Difference between revisions of "COVID-19 PPE"

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(Created page with "This page summarises the effort by members to produce and supply personal protective equipment (PPE) for NHS staff in response to the current COVID-19 situation. '''NOTE: THI...")
 
(Face Shields)
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The Slack channel <code>#covid-19-ppe</code> is being used for discussion. The channel is a '''NO [https://en.wiktionary.org/wiki/bikeshedding BIKESHEDDING] ZONE''' and should only be used for co-ordination of the manufacturing and distribution effort.
 
The Slack channel <code>#covid-19-ppe</code> is being used for discussion. The channel is a '''NO [https://en.wiktionary.org/wiki/bikeshedding BIKESHEDDING] ZONE''' and should only be used for co-ordination of the manufacturing and distribution effort.
  
If you are able to produce face shields, please log what you can on [http://bit.ly/NottsRC2 this sheet].
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If you are able to produce face shields, please log what you can on [http://bit.ly/NottsRC2 this sheet]. The sheet will also be used for organising the collection effort.
  
 
== Collaboration & Points of Contact ==
 
== Collaboration & Points of Contact ==
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== Face Shields ==
 
== Face Shields ==
  
Please note that we '''DO NOT''' yet have approval from Infection Control on any specific design. For the moment it is still worth experimenting and making some parts, since every day of delay counts against us, but face shields cannot be donated until approval is obtained.
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Please note that we '''DO NOT''' yet (as of 2020-03-25) have approval from Infection Control on any specific design. For the moment it is still worth experimenting and making some parts, since every day of delay counts against us, but face shields cannot be donated until approval is obtained.
  
 
The designs we are primarily working with are as follows:
 
The designs we are primarily working with are as follows:
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PETG filament is being recommended for the headbands because it is more likely to survive autoclaving, but at the moment we are expecting (based on information from DrGandalf) that these masks will be going to clinics, not hospitals, and will therefore not be going through autoclaves. Instead they will be wiped clean, so PLA is also fine for printing the head bands.
 
PETG filament is being recommended for the headbands because it is more likely to survive autoclaving, but at the moment we are expecting (based on information from DrGandalf) that these masks will be going to clinics, not hospitals, and will therefore not be going through autoclaves. Instead they will be wiped clean, so PLA is also fine for printing the head bands.
  
It may be better to laser cut headbands where possible, due to the tendency for FDM prints to produce surfaces that can harbour bacteria. More investigation and research is needed here.
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It may be better to laser cut headbands where possible, due to the tendency for FDM prints to produce surfaces that can harbour bacteria. More investigation and research is needed into making headbands on a laser cutter.
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Regarding the FDM surface issue, at the moment we are working on the principle of something being better than nothing. We are still waiting on an official directive from infection control as to what materials and approaches are approved.
  
 
=== Visors ===
 
=== Visors ===

Revision as of 22:20, 25 March 2020

This page summarises the effort by members to produce and supply personal protective equipment (PPE) for NHS staff in response to the current COVID-19 situation.

NOTE: THIS PAGE HAS BEEN FILLED BASED ON CONVERSATIONS ON THE SLACK CHANNEL AND HAS YET TO BE REVIEWED, PLEASE DO NOT TAKE IT AS A SOURCE OF AUTHORITY.

The Slack channel #covid-19-ppe is being used for discussion. The channel is a NO BIKESHEDDING ZONE and should only be used for co-ordination of the manufacturing and distribution effort.

If you are able to produce face shields, please log what you can on this sheet. The sheet will also be used for organising the collection effort.

Collaboration & Points of Contact

DrGandalf on Slack is our NHS contact.

Geoff Hampson, one of the directors at Kitronik, is also on the Slack channel. He may be able to help with manufacturing.

mgoodwin is part of the co-ordination of the shield making locally, and also someone from TechNotts.

Face Shields

Please note that we DO NOT yet (as of 2020-03-25) have approval from Infection Control on any specific design. For the moment it is still worth experimenting and making some parts, since every day of delay counts against us, but face shields cannot be donated until approval is obtained.

The designs we are primarily working with are as follows:

Headbands

PETG filament is being recommended for the headbands because it is more likely to survive autoclaving, but at the moment we are expecting (based on information from DrGandalf) that these masks will be going to clinics, not hospitals, and will therefore not be going through autoclaves. Instead they will be wiped clean, so PLA is also fine for printing the head bands.

It may be better to laser cut headbands where possible, due to the tendency for FDM prints to produce surfaces that can harbour bacteria. More investigation and research is needed into making headbands on a laser cutter.

Regarding the FDM surface issue, at the moment we are working on the principle of something being better than nothing. We are still waiting on an official directive from infection control as to what materials and approaches are approved.

Visors

Visors can be made from A4 transparencies, as per the first design above. They can be acquired from Amazon:

Dominic Morrow has purchased some of these. We will know more about their suitability and properties when they arrive.

It may be possible to cut the visors with a laser cutter. Future investigation is required here regarding materials.

Safety Concerns

Please do not compromise your own safety, or that of others, in order to obtain materials or access printers / laser cutters. Follow government guidelines and stay at home.

FDM prints leave a lot of small microscopic holes in the surface, which can harbour bacteria. While not much can be done about this, and it isn't ideal, we have been told that it's currently a case of "anything is better than nothing", and that cleaning will be rigorous. For now it is probably a good idea to try to seal the surface of FDM prints with a surface sealer, epoxy, or with a flame if those aren't available. Laser cutting may be a better option but, again, FDM prints are better than nothing.

Important Slack Messages

The following messages were copied from Slack, as they contain particularly helpful information:

geoff hampson (2020-03-25 7:00PM): My opinion for what it is worth is if we want to be able to manufacture these in the quantities that are going to be required then it needs to be laser cut. Even with lots of people 3D printing parts the capability just won't be there. The laser cut version looks ok, but I think with a big bed some parts could be combined and I think with the right design the parts could slot together eliminating the need for the plastic rivets. What will also be essential in production is processes to ensure that the parts aren't contaminated otherwise the finished items won't be able to be used for days. We can't risk ppe being supplied with Coronavirus on it.

DrGandalf (2002-03-25 8:29PM): Hi all. Sorry missed the zoom. In one day have learnt the power and challenge of using Slack, negotiating in the NHS infrastructure and the amazing work our community can do.
I'll try and summarise from what I know so far and then I'll answer what I can from the medical perspective.
1. We will need as many visors as we can get.
2. Because of repeatedly pushing this - hopeful that the universities are able to join in and produce in a large scale.
3. Your willingness and contributions have blown me away.
4. I am trying to sort logistics re bands and visors with @Dominic Morrow, @mgoodwin and others.
5. Re not being medical grade-so far the answer is we need them and better than nothing. If genuine concerns will be single use but more likely one clinician per day.
6. Regarding the plastic sheet version I am trying to get a better idea from infection control but this will take a day or two unfortunately - bureaucracy still exists.
7. My next plan is to focus on logistics given you are all in lockdown for collection. Hoping we can arrange a collection service for distribution to ensure your work is used by NHS and social care and not misusing your support. For this reason if you have made anything please use this spreadsheet bit.ly/NottsRC2