Rapid Convergence: The Outcomes of Making PPE During a Healthcare Crisis

ABSTRACT

The U.S. National Institute of Health (NIH) 3D Print Exchange is a public, open-source repository for 3D printable medical device designs with contributions from clinicians, expert-amateur makers, and people from industry and academia. In response to the COVID-19 pandemic, the NIH formed a collection to foster submissions of low-cost, locally manufacturable personal protective equipment (PPE). We evaluated the 623 submissions in this collection to understand what makers contributed, how they were made, who made them, and key characteristics of their designs. We found an immediate design convergence to manufacturing-focused remixes of a few initial designs affiliated with NIH partners and major for-profit groups. The NIH worked to review safe, effective designs but was overloaded by manufacturing-focused design adaptations. Our work contributes insights into the outcomes of distributed, community-based medical making;the features that the community accepted as "safe"making;and how platforms can support regulated maker activities in high-risk domains. © 2023 Copyright held by the owner/author(s).