HACKERS and HOSPITALS

This page is being constantly updated, so please check back periodically. Join the https://lists.libreplanet.org/mailman/listinfo/hackersandhospitals to coordinate with the community.

HACKERS and HOSPITALS is an effort to coordinate hackers with medical professionals to make the world a better place.

The wiki is divided into two sections: Participate and Resources. Participate is a list of ways that anyone can help with the project. Resources are projects that are working toward helping.

Participate

During the COVID-19 pandemic, we needed to help coordinate the medical needs of hospitals with local area fabricators. HACKERS and HOSPITALS is no longer limited to fighting against COVID-19.

We have a large number of healthcare professionals, hackers, makers, engineers, biomedical innovators, and crafters. If we can all work together, we can save lives.

As of 20230105, HACKERS and HOSPITALS lists 149 projects.

Participate is a list of ways that anyone can help with the project.

• Share this wiki page!
  • Share the FSF blog post.
  • Share the talk from the Flatten The Curve Summit: Invidious MediaGoblin Slides
  • Share the bulletin article.
  • Share a video.
• Join the mailing list!
• Edit this page! Anyone can do so.
  • Register and login.
    • If you are not an associate member of the FSF, make a non-member account here.
    • Login here.
  • Search for plans that are licensed under a free culture license and post them here.
  • If you are working on a plan...
    • Post what you are working on (even works in progress) to a public version control system (such as git).
    • License your project under a free culture license.
      • https://fsfe.org/news/2020/news-20200408-01.en.html
    • Link your project here.
• Find out what your local needs are.
  • Organize local fabricators and hospitals.
  • Assess the needs of the hospitals.
  • Do not produce unless there is a need.
• Consider emailing the project heads at https://covidinnovation.partners.org/wg-info/ to join a MGB Center for COVID Innovation working group. Note: The group uses Zoom, Slack, and Google Drive, but has assured me that their results would be public domain.

If you have any suggestions, questions or comments regarding HACKERS and HOSPITALS, you can contact: michael at fsf.org

Resources

Resources are projects that are working toward helping.

Before fabricating any equipment, check first with your local hospitals to see if this is what they need and will use. Each hospital will have its own requirements.

Reviewed Personal Protective Equipment (PPE)

Face Shields

• CVHCS Laser Cut or 3D Printable Face shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC0
• Face Shield - PNWS
  • Short NIH
  • Full NIH
  • License: CC-BY
• SLS Printed RAG Mask - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• 3DVerkstan 3D printed face shield head band - Approved by National Institutes of Health (NIH) for clinical use
  • https://3dverkstan.se/protective-visor/
  • NIH
  • License: CC-BY
• 3D Printed Face Shield - MITRE - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• DtM-v3.1 Face Shield PPE, 3D printable headband - Approved by National Institutes of Health (NIH) for clinical use
  • https://www.designthatmatters.org/covid-19
  • NIH
  • License: CC0
• IC3D Budmen Face Shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • https://budmen.com/
  • License: CC-BY
• Faceshield 1 - Approved by National Institutes of Health (NIH) for clinical use
  • Note: No laser cutting tools required.
  • NIH
  • License: CC-BY
• Georgia Tech Face Shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• DtM lightweight Remix - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY-SA
• DtM-v4.0 Face Shield PPE - Approved by National Institutes of Health (NIH) for clinical use
  • Note: Design for Injection Molding.
  • NIH
  • License: CC0
• MADE - Injection Moldable Face Shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC0
• UW-DFab Injection Moldable COVID-19 Face Shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY-SA
• Prusa Protective Face Shield RC3 US version - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • Prusa (Requires nonfree JS)
  • License: CC-BY-NC :(
  • https://blog.prusaprinters.org/from-design-to-mass-3d-printing-of-medical-shields-in-three-days/
• Scrunchie shield - Approved by National Institutes of Health (NIH) for clinical use
  • https://faceshield.us/
  • NIH
  • License: CC-BY-NC :(

Face Shield Adapters

• Prusa RC3 Elastic Strap Clip - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• WashU Strap Adapter for 3D Printed Face Shield - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY

Face Masks

• Stopgap Surgical Face Mask (SFM) Revision B - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • Note: Requests for a remix with larger elastic.
  • License: CC-BY
• Stopgap Surgical Face Mask (SFM) - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY

Cloth mask adapters

Devices that relieve pressure on the ears during long-term usage of masks.

