WO2023161957A1

WO2023161957A1 - Compact, portable, automated manual breathing unit

Info

Publication number: WO2023161957A1
Application number: PCT/IN2023/050158
Authority: WO
Inventors: Ashish DESHWAL
Original assignee: SHEORAN, Savita; Sharma, Babita
Priority date: 2022-02-22
Filing date: 2023-02-17
Publication date: 2023-08-31

Abstract

The Present invention discloses an automated mechanical breathing unit capable of delivering volume and rate-controlled breath. The user inputs desired rate of delivery, range of selection of such rate is 14-30 per minute. The User also selects the desired Volume of breath in milliliters, the range of selection of such volume is 150-600 milliliters. The present invention comprises of ambulatory ventilation bags. An Artificial manual breathing unit (AMBU) is often used to provide mechanical ventilation in such cases. The cases requiring such ventilation are encountered in routine as well as emergency situations.

Description

Field of the Invention:

The present invention related to medical device. More particularly the invention relates to breathing device. Even more particularly the invention relates to automated mechanical breathing unit.

Background of the invention

In present days ventilators have become most important device in the medical field after the COVID 19. Very limited and costly breathing units or ventilators are available in the market. Some of such inventions are discussed below.

Reference has been made to WO2019229776 titled "AUTOMATED ARTIFICIAL BREATHING DEVICE" by Joseph L. MATHEW dated 2018-06- 01, embodiments of the present invention in general, relates to medical devices, and more particularly, to a portable automated breathing device and system. The present invention provides an electromechanical device for automated controlled artificial breathing, in order to replace manual ventilation. The invention has the added advantages of capability to correct artificial breathing during events such as, but not limited to, patient cough, circuit blockage and/or leak.

Another reference has been made to WO2021130737, titled "Automatic artificial breathing unit bag operating device" by Rajeev Chauhan dated 2019-12-22, embodiments of the present invention, is connected to a regular adult AMBU. The device works on the principle of electric linear actuator, which converts the rotary motion into a linear motion. It has a mechanism to rhythmically compress the AMBU. A Direct Current (DC) motor (12-24 Volts) gives the linear motion through electric linear actuator arrangement. In addition, this DC motor has a speed regulator which is used to modulate the frequency of respiratory rate (varying from 12 to 20 squeezes per minute) for supplying the air/oxygen mixture into the lungs of the patient. There is a provision of the common platform so that AMBU bag can squeeze automatically as per the regulated speed setting in speed regulator of DC motor. The tidal volume generated is regulated and displayed using a flow meter sensor. The compliance is also tested for rate and range of lung volumes per minute. The safety of this device is ensured by incorporating volume and pressure microsensors at patient end. Moreover, device is incorporated with disconnection alarm.

Another reference has been made to US4495946A, titled "Artificial breathing device" by Joseph Lerner dated 1981-03-17, a device for artificial respiration is attached by an unobstructed air duct to the outer end of a flexible endotracheal tube or to a breathing mask. It is provided with a regulating valve which has its inlet side connected to an oxygen supply via an "on-off" time-cycling apparatus of known design, while its outlet side is connected to the air duct through a small-bore tube which extends close and parallel to the air duct wall in the direction towards the mask or the endotracheal tube. Oxygen passing through the smallbore tube into the air duct at great velocity draws air from the outside by injector action and presses it into the lungs of a patient. Upon the end of the "on"-cycle the air is expelled by the elasticity of the lungs and of the chest cavity and can freely escape through the unobstructed air duct, which likewise permits the ejection of mucus, blood and other excretions.

Another reference has been made to US20210299378A1, titled "EMERGENCY VENTILATOR" by Air Boost LLC dated 2020-03-31, this disclosure describes systems, methods, and devices related to emergency ventilators. An emergency ventilator may determine one or more adjustable parameters associated with controlling a ventilator device to supply air to a user, wherein the one or more adjustable parameters are determined based at least in part on breathing thresholds associated with the user. The emergency ventilator may evaluate the adjustable parameters to generate a control signal. The emergency ventilator may cause one or more paddles to articulate based at least in part on the control signal, wherein the one or more paddles squeeze a bag valve mask (BVM) attached to the ventilator device. The emergency ventilator may generate one or more outputs associated with a condition of the ventilator device. The emergency ventilator may display, on a display device, the one or more outputs.

