The Future of Healthcare: Medical Simulation-Based Education

Healthcare is always evolving, with new technologies and techniques being developed every single day to improve the way patients are cared for. However, with the field advancing so rapidly, it can be extremely challenging for medical providers to stay up to date on the latest treatments.

This is why simulation-based education has proven itself to be the future of medical education, helping medical students, practitioners, and professionals continuously improve their skills.

What is Simulation Based Medical Education?

Simulation-based medical education works by utilizing an artificial representation of a complex, real-world scenario to facilitate hands-on learning. Simulation allows for the practice of new therapies, technologies, and procedures without the risk that comes with attempting to do it on a patient in a high-risk situation.

At Michigan Instruments, we recognize the importance of providing high-quality educational resources to educators, especially within the field of respiratory care. Having a realistic simulator can truly help make the connection between theory and clinical experience in a safe setting. That is why we created the Lung Simulator.

Michigan Instruments Lung Simulators – A Staple for Your Medical Simulation Lab

Our Lung Simulators provide one of the most realistic simulations of the human pulmonary system on the market, making them the ideal tool for training and education. With the ability to simulate hundreds of healthy and diseased lung conditions, our lung simulators give professionals hands-on experience with real-time feedback, especially with our instrumented lung simulators that include the PneuView Software.

With a variety of benefits, our lung simulator has become a staple in medical simulation labs across the country.

  • Available in Single or Dual lung models for adults and infants
  • The ability to incorporate a variety of options to tap into the “lungs” to introduce gases and connect auxiliary devices
  • Our Head Simulation Modules facilitate education and studies with various oxygen delivery systems, non-invasive techniques/devices and other applications that would require a “face”
  • The ability to simulate a spontaneous breathing patient and evaluate the response of devices in various support modes
  • Our PneuView Software displays, stores, and saves real-time data, along with waveforms of pressure, volume, and flow, especially useful when using simple ventilation devices

If you are interested in adding a Michigan Instruments Lung Simulator to your hospital or institution’s simulation lab, contact us to receive a quote!

When Every Compression Matters, You Can Rely on Michigan Instruments

Cardiopulmonary resuscitation, or CPR, is one of the primary factors that can influence the survival of a cardiac arrest patient. When proper, high-quality CPR is performed, it helps deliver oxygenated blood to the patient’s brain and other vital organs until medical care can be performed. This increases the patient’s chance of survival and reduces the risk of permanent neurological damage.

Manual CPR Fatigue Sets in Within 2 Minutes

Maintaining high quality, uninterrupted chest compressions is a key factor to increasing a patient’s chance of survival. However, a person performing manual CPR can become fatigued after performing just 2 minutes of chest compressions. Any deterioration in the depth or rate of compressions, or interruption to compressions caused by switching providers can impact the patient’s chances of survival. So, when every compression matters, you can rely on Michigan Instruments’ automated CPR devices to perform high-quality, continuous CPR.

What is High Quality CPR?

According to the American Heart Association (AHA), high-quality CPR must adhere to the following guidelines:

  • Chest compression fraction >80%
  • Compression rate of 100-120 per minute
  • Compression depth of at least 50mm (2 inches) in adults and at least 1/3 the AP dimensions of the chest in infants and children
  • No excessive ventilation
  • Minimal interruptions in chest compressions

Performing high-quality, manual CPR requires substantial physical and mental effort from the caregiver, especially depending on how long the resuscitation takes and how many times compressions must be interrupted. This can become even more challenging in a pre-hospital setting when a patient is being transported. Michigan Instruments’ automated CPR devices provide a solution that not only helps to reduce caregiver fatigue, but also provide non-stop, high-quality compressions that comply with AHA guidelines.

Rely on Michigan Instruments’ Life-Stat and Thumper Automated CPR Devices

At Michigan Instruments, we know that every compression matters. That is why our automated CPR devices, the Life-Stat and Thumper, provide consistent, external compressions that give the cardiac arrest patient their best chance at survival. Being lightweight and easy to use, our devices support a quick transition from manual to automated CPR that minimizes the interruption to compressions. With high-quality, hands-free CPR being performed, it gives medical professionals the time to concentrate on performing other life-saving care.

CPR saves lives. That is why Michigan Instruments has been a dedicated leader in the field of automated CPR for over 55 years. If you want to learn how our automated CPR devices have helped EMS professionals, doctors and nurses provide their patients with high quality CPR and care, contact us to learn more.

Reliability of Michigan Instruments Lung Simulators

Reliability of Michigan Instruments Lung Simulators

A recent Galway Ventshare video demonstrates their testing setup for their prototypes using older generation Michigan Instruments devices.