• Mask Comfort Strap - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • Quick to print at 1mm thick and semi flexible with PETG or PLA filament.
  • License: CC-BY
  • Only the straight piece - NIH
  • Only the curved piece - NIH
  • Great use of small 3D printers.
• Surgical Mask Band for Ear Comfort - Extra Security V2 - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • Thingiverse
  • License: CC0
• Surgical Mask Tension Release Band for Ear Comfort & Extended Use - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • Thingiverse
  • License: CC0
• Disposable Ear Relief Strap - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Universal Ear-saver - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Flexible Mask Hook (Simple) - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Ear Saver for Surgical Mask - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Ear Savers for health workers - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Mask Head Harness v1.5 - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY
• Face Mask Ear Savers - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-NC-SA :(
• Mask Fitter by Bellus3D - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY-NC :(
• Surgical Mask Tension Release Band STRISSE - Approved by National Institutes of Health (NIH) for clinical use
  • NIH
  • License: CC-BY-NC-SA :(

Unreviewed PPE

Face Shields

• Designs that require a 3D printer:
  • design that matters 3 hole punch design
    • https://www.designthatmatters.org/covid-19
  • https://glia.org/covid-19/
    • Source
    • https://www.cbc.ca/radio/asithappens/canadian-doctor-who-works-in-gaza-3d-prints-face-shields-for-covid-19-pandemic-1.5502964
    • https://mobile.twitter.com/BiellaColeman/status/1241036962884173825
  • https://github.com/scaleworkspace/covid19 also includes prototypes for other related concepts such as disposable masks, eye shields, and ventilator
  • https://github.com/madmaxbr5/faceshield
  • Thingiverse 4240063 CC-BY-4.0

• Designs that do not require a 3D printer:
  • Proto Shield - Fast laser cutter design.
    • https://www.protohaven.org/proto-shield/
  • OpenFacePPE - Simple face shield
    • https://open-face-website.now.sh/
  • Delve
    • https://www.delve.com/insights/face-shield-designs-to-fill-the-gap
    • https://www.delve.com/assets/documents/OPEN-SOURCE-FACE-SHIELD-DRAWING-v1.PDF
  • https://psjh.blob.core.windows.net/covid/PSJH_Faceshield.pdf

Cloth Masks

• Regulations:
  • https://www.astm.org/COVID-19/
  • https://www.prnewswire.com/in/news-releases/astm-international-provides-public-access-to-standards-used-for-covid-19-870878934.html
  • https://www.fda.gov/regulatory-information/search-fda-guidance-documents/surgical-masks-premarket-notification-510k-submissions
• Gentl Mask
  • https://solutionshub.epam.com/solution/gentl-mask
  • https://www.invidio.us/watch?v=c9aMin8DRBQ
• https://necsi.edu/sewing-masks
• https://www.project-cloth-masks.com/
• https://imgin.voidnet.tech/a/rOYijtF
• Cloth mask reconditioning system using simple parts. https://vid.puffyan.us/watch?v=ldZ9qUC-Kjw

Cloth mask adapters

Devices that relieve pressure on the ears during long-term usage of masks.

• Thingiverse 4263289

3D Printed Face Masks

• Thingiverse 4225667
  • Picture and video guide: https://lowellmakes.com/covid-19-response/
• https://longliveyoursmile.com/3d-printable-mask-for-covid-19/
• Copper3D
  • Users are reporting problems with this design.
  • https://copper3d.com/ Antimicrobial filament
  • https://copper3d.com/hackthepandemic/ Mask Design
  • https://www.3dprintingmedia.network/copper3d-organizing-global-campaign-to-3d-print-antimicrobial-masks-on-a-global-scale/
• Thingiverse 4231792 Frame concept
• SaltMaskEn from Robots Everywhere
  • https://www.robots-everywhere.com/re_wiki/pub/web/Cookbook.SaltMaskEn.html
  • License: CC-BY-3.0
• Rowan University College of Engineering designed 3D printable face mask with replaceable nonwoven filter material
  • not FDA or CDC reviewed/approved, but being evaluated at Cooper Union and Ispira Health Systems
  • Instructions and STL part files at https://engineering.rowan.edu/research-centers/mask/index.html
    • License: CC-BY-NC-ND :(

Medical gowns

• http://wiki.artisansasylum.com/index.php/Medical_gowns

Positive Pressure Suit

• https://civilpedia.org/p/?t=Positive-Pressure-Suit&pid=336
• https://www.instructables.com/Positive-Pressure-Suit-PAPR-From-Inflatable-Astron/

Door handles

Ways to open doors without touching the handle.

