MANUAL VENTILATORS AND METHODS FOR MAKING VENTILATORS
20230285699 · 2023-09-14
Inventors
- James P. Locke (Houston, TX, US)
- Holly P. Newton (Houston, TX, US)
- Mark E. Schaefbauer (Houston, TX, US)
- Molly E. Harwood (Houston, TX, US)
Cpc classification
A61M16/208
HUMAN NECESSITIES
International classification
Abstract
Presented are manual ventilator systems, methods for making/using such ventilator systems, and clamshell, accordion-style ventilators operable by a lone operator. A ventilator device includes first and second panels pivotably attached together in a clamshell configuration. Each panel has an inlet port, an outlet port, and an internal channel that fluidly connects the inlet and outlet ports. A one-way valve is fluidly connected to the first panel’s outlet port and restricts airflow therethrough in one direction. Another one-way valve is fluidly connected to the second panel’s inlet port and restricts airflow therethrough in an opposite direction. A concertinaed bellows is fluidly connected to the first panel’s outlet port and the second panel’s inlet port. The bellows is sandwiched between and attached to the two panels such that pivoting the panels away from each other expands and fills the bellows whereas pivoting the panels towards each other compresses and evacuates the bellows.
Claims
1. A ventilator device, comprising: a first panel defining a first inlet port, a first outlet port, and a first internal channel fluidly connecting the first inlet port and the first outlet port; a first one-way valve fluidly connected to the first outlet port and restricting airflow therethrough in a first direction; a second panel pivotably attached to the first panel, the second panel defining a second inlet port, a second outlet port, and a second internal channel fluidly connecting the second inlet port and the second outlet port; a second one-way valve fluidly connected to the second inlet port and restricting airflow therethrough in a second direction opposite the first direction; and a bellows fluidly connected to the first outlet port and the second inlet port, the bellows interposed between and attached to the first and second panels such that pivoting the first and second panels away from each other expands the bellows and pivoting the first and second panels towards each other compresses the bellows.
2. The ventilator device of claim 1, wherein the first panel includes an elongated first panel body with a first longitudinal end defining therethrough the first inlet port and a first major face defining therethrough the first outlet port.
3. The ventilator device of claim 2, wherein the second panel includes an elongated second panel body with a second longitudinal end defining therethrough the second outlet port and a second major face defining therethrough the second inlet port.
4. The ventilator device of claim 3, wherein the first panel includes a first annular mounting interface projecting from the first major face and surrounding the first outlet port, and the second panel includes a second annular mounting interface projecting from the second major face and surrounding the second inlet port, and wherein the bellows is mounted to the first and second annular mounting interfaces.
5. The ventilator device of claim 1, wherein the first panel and the second panel are substantially structurally identical.
6. The ventilator device of claim 1, further comprising a pivot hinge pivotably attaching a first end of the first panel to a second end of the second panel.
7. The ventilator device of claim 6, wherein the pivot hinge includes a first barrel sleeve and a first barrel cylinder attached to the first end of the first panel, and a second barrel sleeve and a second barrel cylinder attached to the second end of the second panel, and wherein the first barrel cylinder rotates inside the second barrel sleeve and the second barrel cylinder rotates inside the first barrel sleeve.
8. The ventilator device of claim 7, wherein the first barrel sleeve and the first barrel cylinder are integrally formed with the first panel, the second barrel sleeve and the second barrel cylinder are integrally formed with the second panel, the first internal channel extends through the first barrel cylinder, and the second internal channel extends through the second barrel cylinder.
9. The ventilator device of claim 1, wherein the first one-way valve includes a first flapper valve with a first flapper disk seated against an exterior surface of the first panel, and wherein the second one-way valve includes a second flapper valve with a second flapper disk seated against an interior surface of the second panel.
10. The ventilator device of claim 1, wherein the first panel includes a first hand-operated handle and the second panel includes a second hand-operated handle.
11. The ventilator device of claim 1, further comprising a biasing member biasing the first panel and the second panel away from each other.