Another reference has been made to WO2014187465, titled "A system and a corresponding method for estimating respiratory drive of mechanically ventilated patients" by MERMAID CARE A/S, Norresundby (DE) dated 2013-05-24, the present invention relates to a system (10) and a corresponding method for estimating the respiratory drive (R_DRIVE) of mechanically ventilated patients, and for preferably apportioning this respiratory drive into one, or more, components related to the chemical drive— i.e., the drive due to the chemoreceptor response— and/or the muscular drive— i.e., the contraction of respiratory muscles, for example the diaphragm. The principle of the invention is that respiratory drive can be obtained from measuring the patient's response to small changes in mechanical ventilation settings (Vt_SET), and that this can be apportioned into chemical and/or muscular effects depending upon the changes in respiratory frequency, and/or arterial or end tidal CO2 levels, and/or arterial blood pH.

Another reference has been made to W02011017763, titled "Single stage, axial symmetric blower and portable ventilator" by FU, Timothy, Tsun-Fai dated 2009-08-11, a blower (10) includes a housing (20) including a proximal opening (23) and a distal opening (25) that are coaxially aligned, a stator component (30) provided to the housing, an impeller (60) positioned between the proximal opening of the housing and the stator component, and a motor (40) adapted to drive the impeller. The impeller includes a plurality of impeller blades. The stator component includes a plurality of air directing grooves (35) along its exterior surface. The leading edge of the air directing grooves extend tangentially outwards from the outer tips of the impeller blades and are configured to collect the air exiting the impeller blades and direct it from a generally tangential direction to a generally radial direction by dividing the air from the impeller and directing the air along a curved path towards the distal opening so that airflow becomes substantially laminar.

Another reference has been made to RU2738769C1, titled "Artificial lung ventilation apparatus" by BMKTOP AneKcaHflpoBMM 3HaMeHCKMM dated 2020-09-15, invention refers to medicine, namely to an artificial lung ventilation (ALV) apparatus. Apparatus comprises a first set provided with a flexible compressible bag, a valve unit and a respiratory tube, as well as an electromechanical linear drive with programmed control. Apparatus is further provided with a second set provided with a flexible compressible bag and an adapter, with a measuring cup function, fixed between spring-loaded swivel holders on a removable magnetic pad of the pressure plate provided with linear bearings, with possibility of vertical movement along parallel located guides by means of rod, connected to electric motor of electromechanical linear drive, connected to adjusting screw, installed in housing, which consists of two U-shaped detachable parts with detachable side walls. Second set is located perpendicular to axis of movement of linear drive, parallel to first set, fixed by means of fixing belt on detachable magnetic plate of lower plate - base connected with guides. Bag of the first set is connected through a unit of nonreversible breathing valve and a pressure limiting valve, a respiratory tube to a face mask or an endotracheal tube of the patient. Bag of second set is parallel connected by adapter via tee to pressure gage, pressure sensor and to electromagnetic pneumatic valve, which are connected to electronic control unit, also connected to contactless limit switches, lower, upper, and electric motor. EFFECT: technical result achieved by the invention consists in broader functional capabilities of the ALV apparatus, providing ALV pressure monitoring during each cycle and enabling adjustment of ALV cycle parameters.

Another reference has been made to W02002096343, titled "Cpr assist device with pressure bladder feedback" by Darren R. Sherman, Kenneth H. Mollenauer, Cameron Miner dated 2001-05-25, a resuscitation device (3) for automatic compression of a victim's chest using a compression belt (64L) which exerts force evenly over the entire thoracic cavity. The belt (64L) is constricted and relaxed through a motorized spool assembly that repeatedly tightens the belt (64L) and relaxes the belt (64L) to provide repeated and rapid chest compression.

