HACKERS and HOSPITALS

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

HACKERS and HOSPITALS is an effort to coordinate Hackers with Hospitals during an immediate time of need.

The wiki is divided into four sections: Participate, Needs, Resources, and Efforts. Participate is a list of ways that anyone can help with the project. Needs are specific hospitals that are requesting help. Resources are projects that are working toward helping. Efforts are groups that are working on the various projects.

Participate

We need to help coordinate the medical needs of hospitals with local area fabricators. 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.

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

• Share this wiki page!
  • Share the blog post: https://www.fsf.org/blogs/community/hackers-and-hospitals-how-you-can-help
• Join the mailing list!
  • https://lists.libreplanet.org/mailman/listinfo/hackersandhospitals
• 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: https://my.fsf.org/user/register
    • Login here: https://libreplanet.org/wiki?title=Special:UserLogin&returnto=HACKERS+and+HOSPITALS
  • 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.
    • 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 result would be public domain.
  • Watch the MGB Center for COVID Innovation Town Hall video if you missed it: https://www.invidio.us/watch?v=SDl6M7-sMy4

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

Needs

Needs are specific hospitals and organizations that are requesting help.

These Hospitals have put out a public call for help. I would advise against shipping things from far away. If your local hospitals are not listed, reach out to them to find out their needs.

USA

Arkansas

• Baxter Regional Medical Center: https://www.baxterregional.org/foundation/covid-19-pandemic-needs/face-masks-hats/

Massachusetts

• Cambridge Health Alliance: https://www.challiance.org/about/newsroom/personal_protective_equipment_ppe_homemade_donatio_1180
• Cooley Dickenson Healthcare: https://www.cooleydickinson.org/home/coronavirus-resources/donations/
• Emerson Hospital (Concord, MA): https://www.emersonhospital.org/coronavirus-covid-19-resources/covid-19-help
• Lowell General Hospital: https://www.lowellgeneral.org/news-and-media/news/calling-our-crafty-community
• Melrose Wakefield Hospital: https://www.melrosewakefield.org/news/melrosewakefield-healthcare-seeks-donations-of-personal-protective-equipment/

Michigan

• McLaren hospitals across the state: https://www.mclaren.org/main/ppe-personal-protective-equipment-donations

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

• Approved by National Institutes of Health (NIH), 3d print with PLA, PETG, ABS, ASA, Nylon: https://3dprint.nih.gov/discover/3dpx-013238
• Approved by National Institutes of Health (NIH), 3d print with PETG: https://3dprint.nih.gov/discover/3dpx-013309

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/
    • https://github.com/GliaX/faceshield
    • 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
  • Prusa
    • https://www.prusaprinters.org/prints/25857-prusa-protective-face-shield-rc2
    • https://blog.prusaprinters.org/from-design-to-mass-3d-printing-of-medical-shields-in-three-days/
  • https://budmen.com/
  • 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

• 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://imgur.com/a/rOYijtF

Cloth mask adapters

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

• https://www.thingiverse.com/thing:4263289

3D Printed Face Masks

• https://www.thingiverse.com/thing: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/
• https://www.thingiverse.com/thing:4231792 Frame concept
• 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
    • information all released under Creative Commons licenses as detailed on that page.

Medical gowns

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

Door handles

Ways to open doors without touching the handle.

• https://www.thingiverse.com/thing:4265995
• https://www.thingiverse.com/thing:4265787

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

• https://glia.org/stethoscope/
  • https://github.com/GliaX/Stethoscope

3D Printed Otoscope:

• https://glia.org/otoscope/
  • https://github.com/GliaX/Otoscope

Therapeutics

Ventilators

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

Designs

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

• https://opensourceventilator.ie/
  • https://gitlab.com/open-source-ventilator/OpenLung
• 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
  • Arduino code: https://github.com/apollobvm/apollobvm
  • License: GPLv3
  • Note: Instructions require registration that works without scripts. Part files are stored on dropbox. Dropbox requires nonfree JavaScript.
• Israeli Air Force - AmboVent
  • https://members.smoove.io//view.ashx?message=h44811613O122349105O219654O122419175
  • https://github.com/AmboVent/AmboVent
  • 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
  • Shapes have not been uploaded yet.
  • https://github.com/JamVent/code
  • License: GPLv3
• https://simulation.health.ufl.edu/technology-development/open-source-ventilator-project/
• https://www.coventchallenge.com
• https://github.com/RespiradorHacker/camara-descontaminacao-ar
• EAR - Emergency Automatic Respirator
  • https://github.com/RespiradorHacker/Projeto-EAR-Celso
• https://github.com/popsolutions/openventilator
• ** https://github.com/Inspire-Poli-USP/Inspire-OpenLung

Vent Split

Splitting a ventilator 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/
• Y hose adapter - 2 or 4 way oxygen hose splitter
  • Note: Requires testing. May need adjustments.
  • https://github.com/TechnologyClassroom/yhoseadapter
  • 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
• https://3dprint.nih.gov/discover/ventilator
• https://www.prusaprinters.org/prints/25808-3d-printed-circuit-splitter-and-flow-restriction-d

Ventilator Parts

Designs for parts used for ventilators.