12. The ventilator device of claim 11, wherein the biasing member includes a pair of helical springs or a pair of torsion springs.
13. A method of assembling a ventilator device, the method comprising: receiving a first panel defining a first inlet port, a first outlet port, and a first internal channel fluidly connecting the first inlet and outlet ports; fluidly connecting a first one-way valve to the first outlet port, the first one-way valve restricting airflow through the first outlet port in a first direction; pivotably attaching a second panel to the first panel in a clamshell configuration, the second panel defining a second inlet port, a second outlet port, and a second internal channel fluidly connecting the second inlet and outlet ports; fluidly connecting a second one-way valve to the second inlet port, the second one-way valve restricting airflow through the second inlet port in a second direction opposite the first direction; fluidly connecting a bellows to the first outlet port and the second inlet port; and attaching the bellows to the first and second panels with the bellows interposed between the first and second panels such that pivoting the first and second panels away from each other expands the bellows, drawing air through the first panel and into the bellows, and pivoting the first and second panels towards each other compresses the bellows, expelling air from the bellows and out through the second panel.
14. The method of claim 13, wherein the first panel includes an elongated first panel body with a first longitudinal end defining therethrough the first inlet port and a first maj or face defining therethrough the first outlet port, and the second panel includes an elongated second panel body with a second longitudinal end defining therethrough the second outlet port and a second major face defining therethrough the second inlet port.
15. The method of claim 14, wherein the first panel includes a first annular mounting interface projecting from the first major face and surrounding the first outlet port, and the second panel includes a second annular mounting interface projecting from the second major face and surrounding the second inlet port, and wherein attaching the bellows to the first and second panels includes rigidly mounting the bellows to the first and second annular mounting interfaces.
16. The method of claim 13, wherein pivotably attaching the second panel to the first panel includes pivotably attaching a first end of the first panel to a second end of the second panel via a pivot hinge.
17. The method of claim 16, wherein the pivot hinge includes a first barrel sleeve and a first barrel cylinder attached to the first end of the first panel, and a second barrel sleeve and a second barrel cylinder attached to the second end of the second panel, and wherein pivotably attaching the second panel to the first panel includes inserting the first barrel cylinder into the second barrel sleeve and inserting the second barrel cylinder into the first barrel sleeve.
18. The method of claim 17, wherein the first barrel sleeve and the first barrel cylinder are integrally formed with the first panel, the second barrel sleeve and the second barrel cylinder are integrally formed with the second panel, the first internal channel extends through the first barrel cylinder, and the second internal channel extends through the second barrel cylinder.
19. The method of claim 13, wherein the first one-way valve includes a first flapper valve with a first flapper disk seated against an exterior surface of the first panel, and wherein the second one-way valve includes a second flapper valve with a second flapper disk seated against an interior surface of the second panel.
20. The method of claim 13, further comprising attaching a biasing member to the first and second panels, the biasing member biasing the first and second panels away from each other.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0016]
[0017]
[0018]
[0019]
[0020] Representative embodiments of this disclosure are shown by way of non-limiting example in the drawings and are described in additional detail below. It should be understood, however, that the novel aspects of this disclosure are not limited to the particular forms illustrated in the above-enumerated drawings. Rather, the disclosure is to cover all modifications, equivalents, combinations, subcombinations, permutations, groupings, and alternatives falling within the scope of this disclosure as encompassed, for instance, by the appended claims.
DETAILED DESCRIPTION
[0021] This disclosure is susceptible of embodiment in many different forms. Representative examples of the disclosure are shown in the drawings and herein described in detail with the understanding that these embodiments are provided as an exemplification of the disclosed principles, not limitations of the broad aspects of the disclosure. To that end, elements and limitations that are presented in the Abstract, Technical Field, Background, Summary, Description of the Drawings, and Detailed Description sections, but not explicitly set forth in the claims, should not be incorporated into the claims, singly or collectively, by implication, inference, or otherwise. For purposes of the present detailed description, unless specifically disclaimed: the singular includes the plural and vice versa; the words “and” and “or” shall be both conjunctive and disjunctive; the words “any” and “all” shall both mean “any and all”; and the words “including,” “containing,” “comprising,” “having,” permutations thereof, and alike terms, shall each mean “including without limitation.” Moreover, words of approximation, such as “about,” “almost,” “substantially,” “generally,” “approximately,” and the like, may each be used herein in the sense of “at, near, or nearly at,” or “within 0-5% of,” or “within acceptable manufacturing tolerances,” or any logical combination thereof.
