Current Experience With the Vaginal Breech Initiative at the George Washington University Hospital [1E]

2019 ◽  
Vol 133 (1) ◽  
pp. 53S-51S ◽  
Author(s):  
Kathryn I. Marko ◽  
Alexis C. Gimovsky ◽  
Amr Madkour ◽  
Dina Daines ◽  
Annam Hafeez Abbasi ◽  
...  
Author(s):  
Destie Provenzano ◽  
Yuan James Rao ◽  
Konstantin Mitic ◽  
Sofian N. Obaid ◽  
Dominique Pierce ◽  
...  

The 2019 Novel Coronavirus (COVID-19) has caused an acute reduction in world supplies of personal protective equipment (PPE) due to increased demand. To combat the impending shortage of equipment including N95 masks, the George Washington University Hospital (GWUH) developed a 3D printed reusable N95 comparable respirator that can be used with multiple filtration units. We evaluated several candidate prototype respirator models, 3D printer filaments, and filtration units detailed here. Our most recent working model was based on a respirator found on an open source maker website and was developed with PLA (printer filament), a removable cap, a removable filtration unit consisting of two layers of MERV 16 sandwiched between MERV 13, and removable elastic bands to secure the mask. Our candidate mask passed our own suction test protocol to evaluate leakage and passed a qualitative Bitrix N95 fit test at employee health at GWUH. Further efforts are directed at improving the current model for seal against face, comfort, and sizing. The 3D model is available upon request and in the supplement of this paper. We welcome collaboration with other institutions and suggest other facilities consider mask fit for their own population when exploring this concept.


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