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COVID-19 Engineering Response Team

In 2020, this team worked on projects to address Duke Health’s identified clinical equipment needs. Below are descriptions of projects completed by the team. Many include design information. This effort was coordinated by Duke EngEn, the Innovation Co-Lab and Duke MEDx.
 

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Projects Completed

Isolation Tent (COVIAGE)

An isolation chamber to be used around a patient's bed (or stretcher) designed for COVID-19 positive patients and patients with other infectious pathogens

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Via Duke's Office of Licensing & Ventures (OLV)

Needs Met

  • Increase usage of non-invasive ventilation by COVID-19 patients
  • Minimize health care-worker exposure to respiratory droplets from COVID-19 patients

Project Summary

  • The team has designed a tent-like structure with an aluminum frame, full zipper opening, sleeve/glove and double-door compartments, and an HVAC system with negative pressure and HEPA filtration rate using nonmedical filters
  • Final particle/filter testing performed with partner Precision Air Technologies—and passed
  • Emergency Use Authorization obtained from the U.S. Food and Drug Administration (FDA)

Team

Lead: Konstantinos Economopoulos (Surgery/BME)

Members:

  • School of Nursing Faculty: Jackie Vaughn, Ryan Shaw
  • MEMS Faculty: W. Neal Simmons
  • BME Faculty: Paul Fearis, Eric Richardson
  • Engineering Students: Ben Wesorick, Theresa Thompson, Kanishka Patel, Shikha Sharma, Yaas Bigdeli, Max Sondland, Dimitrios Bailas

Project Partners

  • Polyzen
  • Precision Air Technology

Media

News articles:

Video:

Images:

Image of isolation tent prototype

Surgical Hood (3D SHIELD)

Adapts an ambient-air personal protection system into a sealed PAPR

Request Design Download

Via Duke's Office of Licensing & Ventures (OLV)

Needs Met

  • Shortage of powered air-purifying respirator (PAPR) systems, which provide greater protection than an N95 respirator and face shield

Project Summary

The design seals the permeable part of a commercial surgical hood with transparent film and seals the fan on top of the helmet with a 3D-printed manifold so that air can be pulled through two in-line ventilator filters. This creates positive pressure inside the hood with filtered, not ambient, air.

Over 80 institutions requested design files and nearly 30 licensing agreements were completed.

Team

  • Lead: Melissa Erickson (Surgery, Fuqua WEMBA)
  • Members: Eric Richardson (BME), Paul Fearis (BME), Chip Bobbert (OIT), Mark Palmeri (BME)

Project Partner

  • Precision Air Technology

Media

Reusable Face Shield

A robust injection-molded headband attached to a thermo-formed shield

Design Note

The design is a derivative of the Prusa RC3.

Note: The design at this link is not a Duke design.

Need

Supplemental supply of reusable face shields.

Summary

  • 30,000 units manufactured; goal to produce 75,000 units
  • Assembly is being completed by a team of more than 20 volunteers 
  • More than 100 downloads of license request; nearly 50 license agreements signed

Team

  • Lead: Chip Bobbert (Office of Information Technology-OIT)
  • Members: Evan Levine (OIT), Paul Fearis (BME), Mark Palmieri (BME) and Ryan J. Shaw (School of Nursing)

Project Partners

  • Beechwood Metal Works
  • Nike
  • Protolabs

Media

Reusable face shield CAD image

Reusable face shield, profile

Aerosolization Sampler Clip

Status: Clinical implementation

Need

A team investigating aerosolized virus in COVID 19 patient rooms requested design assistance for a clip for an aerosol sampling device.

Summary

  • Design completed
  • First part has been produced
  • Approvals received
  • Clinical implementation

Team

  • Lead: Chip Bobbert (OIT)
  • Members: Lucas Rocha-Melogno (CEE)

Media

Prototype aerosolization clip

PAPR Bridge

Needs

  • Shortage of powered air-purifying respirator (PAPR) systems, which provide greater protection than an N95 respirator and face shield
  • Duke and the Durham VA hospitals have supplies of older PAPR hoods which cannot be used because they do not connect to the PAPR pumps now in use

Project Summary

  • The team has developed two 3D-printed adaptors, which have undergone testing
  • The adaptors will allow two different pumps to be connected to three different PAPR hoods
  • Final designs completed and delivered to Durham VA Hospital

Team

  • Lead: Alejandro Pino (Pulmonology)
  • Members: Eric Richardson (BME), Chip Bobbert (OIT), Paul Fearis (BME), Neal Simmons (MEMS)

Illustration

PAPR adaptor illustration

Device For Personalizing Ventilation Settings on a Shared System

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Via Duke's Office of Licensing & Ventures (OLV)

Need

A method to allow one ventilator to support two patients, even if two COVID-19 patients have different pulmonary compliances—to be used only in emergencies when other options have been exhausted.

