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Background: The outbreak of COVID-19 pandemic highlighted the necessity for accessible and affordable medical ventilators for healthcare providers. To meet this challenge, researchers and engineers world-wide have embarked on an effort to design simple medical ventilators that can be easily distributed. This study provides a simulation model of a simple one-sensor controlled, medical ventilator system including a realistic lungs model and the synchronization between a patient breathing and the ventilator. This model can assist in the design and optimization of these newly developed systems. Methods: The model simulates the ventilator system suggested and built by the “Manshema” team which employs a positive-pressure controlled system, with air and oxygen inputs from a hospital external gas supply. The model was constructed using Simscape™ (MathWorks®) and guidelines for building an equivalent model in OpenModelica software are suggested. The model implements an autonomously breathing, realistic lung model, and was calibrated against the ventilator prototype, accurately simulating the ventilator operation. Results: The model allows studying the expected gas flow and pressure in the patient’s lungs, testing various control schemes and their synchronization with the patient’s breathing. The model components, inputs, and outputs are described, an example for a simple, positive end expiratory pressure control mode is given, and the synchronization with healthy and ARDS patients is analyzed. Conclusions: We provide a simulator of a medical ventilation including realistic, autonomously breathing lungs model.  The simulator allows testing different control schemes for the ventilator and its synchronization with a breathing patient. Implementation of this model may assist in efforts to develop simple and accessible medical ventilators to meet the global demand.

The development of a selective, membrane-based ion separation technology may prove useful in a wide range of applications such as water treatment, battery recycling, ion specific chemical sensors, extraction of valuable metals from sea water, and bio-medical devices. In this work we show that a flashing ratchet mechanism can be used for high precision ion separation. The suggested ratchet-based ion pumps utilize a unique feature of ratchets, the frequency dependent current reversals, to drive ions with the same charge but different diffusion coefficients in opposite directions. We show that ions with a relative diffusion coefficient difference as small as 1% can be separated by driving them in opposite directions with a velocity difference as high as 1.2 mm/s. Since the pumping properties of the ratchet are determined by an electric input signal, the proposed ion pumps can pave the way for simple large-scale, fit-to-purpose selective ion separation systems.

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Traditional electrochemical separations processes require Faradaic reactions for sustained currents. We discovered that this limitation can be overcome by oscillating the applied potential across an ion-permeable material that has an asymmetric electric potential profile. We demonstrated this phenomenon for the first time using a flashing ratchet consisting of a nanoporous anodized aluminum oxide membrane infiltrated with salt water and containing metallic contacts on either side. When a symmetric +/-300 mV square-wave potential was applied to the metallic contacts at a frequency of ~100 Hz, an open-circuit potential as large as ~50 mV was observed between Ag/AgCl electrodes immersed in the chloride-containing electrolyte and positioned across the membrane. While this open-circuit potential was determined to be a consequence of net ionic polarization, additional electrochemical data were also consistent with transport of neutral salt across the membrane via a proposed ambipolar transport mechanism. In comparison, application of a DC potential bias resulted in non-Faradaic charging, and a near-zero long-time open-circuit potential. Moreover, high ionic strengths and large pore sizes diminished ratcheting behavior, consistent will more complete screening of surface charges in the nanopores. Collectively, this work represents a new paradigm for direct ion pumping and salt separations that requires no Faradaic reactions or additional transport pathway for ions or electrons.