一根松緊帶曾是這場(chǎng)全球疫情中最讓瑪西·費(fèi)舍爾頭疼也最亟待解決的問(wèn)題。
3月20日,一項(xiàng)緊急任務(wù)擺在了瑪西·費(fèi)舍爾等200來(lái)位福特高管、員工的面前:作為美國(guó)最大的汽車(chē)制造商,如何調(diào)整因受疫情威脅而停工的龐大產(chǎn)線,轉(zhuǎn)而生產(chǎn)急需的醫(yī)療用品。在接到這項(xiàng)任務(wù)之前,作為福特的一名老員工,瑪西的工作是負(fù)責(zé)監(jiān)督福特全球車(chē)身及內(nèi)飾的設(shè)計(jì)工作。
福特的同城勁敵通用汽車(chē)已先行一步,與呼吸機(jī)制造企業(yè)Ventec Life Systems敲定了合作關(guān)系。福特首席執(zhí)行官吉姆·哈克特及其副手與醫(yī)療供應(yīng)商梅奧醫(yī)療的專(zhuān)家及白宮進(jìn)行了磋商,后者公開(kāi)呼吁福特投入到醫(yī)療物資的生產(chǎn)中來(lái)。很快他們便與通用電氣和3M等企業(yè)達(dá)成了戰(zhàn)略合作。
由于更復(fù)雜的醫(yī)療設(shè)備要耗費(fèi)數(shù)周乃至數(shù)月的時(shí)間才能真正投產(chǎn),所以瑪西的團(tuán)隊(duì)決定先將最基礎(chǔ)的醫(yī)療用品——塑料防護(hù)面罩作為切入點(diǎn)。防護(hù)面罩可以保護(hù)醫(yī)務(wù)人員免受來(lái)自患者飛沫和其它空氣傳播病毒的威脅。她的團(tuán)隊(duì)在一天之內(nèi)便拿出了可行的設(shè)計(jì)方案,并隨即與供應(yīng)商討論原料供應(yīng)事宜,以便批量生產(chǎn)防護(hù)面罩。防護(hù)面罩的塑料配件非常簡(jiǎn)單。但在用于確保面罩緊貼使用者面部的松緊帶方面,瑪西回憶道:“福特遇到了嚴(yán)重的產(chǎn)能不足問(wèn)題。”
最后他們還是想到了解決方案,雖然看起來(lái)平平無(wú)奇,但非常值得驕傲。3月26日凌晨4點(diǎn),福特的一家供應(yīng)商開(kāi)始在自家工廠生產(chǎn)撓性橡膠條,或者叫防風(fēng)雨密封條,這種橡膠條通常用于密封汽車(chē)門(mén)窗。瑪西表示:“我們?cè)缟?點(diǎn)就做出了原型產(chǎn)品”。幾個(gè)小時(shí)之內(nèi),樣品便已送到當(dāng)?shù)蒯t(yī)院供急診醫(yī)生檢查測(cè)試。福特在隨后的幾天時(shí)間里迅速生產(chǎn)出了10萬(wàn)只防護(hù)面罩,截至4月中旬,其產(chǎn)能已達(dá)到每周100萬(wàn)只。那種橡膠替代品好用么?參與測(cè)試該款防護(hù)面罩的底特律醫(yī)院急診醫(yī)生艾琳·布倫南表示:“這是一次大膽且完全可行的創(chuàng)新。瑪西的團(tuán)隊(duì)太棒了。”
但在轉(zhuǎn)型成為醫(yī)療用品制造商的福特面前,這還只能算是“開(kāi)胃小菜”。福特的其它任務(wù),包括7月4日前生產(chǎn)出5萬(wàn)臺(tái)呼吸機(jī)的承諾,無(wú)疑更為復(fù)雜,也會(huì)面臨更為嚴(yán)苛的審視目光。