• Overview of common ventilator parts: https://github.com/ervanalb/covid19/blob/master/ventilator.md (links to onshape website parts that are public domain, but onshape requires nonfree JavaScript)
• 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/
  • https://github.com/tombombadilbridpost/CORONA
• PEEP Valve
  • https://www.thingiverse.com/thing:4261377
• Hose adaptor - Adjustable with OpenSCAD
  • https://www.thingiverse.com/thing:3764039

Medical supplies unrelated to COVID-19

3D Printed Tourniquet

• https://glia.org/tourniquet/
  • https://github.com/GliaX/tourniquet

Software

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

CAD:

• OpenSCAD
  • http://www.openscad.org/
  • https://github.com/openscad/openscad/
• FreeCAD
  • https://www.freecadweb.org/
  • https://github.com/FreeCAD/FreeCAD
• BOLTS - Common part specifications addon for OpenSCAD and FreeCAD
  • https://github.com/boltsparts/BOLTS
  • https://www.bolts-library.org/en/
• Blender
  • https://www.blender.org/
  • https://developer.blender.org/diffusion/B/
• ImplicitCAD
  • http://www.implicitcad.org/
  • http://kalli1.faikvm.com/ImplicitCAD/Stable
• SolveSpace
  • http://solvespace.com/index.pl
  • https://github.com/solvespace/solvespace

Slicing for printing:

• Cura
  • https://www.lulzbot.com/cura#download
  • https://directory.fsf.org/wiki/CuraEngine
• Slic3r
  • https://slic3r.org/
  • https://github.com/slic3r/Slic3r

3D print server:

• OctoPrint
  • https://octoprint.org/
  • https://github.com/OctoPrint/OctoPrint

Pandemic tracking:

• The Fevermap
  • https://fevermap.net/
  • https://gitlab.com/fevermap/fevermap/
• Symptomradar
  • https://github.com/futurice/symptomradar

Hospital Database:

• GNU Health - Alternative to Epic.
  • https://www.gnuhealth.org/

Meta

• Dr. Tarek Loubani's twitter crashcourse on 3D printer materials and biocompatibility: https://mobile.twitter.com/turzaak/status/1239544498553860096
• FDA statement on additive medical devices: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/technical-considerations-additive-manufactured-medical-devices
• FDA statement on alternative ventilator usage: https://www.fda.gov/medical-devices/emergency-situations-medical-devices/emergency-use-authorizations?utm_campaign=2020-03-26%20FDA%20Issues%20Emergency%20Use%20Authorization%20for%20Ventilators&utm_medium=email&utm_source=Eloqua#covid19ventilators
• What can be expected on a respiratory crash cart: https://www.acls.net/acls-crash-cart.htm

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

Efforts

Efforts are groups that are working on the various projects.

USA

Connecticut

• MakeHaven: https://www.makehaven.org/covid-19-response

Maine

• • Helping Maine Hospitals: https://www.prusaprinters.org/group/helping-maine-hospitals-6O5mvRJ

Massachusetts

• • Greater Boston Area
    • MGB Center for COVID Innovation https://covidinnovation.partners.org/
    • New England Complex Systems Institute https://necsi.edu/corona-virus-pandemic
    • Artisan's Asylum http://wiki.artisansasylum.com/index.php/COVID
    • Lowell Makes https://lowellmakes.com/covid-19-response/

Michigan

• • COVID-19 "Operation Face Shield": https://www.hunnywaggin.com/covid-19-eye-sheild-pipeline
• Detroit
  • Detroit Sewn Masks: https://www.detroitsewn.com/

New Hampshire

• Face Shields for NH: https://www.prusaprinters.org/group/face-shields-for-nh-7RpKg5a

New Jersey

• Rowan University builds intubation boxes: https://today.rowan.edu/news/2020/04/rowan-engineers-make-intubation-boxes.html

New York

• NYC Face Shields: https://www.prusaprinters.org/group/nyc-face-shields-GARxvQm

Rhode Island

• Rhode Island Covid-19 3D Printing Team: https://www.prusaprinters.org/group/rhode-island-covid-19-3d-printing-team-1GQer56

Texas

• Public Invention: https://github.com/pubinv/covid19-vent-list

Vermont

• Vermont COVID-19 face shields: https://www.prusaprinters.org/group/vermont-covid-19-face-shields-2Rd88R7

Czech Republic

• Jak sestavit Průša Obličejový Štít - RC1/RC2/RC3: https://manual.prusa3d.com/Guide/Jak+sestavit+Pr%C5%AF%C5%A1a+Obli%C4%8Dejov%C3%BD+%C5%A0t%C3%ADt+-+RC1-RC2-RC3/1526

Poland

• Face shield to laser cut, without 3D printing: https://wiki.hackerspace.pl/projects:covid-19:english

General

• https://blog.mozilla.org/blog/2020/03/31/moss-launches-covid-19-solutions-fund/
• https://3dprint.nih.gov/
• https://www.thingiverse.com/groups/hackthepandemic
• https://getusppe.org/
• https://findthemasks.com #GetMePPE
  • https://github.com/r-pop/findthemasks
• https://womenin3dprinting.com/covid-19-3d-printing-responses/
• https://crowdfightcovid19.org/
• https://old.reddit.com/r/3Dprinting/comments/fke0oz/coronavirus_3d_printing_megathread/
• FSD https://directory.fsf.org/wiki/Free_Software_Directory:COVID-19_Medical

Hackathons

Hackathons with a free software focus:

• 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.