[0022] Discussed below are manual ventilator devices for providing assisted respiratory ventilation or resuscitation. Generally speaking, the illustrated ventilator designs use a concertinaed bellows that is sandwiched between two pivot-hinged panels that are operated with an accordion-like pumping motion to deliver air to a recipient. Tactile sensory feedback may be provided to the operator so that the operator may physically “feel” the amount and rate of air being delivered to the recipient. Additional air pressure sensors and flow rate/volume sensors may be coupled in-line with the ventilator fluid flow path to assist with operating the device. The ventilator device’s inlet and/or outlet port may be sized for standard 22 mm fittings used for coupling to stock medical respiratory tubing. A multi-port endcap attachment may be coupled to the inlet port to allow for delivery of both air and supplemental oxygen.
[0023] For simplified operation, the ventilator device may be strapped to the operator’s leg (e.g., for ease of transport and operation), placed on a table (e.g., for single-hand operation), or held by the operator (e.g., for two-handed operation). Disclosed ventilator devices may be used with an intubation tube or a face mask. The air bellows may be shaped and sized to hold approximately 1.5 fluid liters and deliver about 500-700 milliliters per second (mls) per stroke of air, tank-fed oxygen, or a combination of both. The concertinaed bellows may fully open and close over a range of about 20-80 degrees or, in at least some configurations, about 55-65 degrees, e.g., to provide the best tactile feedback to the operator. Hand-operated handles may be provided and may be sized to fit a majority of adult hand sizes in the general population. The ventilator device may be equipped with a spring or other biasing member to passively open the device without reducing tactile feedback. Internal fluid channels are sized to move air over predefined feed volumes with minimal resistance.
[0024] To reduce operator fatigue, pumping of the ventilator may be achieved with shoulder, chest, back, leg, and/or arm muscles to help ensure the device can be comfortably operated for long periods of time. Disclosed designs may enable a lone person to ventilate a patient for a longer duration as compared to use of a handheld bag valve mask (BVM)-type ventilator. Clamshell, accordion-style designs enable an operator to employ physical leverage and, thus, reduce fatigue and extend time of operational use. Moreover, manual designs do not require electrical power, enabling assisted ventilation in settings that lack electric utility or generator supply such that electric ventilator machines cannot be used. In this regard, ventilator designs disclosed herein do not require sensors or electronics to operate, which reduces overall device cost and simplifies manufacturing. Most device parts may be mass produced from inexpensive materials using standard injection molding processes. In addition, the ventilator device employs fewer components and parts that are relatively simple to assemble, offering a concomitant reduction in molds and assembly time for manufacturing the device.