For decades Michigan Instruments Lung Simulators have provided researchers and manufacturers with accurate and reliable results for the testing and calibration of respiratory and ventilation devices. This was prevalent last year when Michigan Instruments devices assisted manufacturers and researchers worldwide as they combatted the shortage of ventilators as a result of the COVID-19 pandemic.  While Michigan Instruments has continued to improve our lung simulators over the years, updating our lung simulators in 2014, we know that our older units were, and continue to be, used to aid in the research and development of new ventilator prototypes.

We recently found this video by Galway Ventshare, where they share an overview of their testing setup for their prototypes using two (older generation) Michigan Instruments test lung simulators to represent patients

Michigan Instruments Lung Simulators: Ideal for Testing, Research & Development

Available in adult and infant versions, single lung, and dual lung models, our lung simulators allow medical researchers to test new devices and techniques, simulating a wide range of patients and lung conditions.  Ventilator manufacturers and other medical device manufacturers can count on the accuracy, versatility, and durability of our lung simulator devices day in and day out. Contact us to learn more about our Lung Simulators and request more information today!

Respiratory Therapists Play a Vital Role in Patient Care blog image

Respiratory Therapists Play a Vital Role in Patient Care

Respiratory Therapists work with doctors and nurses to treat patients of all ages, ranging from premature infants, whose lungs have not fully developed, to adults with lung disease. Typically, they assist medical teams with the following:

  • Diagnosing lung or breathing disorders
  • Evaluating patients, performing tests and conducting studies
  • Determining appropriate therapy and treatment options
  • Managing equipment and devices needed for treatment such as ventilators and oxygen machines
  • Educating patients and families about lung disease and breathing disorders

Throughout the pandemic, the role of all healthcare professionals, especially respiratory therapists, became critical in the care and treatment of patients with COVID-19.  As the country and the world continue to evaluate ongoing conditions caused by the virus, we continue to see our lung simulators used for developing and testing new equipment and respiratory treatments.

The emerging trend in healthcare toward a multidisciplinary team to deliver primary healthcare services has made the role of Respiratory Therapists integral in the care of patients.  Now, working collaboratively with other medical teams, Respiratory Therapists are helping the healthcare industry move toward a patient-centered approach that can help to improve the management of diseases, such as chronic obstructive pulmonary disease (COPD), while also helping to focus on disease prevention and health promotion for patients.

Michigan Instruments, a Pioneer in Respiratory Care

Michigan Instruments’ test lung simulators have been used by thousands of Respiratory Therapists worldwide and are considered the gold standard of respiratory simulation. From hands-on training to testing new respiratory care products and techniques, our test lung simulators for adults and infants offer the most realistic and accurate simulation of the human pulmonary system available today.  They help Respiratory Therapists provide the highest quality of care and life-saving therapy to patients. 

Want to learn more why Michigan Instruments has been called a pioneer in respiratory care? Contact us to learn more about our lung simulators and how they can be used by your Respiratory Therapy team.

Supporting the Supporters

At Michigan Instruments, our Lung Simulators and Automated CPR devices have been used by thousands of health care professionals worldwide and are considered some of the top respiratory care and automated CPR devices on the market. However, what truly sets Michigan Instruments apart from others in the industry is our dedication to our customer’s satisfaction. Whether you need tech support, calibration assistance or need to replace a part, our staff is always happy and available to address your needs.

Over the past year we have produced and delivered countless lung simulator devices to those developing ventilators and other respiratory equipment to support medical professionals treating those battling the Coronavirus. We’ve ramped up production, added staff, and worked with organizations including NASA, Ford Motor Company, and Cornell University, (just to name a few), to support their ventilator production and research and development.

As the world continues to fight the ongoing Pandemic, we’re committed to supporting those on the front lines and behind the scenes in R&D. Here are just a few ways Michigan Instruments supports you (our customers) so that you can support your patients.

Tech Support

If you run into a problem or have a question about how to operate one of our devices, we offer technical support whenever you need it. You can reach out to us through this form on our website and one of our staff members will quickly and personally respond to your inquiry.

Service and Calibration

To ensure high-quality performance and accurate data, it is important to make sure your device is calibrated correctly. That is why we offer a calibration service for our devices to our customers. Fill out this form on our website to request a calibration of your test lung simulator and you will receive detailed instructions on the process and shipment.

Replacement Parts & Accessories

While Michigan Instrument’s devices are inspected, reviewed, and serviced by the same workforce that initially assembled them, we understand that sometimes parts need to be replaced. Because of this, we offer a variety of lung simulators replacement parts, and CPR device parts. Contact us with your information, the products that you are interested in, quantity, and other important details and we will respond quickly with an estimated quote for you.