Another reference has been made to CN108136147A, titled "With the mechanical ventilation for automatically controlling patient respiratory work using classical feedback control" by Koninklijke Philips NV dated 2015-10-12, mechanical ventilating machine (10) provides pressure support ventilalion (PSV) to patient (12). Breathe PoB the or WoB signals (34) of power (PoB) or work of breathing (WoB) estimator (30) generation for patient. Difference of the Error Calculator (36) by error signal calculation between PoB or WoB signals and set point PoB or WoB value (22). Controller (20) will be input to the mechanical ventilating machine equal to controller transfer function and the PSV of the product of error signal control signals (24). Patient adapts to component (52,54,56,60) by the parameter fitting of the model including mechanical ventilating machine and the controlled mechanical aerating system of patient to the data of the PoB or WoB signals including being generated by the closed loop controller operated and PSV control signals, and adjusts the parameter of controller transfer function to keep the stability of the closed loop controller of the operation. Another reference has been made to US 2005/0085799 Al, titled "Emergency medical kit, respiratory pump, and face mask particularly useful therein" by Oded Luria, Tel-Aviv (IL); David Luria, Tel-Aviv (IL) dated 2003-06-12, an emergency medical kit for use, particularly by a nonprofessional, to render emergency medical treatment to a patient, includes: a pressurized-oxygen container within a housing; a face mask within the housing for application to the face of a patient requiring cardiopulmonary resuscitation; and a respiratory pump within the housing connected to the pressurized-oxygen container So as to be driven thereby to Supply oxygen to the mask for inhalation by the patient, and to discharge the exhalations of the patient via the face mask to the atmosphere. The face mask includes an inflatable Seal around its circumference engageable with the face of the patient receiving the mask for Sealing the interior of the mask, a pressure Sensor Sensing the pressure in the inflatable Seal; and an indicator for indicating whether the face mask is properly applied to the face of the patient. The kit further includes a neck rest having Straps for attaching the face mask thereto in contact with the patient's face when the patient's head is placed on the head rest. According to a most essential aspect of the invention there is provided an emergency, fully automatic kit, based on non-invasive means for performing all stages of the "chain of Survival' (including: external defibrillation, ventilation and automatic chest compression) by a single operator.

Another reference has been made to CN202078515U, titled "Portable positive-negative-pressure automatic cardio-pulmonary resuscitator" by TIANJIN PUR.UI INSTRUMENT CO Ltd dated 2011-04-07, the utility model relates to a portable positive-negative-pressure automatic cardiopulmonary resuscitator which is characterized by mainly consisting of an oxygen supply mechanism, a chest compression mechanism, a battery jar, a bearing support, a left support leg, a right support leg and a patient back plate, wherein the upper ends of the left support leg and the right support leg are hinged with two ends of the bearing support by hinges, the lower ends of the left support leg and the right support leg are fixed with two ends of the patient back plate by a rapid clamping lock, the oxygen supply mechanism consists of an air sucking channel and a microprocessor, and the air sucking channel mainly consists of a filter, a micro worm wheel system, an electromagnetic valve, a flow adjuster and a respirator which are connected with one another in sequence. The portable positive-negative-pressure automatic cardiopulmonary resuscitator has the following beneficial effects: an air source supply system of a micro worm wheel is adopted, so that the cardiopulmonary resuscitator can be applied to the occasions short of or without air sources; an equipment body is small and light, and is convenient to carry; and the assembly is rapid, and the resuscitator is suitable for stretcher transportation and capable of passing through corridors and other narrow areas.

Another reference has been made to CN111417426A, titled "Portable device for automatic ventilation" by Lefoken Medical Co ltd dated 2018- 05-22, the present invention relates to the field of devices housing capsule respirators, applied in a medical environment, and more particularly to devices for automating the use of capsule respirators.

Another reference has been made to IN202031017748, titled "AUTOMATICALLY PRESSURISED AMBU BAG SYSTEM" by NATIONAL INSTITUTE OF TECHNOLOGY DURGAPUR, an affordable and reliable automatically pressurized AMBU bag system involving simple and readily available and assemble able AMBU bag pressurizing means including means for two directional pitch and roll angular contact movement for regulated compression on top of said flexible AMBU bag with respect to its stationary base support with cooperative motor means operatively connected to said AMBU bag pressurizing means such as to compress the said AMBU bag with respect to its fixed support for the AMBU Bag automatized pressurization to match the inhalation and exhalation time. The automatically pressurized AMBU bag system has been developed keeping in view the needs of the art of required (a) required compression of Ambu bag at a desired patient centric rate, i.e., ventilation rate for human being, (b) Volume flow rate i.e., oxygen inflow to the patients per minute and (c) matching the inhalation and exhalation time.

Another reference has been made to US 2015/0231028A1, titled "Method and Apparatus for Improved Ventilation and Cardio-Pulmonary Resuscitation" by Hugo Andres Belalcazar, Ames, IA dated 2008-09-12, apparatuses and methods are disclosed for improved ventilation and cardio-pulmonary resuscitation. An apparatus of the invention may include sealing means, a valve that is configured to the sealing means to control the airway of a patient, means to actuate the valve, a control unit coupled to the valve actuating means, and means to deliver mechanical compressions to the chest. The control unit is configured to actuate the valve and the mechanical compression means to affect a number of sequences of states. Further, an apparatus of the present invention may include an oxygen source, oxygen valve, and oxygen valve actuator. The apparatus may also include a means for measuring an anterior to posterior distance, airway pressure monitoring means, means to monitor exhaled carbon dioxide, and/or an inventive airway valve consistent with the described invention.

