3D printing to help the NHS

Our introduction video — produced by Media Crews

As passionate software engineers, we believe the best part in our job is to solve problems and help people.

Being quite geeky, we had got ourselves a 3D printer last year and had a lot of fun with it! On our quest to make ourselves useful during the covid-19 crisis, we found a post on a 3D printing forum about people printing face shields to help healthcare workers. That's when it all clicked, we already had most of the equipment, it just made sense for us to get started and try to help!

Why PPE was needed

In April 2020, the situation in the UK was dire. Supplies of personal protective equipment in London and Yorkshire were at dangerously low levels. The Royal College of Nursing advised members to refuse to treat patients without adequate protection. By mid-April, 19 NHS workers had died. Doctors reported they didn't have the right face masks to work in high-risk environments and the BMA described frontline staff being forced into impossible situations that put their lives at risk.

Most PPE factories were in China. They couldn't produce enough protection for everyone and shipping to the UK was challenging during the lockdown. Until governments resolved this, any protection was better than no protection. We couldn't fix the supply chain but we had a 3D printer and we knew how to use it.

First steps and iterations

We first distributed a few dozen to nurses and doctors to start collecting feedback. While we were trying to find an adequate design, we quickly realised the demand for protection was much higher than we thought. More and more people would reach out and ask us how many we could make for them. We felt we needed to do more, so we started using our first printer, Grunkle Stan, 24/7. For days we ran a timer that would go off every 25 minutes to swap out finished headbands and restart the print. It ate up our whole day, but it worked.

Gathering feedback

We didn't know which design would work best, so we tried several. We printed a batch of each and handed them to nurses, doctors and care home staff to test on the ward. Some designs were too flimsy. Others were uncomfortable to wear for long shifts. A few didn't stay in place. We asked everyone the same questions: Does it stay on? Is it comfortable? Can you see clearly? Does it feel protective enough?

The overwhelming favourite was the 3DVerkstan visor. It was simple, sturdy and fast to print. That became our standard.

A doctor working at a COVID-19 ward at Lewisham Hospital told us: "Thank you so much for making these fantastic visors! It will be of massive help on our wards. Currently we are re-using any eye protection we possibly can due to shortages."

Another nurse wrote: "I would like to thank you for your kind gesture. We are struggling cause we don't have much to protect ourselves. The trust is happy and would like to have more masks if you make them."

We also received requests from Great Ormond Street Hospital, one of the world's leading children's hospitals. These messages kept us going when the workload became overwhelming.

Optimisation

Initially, it took us almost an hour to print a single headband. After lots of trial and error, we got this time down to 25min! That's when we stumbled upon another issue: printing one headband faster also meant we had to constantly check on the printer to remove the headband already done and restart it. For days we used a timer to remind us to change and restart the print every 25min. It was eating up our whole day. This was not sustainable.

Scaling

We worked on a way to stack our headbands so we didn't have to check on the print as often, which also presented new challenges. Our printer was quite cheap and temperamental. The higher the print, the higher the risk of something going wrong. After days of failed, crooked and uneven stacks, we finally nailed down the process and felt confident enough to let the printer run all night without supervision.

With these optimisations, we were suddenly able to produce a lot more face shields and started to deliver them with our bicycles every day. By early May we had made more than 1,000 face shields and melted 50kg of plastic. But we started getting so much demand, we felt like we needed to do more, and our printer was already running day and night.

Getting funding

We set up a GoFundMe page with a target of £5,000. Our goal was to buy around 10 printers and produce 200 face shields every day for 30 days, totalling at least 6,000 to donate. For every pound donated, a doctor or nurse could be safer.

But before we could even think about buying any printers, we needed to find a space as our flat wasn't big enough. We started to get in touch with as many people as we could to find a place. The Craft Central, which provides workspace to artists, makers and small businesses at The Forge, immediately replied and gave us a space free of charge.

Anne-Sophie Cavil, the person in charge of their communication, helped us with all our communications. She supervised our social media posts, public writings and has been of fantastic support. She also published an article about the project on their website.

Thanks to them, things really took-off.

We woke up the next morning and the fundraising exploded. We were blown away by how generous so many strangers were! Within a week, we ended up with four extra printers in our new mini factory. With our increased production, preparing all the face shields became extremely time consuming. We first need to pull apart each headband from the stack. Then we need to remove all the extra bits of plastic that are stuck on the headband and sometimes file it so it is nice and smooth. Finally, you need to punch holes in the binding covers so they can be attached on the headband. They are now ready to be delivered to hospitals by bicycle.

