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March 25, 2020

UCalgary biomedical engineers and scientists join international effort to design modern-day iron lung

Multidisciplinary team works toward creating an emergency pandemic ventilator
Mark Ungrin at work
Mark Ungrin at work Riley Brandt, ɫ

With the iron lung of another generation’s polio epidemic for inspiration, a UCalgary biomedical engineering research team isworking with collaborators across the province and around the world on a modern machine to help coronavirus victims breathe.

While warning that their modern version of the iron lung would be a last resortdue to lack of time to go through proper regulatory approvals, a teamco-led by Dr. Mark Ungrin, PhD (pictured above), says that a negative pressure ventilation (NPV) device could help save lives if the current global pandemic leaves patients with no other options.

“This ventilator is intended for use as a last resort if we don’t manage to ‘flatten the curve’ enough, and there just isn’t enough equipment to go around,” explains Ungrin, associate professor of comparative biology and experimental medicine in the Faculty of Veterinary Medicine and the university’s Biomedical Engineering research and training programs, and member of the Alberta Children’sHospitalResearch Institute at theCumming School of Medicine(CSM).

“It will be a bare-bones system with a basic level of functionality —we’re building parachutes, not airplanes," he adds.

Prototype of negative pressure ventilation (NPV) device under development.

Initial prototype of the ventilator, using basic equipment and materials to test the proposed model.

Courtesy Mark Ungrin

Alberta's primary universities working together

Ungrin, along with University of Alberta mechanical engineering professor, Dr. Michael Lipsett, PhD,is heading a large team spanning the ɫ, the University of Alberta and the private sector.

Other key UCalgary figures include:

  • Dr. Salvatore Federico, PhD,a professor inmechanical and manufacturing engineeringin the Schulich School of Engineering, and a member of the Centre for Bioengineering Research and Education, and the Human Performance Laboratory

  • Dr. RenaudLéguillette, PhD, a professor in the Veterinary Clinicaland Diagnostic Sciences department in the Faculty of Veterinary Medicineand member of the LibinCardiovascular Institute at Cumming School of Medicine

The team’s NPV research is just one of the biomedical engineering projects underway at Alberta’s post-secondaries, as researchers look to bolster the efforts of frontline medical providers in combating the global pandemic.

Not your grandfather's iron lung

In the case ofUngrin’smodern-day iron lung, the intent is not to replicate the massive, immobile machines that lined hospital wards during polio outbreaks in the 1940s and 1950s, but rather offer a lighter plastic chamber that could be used in a standard hospital bed.

The purpose would be the same, however, in reducing stress on the lungs of a patient struggling to breathe, and the old iron lung idea has some advantages over the now more commonplace positive pressure ventilation (PPV) technology, which increases pressure within the lung.

“NPV systemswork by reducing pressure around the patient's body, instead of increasing pressure inside the lungs. As they do not need to interact directly with the air the patient breathes, they can besimpler and easier to manufacture,” says Ungrin.

“NPV patients can also wear standard oxygen supply systems, including masks to prevent infection, as the NPV system does not obstruct the face.”

The prototype application

The prototype of a ventilator intended for use as a last resort.

Courtesy Mark Ungrin

A reliable design easily replicated

Ungrin’steam isconsulting with public health agencies and other organizations as they prototypetheir system, aiming for a basic, safe and reliable design that is easily manufactured in large numbers.

“If we can put a safety net in place, that’s one less thing for our frontline health-care workers to worry about,” he explains.

The ɫ’s multidisciplinary Engineering Solutions for Health: Biomedical Engineering research strategy drives innovations that are saving lives and revolutionizing health care for Canadians. With collaborative teams focused on human mobility, health monitoring, advanced biomedical imaging, precisionbiodiagnostics, regenerative medicine and novel medical technologies, our researchers are transforming quality of life and continuously improving the health system.

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