GCRF_NF437 High Performance Low Cost Ventilator (HPLV) project Cost Ventilator (HPLV) project

Lead Research Organisation: Science and Technology Facilities Council
Department Name: Technology

Abstract

The unmet need addressed by the High Performance Low-cost Ventilator (HPLV) project is the shortage of ventilators for patient care in OECD DAC list countries. The global pandemic of COVID-19 has highlighted this lack of ventilators which is in-turn compounded by a shortage of trained staff available to operate them. Beyond COVID-19, there remain the critical requirements of caring for pneumonia patients and others suffering from acute respiratory conditions in the OECD DAC-list countries.

This project takes as its starting point the HEV (High Energy physics Ventilator) developed by the CERN particle physics laboratory in Geneva with advice and guidance from WHO with the aim of being suitable for OECD DAC list use. HEV has been developed using techniques routinely used in the context of CERN research, including for delivery and regulation of gases, and for sophisticated monitoring and control. Nevertheless, HEV was designed to be reasonably priced, robust, easily maintained and able to operate in an environment where oxygen supply pressure is variable, power is unreliable and few trained staff are available. The result is a resilient and simple design with comprehensive in-built options for remote training, monitoring, and operation, which does not compromise on either performance or functionality, but allows easy operation via a multi-lingual user interface.

Within this HPLV project, partners in Brazil will identify local difficulties encountered when ventilating patients and input that information to the design team working on re-engineering the HEV ventilator into an HPLV design. Regulatory experts in the UK will also provide valuable guidance on this re-engineering activity. As well as re-engineering an HPLV prototype in line with real-world advice from Brazil, the HPLV project team will provide the necessary documentation to accompany the HPLV design, such that it is ready for regulatory approval. This is a key milestone to enabling commercial organisations to bridge the gap between prototyping and manufacture for use in a medical environment.

The end point of this project will be reached when the new re-engineered HPLV prototype has been successfully tested in Brazil and the technical file is available for companies to use when they license the design for manufacture and sale to OECD DAC list users.

Publications

10 25 50
 
Description A survey of local requirements in a sample DAC List country (Brazil) has been conducted and results made available within the project to inform the HPLV engineering and software design work. This led on to the development of a full suite of software suitable for HPLV including user interfaces operating in Portuguese as well as English. Much of the software is also compatible with the HEV ventilator produced by LHCb scientists working at CERN. The new software has been fully documented and tested in such a way as to be ready for regulatory approval. A comprehensive risk analysis has been produced to complement the software and documents the rationale for the tests undertaken on the software. Bench-top prototype ventilators have been produced in both UK and Brazil using local supply chains in both locations. The prototype develpments reached the point of demonstrating a ventialtor breathing cycle.
Exploitation Route We have held 3 engagement sessions (11th May 2021, a follow-up event in February 2022 and Seminar in June 2022 ) We presented the activity of the project (May 2021) alongside HEV and other related activity and the second event provided an update and opportunity for potential licensees to find out about the project. The HPLV prototype was presentd at the main NHS Expo in June 2022 in Liverpool and in the same month Irina Nasteva (Universoty Rio de Janeiro) presented the whole HPLV project at a CERN KT seminar called "HEV and HPLV: High quality medical ventilators for low and middle-income countries beyond the COVID-19 epidemic". The CERN KT team have started to licence HPLV technology using links obtained from a market analysis of the Indian market to identify prime candidates and opportunities by the UK/Indian Business council) and funded from HPLV. One licence has been negotioated and a second is under ngotiation. Also in Brazil, work is under way to produce localised training materials in Portuguese for Brazilian users (primarily based around the software user interface).
Sectors Healthcare,Manufacturing, including Industrial Biotechology

URL https://indico.cern.ch/event/1162368/attachments/2455713/4209168/HPLV_seminar.pdf
 
Description A key output from HPLV is the technical file which includes all the software, the mechanical and electrical CAD files and extensive risk analysis, all of which is designed to help a company in an ODA country get a ventilator using HPLV deigns through regulatiry approval as quickly as possible. This technical file has been licensed to one company in India (identifed via the UKIBC survey that we commissioned) and second license is under negotiation
First Year Of Impact 2022
Sector Healthcare,Manufacturing, including Industrial Biotechology
 