16-hour time-lapse of the printer running overnight
Raspberry Pi CCTV setup monitoring the printers
CCTV in operation, powered by a Raspberry Pi

Building a system

The workload was manageable when we only had one printer running. It became quite problematic with 5 printers running day and night. Soon we found ourselves with stacks and stacks of headbands to prepare. On top of that, because we got the cheapest printers we could find, there would always be some maintenance or quick fix to do on at least one printer every day.

What started in our bedroom as a little project had become a full business operation. We set up a Raspberry Pi camera to live-stream the printers so we could spot failures from home. Everyday, the output of the printers would be collected, prepared and distributed.

Perfectly stacked prints collected from the printer
A good day — no printer issues and perfect prints collected

Deliveries started small and grew fast. One day it was 10 shields to a local pharmacy or 40 to Island Medical Centre. The next it was 50 to Aspen Court Care Home, 100 to Jubilee Street Practice. A single week in early May saw 355 shields go to Royal London Hospital, Essex Ambulance, local charities, and community homes. Some hospitals we delivered to even bought their own printers and started making shields on site.

Face shields delivered to Jubilee Street Practice
Healthcare worker wearing one of our face shields

We were working up to 12 hours a day on this project. We were still living off our own savings and soon we would have to go back to work. We needed more help. And more help we found.

When we thought we would have to slow down due to our lack of resources, the Limehouse Community Forum heard about us online and offered to help. They provided everything we needed to expand our project: networking, extra funding and trusted volunteers. They put together a brilliant end to end system and allocated a space to prepare the headbands while respecting social distancing.

Bikeworks, an East London based cycling social enterprise, took over the deliveries. Jim rode stacks of headbands from the Craft Central to Limehouse to be prepared by volunteers, then out to hospitals and care homes.

Jim from Bikeworks picking up face shields for delivery
Jim from Bikeworks took over all our deliveries
Volunteers wearing our face shields while providing food aid
Volunteers from the Royal Foundation of St Katherine wearing our face shields while delivering food to the vulnerable

We were able to reach out and help more and more people, even shipping to Italy and France. On 26 May we turned off the printers. The supply chain had finally caught up and demand for our shields had dropped. It was the best news we could have hoped for. By 10 June we officially wrapped up the operation, having produced more than 2,500 face shields for NHS workers, care homes, pharmacies and community groups.

We donated our printers to local schools so they could teach kids the same skills that helped us make a difference.

The mini factory silent after months of continuous printing
We reached the point where people had enough PPE
Final wrap-up of the PPE project
The mini factory fell silent after months of 24/7 printing

Gallery

Filament spools and printer parts during maintenance
Keeping five cheap printers running required constant attention
Printer maintenance and filament replacement
Over 50kg of plastic melted through these printers
Testing whether a large print fits on the printer bed
Will it fit? Of course!
The printers after being turned off
Another good delivery
3D printers running in our mini factory at the Craft Central
Our mini factory at the Craft Central running day and night
Full details about the project

A stellar team

This project would not have been possible without the Craft Central, the Limehouse Community Forum, Bikeworks and the astonishing contributions from the community.

We met extraordinary people with big hearts and beautiful souls. We received an overwhelming amount of support and we are so grateful for it! We are so happy we were able to help so many people and this whole project has been a fabulous adventure. It really warmed our hearts and reminded us that even in a very dire situation, there are always good people who will step up to work together and make things better.

To everyone – volunteers, donators, supporters – who contributed to this project, from the bottom of our hearts, thank you! ❤️

It is now time for us to go back to our initial project of building web and mobile applications.

Contributors

A special thank you to everyone who donated their time, resources and energy to make this project happen:

3DVerkstan designed this excellent visor we printed. A true masterpiece.

Craft Central offered a great (and big!) space with electricity, all free of charge. It is an unusual and very authentic place that we highly recommend. Thank you to Laurent Defontenay who introduced us to them.

Limehouse Community Forum provided a phenomenal help with logistics and funding. We definitely hope to work again with this fantastic team.

Jim Blakemore from Bikeworks fully took over all our deliveries with his remarkable service.

Media Crews edited our introduction video which yielded excellent results on social media.

Anne-Sophie Cavil guided and reviewed us with all our communications with her outstanding experience with social media and public relations. A real pleasure to work with.

Eleanor Hall assessed needs across care homes and food banks while organising and planning distribution.

Nendie volunteered with us on this project.

Tia Shek gave hours of her time to the assembly and inventory of the face shields.

Andy Hooper scraped his fingers to the bone to sand and prepare the headbands.

Norman Ludzinski came up with some truly ingenious ways to tweak the 3D printers.

Where the money went

We published everything transparently: list of expenses with invoices, list of face shields donated and financial planning. No profit has been made. All PPE have been donated.

Read more

Craft Central thrilled to be able to support the local community and the healthcare professionals
The LCF is now in partnership with the owners of a small local company who started an initiative to produce and provide face shield PPE
Our GoFundMe page