Product Development

Feedback and product improvements are top of mind. We listen to those who use our devices about suggestions and recommendations for ongoing product development and improvements. If you have a product improvement suggestion, let us know.

Want to learn more about our customer service or are you interested in receiving more information for our Lung Simulator or CPR devices? Contact us today!

The Applications of Automated CPR Devices

When treating a cardiac arrest, it’s important to secure high-quality chest compressions throughout the entire event—no matter when or where. For years, the use of automated CPR devices has given medical professionals a way to provide high quality, continuous care to patients in a variety of settings.  While they are most often thought of in pre-hospital care, their usefulness has been established in a wide variety of settings.

What are Automated CPR Devices?

Automated CPR devices perform effective, customized, and hands-free CPR to a patient so that healthcare providers can concentrate on identifying the cause of the arrest and focus on other life-saving procedures. The use of these devices come with several benefits to providers including:

  • Offering better access to the patient
  • No need to work around someone performing manual CPR
  • Reducing risk to the patient and preventing injury or fatigue of the caregiver.

Hospital Application of Hands Free CPR

While many hospitals consider automated CPR devices to belong only in the emergency department, these devices have a variety of applications that can be useful throughout the entire hospital. These devices should be available to any healthcare provider who may respond to any code involving cardiac arrest.

  • In-Hospital Cardiac Arrest
  • Emergency Departments
  • Coronary & Intensive Care Units
  • Organ Transplant Facilities

Pre-Hospital Applications for Automated CPR Devices

Manual CPR is a challenge when trying to maintain consistent, high-quality compressions.  This challenge only increases when working on a patient that is being moved or transported. Automated CPR devices can be securely applied to a patient throughout an entire transport, which avoids any interruptions during the event and gives access to caregivers to assess the patient and deliver life-saving therapy. There are a variety of pre-hospital applications for automatic CPR devices:

  • EMT/Paramedic Units
  • First Responders
  • Ambulance Transport
  • Air Medevac Units

Michigan Instruments Life Stat & Thumper Automated CPR Devices

At Michigan Instruments, our Life Stat and Thumper Automatic CPR Machines provide consistent external chest compressions that give your patients their best chance at survival. Some of the benefits of our automated CPR devices include:

  • Lightweight and easy to use
  • Set-up quickly and allow for the transition from manual to automatic CPR with minimal interruption to compressions
  • Accommodate larger patients than other devices
  • Provide greater access to the patient
  • Have minimal consumable costs

Our Life-Stat CPR Device is the only device with a ventilator built into the unit, providing your medical team with a totally hands-free solution.

Learn why thousands of medical professionals worldwide have chosen to partner with Michigan Instruments as their trusted source for automatic CPR machines. Request a quote today!

Mechanical Ventilation is a common lifesaving and life-sustaining intervention in the emergency, surgery, and critical care environments. However, changes in ventilator technology, professional standards of care, and the appearance of new disease processes can make it challenging to keep up, even for those respiratory care professionals tasked with staying on top of ventilator management. This is an area where lung and breathing simulation can truly optimize the performance of new (and old) technologies while minimizing potential mistakes and complications for the patient.

Of course, the Covid-19 pandemic meant not only an increase in the number of patients requiring mechanical ventilation, but also a plethora of new devices, sometimes manufactured by companies and organizations that have not previously specialized in this area. Yes, all manufacturers are held to a high standard for performance and quality when it comes to ventilators, but there still remains the challenge of incorporating these devices into clinical settings and practices.

Along with new technologies also comes new techniques and standards of care, depending on the disease processes and conditions being treated. This too can be a challenge. Let’s face it, none of us wants even qualified caregivers to “practice” on our loved ones.

Lung Simulation provides an answer to help medical professionals get and stay proficient with new ventilation devices and techniques by providing them with hands-on experience prior to clinical use. Simulators help clinicians gain experience in managing these technologies and learning new therapies while in a safe and controlled setting. Caregivers are able to make the connection between theory and practice, and that is extremely valuable.  

At Michigan Instruments, our TTL and PneuView lung simulators have been used in training programs and simulation labs across the country. Fully adjustable, versatile, and durable, our lung simulators have the ability to replicate hundreds of healthy and diseased lung conditions while providing users with real-time feedback, effectively simulating the response to the apparatus or technique being used.

The TTL® and PneuView® systems go beyond most other available lung simulators. Simpler “test lungs” perform just a handful of simulations and are not fully to scale, which means their usefulness is limited. Our devices have the advantage of moving and “feeling” like a real lung or lungs when ventilated.