福特的“阿波羅計(jì)劃”以千頭萬(wàn)緒的“阿波羅13號(hào)”宇航員救援行動(dòng)命名,合作企業(yè)來(lái)自各行各業(yè),包括通用電氣、3M及諸多規(guī)模較小的供應(yīng)商,此外,超過(guò)750名美國(guó)聯(lián)合汽車(chē)工人工會(huì)的成員也主動(dòng)請(qǐng)纓,參與運(yùn)營(yíng)改造后的福特工廠。除防護(hù)面罩及呼吸機(jī)外,福特還將生產(chǎn)包括口罩、防護(hù)服、呼吸面罩在內(nèi)的多種醫(yī)療用品。這些醫(yī)療用品的設(shè)計(jì)、配件采購(gòu)及生產(chǎn)大多并非易事,在形勢(shì)危急的大流行期間更是如此。
吉姆·鮑姆比克是福特負(fù)責(zé)企業(yè)產(chǎn)品線管理的副總裁,目前他正負(fù)責(zé)福特醫(yī)療用品的生產(chǎn)工作,鮑姆比克表示:“生命危在旦夕。這些機(jī)器很多都非常復(fù)雜,提高產(chǎn)能需要時(shí)間,而我們現(xiàn)在最缺的就是時(shí)間。”
對(duì)于制造維持危重病人呼吸,構(gòu)造復(fù)雜又急需的呼吸機(jī)而言尤其如此。通常來(lái)說(shuō),只有少數(shù)幾家專(zhuān)門(mén)生產(chǎn)醫(yī)療用品的廠家才會(huì)生產(chǎn)呼吸機(jī),制造所需的配件更多,監(jiān)管要求也遠(yuǎn)高于防護(hù)面罩。
為了簡(jiǎn)化流程,福特與通用電氣將目光投向了弗羅里達(dá)小企業(yè)Airon生產(chǎn)的一款呼吸機(jī)上,該款呼吸機(jī)已獲FDA批準(zhǔn),且構(gòu)造相對(duì)簡(jiǎn)單。通用電氣醫(yī)療集團(tuán)首席質(zhì)量官湯姆·韋斯特里克在一封郵件聲明中表示:“關(guān)鍵在于速度,要盡快將盡可能多的呼吸機(jī)交到救治新冠肺炎患者的醫(yī)務(wù)人員手中。”
這是一次大膽且完全可行的創(chuàng)新。
即便只是生產(chǎn)呼吸機(jī),在福特位于密歇根州伊普西蘭蒂的羅森維爾工廠開(kāi)始生產(chǎn)前,采購(gòu)、設(shè)計(jì)及與監(jiān)管部門(mén)溝通便要花費(fèi)大約一個(gè)月的時(shí)間。每臺(tái)Airon呼吸機(jī)有多達(dá)350個(gè)配件,在開(kāi)始尋找大規(guī)模生產(chǎn)方法之前,亞德里安·普萊斯的生產(chǎn)團(tuán)隊(duì)花費(fèi)了整整一個(gè)周末的時(shí)間對(duì)這些配件進(jìn)行拆解和3D掃描。(替代配件:由常用于福特汽車(chē)動(dòng)力總成中的定時(shí)閥改造而成。)
普萊斯是福特全球制造核心工程部門(mén)的負(fù)責(zé)人, 4月初開(kāi)始負(fù)責(zé)呼吸機(jī)的生產(chǎn)工作,他表示:“在制造汽車(chē)或卡車(chē)時(shí),作為生產(chǎn)團(tuán)隊(duì),我們首先要想辦法生產(chǎn)一臺(tái)原型車(chē),然后再生產(chǎn)幾臺(tái)樣車(chē),最后才是大批量生產(chǎn)。這就是未來(lái)幾周制造呼吸機(jī)所要完成的流程。”
福特預(yù)計(jì)其內(nèi)部呼吸機(jī)生產(chǎn)將于4月20日這一周啟動(dòng),目標(biāo)是到4月底生產(chǎn)出1500臺(tái),5月底1.2萬(wàn)臺(tái),100天內(nèi)生產(chǎn)5萬(wàn)臺(tái)呼吸機(jī)。(通用汽車(chē)將于5月底前供應(yīng)6000臺(tái)呼吸機(jī),8月底前供應(yīng)3萬(wàn)臺(tái)呼吸機(jī)。)但這種速度仍然不夠快,據(jù)專(zhuān)家估計(jì),美國(guó)到4月中旬還需要1.4萬(wàn)臺(tái)呼吸機(jī)。
