A simple, low-cost Bag Valve Mask (BVM) ventilator to help critically-ill COVID-19 patients has been rapidly designed by experts at Cranfield University (UK) and built in Georgia Tech (USA) in a matter of days.

The makeshift ventilator can serve two patients simultaneously and due to its flat-pack design can be quickly manufactured at scale, costing less than £75 ($100) per unit. The ventilator can be adjusted easily and updated as needed, and can be linked to an oxygen generator, positive end expiratory pressure (PEEP) valves and filters. Power comes from standard wall adapters or 12-volt vehicle batteries. The research team intends to make plans for the device to be available to manufacturers as quickly as possible.

Design serves two patients at once

The BVMs are designed to be used by people with training to use these devices such as medical staff, first aiders, nurses, doctors and carers, as a temporary or emergency breathing aid for those suffering with COVID-19.

The ventilator device works with ‘positive displacement’, forcing air into the patient’s lungs. This process must be controlled to ensure the right amount of air goes in, at the right rhythmic pace – something called the ‘tidal volume’. Though each emergency ventilator can serve two patients simultaneously, their air flow is separate to avoid cross-contamination and flow volumes can be controlled independently.

Easy to manufacture and assemble flat-pack design

Professor Leon Williams is head of the Centre for Competitive Creative Design (C4D) at Cranfield University and joined forces with Associate Professor Shannon Yee from Georgia Tech to rapidly design and build the low-cost and robust makeshift ventilator.

Professor Williams says: “We focused on creating something that can be mass-produced using water-jet or laser cutting, and modular in design to make it easy to assemble and switch out parts. Within five days of getting the brief, an initial design from the Cranfield team was sent to Georgia Tech to test.”

Shannon Yee said: “Our goal was to provide the bare essentials for a ventilator to help with patients who have COVID-19 or acute respiratory distress syndrome. What’s unique about our design is that we have two BVMs per ventilator, which allows two people to breathe with each device that is built. We designed the ventilator to be simple to make, cut from sheets of steel. Kits can be assembled and packaged flat for shipping, then reassembled where needed. The manufacturing requires skills that are readily available, and hand tools could even be used.”

Professor Williams continues: “We have paid special attention to the requirements of medical specialists to ensure the system is fit for purpose. For example, ensuring that the operator can manually adjust the tidal volume to safeguard the patient, maintaining the lowest pressure possible in the airway to avoid trauma.”

A small batch of the devices has already been assembled for testing.

Notes for editors

Video footage

View YouTube overview video

Brief technical description

The Bag-Mask-Valve (BVM) ventilator is system that consists of (i) an oxygen concentrator in the form of a commercial pressure swing adsorption unit, (ii) standard bag-valve-mask resuscitators with their associated attachments, and (iii) a mechanical assist that squeezes the BVM-bag. This invention uses a rack-and-pinion to alternately squeeze two BVM-bags. Key to this invention is the idea of using two bags taking full advantage of the reciprocating stroke motion of the rack-and-pinion. As a method, this BVM-ventilator can either (i) ventilate two patients at the same respirator rate but with independent tidal volume control, or (ii) ventilate one patient as twice the respirator rate allowing for alternating tidal volumes. The tidal volume control is mechanically set using a bumper and slider. The respirator rate is set by using a potentiometer connected to a DC motor and gear box. The mechanical assist is the key invention but the methods for which to integrate and use sub-systems (e.g. BVMs and oxygen concentrators) are also potentially patentable.

Cranfield University inventors and supporting members working on the project include:

  • Professor Leon Williams - Professor of Design-Led Innovation and Head of Centre for Competitive Creative Design
  • Mr Connor Hart - Senior Technician in Industrial Design Engineering
  • Mr Thomas Marshall - Senior Technician in Design for Manufacture
  • Mr Jim Hurley - Senior Technical Officer
  • Mr Paul Lighterness - Lecturer in Breakthrough Innovation
  • Dr Pedro Talaia - Research Fellow in Control Systems Engineering
  • Dr Enes Unal - Lecturer in Design for the Circular Economy
  • Mr Gary Fox - Researcher in Innovation

About Cranfield University

Cranfield University is a specialist postgraduate university that is a global leader for education and transformational research in technology and management.

About Georgia Tech

Find out more on the Georgia Tech News Center web page.