If you want to learn more about how our lung simulators can improve ventilator management, or be used in your training programs, contact us or request a quote.

Trends in Mechanical Ventilation Blog Image

While mechanical ventilation dates back to the late 18th century, it is only within the last century that it has become widely introduced into routine clinical practice. Since then, mechanical ventilation has become exponentially more sophisticated, expanding its application from the ICU to emergency medicine and even in long-term care.

This past year, wide-spread ventilator shortages and changing patient needs caused by the COVID-19 pandemic caused the mechanical ventilation industry to evolve rapidly. Established manufacturers in the field had to ramp up their production schedules putting a strain on the whole supply network. Many new players, manufacturers who had been foreign to this industry, suddenly became involved in the design and production of ventilators. The goal was to meet the existing and potential demand for devices while keeping them effective, affordable, and user-friendly.

Michigan Instruments has played a role in many of these recent development and production efforts by providing our calibrated lung simulators (TTL Training Test Lungs and PneuView Systems) to organizations like Ford Motor Company, Cornell University, OperationAir, and even NASA. The simulators play a necessary role in testing the design and performance of new devices.

Based on these recent efforts and others across the world, here are just a few of the trends we have noticed emerging, and are ready to support, in the mechanical ventilation industry:

  • Municipalities, states, regions, and countries have become aware of the need to increase ventilator supply and be prepared for sudden increases in demand. Producing these devices takes time, and situations can arise where time is not an available luxury.  
  • Thought needs to be put into the kind of ventilators that will be needed. The challenge is, and will continue to be, having a supply of ventilators that will meet the respiratory needs of a variety of patient etiologies, as we don’t know what the next pandemic will look like. What have we learned? Not every ventilator is able to meet the needs of every patient.  
  • It has become more and more important that ventilators work with the efforts of patients. Mechanical ventilators need to support and augment these spontaneous efforts in order to reduce the work of the patient and allowing healing and recovery to occur. It’s not just breathing “for the patient”. It’s breathing “with the patient”.
  • The ability to simulate a wide variety of lung diseases and patient types (including breathing patients) is necessary for the design and testing of mechanical ventilators. Everyone, including newcomers to this business, has seen how important simulation and testing is in this effort. Without realistic simulators and test lungs, we can’t guarantee the performance of these ventilators when they are placed in the clinical setting.

As the respiratory care industry continues to grow and develop in the next few years, Michigan Instruments stands ready to provide medical device developers and researchers versatile, easy to use lung simulators that can help to aid in the design, engineering, testing, and manufacturing of ventilation devices. Our lung simulators offer a wide range of calibrated lung compliance and airway resistance settings. They’re also able to simulate dynamic spontaneous breathing and breathing efforts. This flexibility allows our devices to replicate hundreds of healthy and diseased lung conditions, while providing accurate measurements and data. Learn more about our Lung Simulator Devices and contact us to request a quote!

All Ventilators are NOT Created Equal

In these recent months of the COVID-19 crisis, many companies and institutions have taken on ventilator design and manufacturing for the first time. With our long history of involvement with researchers and ventilator manufacturers, Michigan Instruments has played a role in many of these recent efforts, providing our calibrated lung simulators (TTL and PneuView) to auto manufacturers, electronics companies, Universities, and even NASA to support their development and manufacturing efforts. One of the things that we know at Michigan Instruments, as do most medical professionals involved in mechanical ventilation, is that not just any ventilator can be used on any patient.

Ventilators range in complexity from very simple emergency units that are meant for short-term use in the pre-hospital or field setting, to long-term care ventilators that are used in homes or institutions to support patients with chronic breathing issues, to critical care ventilators used in ICU’s to deal with acute illness, severe trauma, or post-surgical cases. These units can have very different features and capabilities. All ventilators are not created equal, and that’s intentional.

The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The major morbidity and mortality from COVID-19 is largely due to acute viral pneumonitis that evolves to acute respiratory distress syndrome (ARDS). Patients that develop ARDS will often end up on a ventilator in the ICU. These patients can be difficult to ventilate, requiring high levels of oxygen and relatively high ventilating pressures to move adequate breath volumes in and out of the lungs. And that’s the issue. Not just any ventilator will meet the needs of these patients.

As mentioned above, Michigan Instruments has been involved in many of these recent efforts to ramp up ventilator production in response to the COVID-19 pandemic. Our lung simulators are being used all over the world. We wouldn’t presume to know exactly what kinds of ventilators will work best to treat these COVID-19 patients, but we believe there are some reasonable basic features and minimal capabilities that should be incorporated into the ventilators being developed and built to deal with this crisis.