馬庫(kù)斯·沙巴克是一名醫(yī)生,同時(shí)也是專(zhuān)注于醫(yī)療器械及患者安全的非營(yíng)利性機(jī)構(gòu)ECRI的負(fù)責(zé)人,他表示:“我們行動(dòng)太晚了”。他認(rèn)為,無(wú)論未來(lái)數(shù)月我們能生產(chǎn)出多少臺(tái)呼吸機(jī),還有許多問(wèn)題是任何制造商都解決不了的,比如能夠使用這些機(jī)器的受過(guò)良好訓(xùn)練的醫(yī)務(wù)人員同樣嚴(yán)重不足。
芝加哥McGuireWoods的醫(yī)療律師朱莉·萊特瓦特補(bǔ)充說(shuō):“這些企業(yè)能站出來(lái)當(dāng)然是非常好也非常積極的事情。但細(xì)節(jié)問(wèn)題也很關(guān)鍵。他們?nèi)耸謮蛎矗空l(shuí)來(lái)買(mǎi)單?如何分配?”
面對(duì)感染風(fēng)險(xiǎn),美國(guó)聯(lián)合汽車(chē)工人工會(huì)的志愿者們將在保持社交疏離的情況下生產(chǎn)呼吸機(jī)。此外,福特還表示會(huì)考慮采取新的技術(shù)來(lái)保護(hù)工人,但尚未明確將采取何種新技術(shù),顯然也不能保證工人不被感染,后兩個(gè)問(wèn)題則更為棘手。鮑姆比克表示:“我們還沒(méi)討論過(guò)費(fèi)用問(wèn)題”,公司也正與醫(yī)院、政府機(jī)構(gòu)及來(lái)自FEMA、CDC和白宮的官員討論其醫(yī)療用品的分配問(wèn)題。
聯(lián)邦政府也在越發(fā)積極地參與到這一工作中來(lái)。4月8日,美國(guó)衛(wèi)生與公眾服務(wù)部宣布與通用汽車(chē)簽定了一項(xiàng)價(jià)值4.89億美元的合同,由后者負(fù)責(zé)在8月底前交付30000臺(tái)呼吸機(jī)。屆時(shí),福特或?qū)⒛軌蚬?yīng)大量的醫(yī)療用品與個(gè)人防護(hù)裝備。4月13日,福特宣布已開(kāi)始生產(chǎn)口罩,并將原本用于生產(chǎn)安全氣囊的原料用于生產(chǎn)可重復(fù)使用的防護(hù)服。
隨著防護(hù)面罩源源不斷的從其工廠中出貨,瑪西也將工作重點(diǎn)轉(zhuǎn)移到了更復(fù)雜的醫(yī)療設(shè)備之上,即一款使用電池供電的空氣凈化呼吸面罩。福特內(nèi)部將其稱為簡(jiǎn)版PAPR(電動(dòng)空氣凈化呼吸器),PAPR是一種由兜帽、供氣軟管構(gòu)成的防護(hù)裝備,醫(yī)生有時(shí)會(huì)在佩戴N95口罩的同時(shí)使用這種裝備,或者在N95口罩嚴(yán)重短缺的情況下用其代替N95口罩。瑪西表示:“我們當(dāng)時(shí)覺(jué)得這種物資可能會(huì)出現(xiàn)缺口,別家可能生產(chǎn)不了,而福特在這方面恰好擁有很多優(yōu)勢(shì)。”
該款PAPR由福特在3M產(chǎn)品的基礎(chǔ)上改造而來(lái),并根據(jù)3M的建議開(kāi)發(fā),在4月14日投產(chǎn)前,福特也需要與監(jiān)管機(jī)構(gòu)進(jìn)行溝通。福特表示,將在其臨近密歇根州夫萊特洛克的弗利蘭工廠組裝至少10萬(wàn)套PAPR呼吸面罩。
