Saskatoon– A few days after the global pandemic was declared, Jim Boire got a text from his daughter. Rebecca Erker, a Royal University Hospital intensive care unit nurse. She is working on her PhD with the respiratory research centre in Saskatoon. As a result, she had a good understanding of what was at stake with COVID-19, and reason to be concerned.
Thankfully, Boire is president of RMD Engineering, a Saskatoon firm whose expertise ranges from beamlines for the Canada Light Source Synchrotron to industrial processes in potash mining, and a whole lot in between. They’ve worked in uranium, agriculture, and a lot of research and development. His company (which Boire owns with four other partners, all employees) had the expertise and capacity to do something about it. And so they did.
“I got my text from my daughter on March 18. March 24, we had our first prototype built,” Boire said by phone on Dec. 3. Now the Saskatchewan Health Authority (SHA) announced on that December day it would be taking delivery of 100 new ventilators, known as the EUV-SK1, in short order. The first 20 are ready to go out the door, and the company has most of the parts in place to build as many as 1,000 units.
RMD Engineering Inc.’s subsidiary, One Health Medical Technologies, recently received COVID-19 Medical Device Authorization from Health Canada for an in-house designed, developed and manufactured ventilator. Collaborating with the University of Saskatchewan and SHA subject matter experts, RMD Engineering was able to successfully prototype an emergency use ventilator for Health Canada certification.
According to a Ministry of Health press release on Dec. 3, there are currently approximately 650 ventilators available in Saskatchewan’s health system, enough to meet the need. They range from high-end critical care type ventilators to more basic sub-acute ventilators. The SHA’s purchase from RMD will increase that number to about 750.
But getting from a text to a prototype for an approved ventilator wasn’t easy, nor was it quick process.
Very early on, the deans of both the University of Saskatchewan College of Engineering and College of Medicine got involved. Top respiratory technologies, respirologists, and ICU nurses were brought in within short order to develop this totally new product. Boire said, “As soon as we asked for them to help, they helped with open arms. And you have a team like that that knows exactly what something is supposed to do. And the capability to build something that can do that, then all you need are the codes and standards and validation equipment to make sure it meets the required level of quality.”
Asked if it was like converting to war production in 1940, Boire said, “I’ll tell you, that’s exactly the way it started.
“It felt like a military operation, if I was ever involved in a military operation, but I wasn’t. However, as soon as we got through the point where this is going to work, this design is going to work, here’s what we have to do now, a group of people said, ‘You know what? We get it. This is like a military operation, everybody’s doing this, let’s just go go go.’
“They stopped and said, “You know what, it’s probably time now that everybody starts looking at this as the biggest humanitarian effort this company has ever done.” And it was just an awesome way to get out of that firefighting mode. And then one of our instrumentation leads said, ‘This is not a sprint. You guys can’t keep working 18 hours a day. This is going to be a marathon.’
“And it really helped pull the whole team back down to the ground, and get them out of that adrenaline mode, and really start focusing on the work breakdown, structure in the tasks at hand, and who’s responsible for what and what’s this timing going look like and when is this going in.”
His references to firefighting are authentic, as the company has built support equipment for water bombers.
They soon realized that the whole world was looking for critical parts, which almost immediately went into short supply and were being hoarded. Some items, like wire, saw huge price spikes. So RMD quickly realized it had to work on this project quietly, and develop a product that avoided critical path component shortages.
Boire said, “Instead of using the newer, more conventional turbine method, we knew those would be a hot commodity, when the world proclaimed they needed over a million of these. As you can imagine, that turbine is a complicated piece of equipment. We went the other way. We went back to being simple,” Boire said. “We have very, very few moving parts in our machine. There’s four moving parts.”
He explained, “This is an emergency use ventilator, so it needs to be used in the hospital or in an emergency hospital situation where they have line medical air and line oxygen so that’ll be running at 50 PSI. And then we control everything with proportional solenoids.”
There are two tubes coming into the device, which is in a large Pelican case, and two tubes coming out. They had them on hand because of another government project they’re working on. The lid includes an IBM screen.
“They’re all high reliability components,” he said. It runs off 110 volt AC power.
You set it up beside the bed, hook up the lines, hook up the power and put in the appropriate prescription.
They had previously made the biomedical imaging line for the Canadian Light Source, but they weren’t a medical device manufacturer. The list of specifications, protocols and standards was extensive.
And those standards, in some ways, simplify things. Boire said, “We don’t have any proprietary stuff on there, so all of the circuits, all the nebulizers everything fits on there. All that is covered off in standards. And I think that’s one of the biggest things to understand is when you go down this path, it is very prescriptive on everything. The machine has to do all of the standards it has to meet, including operational standards.”
He added, “It’s probably a foot tall, the stack of standards, when you put them together. You have to meet the electrical requirements, the operational requirements, the safety requirements. You don’t get to just build something in your backyard, and then tell everybody you have it. When you go and look at the requirements, when you submit to Health Canada, it is an armful. And I think we’ve spent just about $30,000 on standards. There is a lot of standards that you have to meet.”