[0025] Referring now to the drawings, wherein like reference numbers refer to like features throughout the several views,
[0026] Ventilator device 100 of
[0027] When mated together, the panel halves 101, 103 of the intake panel body 108 collectively define an inlet port 105 through which air/oxygen is drawn into the ventilator 100 via the intake panel 104, and an outlet port 107 through which air/oxygen is expelled from the intake panel 104 and into the bellows 102. An internal channel 109 inside the panel body 108 fluidly connects the inlet port 105 to the outlet port 107. A polymeric gasket 112 is seated inside complementary cavities recessed into internal surfaces of the panel halves 101,103; the gasket 112 demarcates the outer perimeter of and seals the internal channel 109. As seen more clearly in
[0028] An exhaust panel 106 — also referred to herein as “second panel” — is juxtaposed with the intake panel 108 to sandwich therebetween the air bellows 102. For simplicity of design and ease of manufacture, the two panels 104, 106 may be substantially structurally identical to each other. For instance, the exhaust panel 106 may also be a bipartite construction with an elongated (second) panel body 114 (
[0029] While structurally identical, the ventilator’s internal fluid-flow architecture is such that the exhaust panel’s inlet port 115 opens through an inward-facing (second) major face of the panel body 114, in opposing faced relation to the inlet panel’s outlet port 107 when the panels 104, 106 are pushed together and substantially parallel. Comparatively, the exhaust panel’s outlet port 117 opens through a longitudinal (second) end of the panel body 114, arranged coaxial with the inlet panel’s inlet port 105. An opposing longitudinal end of the panel body 114 is fabricated with a hand-operated (second) handle 118. It is envisioned that the ventilator device 100 may employ alternative handle designs or, optionally, may altogether omit the handles 110, 118.
[0030] With reference again to
[0031] After individually assembling the two panels 104, 106, the inlet panel’s barrel cylinder 123 is slidably inserted into and rotates inside of the exhaust panel’s barrel sleeve 125. In the same vein, the exhaust panel’s barrel cylinder 127 is slidably inserted into and rotates inside of the inlet panel’s barrel sleeve 121. As shown, the inlet panel’s barrel sleeve 121 and barrel cylinder 123 are integrally formed with the inlet panel body’s two panel halves 101, 103, axially aligned on a common axis that projects transversely with respect to the panel body 108. In the same manner, the exhaust panel’s barrel sleeve 125 and barrel cylinder 127 are integrally formed with the exhaust panel body’s two panel halves 111, 113, axially aligned on the same common axis as the barrel sleeve 121 and barrel cylinder 123. Alternatively, the barrel cylinders and barrel sleeves may be fabricated as discrete components that are subsequently joined to their respective panel bodies and then mated together, as described below with respect to the ventilator device 200 of
[0032] Intake panel body 108 is formed with an arcuate (first) ribbed stopper 131 that is integrally formed with and projects axially from the barrel sleeve 121. Exhaust panel body 114 is also formed with an arcuate (second) ribbed stopper 135 that is integrally formed with and projects axially from its barrel sleeve 125. As the intake and exhaust panels 104, 106 are pivoted away from each other, the ribbed stopper 131 rotates in unison with the panel 104 and strikes a shoulder 137 (
[0033] An annular inlet end cap 122 is snap-fit onto a complementary flange projecting radially outward from the distal tip of the barrel cylinder 123. Once secured in place, the inlet end cap 122 surrounds the inlet port 105 and mechanically attaches a reservoir bag 126 and an oxygen tube 128 to the intake panel 104, as best seen in
[0034] A frustoconical outlet end cap 124 is snap-fit onto a complementary flange projecting radially outward from the distal tip of the barrel cylinder 127. Once secured in place, the outlet end cap 124 surrounds the outlet port 117 and mechanically attaches a patient air tube 130 (e.g., a single-use, 22 mm diameter corrugated ventilator tube) to the exhaust panel 106. Similar to inlet end cap 122, the outlet end cap 124 functions as an adapter lock for both fluidly coupling the air tube 130 to the outlet port 117 and for allowing the air tube 130 to swivel up to 360° with respect to the barrel cylinder 127.
[0035] Fluid flow into and out of the ventilator device 100 of
[0036] In accord with the illustrated example, a one-way (first) flapper valve, represented herein by a flexible flapper disk 132 and crosshair mounting interface 134, is fluidly connected to the intake panel’s outlet port 107. The crosshair mounting interface 134 is integrally formed with the bottom panel half 103 of the panel body 108 and extends across the outlet port 107. The center of the flapper disk 132 is mounted, e.g., via a fastener or a rivet, to the cruciform center of the crosshair mounting interface 134. This flapper valve functions to passively restrict airflow through the outlet port 107 in an outward (first) direction (i.e., from the bellows 102 back into the intake panel 104). In particular, as the panels 104, 106 are pressed together, fluid inside the bellows 102 is compressed; the now-pressurized fluid pushes on the flapper disk 132. This causes the flapper disk 132 to seat against the crosshair mounting interface 134 and exterior surface of the panel half 103 adjacent the port 107, sealing to the outer perimeter of the outlet port 107.
