ANGELS ARC Ambulance for Rescuing Children A HOPE for Honduras and - - PowerPoint PPT Presentation
ANGELS ARC Ambulance for Rescuing Children A HOPE for Honduras and RIT MSD/ID Collaboration MEET THE TEAM Rebecca Bonamico (BME) Lead / Systems Engineer Ankha Khosbayar (ID) Designer Gage Ellis (EE) Purchasing Lead Charlee Lefkovich (ME)
Ambulance for Rescuing Children
A HOPE for Honduras and RIT MSD/ID Collaboration
Rebecca Bonamico (BME)
Lead / Systems Engineer
Ankha Khosbayar (ID)
Designer
Gage Ellis (EE)
Purchasing Lead
Charlee Lefkovich (ME)
Project Manager
Alexa Boyd (INDE)
Customer Relations
Austin Zuercher (BME)
Communications / Facilitator
1. Recap Design Review 2 2. System Overview 3. Subsystem Breakdown 4. Vehicle Interior Design 5. Major Equipment Systems Updates a. Incubator b. Ventilator c. Patient Monitor 6. Power Systems 7. Preliminary BOM 8. Updated Risk Assessment 9. Final Deliverables and Next Steps
In Honduras, there is currently a lack of quick, safe, and reliable transportation between hospitals for infants with serious medical conditions.
○ Transportation between hospitals
○ Be within a reasonable budget ■ Consider costs of build, maintenance, and repair ○ Parts for repair must be readily accessible in Honduras ○ Durable - keep repair cost low and effectiveness high ○ Easy to operate
○ Contain all necessary equipment ○ Provide power for all necessary systems
with driver
Equipment
Large Equipment
Small Equipment
Vehicle Technical Specifications
○ 5.07 x 1.77 x 2.12 m
Dimensions (L x W x H) ○ 2.05 x 1.44 x 1.23 m
AirBorne Voyager Transport Incubator
F&P Neopuff Infant T-Piece Resuscitator with MSD modifications
finger over hole in gas outlet
Unknown
hours
Blood Pressure
Incubator Ventilator Patient Monitor
Incubator (x2) Monitor/Screen (x2) Ventilator (x2)
120Vac 60Hz Power 120Vac 60Hz Power 120Vac 60Hz Power 12Vdc External DC Power, 10A Maximum Average Instantaneous Power of 50W Average Instantaneous Power of 100W 12Vdc Internal Battery, 26A-Hours UPS Back Up System Internal Battery Current of 1A Current of 0.4A Current of 0.8A
Power Calculations
Total Output Current of 4.4A Total Output Power of 528W Input Power = Output Power Input Power of 528W out of a 13Vdc Vehicle Battery Input Current of 40A
Standard Vehicle Battery
13Vdc 50A-Hours
Standard Vehicle Alternator
30A
Power Assumptions
Total Output Power of 1kW for Feasibility Plenty of Extra Power for HVAC System 180A Alternator 12Vdc to 120Vac 1kW Power Inverter Or 1kW Power Generator
Vehicle Chassis
Seating
Incubator
breathing tubes) Monitoring Equipment
wiring) Ventilator
Support Equipment
Equipment Securements
Power / Electrical
Design Form
Generator Power Inverter System
*Cabinet Storage must be able to hold these items
Large Equipment
Small Medical Equipment* Other Small Equipment*
Basic Spatial Analysis with Large Equipment
Cabinetry interferes with paramedic headspace ⇒ Redesign Cabinetry Configuration
Family Seat Paramedic Seat Cabinets Incubators
Cabinet Interference
Modifications Made
side incubator
include storage Equipment fits in Space ⇒ Limited Headroom and Storage space
Rear View
Increased Interior Height of Vehicle to 60”
Increased Height allows for additional head space and more flexible storage
Rear View
Vehicle Technical Specifications
○ 5.07 x 1.77 x 2.12 m
Dimensions (L x W x H) ○ 2.05 x 1.44 x 1.23 m
* We decided to raise the roof of the hardtop model from 48” to 60”
Toyota Landcruiser 78 Hardtop*
Track Moves Seat to Wall Seat Rotates and Folds Seat Folds into Wall, Storage Underneath Monitor Stand Overhead Storage with Sliding Doors
passenger securement
and safety
clearance
Custom Designed Paramedic Seat
securement
(minimum +/- 90 deg) for incubator access
save floorspace
double rubs (test for durability)
resistant
least bleach cleanable
Material Considered: Vinyl
○ Run for time of 2 hours without interruption ○ Run on battery until it runs out
Before and after every test the ventilator shall function within stated parameters.
