![](https://i0.wp.com/make4all.org/wp-content/uploads/NIH_kelly.png?w=474&ssl=1)
Kelly Avery Mack, Megan Hofmann
, Udaya Lakshmi
, Jerry Cao
, Nayha Auradkar
, Rosa I. Arriaga
, Scott E. Hudson
, Jennifer Mankoff
. Rapid Convergence: The Outcomes of Making PPE During a Healthcare Crisis. [Link to the paper]
The U.S. National Institute of Health (NIH) 3D Print Exchange is a public, open-source repository for 3D printable medical device designs with contributions from clinicians, expert-amateur makers, and people from industry and academia. In response to the COVID-19 pandemic, the NIH formed a collection to foster submissions of low-cost, locally-manufacturable personal protective equipment (PPE). We evaluated the 623 submissions in this collection to understand: what makers contributed, how they were made, who made them, and key characteristics of their designs. We found an immediate design convergence to manufacturing-focused remixes of a few initial designs affiliated with NIH partners and major for-profit groups. The NIH worked to review safe, effective designs but was overloaded by manufacturing-focused design adaptations. Our work contributes insights into: the outcomes of distributed, community-based medical making; the features that the community accepted as “safe” making; and how platforms can support regulated maker activities in high-risk domains.