Another reference has been made to 202111023516, titled "A PORTABLE AMBU BAG VENTILATOR SYSTEM" by GLA University, Mathura, The present invention provides a low cost, portable ventilator system based on Ambu bag, comprising; a feedback controlled squeezing unit (FCSU) (l)for the intake of combination of oxygen and air; a one-directional valve (2)connected at both ends of a two-way tube to control the flow direction; a two-way tube (3)for intake of oxygen and exhale of carbon dioxide; a sensing device (4) adapted to measure the Peak Inspiratory Pressure (PIP) and PEEP pressures and provide pressure values to a controller; a controller(5) to control the amount of squeezing required depending upon the pressure values and opening and closing of one directional valve; a filter(6); and a power supply unit (7) connected to the controller, besides the present invention is cost effective, reliable and potable.

However, none of the above discussed inventions relates to Automated Mechanical breathing unit as discussed in the present invention. The present invention provides for an alternative to manual compression ambulatory ventilation bags which require presence of another human being bedside which shall no longer be required. Automatic device which functions as a breathing unit with desired controlled rate and volume of mechanical breathe also provide mechanical ventilation used in routine as well as in Emergency situation.

Objective of the invention

The main objective of the present invention is to provide automated mechanical breathing unit.

Another objective of this invention is to provide automation for manually compressed ambulatory ventilation bags.

Another objective of this invention is to provide mechanical ventilation.

Another objective of this invention is to provide ventilation used in routine as well as in emergency situations.

Another objective of the invention is to be used for human and also for animals.

Another objective of the present invention is to provide desired controlled rate and volume of ventilation.

Another objective of the present invention is to provide automated device with control led/desi red volume of breath in millimeters. A further objective of this invention is to provide range of selection of such volume is 150-600 millimeters.

Yet another objective of this invention is to provide an automated mechanical breathing unit in which user can inputs desired rate of delivery.

Another objective of the present invention is to provide desired range of selection of such rate is 14-30 per minute.

Another objective of the present invention is to provide single stepper motor with electronic controller for precise control.

Another objective of the present invention is to provide simplified mechanism.

Another objective of the present invention is to provide cost effective ventilator or breathing unit.

Summary of the invention

The present invention provides automated mechanical breathing unit. As breathing is a mechanical process which facilitates respiration. In certain conditions the ability of breathing is compromised, thus warranting external mechanical support. An artificial mechanical breathing unit (AMBU) provides mechanical ventilation and is used in routine as well as in emergency situation. Our present invention provides automated compression ambulatory ventilation bags with desired controlled rate and volume of mechanical breathe. The user can also input desired rate of delivery and range of selection of such rate is 14-30 per minute. The user also selects the desired volume rate of breath and range of selection of such volume is 150-600 millimeters.

Statement of the invention The present invention provides automated mechanical breathing unit capable of delivering desired controlled rate and volume of mechanical breathe and also provides desired rate of delivery.

Brief description of drawings

Figure 1 - shows an AMBU device which consists two clamps (1 & 2), double envelope worm gear (3), shaft of the motor (4), restrain (5), stopper/axis (6), single stepper motor (7), sensor/limit switch (8).

Detailed description of the invention

It should be noted that the particular description and embodiments set forth in the specification below are merely exemplary of the wide variety and arrangement of instructions which can be employed with the present invention. The present invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. All the features disclosed in this specification may be replaced by similar other or alternative features performing similar or same or equivalent purposes. Thus, unless expressly stated otherwise, they all are within the scope of present invention. Various modifications or substitutions are also possible without departing from the scope or spirit of the present invention. Therefore, it is to be understood that this specification has been described by way of the most preferred embodiments and for the purposes of illustration and not limitation

Breathing is a vital physiological function to sustain human/animal life. It is the mechanical process which facilitates respiration i.e., an exchange of oxygen and carbon dioxide with the surrounding environment. In certain disease conditions the ability of body to maintain breathing is compromised, thus warranting external mechanical breathing support. The common methods thus employed are masks covering the nose & mouth, invasive airways or various kinds. An Artificial manual breathing unit (AMBU) is often used to provide mechanical ventilation in such cases. The cases requiring such ventilation are encountered in routine as well as emergency situations.