Description 2-day workshop "Growing Innovation and Investment for Pandemic Resilience" 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact An event called "Growing Innovation and Investment for Pandemic Resilience" was held in Liverepool at Royal College of Physicians from 10-11th February 2022, organised by Phil Carvill who heads the HPLV KE team and partt-funded by funding from HPLV Institutional Sponsorship funding obtained in 2021. The event included speakers, panel discussions and networking. Prof Tom Clutton-Brock presented a keynote address on behalf of HPLV under the title ""Huffing and Puffing in times of crisis: Co-creating needs' driven innovation" A spotlight on the High-performance low-cost Ventilator (HPLV)". The in-person event was attended by over 100 people.
Year(s) Of Engagement Activity 2022
URL https://www.eventbrite.co.uk/e/growing-innovation-and-investment-for-pandemic-resilience-tickets-226...
 
Description CERN KT Seminar Spotlight from the Brazil development of the HPLV 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Irina Nasteva presented the work of the HPLV project, in particular the prototyping work in Brazil, to potential licensees of the HPLV technology via a CERN KT seminar in June 2022. Recording and presenttaion available via URL below.
Year(s) Of Engagement Activity 2022
URL https://indico.cern.ch/event/1162368/
 
Description Half day workshop "Accelerating pandemic efforts through high energy physics. The ventilator challenge - 1 year on." 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A half day online workshop was held on 11th May 2021 under the title "Accelerating pandemic efforts through high energy physics. The ventilator challenge - 1 year on.". HPLV was presented in a talk by by Ian Lazarus; the related CERN HEV project was presented by Paula Collins (who also involved in HPLV) and Prof Tom Clutton-Brock participated in the panel discussion. The evenyt raised awareness of the HPLV project.
Year(s) Of Engagement Activity 2021
URL https://www.eventbrite.co.uk/e/the-ventilator-challenge-tickets-145889325901
 
Description KT Forum on Medical Applications 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact 2 of the talks at the KT Forum on Medical Applications included a short presentatiion of the HPLV project (Phil Carvil's talk "STFC Health Tech Clusters and Campus Updates" and Benjamin Frisch's talk "Update on Healthcare Activities")
Year(s) Of Engagement Activity 2022
URL https://indico.cern.ch/event/1089904/
 
Description National Science and Technology Week event held at UFRJ (Brazil) in October 2022 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact Gabriel Rodrigues and Irina Nasteva presented the HPLV prototype at the National Science and Technology Week event held at UFRJ in October 2022, in which they demonstrated the HPLV prototype operation to groups of visiting school students and teachers (the event generated a lot of interest because of the live demonstration. Photos available but can't be uploaded to ResearchFish, at least not in this section).
Year(s) Of Engagement Activity 2022
 
Description Press Release on UKRI Website News area "UK scientists to produce high-performance ventilators at low cost" 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact UK scientists to produce high-performance ventilators at low cost https://www.ukri.org/news/uk-scientists-to-produce-high-performance-ventilators-at-low-cost/
This press release led to parallel announcements from our partners (Birmingham. Liverpool, Rio de Janeiro) as well as interest from the press (Mail on Sunday sent questions and request to be kept updated) and led to other online reports including:
IET (https://eandt.theiet.org/content/articles/2020/12/low-cost-covid-19-ventilator-in-development-for-poorer-countries/)
California News Times (https://californianewstimes.com/uk-scientists-to-produce-low-cost-high-performance-ventilators/107146/)
Healthtech World (https://www.htworld.co.uk/news/uk-scientists-awarded-funding-to-develop-low-cost-ventilator/)
The Cambridge Network (https://www.cambridgenetwork.co.uk/news/uk-scientists-produce-high-performance-ventilators-low-cost)
Coverage in CERN Courier (https://cerncourier.com/wp-content/uploads/2021/01/CERNCourier2021JanFeb-digitaledition.pdf)
BioXone (India) (https://bioxone.in/news/worldnews/an-aid-to-the-pandemic-development-of-the-low-cost-highly-efficient-ventilator-by-uk-scientists/)
Year(s) Of Engagement Activity 2020
URL https://www.ukri.org/news/uk-scientists-to-produce-high-performance-ventilators-at-low-cost/
 
Description Web page promoting HPLV 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Web page craeed by CERN KT team to market the HPLV ventilator. This is work undertaken alongside the seminars already reported at which HPLV was presented verbally and presents a public face for anyone interested to make contact with the HPLV team via CERN KT group.
Year(s) Of Engagement Activity 2022
URL https://kt.cern/technologies/high-quality-low-cost-medical-ventilator