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'Pandemic ventilator' could offer solution in potential 'worst case' scenario

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Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#3

Looks like similar portable ventilators already exist in the market: https://mfimedical.com/products/allied-healthcare-epv200-por...

The key insight that made me want to post this is we should actively try to move to an older ventilator design (does bulk of the work, not optimized but easier and simpler). I have encountered this in my life as a software engineer. MFC (Microsoft Foundation Classes) in the mid 90s was hard to grok .. you had this huge book by Jeff Prosise to absorb. I cracked it when I chanced upon a manual for MFC 1.0. It was super simple and down to the essentials. All the fancy stuff they added from 1.0 to 5.0 was icing and made things complex.

I think people who are actually working on ventilators should seriously consider going for a simpler design .. it might be this or might be something else. The person in this article also said he is happy to give the design away.

I think if the Malaria Med+Antibiotics treatment from the French study don't work (we'll know in about a week I think), we need to move to a war footing and start producing ventilators. My back of the envelope math has scared the crap out of me (best case 500K Canadians dead, worse case 3 million).

I really hope someone who can make a difference sees this.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#4
post #3

Looks like similar portable ventilators already exist in the market: https://mfimedical.com/products/allied-healthcare-epv200-por...

The key insight that made me want to post this is we should actively try to move to an older ventilator design (does bulk of the work, not optimized but easier and simpler). I have encountered this in my life as a software engineer. MFC (Microsoft Foundation Classes) in the mid 90s was hard to grok .. you had this huge book by Jeff Prosise to absorb. I cracked it when I chanced upon a manual for MFC 1.0. It was super…

> I think if the Malaria Med+Antibiotics treatment from the French study don't work (we'll know in about a week I think), we need to move to a war footing and start producing ventilators. My back of the envelope math has scared the crap out of me (best case 500K Canadians dead, worse case 3 million).

We should assume they won't work. War footing time is now.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#6
post #4
post #3

Earlier quoted context omitted.

The key insight that made me want to post this is we should actively try to move to an older ventilator design (does bulk of the work, not optimized but easier and simpler). I have encountered this in my life as a software engineer. MFC (Microsoft Foundation Classes) in the mid 90s was hard to grok .. you had this huge book by Jeff Prosise to absorb. I cracked it when I chanced upon a manual for MFC 1.0. It was super…

> I think if the Malaria Med+Antibiotics treatment from the French study don't work (we'll know in about a week I think), we need to move to a war footing and start producing ventilators. My back of the envelope math has scared the crap out of me (best case 500K Canadians dead, worse case 3 million). We should assume they won't work. War footing time is now.

Btw this article was an interesting read on trying to build a modern ventilator: https://www.wired.co.uk/article/car-manufacturers-ventilator...

War time devices must be simpler (easy to make and do field repairs on). We just need the first one.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#7
post #3

Looks like similar portable ventilators already exist in the market: https://mfimedical.com/products/allied-healthcare-epv200-por...

The key insight that made me want to post this is we should actively try to move to an older ventilator design (does bulk of the work, not optimized but easier and simpler). I have encountered this in my life as a software engineer. MFC (Microsoft Foundation Classes) in the mid 90s was hard to grok .. you had this huge book by Jeff Prosise to absorb. I cracked it when I chanced upon a manual for MFC 1.0. It was super…

There are people in the world who live with very serious lung issues who do home management daily in order to survive. Non-mechanical lung clearance methods are a part of their daily routine.

I've left some comments here on the possibility of doing lung clearance in the absence of sufficient numbers of ventilators:

https://news.ycombinator.com/item?id=22640905

I don't really care to argue it with anyone. Please go find somewhere else to vent your spleen about how stressful this is. My recommendation is and has always been: If you have no other option and you are going to die because of it, you can try this.

That's it. That's my entire point. All the accusations that I'm up to something nefarious and dangerous are completely unfounded.

Take care. Try to not stress too much. Thank you for trying to be part of the solution.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#8

Looks like similar portable ventilators already exist in the market: https://mfimedical.com/products/allied-healthcare-epv200-por...

Those are even made in the USA with a local supply chain.

http://www.alliedhpi.com/mcv.htm

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#9
This seems pretty important:

> While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway.

Do intubated patients need more attention from nurses/doctors? It certainly sounds harder then putting on the mask.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#10
post #3

Earlier quoted context omitted.

The key insight that made me want to post this is we should actively try to move to an older ventilator design (does bulk of the work, not optimized but easier and simpler). I have encountered this in my life as a software engineer. MFC (Microsoft Foundation Classes) in the mid 90s was hard to grok .. you had this huge book by Jeff Prosise to absorb. I cracked it when I chanced upon a manual for MFC 1.0. It was super…

There are people in the world who live with very serious lung issues who do home management daily in order to survive. Non-mechanical lung clearance methods are a part of their daily routine. I've left some comments here on the possibility of doing lung clearance in the absence of sufficient numbers of ventilators: https://news.ycombinator.com/item?id=22640905 I don't really care to argue it with anyone. Please go fi…

If the respiratory distress caused by SARS-CoV-2 were manageable in an outpatient setting we would not be seeing ICUs overrun with patients.

You are not a doctor. Please stop.

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