瑪西本月早些時(shí)候表示:“現(xiàn)在的情況充滿了不確定性,病毒的傳播速度實(shí)在太快了。”這也是疫情籠罩的春天里大家最常說(shuō)的一句話。
向病毒開(kāi)戰(zhàn)
1940年代,為打贏二戰(zhàn),福特和通用汽車(chē)的工廠紛紛轉(zhuǎn)產(chǎn)飛機(jī)、坦克。現(xiàn)在,它們與許多汽車(chē)行業(yè)的同行和其它行業(yè)的領(lǐng)導(dǎo)者一樣,為抗擊新冠疫情轉(zhuǎn)而生產(chǎn)醫(yī)療物資。讓我們來(lái)看看這些企業(yè)都在做些什么:
福特
福特每周生產(chǎn)的塑料防護(hù)面罩已達(dá)100萬(wàn)只,并承諾在7月前生產(chǎn)5萬(wàn)臺(tái)Airon呼吸機(jī)。該公司還在生產(chǎn)3M設(shè)計(jì)的一款呼吸面罩,同時(shí)也在幫助3M和通用電氣提升呼吸面罩與呼吸機(jī)的產(chǎn)量。
通用汽車(chē)
通用汽車(chē)向聯(lián)邦政府承諾將與醫(yī)療器械生產(chǎn)廠家Ventec Life Systems攜手在8月底前生產(chǎn)3萬(wàn)臺(tái)呼吸機(jī)。除此之外,通用汽車(chē)還將生產(chǎn)醫(yī)用外科口罩,并表示最終產(chǎn)能將達(dá)到日產(chǎn)5萬(wàn)只。
施樂(lè)
施樂(lè)正與Vortran Medical Technology合作生產(chǎn)非ICU用一次性呼吸機(jī),月產(chǎn)能在6月前最高將達(dá)20萬(wàn)臺(tái)。
戴森
戴森向英國(guó)政府承諾提供1萬(wàn)臺(tái)新設(shè)計(jì)的呼吸機(jī),公司創(chuàng)始人詹姆斯·戴森還表示其個(gè)人將再向國(guó)際社會(huì)額外捐贈(zèng)5000臺(tái)呼吸機(jī)。
譯者:梁宇
審校:夏林
一根松緊帶曾是這場(chǎng)全球疫情中最讓瑪西·費(fèi)舍爾頭疼也最亟待解決的問(wèn)題。
3月20日,一項(xiàng)緊急任務(wù)擺在了瑪西·費(fèi)舍爾等200來(lái)位福特高管、員工的面前:作為美國(guó)最大的汽車(chē)制造商,如何調(diào)整因受疫情威脅而停工的龐大產(chǎn)線,轉(zhuǎn)而生產(chǎn)急需的醫(yī)療用品。在接到這項(xiàng)任務(wù)之前,作為福特的一名老員工,瑪西的工作是負(fù)責(zé)監(jiān)督福特全球車(chē)身及內(nèi)飾的設(shè)計(jì)工作。
福特的同城勁敵通用汽車(chē)已先行一步,與呼吸機(jī)制造企業(yè)Ventec Life Systems敲定了合作關(guān)系。福特首席執(zhí)行官吉姆·哈克特及其副手與醫(yī)療供應(yīng)商梅奧醫(yī)療的專(zhuān)家及白宮進(jìn)行了磋商,后者公開(kāi)呼吁福特投入到醫(yī)療物資的生產(chǎn)中來(lái)。很快他們便與通用電氣和3M等企業(yè)達(dá)成了戰(zhàn)略合作。
由于更復(fù)雜的醫(yī)療設(shè)備要耗費(fèi)數(shù)周乃至數(shù)月的時(shí)間才能真正投產(chǎn),所以瑪西的團(tuán)隊(duì)決定先將最基礎(chǔ)的醫(yī)療用品——塑料防護(hù)面罩作為切入點(diǎn)。防護(hù)面罩可以保護(hù)醫(yī)務(wù)人員免受來(lái)自患者飛沫和其它空氣傳播病毒的威脅。她的團(tuán)隊(duì)在一天之內(nèi)便拿出了可行的設(shè)計(jì)方案,并隨即與供應(yīng)商討論原料供應(yīng)事宜,以便批量生產(chǎn)防護(hù)面罩。防護(hù)面罩的塑料配件非常簡(jiǎn)單。但在用于確保面罩緊貼使用者面部的松緊帶方面,瑪西回憶道:“福特遇到了嚴(yán)重的產(chǎn)能不足問(wèn)題。”