• Manija Project - MASSARD V1.0 Hand off door opener - Approved by National Institutes of Health (NIH) for community use
  • NIH
  • License: CC-BY
• Hands-Free Door Adapter - Approved by National Institutes of Health (NIH) for community use
  • Note: Use arm to open.
  • NIH
  • License: CC-BY
• No Touch Door opener with belt clip
  • Thingiverse 4265787
  • License: CC-BY-SA
• Covid-19 Door Hook For Commercial door Handles
  • Thingiverse 4265995
  • License: CC-BY-SA

Procedure shields/screens

• Intubation Box - Dr. Hsien Yung Lai, Taiwan
  • Clear, reusable, cleanable shield for performing intubations.
  • https://intubationbox.com/for-makers/
  • https://intubationbox.com/wp-content/uploads/2020/03/IntubationBox_20200330.pdf
  • news news

Diagnostics

3D Printed stethoscope

• Glia Stethoscope
  • Source

3D Printed Otoscope:

• Glia Otoscope
  • Source

Therapeutics

Ventilators

Vent Specifications

Ventilator specifications can help hackers design and understand how a ventilator works.

• UK's specifications for a basic ventilator: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/876167/RMVS001_v3.1.pdf

Vent Designs

Ventilator designs are plans and projects that need help designing a quick solution. Most projects require testing before clinical use.

• Video: "Prototype Ventilators - Stephen Robinson and Lior Trestman of MakeHaven" from the Flatten the Curve Summit https://www.invidio.us/watch?v=AYQYGlLIPRQ
• https://opensourceventilator.ie/
  • Source
• VentilAid
  • https://www.ventilaid.org/
  • https://gitlab.com/Urbicum/ventilaid
• Rice University - ApolloBVM - Automated Bag Valve Mask
  • http://oedk.rice.edu/ApolloBVM-DIY
  • License: CC-BY-4.0
  • Arduino Source
  • License: GPLv3
  • Note: Project is archived. All external documentation and parts are now available in the repo.
• Israeli Air Force - AmboVent
  • https://members.smoove.io//view.ashx?message=h44811613O122349105O219654O122419175
  • Source
  • License: The Unlicense
• MIT - Emergency Ventilator (E-Vent)
  • https://e-vent.mit.edu/
  • https://e-vent.mit.edu/mechanical/
  • Accessing the download page requires registration and JavaScript.
  • Source code has not been released yet.
• JamVent/BostonVent/GlobalVent
  • Shapes have not been uploaded yet.
  • https://github.com/GlobalVent/wiki
  • Prototypes Source
  • Electronics Source
  • License: GPLv3 and CERN
• https://simulation.health.ufl.edu/technology-development/open-source-ventilator-project/
• https://www.coventchallenge.com
• camara-descontaminacao-ar Source
• EAR - Emergency Automatic Respirator
  • Source
• openventilator Source
• Inspire-OpenLung Source
• OP-Vent
  • Uses mostly off-the-shelf parts
  • License: Ventilator Open Source License (Custom license)
• ARMEE
  • Mechanical design based on an air compressor attachment based on US army design.
  • Source
  • License: CERN-OHL-S v2
• OperationAir
  • https://www.operationair.org/en/
  • https://osf.io/mn7xq/
  • License: CC-BY-4.0/Apache-2.0

Vent Splitting

Ventilator Splitting could potentially increase the patient capacity of commercial ventilators.

Note: This method is controversial and has many obstacles to overcome. Read the criticisms of this method before testing as there are problems that must be addressed. Read as much about this as you can before considering this route for patients.

