTNESS WIRELESS USB PORT INTRODUCTION RESEARCH CONCEPT CONCLUSION BATTERY INFORMATION FURTHER WK. SUMLUNG| 9 DESIGN PAEDIATRIC BAG NEONATAL BAG 125-250 mL TWO LUNG SIZES 25-50 mL EASY ASSEMBLY INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|10 USE Air source Spontaneous breathing connection Ventilator connection INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|11 ELEMENTS COMPLIANCE BAND PNEUMATIC CYLINDER BAG TUBE BRAKET LEAKS RING RIGID STRUCTURE RESISTANCE WHEEL CASE CAP INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|12 MECHANISM LEAKS RING GENEVA WHEEL COMPLIANCE BAND RESISTANCE MOTOR PROPORTIONAL VALVE CYLINDER GEARS LEAKS COMPLIANCE PULLEY MOTOR MOTOR INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|13 FUNCTIONS SPONTANEOUS BREATHING 25 mm Air source connection REQUIREMENTS FOR THE FUNCTIONING Bag subjection SOLUTION - Increase the bag volume 10 mL 10 mm up of bag displacement - Generate the spontaneous breathing during 2 min. Programming - Adjustment of the breathing rate 10-70 respirations/min Sensors+ proportional valve INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|14 FUNCTIONS SPONTANEOUS BREATHING THE SYSTEM Career Stroke diameter Pneumatic connection Pneumatic connection Flow rate Voltage Functioning pressure Drive INTRODUCTION AIR SOURCE 40 mm 16 mm CYLINDER M5 M5 PROPORTIONAL VALVE 100-2000 l/min 17…30 V DC 0…10 bar Electrical RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|15 FUNCTIONS REQUIREMENTS FOR THE FUNCTIONING COMPLIANCE Grooves Adjust the compliance in 1,2,3,5 mL/mbar THE SYSTEM Base grooves Holding point of the band INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|16 FUNCTIONS LEAKS REQUIREMENTS FOR THE FUNCTIONING 3 options of leakage: big leaks, small leaks, no leak α = 20° z1 = 16 z2 = 16 d1 = 28mm d2 = 28mm 5 mm 10 mm INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|17 FUNCTIONS AIRWAYS RESISTANCE REQUIREMENTS FOR THE FUNCTIONING SOLUTION Changing of the resistance in 5, 20, 50, 100 mbar/l/s Diameter values: 8, 6, 4, 2 mm. Base Drive wheel Driven wheel INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|18 MATERIALS COMPONENT MATERIAL MANUFACTURING PROCESS Case PC with 10% glass fibre INJECTION MOULDING Cap Rigid structure Bags Tube Bracket PC with 30% glass fibre and 5% silicone HDPE Silicone rubber+ HDPE PVC with 20% glass fibre HDPE INJECTION MOULDING EXTRUSION + MACHINING INJECTION MOULDING EXTRUSION + MACHINING EXTRUSION Cylinder surface Geneva wheel ABS ABS (medium impact) EXTRUSION + MACHINING INJECTION MOULDING + MACHINING Leaks ring ABS (medium impact) INJECTION MOULDING + MACHINING Gear Band Pulley Motor subjections ABS (medium impact) PA with 15% glass fibre PEEK HDPE INJECTION MOULDING EXTRUSION INJECTION MOULDING EXTRUSION INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|19 STRESS ANALYSIS TESTING OF THE RESISTANCE OF THE RIGID STRUCTURE Applied strength: 13 N Material: High Density Polyethylene (HDPE) Young’s Modulus: E = 1000MPa Poisson’s Ratio: ν = 0.4 INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|20 INTERFACE Simulator battery info Exit icon Selection of the resistance Selection of the leaks Selection of the compliance Activation and adjustment of the spontaneous breathing INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|21 PROTOTYPE TESTING INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|22 COMPARISON WITH OTHER SIMULATORS TL2 PRO TEST LUNG INGMAR MED SMARTLUNG SUMLUNG 0.4 Kg € 250 7 Kg € 1950 0.3 Kg € 620 1.7 Kg € 1580 Compliance adjustment Leak adjustment Resistance adjustment Spontaneous breathing generation Remote control of the parameters Leaks Weight Price INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|23 CONCLUSIONS DESIGN RESEARCH - Stakeholder’s needs - Main diseases to consider - Analysis of the market INTRODUCTION RESEARCH TEST - Portable device - Easy to assemble - Better learning experience - Control of all the parameters CONCEPT CONCLUSION REDESIGN One parameter functioning tested FURTHER WK. SUMLUNG|24 FURTHER WORK To develop a more complete prototype to test all the parameters. To design a case to carry the simulator. To develop the electronics to control all the elements. To develop an interactive interface prototype. Make usability tests using the whole product in a real scenario. INTRODUCTION RESEARCH CONCEPT CONCLUSION FURTHER WK. SUMLUNG|25 THANK YOU FOR YOUR ATTENTION! EPS-IDPS 2014