[0037] Another (second) one-way flapper valve, which is represented herein by a flexible flapper disk 136 and crosshair mounting interface 138, is fluidly connected to the exhaust panel’s inlet port 115. This crosshair mounting interface 138 is integrally formed with the top panel half 113 of the panel body 108 and extends across the inlet port 115. The center of the flexible flapper disk 136 is mounted, e.g., via a fastener or a rivet, to the cruciform center of the crosshair mounting interface 138. This flapper valve functions passively to restrict airflow through the inlet port 115 in an inward (second) direction (i.e., into the bellows 102 from the exhaust panel 106). In particular, as the panels 104, 106 are pulled apart, a vacuum pressure is created inside the bellows, which creates a pulling force on the flapper disk 136. This force of low pressure causes the flapper disk 136 to seat against the crosshair mounting interface 138 and the interior surface of the panel half 113 surrounding the port 115, sealing to the perimeter of the inlet port 115.
[0038] A fluid-tight bladder is placed in-line with the ventilator device’s inlet port 105 and outlet port 117 and functions to move fluid through the ventilator 100 during stroking or “pumping” of the intake and exhaust panels 104, 106. In a representative example, a concertinaed bellows 102, which is located between and physically attached to the panels 104, 106, fluidly connects to the intake panel’s outlet port 107 and the exhaust panel’s inlet port 115. Projecting downward in
[0039] By fluidly coupling the bellows 102 to the ports 107, 115 and mounting the bellows 102 to the panels 104, 106, pivoting the intake and exhaust panels 104, 106 away from each other causes the bellows 102 to expand and concomitantly create an internal low pressure or “vacuum” pressure. This vacuum pressure unseats the intake panel’s flapper disk 132, seats the exhaust panel’s flapper disk 136, and draws fluid into the bellows 102 through the intake panel 104 via inlet port 105. Conversely, pivoting the two panels towards each other causes the bellows 102 to contract (as shown in
[0040] Turning next to
[0041] Unlike the ventilator device 100 of
[0042] Air modules 201, 211 act as the ventilator’s fluid interface for moving air/oxygen between the tubing (e.g., oxygen tube 128 and patient air tube 130 of
[0043] As another representative, non-limiting point of demarcation between the two illustrated manual ventilators, the ventilator device 200 of
[0044] Both of the illustrated ventilators 100 and 200 are lightweight and portable devices for ease of use and transportation. The entire ventilator 200 of
[0045] Also presented herein are methods for manufacturing and methods for operating a human-powered ventilator device. In an example, a method is presented for assembling a ventilator device, such as manual ventilator devices 100 and 200 of
[0046] Prior to, contemporaneous with, or after connecting the one-way valves to their respective ports, the method includes pivotably attaching the first panel to the second panel, e.g., in a clamshell configuration. The method then fluidly connects a pleated and collapsible bellows to the first panel’s outlet port and the second panel’s inlet port. The bellows are also physically attached to the two panels such that the bellows is interposed between the panels. With this arrangement, pivoting the panels away from each other expands the bellows; in so doing, air is drawn into the ventilator through the first panel and into the bellows. Conversely, pivoting the panels towards each other compresses the bellows; doing so expels air from the bellows and out of the ventilator device through the second panel.
[0047] The method may also include attaching one or more biasing members to the pivotably attached panels. The biasing member(s) may be a pair of helical springs or torsion springs that bias the two panels away from each other. Fluidly connecting the bellows to the first panel’s outlet port and the second panel’s inlet port may include sliding the bellows onto annular mounting interfaces of the two panels such that the opposing ends of the bellows each surrounds a respective port. As yet a further option, attaching the bellows to the two panels may include rigidly mounting the bellows to the annular mounting interfaces, e.g., via clamps, straps, threaded fasteners, adhesives, etc.