• • https://www.hhs.gov/about/news/2020/03/31/optimizing-ventilator-use-during-covid19-pandemic.html
    • https://www.hhs.gov/sites/default/files/optimizing-ventilator-use-during-covid19-pandemic.pdf
  • https://www.apsf.org/news-updates/joint-statement-on-multiple-patients-per-ventilator/
• LRTee: Ventilator Splitter
  • PETG or PLA: https://3dprint.nih.gov/discover/3dpx-013734
  • License: CC0
• Y hose adapter - 2 or 4 way oxygen hose splitter
  • Note: Requires testing. May need adjustments.
  • Source
  • License: CC-BY-SA
• https://www.nytimes.com/2020/03/26/health/coronavirus-ventilator-sharing.html
• https://www.invidio.us/watch?v=uClq978oohY
  • https://onlinelibrary.wiley.com/doi/pdfdirect/10.1197/j.aem.2006.05.009?download=true
• https://www.saasceo.com/ventilator-capacity/
• https://player.vimeo.com/external/401547170.source.mp4?s=a9007a813b20f3868c2c48d4bdb18059379d28dd&download=1
• Quad splitter
  • Note: The files are "open source" without a license.
  • youtube-dl https://www.facebook.com/SenatorSaudAnwar/videos/vb.547215488788904/1314441232082287/
  • https://intcadsol.com/ventilator-quad-splitter
• NIH
• Prusa

Vent Parts

Ventilator Parts could be used for ventilators with ventilators in an emergency situation.

• evanalb/covid19
  • Overview of common ventilator parts and includes STL files.
  • https://github.com/ervanalb/covid19/blob/master/ventilator.md
  • License: Unlicense / Public Domain
  • Source uses onshape and requires nonfree JavaScript, but STL files are published on GitHub.
• Ambu bag adapters
  • https://grabcad.com/library/30-mm-male-to-22-mm-female-adapter-1
  • https://grabcad.com/library/22-mm-male-to-30-mm-female-adapter-1
• Check valves (One-way)
  • Decathlon mask valve
    • https://www.thingiverse.com/thing:4261394
    • https://gitlab.com/ma-d-kers/library
• Venturi valve
  • https://hackaday.com/2020/03/16/3d-printed-parts-keep-respirators-operational-during-covid-19-epidemic/
  • Source
• PEEP Valve
  • Thingiverse 4261377
• Hose adaptor - Adjustable with OpenSCAD
  • Thingiverse 3764039

Medical supplies unrelated to COVID-19

• Implanted medical devices
  • http://www.softwarefreedom.org/resources/2010/transparent-medical-devices.pdf
  • https://www.softwarefreedom.org/news/2010/jul/21/software-defects-cardiac-medical-devices-are-life-/

3D Printed Tourniquet

• Glia Tourniquet
  • Source

Powerchairs

• BM3 Powerchair
  • Open design with source available code that depends on nonfree failsafe hardware.

Diabetes

• OpenAPS
  • The Open Artificial Pancreas System (OpenAPS) project is a DIY artificial pancreas system (APS).
  • https://github.com/openaps
  • https://openaps.readthedocs.io/
  • License: MIT
  • New Study Shows Open-Source Automated Insulin Delivery is a Safe and Effective Treatment Option for People with Type 1 Diabetes - American Diabetes Association 20220606

Tools for 3D Printers

• Simple dial indicator you can print
  • A dial indicator such as this print can help with leveling a 3D print bed.
  • Thingiverse 873948
  • License CC-BY-SA

Software

Software listed here is free software. https://www.gnu.org/philosophy/free-sw.en.html Concerns should be edited or supplemented.

Ventilator:

• ApolloBVM (Arduino)
  • Controller code for a bag squeezer.
  • Source
  • License: GPL-3.0
• Open Source Ventilator Remote Monitor
  • Monitor several ventilators remotely.
  • Source
  • FSD
  • Demo: http://www.ventilatormonitor.com/
  • License: GPL-3.0
• Corona Display
  • View output from a ventilator.
  • Source
  • License: GPL-3.0

CAD:

• OpenSCAD
  • Source
  • FSD
• FreeCAD
  • Source
  • FSD
• Blender
  • Source
  • FSD
• ImplicitCAD
  • Source
  • FSD
• SolveSpace
  • Source
  • FSD

Slicing for printing:

• Cura
  • FSD
• Slic3r
  • Source
  • FSD

3D print server:

• OctoPrint
  • Source
  • FSD

Pandemic tracking:

• The Fevermap
  • Source
• Symptomradar
  • Source
• OpenTrace
  • Source
• Corona Stats
  • Source
• Coronavirus (Covid-19) Data in the United States from The New York Times
  • Source
  • Graphs: https://old.reddit.com/user/bgregory98/submitted/

Contact Tracing:

Contact tracing is a highly controversial topic in our community as the implementation would also need to respect the privacy of the individual. This is a difficult task especially if the frontend or backend is proprietary and centralized. Once a system like this is built, can it be turned off? Will the data be used against its users? Will the system be opt-in or forced upon users with a system update?