Project Summary

  • The team has developed an easy-to-use ventilator output splitter that can be combined with novel airflow resistors
  • The splitter and flow resistors are 3D printed from biocompatible materials
  • Decision-support mobile app developed with CrossComm Inc.
  • Request for Emergency Use Authorization has been submitted to the U.S. Food & Drug Administration (FDA)

Team

Lead: Muath Bishawi (Surgery/BME)

Members: Ken Gall (EngEn); George Truskey and Amanda Randles (BME); David MacLeod, Anne Cherry, Jhaymie Cappiello (Anesthesiology); Amy Alger (Surgery)

Project Partners

Media

Ventilation splitter-resistor (VSRS)

Projects Developed

Intubation Aerosol Shield

Status: Project on Hold

Need

During intubation procedures, health care providers need shielding from respiratory droplets from COVID-19 patients.

Project Summary

  • Testing a design from outside of Duke
  • Feedback communicated to the manufacturer
  • Duke clinicians viewed existing solutions as adequate—project on hold

Team

  • Leads: Muath Bishawi (Surgery/BME), Kostantinos Economopoulos (Surgery/BME)
  • Members: Chip Bobbert (OIT), David MacLeod (Anesthesiology), John Whittle (Anesthesiology)

Nasal Swabs

Status: On hold

Need

A supplemental supply of nasal swabs for the diagnosis of COVID-19.

Summary

  • Team is investigating the 3D-printed nasal swab developed by USF Health, Northwell Health and Formlabs
  • Clinical feedback received
  • Manufacturer identified

Team

  • Lead: Chip Bobbert (OIT)
  • Members: Eric Richardson (BME), Donna Crenshaw (MEDx), Cameron Wolfe (Infectious Diseases), Nancy Henshaw (Pathology)

Project Partner

  • Yukon Medical

Oxygen Mask

Status: In Testing

Need

Safely deliver high-flow oxygen to COVID-19 patients without creating contagious aerosols.

Summary

Team

  • Lead: Alejandro Pino (Pulmonology)
  • Members: Eric Richardson (BME), Donna Crenshaw (MEDx)

Partner

  • Hondajet

Hand Sanitizer Dispensers

Status: In Design

Need

Create 200 dispensing stations for hand sanitizer to support the opening of Duke research laboratories.

Summary

  • Working on prototypes that include a stand and refill cartridges
  • Tray designed and built to store and transport refilled cartridges
  • Stand prototype received positive feedback
  • Integrating design with local manufacturer to scale

Team

  • Leads: Eric Richardson (BME), Donna Crenshaw (MEDx), Chip Bobbert (OIT)
  • Members: Collin Duckett, John Noonan and Scott Johanns

Sanitizer dispenser prototypes

Ventilator O2 Short-Range Activation

Status: In Testing

Need

To remotely press the "100% Oxygen Increase" button on a ventilator. This would enable a patient to receive increased oxygen flow without requiring a clinician to don full personal protective equipment.

Summary

  • Wired mechanism solution path chosen after initial meeting with respiratory therapist
  • Code, circuit diagram, CAD and bill of materials produced for wired mechanism
  • Prototyping has begun

Team

  • Lead: Alejandro Pino (Pulmonology)
  • Members: Parker Faircloth-Henise (BME), Katherine Waugh (ME), Michael Wong (BME)

Media

Conceptual design outline

ET Tube Joint

Status: Prototyping

Need

Reduce aerosolized particle formation and protect staff members by minimizing the number of times an endotracheal tube (ET) must be disconnected.

Summary

  • The team has proposed two designs: a Y-joint that adds a bronchoscope port, and a Y-joint-plus-connector
  • Next steps include: 3D printing of designs for feedback from respiratory therapists, consideration of a compression fitting to reduce unintentional detachments and of a clip to secure the connection

Team

  • Lead: Alejandro Pino (Pulmonology)
  • Members: Taylor Huie, Aidan Therien

Media

ET tube joint illustration

New Projects

Status: In queue

  • Clear Earloop Face Mask For Duke Occupational and Environmental Safety Office (OESO) and the Disability Management System. A provider who sees pediatric patients at Lenox Baker Children's Hospital and Duke Children's Hospital and Health Center has requested an ADA accommodation for a clear-front earloop mask.
  • Slit Lamp Shield — Ophthalmologist Mark Goerlitz Jessen has requested a shield for a slit lamp to protect patients and providers from airborne infectious particles that may be transmitted during an eye exam.

For More Information

Contact Duke


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