[0048] Pivotably attaching the panels to each other may include pivotably attaching the longitudinal end of one panel to the longitudinal end of the other panel via a pivot hinge. The pivot hinge may be a barrel-type hinge with a respective barrel sleeve and a respective barrel cylinder attached to the longitudinal end of each panel. In this instance, pivotably attaching the panels to each other includes inserting the first panel’s barrel cylinder into the second panel’s barrel sleeve, and inserting the second panel’s barrel cylinder into the first panel’s barrel sleeve. Likewise, the one-way valves may be flapper-type valves with flexible flapper discs. In this instance, fluidly connecting the valves to the panels may include seating a first flapper disk against an exterior surface of the first panel and coupling the disk to the first panel’s body, seating a second flapper disk against an interior surface of the second panel and coupling the disk to the second panel’s body.
[0049] Additional features may be reflected in the following clauses:
[0050] Clause 1: a ventilator device, comprising: a first panel defining a first inlet port, a first outlet port, and a first internal channel fluidly connecting the first inlet port and the first outlet port; a first one-way valve fluidly connected to the first outlet port and restricting airflow therethrough in a first direction; a second panel pivotably attached to the first panel, the second panel defining a second inlet port, a second outlet port, and a second internal channel fluidly connecting the second inlet port and the second outlet port; a second one-way valve fluidly connected to the second inlet port and restricting airflow therethrough in a second direction opposite the first direction; and a bellows fluidly connected to the first outlet port and the second inlet port, the bellows interposed between and attached to the first and second panels such that pivoting the first and second panels away from each other expands the bellows and pivoting the first and second panels towards each other compresses the bellows.
[0051] Clause 2: the ventilator device of clause 1, wherein the first panel includes an elongated first panel body with a first longitudinal end defining therethrough the first inlet port and a first major face defining therethrough the first outlet port.
[0052] Clause 3: the ventilator device of clause 1 or clause 2, wherein the second panel includes an elongated second panel body with a second longitudinal end defining therethrough the second outlet port and a second major face defining therethrough the second inlet port.
[0053] Clause 4: the ventilator device of clause3, wherein the first panel includes a first annular mounting interface projecting from the first major face and surrounding the first outlet port, and the second panel includes a second annular mounting interface projecting from the second major face and surrounding the second inlet port, and wherein the bellows is mounted to the first and second annular mounting interfaces.
[0054] Clause 5: the ventilator device of any one of clauses 1 to 4, wherein the first panel and the second panel are substantially structurally identical.
[0055] Clause 6: the ventilator device of any one of clauses 1 to 5, further comprising a pivot hinge pivotably attaching a first end of the first panel to a second end of the second panel.
[0056] Clause 7: the ventilator device of clause 6, wherein the pivot hinge includes a first barrel sleeve and a first barrel cylinder attached to the first end of the first panel, and a second barrel sleeve and a second barrel cylinder attached to the second end of the second panel, and wherein the first barrel cylinder rotates inside the second barrel sleeve and the second barrel cylinder rotates inside the first barrel sleeve.
[0057] Clause 8: the ventilator device of clause 7, wherein the first barrel sleeve and the first barrel cylinder are integrally formed with the first panel, the second barrel sleeve and the second barrel cylinder are integrally formed with the second panel, the first internal channel extends through the first barrel cylinder, and the second internal channel extends through the second barrel cylinder.
[0058] Clause 9: the ventilator device of any one of clauses 1 to 8, wherein the first one-way valve includes a first flapper valve with a first flapper disk seated against an exterior surface of the first panel, and wherein the second one-way valve includes a second flapper valve with a second flapper disk seated against an interior surface of the second panel.
[0059] Clause 10: the ventilator device of any one of clauses 1 to 9, wherein the first panel includes a first hand-operated handle and the second panel includes a second hand-operated handle.
