Adaptive Manufacturing for Healthcare During the COVID-19 Emergency and Beyond

During the COVID-19 pandemic, global health services have faced unprecedented demands. Many key workers in health and social care have experienced crippling shortages of personal protective equipment, and clinical engineers in hospitals have been severely stretched due to insufficient supplies of medical devices and equipment. Many engineers who normally work in other sectors have been redeployed to address the crisis, and they have rapidly improvised solutions to some of the challenges that emerged, using a combination of low-tech and cutting-edge methods. Much publicity has been given to efforts to design new ventilator systems and the production of 3D-printed face shields, but many other devices and systems have been developed or explored. This paper presents a description of efforts to reverse engineer or redesign critical parts, specifically a manifold for an anaesthesia station, a leak port, plasticware for COVID-19 testing, and a syringe pump lock box. The insights obtained from these projects were used to develop a product lifecycle management system based on Aras Innovator, which could with further work be deployed to facilitate future rapid response manufacturing of bespoke hardware for healthcare. The lessons learned could inform plans to exploit distributed manufacturing to secure back-up supply chains for future emergency situations. If applied generally, the concept of distributed manufacturing could give rise to “21st century cottage industries” or “nanofactories,” where high-tech goods are produced locally in small batches

Design and Test of a Nb3Sn Subscale Dipole Magnet for Training Studies

As part of a collaboration between CEA/Saclay and the Superconducting Magnet Group at LBNL, a subscale dipole structure has been developed to study training in Nb3Sn coils under variable pre-stress conditions. This design is derived from the LBNL Subscale Magnet and relies on the use of identical Nb{sub 3}Sn racetrack coils. Whereas the original LBNL subscale magnet was in a dual bore 'common-coil' configuration, the new subscale dipole magnet (SD) is assembled as a single bore dipole made of two superposed racetrack coils. The dipole is supported by a new mechanical structure developed to withstand the horizontal and axial Lorentz forces and capable of applying variable vertical, horizontal and axial preload. The magnet was tested at LBNL as part of a series of training studies aiming at understanding of the relation between pre-stress and magnet performance. Particular attention is given to the coil ends where the magnetic field peaks and stress conditions are the least understood. After a description of SD design, assembly, cool-down and tests results are reported and compared with the computations of the OPERA3D and ANSYS magnetic and mechanical models

Mechanical Analysis of the Nb3Sn Dipole Magnet HD1

The Superconducting Magnet Group at Lawrence Berkeley National Laboratory (LBNL) has recently fabricated and tested HD1, a Nb3Sn dipole magnet. The magnet reached a 16 T field, and exhibited training quenches in the end regions and in the straight section. After the test, HD1 was disassembled and inspected, and a detailed 3D finite element mechanical analysis was done to investigate for possible quench triggers. The study led to minor modifications to mechanical structure and assembly procedure, which were verified in a second test (HD1b). This paper presents the results of the mechanical analysis, including strain gauge measurements and coil visual inspection. The adjustments implemented in the magnet structure are reported and their effect on magnet training discussed

Design and Fabrication of a Supporting Structure for 3.6m Long Nb3Sn Racetrack Coils

As part of the LHC Accelerator Research Program (LARP), three US national laboratories (BNL, FNAL, and LBNL) are currently engaged in the development of superconducting magnets for the LHC Interaction Regions (IR) beyond the current design. As a first step towards the development of long Nb{sub 3}Sn quadrupole magnets, a 3.6 m long structure, based on the LBNL Subscale Common-Coil Magnet design, will be fabricated, assembled, and tested with aluminum-plate 'dummy coils'. The structure features an aluminum shell pre-tensioned over iron yokes using pressurized bladders and locking keys (bladder and key technology). Pre-load homogeneity and mechanical responses are monitored with pressure sensitive films and strain gauges mounted on the aluminum shell and the dummy coils. The details of the design and fabrication are presented and discussed, and the expected mechanical behavior is analyzed with finite element models

Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting

<p>Abstract</p> <p>Background</p> <p>Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting.</p> <p>Methods</p> <p>The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost.</p> <p>Results</p> <p>102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%–24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827.</p> <p>Conclusion</p> <p>This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.</p

Quench Detection for High-Temperature Superconductor Conductors Using Acoustic Thermometry

Detecting local heat-dissipating zones in high-temperature superconductor (HTS) magnets is a challenging task due to slow propagation of such zones in HTS conductors. For long conductor lengths, voltage-based methods may not provide a sufficient sensitivity or redundancy, and therefore nonvoltage-based detection alternatives are being sought. One of those is the recently proposed method of Eigen Frequency Thermometry (EFT), which is an active acoustic technique for a fast and nonintrusive detection of 'hot spots,' utilizing temperature dependence of the conductor elastic moduli. In this work, we demonstrate the efficiency of EFT for detecting localized heating in a 1.2-m-long sample of REBCO tape immersed in liquid nitrogen, and benchmark sensitivity of the acoustic detection with respect to voltage, hot spot temperature, and power dissipation in the conductor. Modifying the original technique for differential mode of operation enables a much improved sensitivity, and adds a hot spot localization capability. Furthermore, we adapt this technique to subscale coils wound with REBCO CORC conductor built in the framework of U.S. Magnet Development Program. A successful thermal-based detection of dissipation onset at the critical current for a two-layer canted CORC dipole assembly is discussed

Design of a Canted-Cosine-Theta Superconducting Dipole Magnet for Future Colliders

A four-layer canted-cosine-theta 16-T dipole has been designed as a possible candidate for future hadron colliders. The design maintains part of the future-circular-collider magnet requirements, i.e., a 50 mm clear bore and 16 T operating at 1.9 K. The magnet intercepts Lorentz forces with an internal structure of ribs and spars, minimizes conductor, and reduces the number of layers and magnet size by using wide cables. The role of iron and its impact on field and magnet size is discussed. A three-dimensional magnetic analysis was carried out for 1-in-1 and 2-in-1 designs including a structural analysis for the 1-in-1 case. Thoughts on future improvements during winding are also discussed

Optimization of Superconducting Focusing Quadrupoles for the High Current Experiment

The Heavy Ion Fusion (HIF) program is progressing through a series of physics and technology demonstrations leading to an inertial fusion power plant. The High Current Experiment (HCX) at Lawrence Berkeley National Laboratory is exploring the physics of intense beams with high line-charge density. Superconducting focusing quadrupoles have been developed for the HCX magnetic transport studies. A baseline design was selected following several pre-series models. Optimization of the baseline design led to the development of a first prototype that achieved a conductor-limited gradient of 132 T/m in a 70 mm bore, without training, with measured field errors at the 0.1% level. Based on these results, the magnet geometry and fabrication procedures were adjusted to improve the field quality. These modifications were implemented in a second prototype. In this paper, the optimized design is presented and comparisons between the design harmonics and magnetic measurements performed on the new prototype are discussed