The device has two opposing symmetrical restrained clamps (1 & 2) hinged at their proximal end, with a central custom designed double envelop worm gear (3) interlocked mechanism in the custom designed cogs of the proximal ends of the clamps (1 & 2), the double envelope worm gear (3) being itself locked longitudinally on the shaft of a motor (4). The 4 structures, namely (1) & (2) two clamps each symmetrically hinged at proximal ends perpendicular to their plane of motion, double envelope worm gear (3) and shaft of a motor (4) is restrained in space. The device uses one stepper motor (7) with electronic controllers for precise control. The motion of the motor results in motion of the screw/gear (3) which results in the opposing clamps (1 & 2) to approximate, a reverse operation causes the clamps (1 & 2) to separate. This results in the desired compression of the AMBU bag.

The device in the present invention has two clamps (1 & 2) connected with the stoppers/axis (6) and double envelop worm gear (3). Clamps (1 & 2) have inbuild cogs/toothed by which worm gear (3) is connected to move outward and inward. There is a bag between the clamps (1 & 2), which is automatically pressed by the clamps (1 & 2) to facilitate respiration. Double envelop worm gear (3) is also connected with the shaft of the motor (4), which is looks like screw in the figure 1. Shaft of the motor (4) interconnected with a stepper motor (7). The device also consists one sensor (8) that work as a limit switch and it was placed on extension of the restrain (5). The said device consist one buzzer. There is a trigger which is attached with the clamps (1 & 2). The device also consists electronic controller to control and measure breath rate and volume.

In the present invention electronic controller control a stepper motor (7) (i.e. single motor) and motor has shaft (4) which is connected with the double envelope worm gear (3) (i.e. single gear) in the center which is in the shape of screw where clamps (1 & 2) are also connected with the gear (3) on the center through cogs/toothed. When a motor (7) starts running, the gear (3) moves clockwise then clamps (1 & 2) moves outward and vice-versa gear (3) moves anticlockwise then clamps (1 & 2) moves inward which is controlled by electronic controller. Both clamps (1 & 2) have limited rotation degree by stoppers/axis (6). Inward-outward movement of clamps (1 & 2) are limited through the stopper/axis (6). These clamps (1 & 2) depress the bag which helps the patient to respire. There is a trigger which is attached with the clamps (1 & 2) and switch (8) is on the restrain (5), alarm will switch ON if there is any contact between switch (8) and clamp (1 & 2). The sensor/limit switch (8) measures the angle and cycle of the clamps (1 & 2), if there is any issue in the movement of the clamps (1 & 2) then alarm will turn ON. The electronic controller control breath rate and volume by movement of clamps (1 & 2), by controlling the rotation of the motor which deliver to the patient in routine as well as in emergency situation.

The device is capable of delivering volume and rate-controlled breaths. The User inputs desired rate of delivery, range of selection of such rate is 14-30 per minute. The User also selects the desired Volume of breath in milliliters, the range of selection of such volume is 150-600 milliliters.

In the present invention motor (7) is not limited to stepper motor, where also we can use servo motor, AC/DC motor, brushless motor. Preferably stepper motor (7) used in the present invention to provide simplicity to mechanism of the device. The worm gear (3) is like a screw which is used to move clamps (1 & 2) by the help of cogs. On the place of worm gear (3), we can use other gears like spur gear, helical gear, herringbone gear, bevel gear, hypoid gear, train gear and so on. The clamps (1&2), restrains (5) and stopper/axis (6) are made up of plastic but it can also be replaced by the any other hard material like metal, wood, hard silicon etc.

In an exemplary embodiment, the said automated mechanical breathing unit used to provide mechanical ventilation.

In an exemplary embodiment, the said system is compact and portable.

In another exemplary embodiment, the said system is used for human and also for animals.

In another exemplary embodiment, the said automatic device capable of delivering desired controlled rate and volume of mechanical breathe.

In another exemplary embodiment, the said device provides desired volume of breath in millimeters.

In another exemplary embodiment, the said automated mechanical breathing unit provides range of selection of such volume is in between 150-160 millimeters.

In another exemplary embodiment, the said automated mechanical breathing unit provides desired rate of delivery and range of selection of such rate is in between 14-30 per minute.

In another exemplary embodiment, the said device uses a single stepper motor (7) with electronic controllers for precise control which means rotation of the motor (7) is controlled by the electronic controller to deliver desired movement to clamps (1 & 2) as outward and inward.