最后他們還是想到了解決方案,雖然看起來(lái)平平無(wú)奇,但非常值得驕傲。3月26日凌晨4點(diǎn),福特的一家供應(yīng)商開(kāi)始在自家工廠生產(chǎn)撓性橡膠條,或者叫防風(fēng)雨密封條,這種橡膠條通常用于密封汽車(chē)門(mén)窗。瑪西表示:“我們?cè)缟?點(diǎn)就做出了原型產(chǎn)品”。幾個(gè)小時(shí)之內(nèi),樣品便已送到當(dāng)?shù)蒯t(yī)院供急診醫(yī)生檢查測(cè)試。福特在隨后的幾天時(shí)間里迅速生產(chǎn)出了10萬(wàn)只防護(hù)面罩,截至4月中旬,其產(chǎn)能已達(dá)到每周100萬(wàn)只。那種橡膠替代品好用么?參與測(cè)試該款防護(hù)面罩的底特律醫(yī)院急診醫(yī)生艾琳·布倫南表示:“這是一次大膽且完全可行的創(chuàng)新。瑪西的團(tuán)隊(duì)太棒了。”
但在轉(zhuǎn)型成為醫(yī)療用品制造商的福特面前,這還只能算是“開(kāi)胃小菜”。福特的其它任務(wù),包括7月4日前生產(chǎn)出5萬(wàn)臺(tái)呼吸機(jī)的承諾,無(wú)疑更為復(fù)雜,也會(huì)面臨更為嚴(yán)苛的審視目光。
福特的“阿波羅計(jì)劃”以千頭萬(wàn)緒的“阿波羅13號(hào)”宇航員救援行動(dòng)命名,合作企業(yè)來(lái)自各行各業(yè),包括通用電氣、3M及諸多規(guī)模較小的供應(yīng)商,此外,超過(guò)750名美國(guó)聯(lián)合汽車(chē)工人工會(huì)的成員也主動(dòng)請(qǐng)纓,參與運(yùn)營(yíng)改造后的福特工廠。除防護(hù)面罩及呼吸機(jī)外,福特還將生產(chǎn)包括口罩、防護(hù)服、呼吸面罩在內(nèi)的多種醫(yī)療用品。這些醫(yī)療用品的設(shè)計(jì)、配件采購(gòu)及生產(chǎn)大多并非易事,在形勢(shì)危急的大流行期間更是如此。
吉姆·鮑姆比克是福特負(fù)責(zé)企業(yè)產(chǎn)品線管理的副總裁,目前他正負(fù)責(zé)福特醫(yī)療用品的生產(chǎn)工作,鮑姆比克表示:“生命危在旦夕。這些機(jī)器很多都非常復(fù)雜,提高產(chǎn)能需要時(shí)間,而我們現(xiàn)在最缺的就是時(shí)間。”
對(duì)于制造維持危重病人呼吸,構(gòu)造復(fù)雜又急需的呼吸機(jī)而言尤其如此。通常來(lái)說(shuō),只有少數(shù)幾家專(zhuān)門(mén)生產(chǎn)醫(yī)療用品的廠家才會(huì)生產(chǎn)呼吸機(jī),制造所需的配件更多,監(jiān)管要求也遠(yuǎn)高于防護(hù)面罩。
為了簡(jiǎn)化流程,福特與通用電氣將目光投向了弗羅里達(dá)小企業(yè)Airon生產(chǎn)的一款呼吸機(jī)上,該款呼吸機(jī)已獲FDA批準(zhǔn),且構(gòu)造相對(duì)簡(jiǎn)單。通用電氣醫(yī)療集團(tuán)首席質(zhì)量官湯姆·韋斯特里克在一封郵件聲明中表示:“關(guān)鍵在于速度,要盡快將盡可能多的呼吸機(jī)交到救治新冠肺炎患者的醫(yī)務(wù)人員手中。”
