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Regulatory and Safety Considerations in Deploying a Locally Fabricated, Reusable Face Shield in a Hospital Responding to the COVID-19 Pandemic.


ABSTRACT:

Background

Due to supply chain disruption, the COVID-19 pandemic has caused severe shortages in personal protective equipment for health care professionals. Local fabrication based on 3D printing is one way to address this challenge, particularly in the case of products such as protective face shields. No clear path exists, however, for introducing a locally fabricated product into a clinical setting.

Methods

We describe a research protocol under Institutional Review Board supervision that allowed clinicians to participate in an iterative design process followed by real-world testing in an emergency department. All designs, materials used, testing protocols, and survey results are reported in full to facilitate similar efforts in other clinical settings.

Findings

Clinical testing allowed the incident command team at a major academic medical center to introduce the locally fabricated face shield into general use in a rapid but well-controlled manner. Unlike standard hospital face shields, the locally fabricated design was intended to be reusable. We discuss the design and testing process and provide an overview of regulatory considerations associated with fabrication and testing of personal protective equipment, such as face shields.

Conclusions

Our work serves as a case study for robust, local responses to pandemic-related disruption of medical supply chains with implications for health care professionals, hospital administrators, regulatory agencies, and concerned citizens in the COVID-19 and future health care emergencies.

Funding

: This work was supported by the Harvard MIT Center for Regulatory Sciences, NIH/NCI grants U54-CA225088 and T32-GM007753, and the Harvard Ludwig Center. M.-J.A. is a Friends of McGovern Graduate Fellow.

SUBMITTER: Mostaghimi A 

PROVIDER: S-EPMC7304404 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Regulatory and Safety Considerations in Deploying a Locally Fabricated, Reusable Face Shield in a Hospital Responding to the COVID-19 Pandemic.

Mostaghimi Arash A   Antonini Marc-Joseph MJ   Plana Deborah D   Anderson Philip D PD   Beller Brandon B   Boyer Edward W EW   Fannin Amber A   Freake Jacob J   Oakley Richard R   Sinha Michael S MS   Smith Leanne L   Van Christopher C   Yang Helen H   Sorger Peter K PK   LeBoeuf Nicole R NR   Yu Sherry H SH  

Med (New York, N.Y.) 20200619 1


<h4>Background</h4>Due to supply chain disruption, the COVID-19 pandemic has caused severe shortages in personal protective equipment for health care professionals. Local fabrication based on 3D printing is one way to address this challenge, particularly in the case of products such as protective face shields. No clear path exists, however, for introducing a locally fabricated product into a clinical setting.<h4>Methods</h4>We describe a research protocol under Institutional Review Board supervi  ...[more]

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