In another exemplary embodiment, the said device has two opposing symmetrical restrained clamps (1 & 2) hinged at their proximal ends, with a central custom designed double envelop worm gear (3) interlocked mechanism in the custom designed cogs of the proximal ends of the clamp (1 & 2), where double envelope worm gear (3) being locked itself longitudinally on the shaft of a motor (4).

In another exemplary embodiment, the said system provides motion of the motor (7) results in motion of the screw (3) which then results in the opposing clamps (1 & 2) to approximate, a reverse operation causing the clamps (1 & 2) to separate.

In another exemplary embodiment, the said clamps (1 & 2) moves outward and inward as moving worm gear (3) clockwise and anticlockwise.

In another exemplary embodiment, the said clamps (1 & 2) have limited rotation degree by stoppers/axis (6).

In another exemplary embodiment, the said clamps (1 & 2) depress the bag which helps the patient to breath.

In another exemplary embodiment, the said system has a trigger which is attached with the clamps (1 & 2) and switch (8) is on the restrain (5), alarm will ON if there is any contact between switch (8) and clamp (1 & 2).

In another exemplary embodiment, the said system has sensor/limit switch (8) that measures the angle and cycle of the clamps (1 & 2), if there is any issue in the movement of the clamps (1 & 2) then alarm will ON.

In another exemplary embodiment, the said system provides compact, portable and simplified mechanism.

While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications may be made without departing from this invention in its broader aspects and, therefore, the aim in the present invention is to cover all such changes and modifications as fall within the true spirit and scope of this invention.

Advantages of this invention

The created device presents the following advantages

1. Can be useful in emergency cases where number of rescuers is limited.

2. The device can also eliminate the reliance on manual compressions, which in resource deficient settings often involve untrained attendants.

3. Compact size

4. Easily transport

5. Very simplified mechanism

6. Cost effective

Claims

: A compact, portable, automated manual breathing unit, said unit comprising of two opposing symmetrical restrained clamps (1 & 2); central custom-designed double envelop worm gear (3) interlocked mechanism; double envelope worm gear (3) is in selflocked position longitudinally on the shaft of a motor (4); one stepper motor (7) with electronic controllers for precise control; one sensor/limit switch (8) to measure movement of clamps (1 & 2); such that the unit is able to deliver volume and rate- controlled breaths as required due to ease of transport. The unit as claimed in claim 1, wherein said unit has two opposing symmetrical restrained clamps (1 & 2) hinged at their proximal ends, with a central custom designed double envelop worm gear (3) interlocked mechanism in the custom designed cogs of the proximal ends of the clamp (1 & 2), where double envelope worm gear (3) is in self-locked position longitudinally on the shaft of a motor (4). The unit as claimed in claim 1, wherein said motion of the motor (7) results in motion of the screw (3) which then results in the opposing clamps (1 & 2) to approximate, a reverse operation causing the clamps (1 & 2) to separate. The unit as claimed in claim 3, wherein said unit has clamps (1 & 2) which move outward and inwards as worm gear (3) move clockwise and anticlockwise. The unit as claimed in claim 1, wherein said unit uses a stepper motor (7) with electronic controller for precise control which means rotation of the motor (7) is controlled by the electronic controller to deliver desired movement to clamps (1 & 2) as outward and inward. The unit as claimed in claim 1, wherein said clamps (1 & 2) depress the bag to help the patient to breathe. The unit as claimed in claim 1, wherein said limit switch/sensor (8) is placed on extension of the restrain (5). The unit as claimed in claim 1, wherein said unit has a trigger which is attached with the clamps (1 & 2) and switch (8) is on the restrain (5), alarm is switched-on when there is a contact between switch (8) and clamp (1 & 2). The unit as claimed in claim 1, wherein said sensor/limit switch (8) measures the angle and cycle of the clamps (1 & 2), if there is any issue in the movement of the clamps (1 & 2) then alarm is switched-on. The unit as claimed in claim 1, wherein said unit consists of breath rate controller means, wherein a user inputs a desired rate of delivery, having range of selection of such rate is 14-30 per minute. The unit as claimed in claim 1, wherein said unit consists of volume controller means, wherein a user selects a desired Volume of breath in millilitres, having the range of selection of such volume is 150-600 millilitres. The unit as claimed in claim 1, wherein said unit consists of an artificial manual breathing unit (AMBU), is often used to provide mechanical ventilation in such cases as well as emergency situation.