What is Needed

A Diagram of what is needed is reported hereafter:

The various Components are discussed hereafter.

Ventilation

The supply chain of ventilators should be activated or alternatively hospital air supply can be used to generate a constant inflow.

One Direction Valve

In the event of paroxysmal coughing the use of a one direction valve could prevent the virus from coming back to the source

Adapters

We have developed a new design based on what reported hereafter. The new design can be downloaded HERE . There are two versions of the mask and therefore there are 2 adapters which need to be printed depending on the version: Left mask: ”small” (model 1); right: “large” (model 2).

The optimized design here above, was done by testing and improving previous designs by ISINNOVA

WARNING: Take proper acttion to prevent dangereous inhalation of plastic residues from 3D printing: clean all loose pieces of plastic and after 3d printing use a heat gun to “burn” plastic hairs away

Detailed post-processing instructions can be found HERE under “Print instructions”.

Separation inflow (center) outflow (sides)Design reported HERE without separation of inflow and outflow only to use for protection of health workers

There are furthermore 2 types of the masks and therefore two possible sizes of the connectors. The one reported by ISINNOVA is for one of the two sizes. On this site you find new designs for both sizes. The choice of material may be important for sterilisation purposes . We advise to use PET-G / CPE considering that it can wisthstand 80 C for longer than 15 minutes which is what needed to neutralise the virus.

Adapters designed by Vincent Groenhuis of the RAM group of the University of Twente, can be downloaded HERE.

The last design has a better separation of the inflow and outflow on the backside.

Current design (derived from Italian Charlotte valve):
Ports: Intake port: I.D. 19.4 mm, O.D. 22.0
Exhaust port: I.D. 17.4 mm, OD 19.4 mm (10 mm depth), then OD 22.0 mm

Be Carefull in the connection: the connection which is more toward the side, is the OUTFLOW and should be connected to the filter and PEEP valve. The connection which is more straight is the INFLOW from the CPAP or airsource.

Some of the available designs with links are reported in the following table, but please check https://www.prusaprinters.org/prints/27214-silvana-decathlon-face-mask-adapters for newer versions.

Small Large Small-d Large-d
Small Maks connector, for tube and filterBig Maks connector, for tube and filterSmall Maks connector, for tube on both sidesBig Maks, connector for tube on both sides
Silvana_C_v1.4 (standard)
Silvana_CL_v1.4 (loose fit)
Silvana_C_v1.0 (standard)
Silvana_CL_v1.0 (loose fit)
small_v0.8.7_Loose (loose fit)
small_v0.8.7 (standard)
Silvana_CW_v1.4
Silvana_CW_v1.0
large_v098.stl
Silvana_D_v1.4 (standard)
Silvana_DL_v1.4 (loose fit)
Silvana_D_v1.0 (standard)
Silvana_DL_v1.0 (loose fit)
small-d_v0.8.7_Loose (loose fit)
small-d_v0.8.7 (standard)
Silvana_DW_v1.4
Silvana_DW_v1.0
large-d_v098.stl

Additional configurations (3-port, 22F exhaust etc) are available in the files section of https://www.prusaprinters.org/prints/27214-silvana-decathlon-face-mask-adapters.

Overview of configurations:

Injection-moulded Silvana adapter

An injection-moulded Silvana adapter is available. Being injection-moulded, it is easy to clean and sterilize and has better airtightness than 3-D printed adapters.

The adapter fits small connectors and has three ports which are directly connected to the three channels of the adapter.

Contact Vincent to request adapters.

Photo gallery

www.vincentgroenhuis.nl_projects_silvana_silvanainjectionmould.jpg

Filters

The Correct design which separates inflow and outflow is reported here. The outflow should be filtered to prevent contamination of the air. This can be done e.g. with the filter reported in the picture hereafter. These filters are common in the OR and ICU with 22mm female/male connection.

filteronedirectionvalve.jpeg
Correct Connection with separate inflow and outflowFilter which should be connected at the outflow of the splitter here beside

Valve

To keep a good level of pressure in the mask so that the lungs are properly expanded, there is the need for a pressure regulator, what is called a PEEP after the filter described above. Alternative is to put the pipe literally in an immersed basket of water with a depth of 5-20 cms.

peep.jpgbacket.jpeg
PEEP valve by AmbuAlternative via the immersion of tubin in water (5-20 cm deep)

There are some provisional designs you can print to hold the tubing on the side of the baquet. You find the designs in the following table. It depends on the baquet, but the design on the right seems more stable.