It is very unique, he said. “We looked at the critical components like flow meters, how you measure flow and pressure, because we’re talking very low pressures that have to be measured very accurately.”
This is where the consultation with respiratory technicians, anesthesiology repair technicians from the health region made a difference. Because there was such high demand for ventilator components, he said, “You have to figure out how to do that with readily available things that are very safe.”
“So when we started doing our production testing, we had to do accelerated testing on components that, in the period of two or three weeks, we could get an effective 25 million cycles on a component that we designed.”
By the end of December, they’ll likely have the remaining 80 units ready. They’ve also built a training version to be used in remote areas or to train people on a simulation patient or a “test lung.”
They submitted their application to Health Canada on May 5. “In that period of time is when we refined our design, did our testing, had to send it out to third party,” Boire said.
Quality assurance and traceability were very important, he said.
“Since March, we’ve got 40,000 to 45,000 hours in already, in the development and testing and verification side.”
This happened just as the company was in the middle of expanding their facility, much of which was accomplished with their own staff.
“We’re probably going have to hire another 12 to 15 people, and train them,” he said, noting training is a big part when dealing with healthcare devices, especially when it comes to things like quality control.
“We’ve currently got 15 people now on the manufacturing side of it and the programing side, and the testing side.”
They are working on getting their Medical Device Single Audit Program (MDSAP) certification, which he calls a “quality control program on steroids.”
Asked if they were going to stick with it, he said, “We’re going to stay as a medical manufacturer.”
Boire added, “The medical device manufacturing will just be another part of our company. We’re going to stay with theses rugged use ventilators, like this emergency type ventilator. We do not intend to compete with Panasonic or anybody at Philips, anybody that’s making mainstream, high-volume ventilators. We’ll stay with a rugged use ventilator, because unfortunately, when you look at the numbers and look at this type of virus, the feeling is this could be around for a long time. And the government is coming out with a program that those of us that produced a medical device will have the opportunity over the next couple of years to convert that to a full medical device licence. And we’ll take advantage of that just so we can make sure we keep this, here in Saskatchewan. We’ve already spent the money. Whatever happens now, happens.
“So we want to make sure that we leverage that into good technology and good expertise for the years to come, not just, ‘Oh well, there’s no more ventilators to make, we’ll just do something else.’
Boire said they found that Saskatchewan really needs to focus more on trades and “getting trades educated with higher-end things.”
“We have to bring manufacturing back to Saskatchewan,” he said.
They were going to do it
Why did they choose 1,000 units? Boire explained, “Saskatchewan said, ‘Our numbers show we need 1,000 ventilators in Saskatchewan.’
“We’re from Saskatchewan. We said we’re going to pick to do this, based on what we can do in this province. And what we did instead is while we were building this, we’ve built a whole project management system and basically a tool kit that if need be, if this type of ventilator is required in other places, we now have a system that we can go and work with another company very similar to ours, that has similar manufacturing capabilities and get them up and running to produce locally to them.”
Boire said, “If we sold, half of what we had expected to make, we will break even. But again, it’s not why we did it.”
“This initiative exemplifies the spirit of collaboration and entrepreneurship we’re so proud of in our province,” Health Minister Paul Merriman said in a release. “Our government fully supports this work, and we are pleased that residents in Saskatchewan and across the country will have access to this equipment, if they need it.”
2 deaths, 180 COVID-19 cases announced in Manitoba Saturday – Global News
Manitoba public health officials confirm two additional deaths in people with COVID-19 have been reported.
The deaths are a man in his 70s from Southern Health-Santé Sud and a man in his 80s from the Winnipeg health region.
The current five-day COVID-19 test positivity rate is 10.2 per cent provincially and 7 per cent in Winnipeg.
As of 9:30 a.m. Saturday, 180 new cases of the virus have been identified and the total number of lab-confirmed cases in Manitoba has risen to 27,322.
The new cases are in the following regions:
- 10 cases in the Interlake-Eastern health region
- 69 cases in the Northern health region
- eight cases in the Prairie Mountain Health region
- 10 cases in the Southern Health-Santé Sud health region
- 83 cases in the Winnipeg health region.
The data also shows there are 2,986 active cases and 23,575 individuals who have recovered from COVID-19.
There are 122 people in hospital with active COVID-19 as well as 161 people in hospital with COVID-19 who are no longer infectious but continue to require care, for a total of 283 hospitalizations.
COVID-19 cases rising in the north
There are 19 people being treated for COVID-19 in intensive care units, as well as 17 people with COVID-19 who are no longer infectious but continue to require critical care, for a total of 36 ICU patients.
The total number of deaths due to COVID-19 is 761. Due to a data error, one death that had been reported earlier has been removed.
