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Small device, big impact on saving lives

A team of University of Cincinnati researchers invented a lightweight, portable and cost-effective alternative to traditional ventilators with support from the 1819 Innovation Hub.

Every second counts in critical moments when someone stops breathing. Yet, the lifesaving tools available in places like football fields, restaurants and even military battlefields are often rudimentary.

Local 12 News reported that this could soon change, thanks to a groundbreaking innovation from researchers and clinicians at the University of Cincinnati.

Spiritus is a Venture Lab startup founded by three UC professors. They've created a volume, rate and pressure display for self-inflating breathing bags. The breathing bags are used by paramedics and doctors in emergency situations to help a person breathe. Justin Benoit, associate professor, Department of Emergency Medicine;
Jason McMullan, associate professor of clinical emergency medicine;
Ephraim Gutmark, distinguished professor of aerospace engineering;
Paul Bruggeman, entrepreneur in residence

Jason McMullan presenting RVS technology. Photo/Andrew Higley/UC Marketing + Brand

After years of meticulous development, Justin Benoit, MD, MS, UC Associate Professor of Emergency Medicine; Jason McMullan, MD, MS, UC Professor of Emergency Medicine and Ephraim Gutmark, PhD, distinguished professor of aerospace engineering, have launched Rescue Ventilation Solutions, a startup that aims to revolutionize emergency resuscitation.

Their product nicknamed “Spiritus” is a novel technology that has been in development since 2017 and is designed to attach to any standard bag valve mask used when someone stops breathing, such as during cardiopulmonary resuscitation, or CPR.

It’s like flying a plane with no gauges— all of which can determine life or death.

Justin Benoit, UC Associate Professor of Emergency Medicine

Justin Benoit and Jason McMullan demonstrate the first iteration of Spiritus prototype to reporter.

Justin Benoit and Jason McMullan discuss the first iteration of Spiritus prototype with reporter, Liz Bonis. Photo/Diana Lara

Using a bag valve mask without a means to measure critical variables — such as the amount of air being delivered, the rate of breaths and the pressure exerted — can be perilous.

As Benoit explains, “It’s like flying a plane with no gauges. How someone uses a bag valve mask determines how much oxygen is in the blood, the pH of the blood and the circulation to the heart muscle itself — all of which can determine life or death.”

RVS's tiny, 2-inch device, weighing less than 100 grams, promises to bring the precision of a ventilator to the palm of a bystander or first responder.

While highly effective, traditional mechanical ventilators are cumbersome and expensive, weighing in at over 30 pounds and costing thousands of dollars. They are not practical in most emergency situations outside of a hospital. When someone stops breathing in a supermarket aisle, on a sports field or in a school, the tools at hand are usually limited to mouth-to-mouth resuscitation or a bag valve mask.

The Spiritus device is inexpensive, portable, disposable and, above all, accessible, unlike bulky ventilators, typically confined to hospital settings due to their size and weight.

The urgency of RVS’s mission becomes clear when you consider the stakes.

In 2023, during the first quarter of the Jan. 2 football game in Cincinnati, Buffalo Bills safety Damar Hamlin, a 24 year old, tackled Bengals receiver Tee Higgins, taking him to the ground. Hamlin stood up after the tackle and took two steps but then collapsed to the turf and immediately went into cardiac arrest. McMullan was on the field and began administering CPR using a bag valve mask. Hamlin's heartbeat was revived on the field and he was immediately taken to the University of Cincinnati Medical Center.

The delicate nature of human lungs adds to the complexity of dealing with them. Delivering too much air can result in air entering the stomach instead of the lungs, or worse, it could cause a lung to rupture — a potentially fatal outcome, as the lungs are a delicate, complicated living tissue.

Photo of Justin Benoit and Jason McMullan using the bag valve mask with Spiritus attachment during their channel 12 interview.

Behind the scenes look at WKRC studio as Justin Benoit and Jason McMullan demonstrate how to properly use the bag valve mask with Spiritus attachment. Photo/Diana Lara

It’s costly to bring lifesaving technology to patients; however, RVS identified a gap and wants to close it to save people. RVS has hustled and is making significant strides, securing substantial funding to bring the device closer to reality. Since 2017, the team has secured a total of $420,000 from the UC Department of Emergency Medicine, the UC Technology Accelerator for Commercialization, the UC Venture Lab and the Ohio Department of Development’s Technology Validation and Startup Fund (TVSF).

With an intellectual property (IP) license now granted by the UC Office of Technology Transfer, located within the 1819 Innovation Hub, RVS is moving forward with the final development of its minimum viable product, a critical step before presenting it to the U.S. Food and Drug Administration (FDA) for approval. This regulatory milestone is essential for the commercialization of the device, and RVS is actively seeking an investor to accelerate the process.

Beyond civilian use, RVS’s potential has drawn interest from the U.S. military, particularly the Air Force, given the University of Cincinnati’s longstanding connections in trauma research.

“You can imagine how the military isn’t going to carry a transport ventilator onto the battlefield,” Benoit remarks. The Spiritus device’s portability and efficiency make it an attractive option for military medics.

Additionally, RVS is in discussions with the Biomedical Advanced Research and Development Authority (BARDA), a federal agency under the Department of Health and Human Services focused on disaster preparedness and response. The device’s potential to save lives in emergency situations, such as the COVID-19 pandemic, whether in civilian or military contexts, has garnered significant attention.

As RVS continues to refine its device and prepares for the final push to market, its vision is clear: to make advanced resuscitation tools as standard as fire extinguishers or first-aid kits. Whether in schools, sporting events or everyday settings, the availability of a simple, effective and affordable device like Spiritus could be the difference between life and death.

For now, the RVS team is focused on ensuring that its device meets the rigorous standards required for FDA approval and securing the support needed to bring the innovation to the world. If successful, RVS’s technology could revolutionize emergency care, offering a lifeline to millions when they need it most.

Featured image at top: Justin Benoit, Liz Bonis and Jason McMullan. Photo/Diana Lara

Next Lives Here

The University of Cincinnati is leading public urban universities into a new era of innovation. Our faculty, staff and students are saving lives, changing outcomes and bending the future in our city's direction. Next Lives Here.

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