Upholstery
Flooring or LVT
Material Considered: Vinyl Composite Tile with Enhanced Surface Traction
Flooring
manufacture Material Considered: Molded Acrylic or 3D printed material
Storage
KNOLL Prairie in Creek K19258 Vinyl Upholstery LONSEAL Loncoin I Gray 124 Vinyl Composition Tile 3D Printing Material
equipment
AirBorne Voyager Transport Incubator International Biomedical 185+ Transport Incubator
Power Calculations: Based on draw from
Total Output Current≈4A Total Output Power≈480W Safety Factor: 2-4
Feasibility Calculations
Theoretical results
to support ○ 12Vdc vehicle battery ○ DC-AC pure sine wave power inverter
draw of 2kW
⇒ second vehicle battery must be installed
Vehicle Alternator 12Vdc Vehicle Battery Master Switch/Fuse True Sine Wave Power Inverter Fuse Panel 15A, 120Vac Receptacle 15A, 120Vac Receptacle 15A, 120Vac Receptacle Incubator (2) 12AWG Cable 1kW 12Vdc - 120Vac Monitor (2) Excess Stereo Lighting Fans Fans
Total Anticipated Budget: ~$ 140,000 (Assuming new equipment)
Risk Category Severity (1-9) Likelihood (1-9) Importance (1-81) Triggers Mitigation Plan
Equipment fails Safety 8 6 48
Power is not supplied to the equipment, equipment does not have a long life span and stops working during transport Educate university students in Honduras to upkeep equipment to prevent failures
Injuries to infants resulting from transport Safety 9 5 45
Securements of infants in incubator are not sufficient, bad roads in Honduras loosen the securements Provide adequate infant securements in incubator, thoroughly test securements in packaging lab to simulate transport
Medical professional is not secured during transit Safety 7 6 42
Seat belt becomes unbuckled during transport, seat belt is hit by object or hand, seat belt not worn Provide adequate way to comfortably secure medical professional in the proper seat.
Equipment needed is not present during transport Technical 8 5 40
Unexpected circumstances require equipment not on board,all equipment needed is not accounted for during planning Ask doctors what equipment they want present. Survey U.S. ambulances for the equipment commonly used
Incubator becomes unsecured during transport Safety 9 4 36 Latches are not used, latches become loose
due to bad roads or other situations Test custom securements adequately in packaging lab
Power output is not pure sine wave Technical 9 4 36 Power output is wrong (ex. square wave)
Use medical grade inverter that outputs pure sine wave
Equipment is not sterile Safety 4 8 32 Incubator or other equipment that must be
cleaned between infants is not Provide bleach, ethanol, and other cleaning
event
Monitoring equipment is not accurate Technical/ Safety 7 4 28
Monitoring equipment has too large of percent error, monitoring equipment does not read neonate signals (typically smaller than adult) Ensure neonate compatible monitor for small signals readings and sensors
Vehicle crashed/flips Safety 9 3 27 Bad roads and top heavy design
N/A
Vehicle is designed to be top heavy Safety 9 3 27 Storage is put up high and not distributed well
Make sure storage and weight is allocated well as to prevent vehicle from being top heavy
Options
1. CPAP Modification Analysis 2. Chair Design 3. Refine Interior Layout 4. Complete 3D Model 5. Completed BOM
Austin Zuercher (Communications) awz8563@rit.edu Charlee Lefkovich (Project Manager) cdl3646@rit.edu Gage Ellis (Purchasing Lead) gee2072@rit.edu