[0060] Clause 11: the ventilator device of any one of clauses 1 to 10, further comprising a biasing member biasing the first panel and the second panel away from each other.
[0061] Clause 12: the ventilator device of clause 11, wherein the biasing member includes a pair of helical springs or a pair of torsion springs.
[0062] Clause 13: a method of assembling a ventilator device, the method comprising: receiving a first panel defining a first inlet port, a first outlet port, and a first internal channel fluidly connecting the first inlet and outlet ports; fluidly connecting a first one-way valve to the first outlet port, the first one-way valve restricting airflow through the first outlet port in a first direction; pivotably attaching a second panel to the first panel in a clamshell configuration, the second panel defining a second inlet port, a second outlet port, and a second internal channel fluidly connecting the second inlet and outlet ports; fluidly connecting a second one-way valve to the second inlet port, the second one-way valve restricting airflow through the second inlet port in a second direction opposite the first direction; fluidly connecting a bellows to the first outlet port and the second inlet port; and attaching the bellows to the first and second panels with the bellows interposed between the first and second panels such that pivoting the first and second panels away from each other expands the bellows, drawing air through the first panel and into the bellows, and pivoting the first and second panels towards each other compresses the bellows, expelling air from the bellows and out through the second panel.
[0063] Clause 14: the method of clause 13, wherein the first panel includes an elongated first panel body with a first longitudinal end defining therethrough the first inlet port and a first major face defining therethrough the first outlet port, and the second panel includes an elongated second panel body with a second longitudinal end defining therethrough the second outlet port and a second major face defining therethrough the second inlet port.
[0064] Clause 15: the method of clause 14, wherein the first panel includes a first annular mounting interface projecting from the first major face and surrounding the first outlet port, and the second panel includes a second annular mounting interface projecting from the second major face and surrounding the second inlet port, and wherein attaching the bellows to the first and second panels includes rigidly mounting the bellows to the first and second annular mounting interfaces.
[0065] Clause 16: the method of any one of clauses 13 to 15, wherein pivotably attaching the second panel to the first panel includes pivotably attaching a first end of the first panel to a second end of the second panel via a pivot hinge.
[0066] Clause 17: the method of clause 16, wherein the pivot hinge includes a first barrel sleeve and a first barrel cylinder attached to the first end of the first panel, and a second barrel sleeve and a second barrel cylinder attached to the second end of the second panel, and wherein pivotably attaching the second panel to the first panel includes inserting the first barrel cylinder into the second barrel sleeve and inserting the second barrel cylinder into the first barrel sleeve.
[0067] Clause 18: the method of clause 17, wherein the first barrel sleeve and the first barrel cylinder are integrally formed with the first panel, the second barrel sleeve and the second barrel cylinder are integrally formed with the second panel, the first internal channel extends through the first barrel cylinder, and the second internal channel extends through the second barrel cylinder.
[0068] Clause 19: the method of any one of clauses 13 to 18, wherein the first one-way valve includes a first flapper valve with a first flapper disk seated against an exterior surface of the first panel, and wherein the second one-way valve includes a second flapper valve with a second flapper disk seated against an interior surface of the second panel.
[0069] Clause 20: the method of any one of clauses 13 to 19, further comprising attaching a biasing member to the first and second panels, the biasing member biasing the first and second panels away from each other.
[0070] While several modes for carrying out the many aspects of the present teachings have been described in detail, those familiar with the art to which these teachings relate will recognize various alternative aspects for practicing the present teachings that are within the scope of the appended claims. It is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative and exemplary of the range of possible embodiments that an ordinarily skilled artisan would recognize as implied by, structurally and/or functionally equivalent to, or otherwise rendered apparent based upon the included content, and not as limited solely to those explicitly depicted and/or described embodiments. Moreover, the present concepts expressly include combinations and sub-combinations of the described elements and features. The detailed description and the drawings are supportive and descriptive of the present teachings, with the scope of the present teachings defined solely by the claims.