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117 changes: 49 additions & 68 deletions README.md
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# ApolloVentilator

Information: Checkout our [wiki](https://github.com/makespacemadrid/ApolloVentilator/wiki)

## Getting started
ApolloVentillator es un proyecto colaborativo para la construcción de equipos de respiración asistida libres que surge a raíz de la crisis del COVID-19. Su misión es apoyar a los equipos sanitarios aportando respiradores en momentos de escasez de estos dispositivos.

### Linux
Los objetivos de este proyecto son:

- Durabilidad. Debe permitir ser usado como apoyo a la respiración del paciente de manera continuada durante al menos 2 semanas.
- Seguridad. Debe cumplir los requisitos de calidad necesarios para poder ser utilizado de forma segura.
- Replicabilidad. Debe poder ser replicados con facilidad.Los materiales deben ser fáciles de conseguir y su montaje debe ser sencillo y rápido.

Al ser un proyecto en desarrollo continuo gran parte de la información se puede encontrar en nuestra [wiki](https://github.com/makespacemadrid/ApolloVentilator/wiki).

El código se libera bajo la GPL 3. [Ver [LICENSE](LICENSE)]


## ¿Como colaborar?

Actualmente nos encontramos agregando información en la wiki y trabajando en un prototipo.

Puedes encontrar las notas de colaboración en [COLLABORATION](man/COLLABORATION.md).


## Requerimientos

### Software

#### Linux

```
$ apt-get install libcairo2-dev libgirepository1.0-dev python3-cairo-dev
```

### Mac
#### Mac

```
$ brew install pygobject3 gtk+3 libnotify
```

### App (Python 3)
### Firmware
> TO DO: Requerimientos para cargar firmware (Dispositivo usado, entorno, etc...)

From ```./gui```
### Hardware
> TO DO Kicad, FreeCAD

Install system dependencies (Debian-based):
## Puntos de entrada

```
#### Software

La aplicación está escrita en python3 utilizando el framework Qt5.

Para lanzar la aplicación es necesario contar con las dependencias indicadas en el fichero
`gui/requirements.txt`.


