This device was developed out of the need for cheap, effective ways to save newborns in post-Tsunami Aceh, Indonesia.  The bag valve mask is an essential device for resuscitation of newborns suffering from asphyxia.  Before the Tekno-tube, midwives in Aceh used the gold standard, a disposable $30 device--both too expensive and too wasteful for the setting.   The Tekno-Tube is an $8 alternative that provides a reusable solution that is manufactured locally.  A plastic tube connects to a simple mask, allowing a midwive to blow into a baby's mouth for resuscitation. A [USAID/PATH comparison of ambu-bag devices is here] (http://pdf.usaid.gov/pdf_docs/PNADW250.pdf).