• DP-3T Decentralized Privacy-Preserving Proximity Tracing
  • How? Phones generate randomized IDs that is broadcasted to nearby devices. Phones remember these IDs, and IDs they received. Upon infection, saved random IDs (the ones sent, not the ones seen) are uploaded to a database that is trusted to, and only to, not add fake EphIDs, or remove any events, and to be available. A few times a day, check the database of your local authority to see if any new IDs match any seen IDs.
  • Source
  • License: MPL-2.0
• liben
  • Exposure notifications implementation for GNU/Linux.
  • Source
  • License: GPL-2.0-or-later

Vaccine checker:

• vaccine-checker
  • Notification for local vaccine availability in India.
  • Source
  • License: MIT

Hospital Database:

• GNU Health - Alternative to Epic.
  • FSD
  • License: GPL-3.0-or-later
• GNUmed Electronic Medical Record Project
  • Source
  • License: GPL-2.0-or-later
• OpenEMR
  • Source
  • FSD
  • License: GPL-3.0-or-later
• Orthanc - PACS server for medical imaging.
  • FSD
• ClearCanvas - medical imaging
  • Source (Last updated in 2015)
  • License: GPL-3.0-or-later

See also Adding security to OpenEMR and GNU Health - IEEE.

Facial Recognition:

• Replicating Face Mask Detector
  • Source
  • License GPL-3.0

More:

• Free Software Directory COVID-19 Response Team is collecting more free software in this category.

Software unrelated to COVID-19:

• Bones
  • Bone Health Tracker
    • Source - License: AGPL-3.0
• DICOM Viewers
  • AlizaMS
    • Source
    • License: GPLv3
      • Note: There is a free and nonfree version of AlizaMS.
  • Aeskulap
    • Aeskulap is a medical image viewer for opening files including the DICOM format.
    • Source GPL-2 and LGPL-2.1
• OSCAR
  • CPAP Analysis Reporter. Fork of SleepyHead.
  • Source
  • License: GPL-3.0
• Nightscout Web Monitor
  • Visualizes continuous glucose monitor (CGM) data for diabetes treatment.
  • Source
  • License: AGPL-3.0-or-later
• QResearch
  • Prediction algorithms for various medical issues.
  • QRISK3 for cardiovascular disease (CVD) - Source - License: LGPL-3.0
  • QDiabetes - Source - License: AGPL-3.0
  • QKidney - Source - License: AGPL-3.0
  • QIntervention - Source - License: LGPL-3.0
  • QFracture - Source - License: AGPL-3.0
  • QThrombosis - Source - License: AGPL-3.0
  • QCancer Female Male - Source - License: AGPL-3.0
  • QStroke - Source - License: LGPL-3.0
  • QAdmissions - Source - License: AGPL-3.0
  • QBleed - Source - License: AGPL-3.0

Meta

• Dr. Tarek Loubani's twitter crash course on 3D printer materials and biocompatibility.
• FDA statement on additive medical devices
• FDA statement on alternative ventilator usage
• What can be expected on a respiratory crash cart
• Robots Everywhere COVID-19 projects list

Local groups with fabrication equipment:

• Maker & Hacker spaces
• Local businesses
  • Engineering
  • Medical
    • Biomedical research
    • Dentists
  • Tailors
• Education
  • Schools
    • Reach out your local school districts and their unions to use their fabrication equipment! Much of the equipment is going unused as schools are closing.
  • After-school centers
• Hobbyists and Hackers

Hackathons

Hackathons with a free software focus:

Past Events

• April 5-11, 2020 COVID-19 Biohackathon https://github.com/virtual-biohackathons/covid-19-bh20
  • https://salsa.debian.org/med-team/community/2020-covid19-hackathon/-/wikis/Covid-19-hackathon

This page was a featured resource in April 2020.