Laboratory testing numbers show 2,043 tests were completed Friday, bringing the total number of lab tests completed since early February 2020 to 450,104.
An outbreak has been declared at Lynn Lake Hospital in northwestern Manitoba. The site has been moved to Critical (red) on the Pandemic Response System.
The outbreak at Seven Oaks General Hospital, 4U4-7 in Winnipeg is now declared over.
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Local epidemiologist Cynthia Carr says while it has been challenging to follow health restrictions, it has made a difference.
“These restrictions and the work we have done together really does matter on the serious of levels. working together we have saved almost 2,000 lives. It might have been 1,700, 1,800 or 1,600 but the reality is it mattered,” she said.
And while our numbers remain steady for now, there are still obstacles in certain regions — particularly the North.
Carr says if the pandemic hasn’t ripped the issue of housing wide open in other areas, she doesn’t know what will.
“This is an ongoing challenge. When I go to a community and do community health assessments and I talk to leadership about health, they won’t say we need a fancy hospital, X-ray machines, etc., one of the first things will be the foundation of housing.”
She says infrastructure is absolutely related to health, and it hasn’t been attended to in our northern communities.
–With files from Anya Nazeravich
© 2021 Global News, a division of Corus Entertainment Inc.
One of Canada's oldest seniors, at 110 years old, gets COVID-19 vaccine at Surrey care home – Cowichan Valley Citizen
JaHyung Lee, a resident at a Newton care home, received his COVID-19 vaccine at the age of 110.
Amenida Seniors Community said in a news release that residents at the facility received the first dose of their vaccines on Thursday (Jan. 14). JaHyung Lee is one of Canada’s oldest seniors to be inoculated.
The second dose of the Pfizer/BioNTech vaccine will be administered “in the coming weeks.”
“We are extremely lucky that we have received enough supplies to vaccinate all of our residents in care,” said Rosa Park, general manager at Amenida.
“As many of our seniors are elderly and require complex care, we can feel safer knowing that the virus won’t be spreading within our community.”
A reporter with the Now-Leader attended Lee’s 109th birthday in 2019. He was born on Aug. 27, 1910.
Meantime, Fraser Health says it has completed 151 vaccine clinics for long-term care and assisted living in the health region.
Latest COVID update Jan. 16: Sask. administers record-high vaccines – CKOM News Talk Sports
Saskatchewan administered its highest one-day total of COVID-19 vaccinations Friday.
The encouraging news comes as the province also reported two more COVID-related deaths and 270 new cases in its daily update Saturday.
The 2,857 vaccine doses were delivered in the following areas: Saskatoon (893), Prince Albert (857), northeast (426), southeast (285), Regina (267) and the far northwest (129). The far north-central region also administered 53 vaccines on Thursday. Friday’s information wasn’t available in the provincial update. There have now been 16,927 vaccines delivered across Saskatchewan.
An update on incoming vaccines from manufacturer Pfizer was also provided in the media release.
“Due to work to expand its European manufacturing facility, production of the Pfizer vaccine will be impacted for a few weeks,” the release stated.
“Pfizer is temporarily reducing deliveries, potentially by half, to all countries receiving vaccine manufactured at this facility.”
The province reaffirmed that vaccines will continue to be administered according to its priority sequence.
A shipment of 4,900 vaccines arrive from manufacturer Moderna on Friday. Distribution is happening in the central and southeast zones. Poor conditions on Friday delayed the shipment arriving in the far northeast zone until Saturday. Clinics are expected to begin Saturday and continue on Sunday.
Daily COVID-19 cases
The province is reporting a total of 19,985 COVID-19 cases.
Both people who tested positive for COVID-19 and died were from the Regina area. One was reported in the 60-69 age group and one was in the 80-plus age category.
The new cases are located in the Saskatoon (68), northwest (49), Regina (47), southeast (26), north-central (23) far northeast (15), northeast (13), far northwest (10), south-central (six), central-east (five) and far north-central (one) zones. Seven new cases are still pending residence information.
There were an additional 12 cases previously without a location assigned to the north-central (six), far northeast (two), far northwest (one), northwest (one), Saskatoon (one) and southwest (one) zones.
A total of 15,730 people have recovered and 4,043 cases are considered active.
The seven-day average of daily new cases is 311 (25.7 new cases per 100,000 population).
There are 199 people in hospital.
Of the 164 receiving inpatient care: 55 are in Saskatoon, 34 are in Regina, 30 are in the north-central region, 10 are in the northeast, 10 are in the southeast, 10 are in the northwest, seven are in the central-east, three are in the far northwest and one person is hospitalized in each of the far north-central, far northeast, central-west, southwest and south-central zones.
Thirty-five people are in intensive care. Patients are located in Saskatoon (17), Regina (nine), north-central (five), northwest (two), central-east (one) and south-central (one).
There were 3,071 COVID-19 tests processed Friday.
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