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     ORIGINAL ARTICLE
           Using Large-Scale Additive Manufacturing as a Bridge
           Manufacturing Process in Response to Shortages in
           Personal Protective Equipment during the COVID-19
           Outbreak
           Elizabeth G. Bishop*, Simon J. Leigh
           School of Engineering, University of Warwick, Coventry, CV4 7AL, United Kingdom
           Abstract: The global coronavirus disease (COVID)-19 pandemic has led to an international shortage of personal protective
           equipment (PPE), with traditional supply chains unable to cope with the significant demand leading to critical shortfalls. A
           number of open and crowdsourcing initiatives have sought to address this shortfall by producing equipment such as protective
           face shields using additive manufacturing techniques such as fused filament fabrication (FFF). This paper reports the process
           of designing and manufacturing protective face shields using large-scale additive manufacturing (LSAM) to produce the
           major thermoplastic components of the face shield. LSAM offers significant advantages over other additive manufacturing
           technologies in bridge manufacturing scenarios as a true transition between prototypes and mass production techniques such
           as injection molding. In the context of production of COVID-19 face shields, the ability to produce the optimized components
           in under 5 min compared to what would typically take 1 – 2 h using another additive manufacturing technologies meant that
           significant production volume could be achieved rapidly with minimal staffing.
           Keywords: Additive manufacturing, Three-dimensional printing, Coronavirus disease-19, Coronavirus, Face shield, Personal
           protective equipment
           *Corresponding Author: Elizabeth G. Bishop, School of Engineering, University of Warwick, Coventry, CV4 7AL, United Kingdom;
           E.G.Bishop@warwick.ac.uk
           Received: May 14, 2020; Accepted: June 15, 2020; Published Online: September 04, 2020
           (This article belongs to the Special Section: Research and Applications of 3D Printing and Bioprinting for COVID-19)
           Citation:  Bishop  EG,  Leigh  SJ,  2020,  Using  Large-Scale Additive  Manufacturing  as  a  Bridge  Manufacturing  Process
           in  Response to  Shortages  in  Personal  Protective  Equipment  during  the  COVID-19 Outbreak,  Int  J  Bioprint,  6(4):281.
           DOI: org/10.18063/ijb.v6i4.281
           1 Introduction                                      spread globally, with the spread of coronavirus
                                                               disease  2019  (also  more  commonly  known as
           In December of 2019, an outbreak of infections      COVID-19) reaching  the  necessary  level  of
           from  a  novel  coronavirus  (now named  severe
           acute  respiratory  syndrome  coronavirus  2        spreading  to  be  classified  as  a  global  pandemic
           [SARS-Cov-2]) was reported  in China .  The         according to the  World Health Organisation
                                                   [1]
                                                                      [4]
           class of viruses known as coronaviruses are         (WHO) . At the time of writing, it is believed that
           responsible for most of the common colds and        over 4 million people have been infected globally,
                                                                                               [5]
           have often arisen due to transmission from          leading  to  over  278,000 deaths .  It  has  been
           animals to humans . Initially focused on Wuhan      established that the contagiousness of the disease
                             [2]
           in the Hubei province , the infection  has since    is higher than previous outbreaks such as SARS
                                 [3]
           © 2020 Bishop, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://
           creativecommons.org/licenses/by/4.0/), permitting all commercial use, distribution, and reproduction in any medium, provided the original work is properly
           cited.
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