  • Oxygen %: Adjustable from 21 to 100%  (either built-in or adjustable external O2/Air blender)
  • Respiratory Rate: Up to 40 breaths per minute (BPM)
  • Tidal Volume: 100 to 1000mL
  • Pressure Limit:  Up to 60 cmH2O
  • PEEP:  Up to 15 cmH2O
  • Alarms:  Low Pressure, Disconnect, High Pressure, Loss of O2 Source
  • Other Features:  Synchronized to patient effort; high sensitivity to patient effort; sine or decelerating flow waveform; dual-limb breathing circuit with adequate filtration of inhaled and exhaled gases

Note: These features are the opinion of the technical specialists at Michigan Instruments and should not be taken as official guidelines or requirements. In an emergency situation, we believe that almost any mechanical ventilator will be superior to no support or prolonged use of a manual resuscitator.

The Michigan Instruments TTL Training Test Lungs and PneuView Systems have played an invaluable role in the effort to meet the need for reliable, tested mechanical ventilators. Our products and our expertise have been called upon by old and new partners around the world during this pandemic crisis. Whether your role is in development, design, or manufacture of ventilators, we’ve got the lung simulator products that are tried, trusted, and often specified to meet your testing needs. 

Learn more about our Lung Simulator Devices here or contact us today for more information!

Michigan Instruments delivers unprecedented number of lung simulators to aid in ventilator research and development amid shortage

Michigan Instruments, a leading manufacturer in Lung Simulation, has delivered an unprecedented number of lung simulators to organizations around the world to help in respiratory technology research and critical ventilator development and manufacturing to combat the shortages caused by the COVID-19 pandemic.

Many countries, including the United States, are continuing to see a rise in COVID-19 cases, which brings to light the extreme lack of medical resources like ventilators available to hospitals and critical care facilities.

In response, the world has seen an incredible response in the development and manufacturing of ventilators as researchers attempt to create a cost-effective and efficient lifesaving solution. Michigan Instruments has been at the forefront of this response by working with organizations to deliver Lung Simulators designed for validating and testing these ventilators. 

Organizations like NASA, Ford Motor Company, Cornell University, Michigan Technological University, University of California San Diego, OperationAir, and the Royal Women’s Hospital, Monash University and the Alfred Hospital in Australia have all used Michigan Instruments lung simulators to aid in the development and discovery of several potential ventilator solutions.

  • A group of engineers from NASA’s Jet Propulsion Laboratory have developed a high-pressure ventilator that can mechanically breathe for patients with the most severe cases of COVID-19.
  • Students and faculty from Cornell University, Michigan Technological University, and the University of California San Diego have all developed versions of effective, low-cost ventilator systems created using inexpensive materials or materials readily available.
  • OperationAir has also developed a prototype called the AIRone, an easily producible emergency ventilator that can be used when shortages occur due to the pandemic. Production has already started on the device and its design is open source and available globally.
  • A team of researchers from the Royal Women’s Hospital, Monash University and Alfred Hospital have successfully tested, in a simulated environment, the potential to ventilate two lungs of different compliances from a single ventilator using only commonly available hospital equipment.

These lung simulators provide developers with cutting edge technology that can aid in the design, engineering, testing and manufacturing of devices like ventilators by replicating hundreds of healthy and diseased lung conditions to evaluate a ventilator’s performance with accurate measurement and data reporting.

Based in Grand Rapids, Michigan, Michigan Instruments continues to produce and ship Lung Simulators. The increased demand in production allowed Michigan Instruments to utilize qualified workers from other manufacturers forced to close during the Michigan shut down, as well as existing employees working extended hours.

Chris Blanker, President & Owner of Michigan Instruments shared, “In a time when many manufacturers were forced to lay off employees and slow production, we were blessed to be able to remain open, provide work for our employees and utilize very talented workers from local companies forced to close. Sadly, this is due to the Pandemic, but our team is proud to know that our devices are helping with the development and supporting the production of ventilators and other devices that help save lives.”The ventilator’s modularity, that it can function as a transport or an ICU ventilator, running with a desktop or laptop, is one of the key innovations of Ivy’s design. By running multiple instances of the clinician software, a single tablet or computer can govern multiple ventilators remotely, so nurses can monitor many patients without having to enter their rooms.

Chris Blanker shared, “We are very proud to have been able to quickly ramp up production and delivery of our lung simulators for the organizations that are developing and manufacturing critical ventilators and other devices to help save lives. The production ramp up was challenging, but our team rose to the task.  We’ve worked closely with developers and manufacturers of all backgrounds and we look forward to continued partnerships like this. ”