```shell script
$ cd gui
$ pip install -r requirements.txt
$ ./main.py
```

## Requirements:
2 ventilators mode
* Pressure Regulated Volume Controlled (PCV): set pressure delivered during period of inspiration. The voume measured is shown as data on display.
* Volume Regulated Pressure controlled (VCV): The tidal volume is set and it adapts the pressure to the lowest. Here the important data are: tidal volume, upper alarm and lower current volume. Useful parameters: tidal volume, respiratory rate. There is a limit pressure and during inspiration period.

If patient stops breathing, there is a failsafe that set to mandatory breathing when it's detected.

During inspiration:

* Inspiration pressure: The plateau pressure is adjusted to volume hard limit (32 cmH2O by default, and could increate to 70cmH2O)
* Peak pressure: 2cmH2O greater than plateau.
* VCV pressure limit (15-40cm2 with increments of 5)
* Failsafe valve that opens always at 80cmH20 (or lower)

* PEEP: 5-10 with increments of 5. The circuit must be pressured.
* IE ratio: 1:1, 1:2, 1:3
* Respiratory rate: 10-30 bpm with increments of 2.
* Tidal volume: 40ml +-10, 350 +-50, 250-600 +-50,up to 8000.
* Weight body and volume calculated based on 6ml/kg.


## Alarms

* Gas failure
* Electricity failure
* Machine switched off
* Inspiration pressure exceeded
* Inspiration pressure not achieved
* PEEP pressure not achieved
* Tidal volume not achieved
* Tidal volume exceeded
* Resistance: peak pressure - plateau pressure > 2cmH2O
* Compliance
* Volume Leakage

## Monitoring
### Settings
* Tidal volume
* Frequency
* PEEP
* FI02
* Ventilation Mode

### Current status
* Tidal volume
* Breathing rate
* PEEP
* Plateau pressure
* FI02

The normal healthy O2 consuption is 250mL/min, and could be increased until, for example 500 mL/min in a sepsis.

### Parallel measures

* Presión arteria
* Frecuencia cardiaca
* ECG
* Nivel de sedación
* Posicion del tubo e inflado del neumotaponamiento
* Intercambio gaseoso (pulsiometria SO2), capnografía y gasometrías arteriales periodicas para obtener los **índices de oxigenación** (clave para evaluar la desintubación del paciente).
#### Firmware

> TO DO: Carga del firmware en dispositivo y funcionamiento

## Modos de funcionamiento

- Firmware: [Ver man/firmware.md](man/firmware.md)

- Software y Monitorización: [Ver man/software.md](man/software.md)
File renamed without changes
5 changes: 5 additions & 0 deletions COLLABORATION.md → man/collaboration.md
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Issue
- Funcionamiento del bucle de draw en interfaz QT

Authors
- @foo
- @bar

Objetivo
- Visualizar correctamente una gráfica que pinte valores que se obtienen dinámicamente (puerto serie o tty emulado).

Expand All @@ -45,6 +49,7 @@ Changelog
> También se puede hacer en la PR

- En la PR, si se utiliza la opción de Squash y --no-ff se puede mergear el commit sin añadir commits de merge al historico.
> Opción Rebase and merge en el boton de acción de la PR

4. Documentación

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36 changes: 36 additions & 0 deletions man/firmware.md
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# Firmware ApolloVentilator

## Requirements:
2 ventilators mode
* Pressure Regulated Volume Controlled (PCV): set pressure delivered during period of inspiration. The voume measured is shown as data on display.
* Volume Regulated Pressure controlled (VCV): The tidal volume is set and it adapts the pressure to the lowest. Here the important data are: tidal volume, upper alarm and lower current volume. Useful parameters: tidal volume, respiratory rate. There is a limit pressure and during inspiration period.

If patient stops breathing, there is a failsafe that set to mandatory breathing when it's detected.

During inspiration:

* Inspiration pressure: The plateau pressure is adjusted to volume hard limit (32 cmH2O by default, and could increate to 70cmH2O)
* Peak pressure: 2cmH2O greater than plateau.
* VCV pressure limit (15-40cm2 with increments of 5)
* Failsafe valve that opens always at 80cmH20 (or lower)

* PEEP: 5-10 with increments of 5. The circuit must be pressured.
* IE ratio: 1:1, 1:2, 1:3
* Respiratory rate: 10-30 bpm with increments of 2.
* Tidal volume: 40ml +-10, 350 +-50, 250-600 +-50,up to 8000.
* Weight body and volume calculated based on 6ml/kg.


## Alarms

* Gas failure
* Electricity failure
* Machine switched off
* Inspiration pressure exceeded
* Inspiration pressure not achieved
* PEEP pressure not achieved
* Tidal volume not achieved
* Tidal volume exceeded
* Resistance: peak pressure - plateau pressure > 2cmH2O
* Compliance
* Volume Leakage
File renamed without changes.
34 changes: 34 additions & 0 deletions man/software.md
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# Software Monitorización ApolloVentilator

## Elementos

- Clase + CLI: Conversión y tratamiento de mensajes desde puerto serie.
- Interfaz: Implementa la visualización de datos, la configuración del sistema y el control
de las alarmas.

## Monitoring

### Settings
* Tidal volume
* Frequency
* PEEP
* FI02
* Ventilation Mode

### Current status
* Tidal volume
* Breathing rate
* PEEP
* Plateau pressure
* FI02

The normal healthy O2 consuption is 250mL/min, and could be increased until, for example 500 mL/min in a sepsis.

### Parallel measures

* Presión arteria
* Frecuencia cardiaca
* ECG
* Nivel de sedación
* Posicion del tubo e inflado del neumotaponamiento
* Intercambio gaseoso (pulsiometria SO2), capnografía y gasometrías arteriales periodicas para obtener los **índices de oxigenación** (clave para evaluar la desintubación del paciente).