這是一次大膽且完全可行的創(chuàng)新。
即便只是生產(chǎn)呼吸機(jī),在福特位于密歇根州伊普西蘭蒂的羅森維爾工廠開(kāi)始生產(chǎn)前,采購(gòu)、設(shè)計(jì)及與監(jiān)管部門(mén)溝通便要花費(fèi)大約一個(gè)月的時(shí)間。每臺(tái)Airon呼吸機(jī)有多達(dá)350個(gè)配件,在開(kāi)始尋找大規(guī)模生產(chǎn)方法之前,亞德里安·普萊斯的生產(chǎn)團(tuán)隊(duì)花費(fèi)了整整一個(gè)周末的時(shí)間對(duì)這些配件進(jìn)行拆解和3D掃描。(替代配件:由常用于福特汽車(chē)動(dòng)力總成中的定時(shí)閥改造而成。)
普萊斯是福特全球制造核心工程部門(mén)的負(fù)責(zé)人, 4月初開(kāi)始負(fù)責(zé)呼吸機(jī)的生產(chǎn)工作,他表示:“在制造汽車(chē)或卡車(chē)時(shí),作為生產(chǎn)團(tuán)隊(duì),我們首先要想辦法生產(chǎn)一臺(tái)原型車(chē),然后再生產(chǎn)幾臺(tái)樣車(chē),最后才是大批量生產(chǎn)。這就是未來(lái)幾周制造呼吸機(jī)所要完成的流程。”
福特預(yù)計(jì)其內(nèi)部呼吸機(jī)生產(chǎn)將于4月20日這一周啟動(dòng),目標(biāo)是到4月底生產(chǎn)出1500臺(tái),5月底1.2萬(wàn)臺(tái),100天內(nèi)生產(chǎn)5萬(wàn)臺(tái)呼吸機(jī)。(通用汽車(chē)將于5月底前供應(yīng)6000臺(tái)呼吸機(jī),8月底前供應(yīng)3萬(wàn)臺(tái)呼吸機(jī)。)但這種速度仍然不夠快,據(jù)專(zhuān)家估計(jì),美國(guó)到4月中旬還需要1.4萬(wàn)臺(tái)呼吸機(jī)。
馬庫(kù)斯·沙巴克是一名醫(yī)生,同時(shí)也是專(zhuān)注于醫(yī)療器械及患者安全的非營(yíng)利性機(jī)構(gòu)ECRI的負(fù)責(zé)人,他表示:“我們行動(dòng)太晚了”。他認(rèn)為,無(wú)論未來(lái)數(shù)月我們能生產(chǎn)出多少臺(tái)呼吸機(jī),還有許多問(wèn)題是任何制造商都解決不了的,比如能夠使用這些機(jī)器的受過(guò)良好訓(xùn)練的醫(yī)務(wù)人員同樣嚴(yán)重不足。
芝加哥McGuireWoods的醫(yī)療律師朱莉·萊特瓦特補(bǔ)充說(shuō):“這些企業(yè)能站出來(lái)當(dāng)然是非常好也非常積極的事情。但細(xì)節(jié)問(wèn)題也很關(guān)鍵。他們?nèi)耸謮蛎矗空l(shuí)來(lái)買(mǎi)單?如何分配?”
面對(duì)感染風(fēng)險(xiǎn),美國(guó)聯(lián)合汽車(chē)工人工會(huì)的志愿者們將在保持社交疏離的情況下生產(chǎn)呼吸機(jī)。此外,福特還表示會(huì)考慮采取新的技術(shù)來(lái)保護(hù)工人,但尚未明確將采取何種新技術(shù),顯然也不能保證工人不被感染,后兩個(gè)問(wèn)題則更為棘手。鮑姆比克表示:“我們還沒(méi)討論過(guò)費(fèi)用問(wèn)題”,公司也正與醫(yī)院、政府機(jī)構(gòu)及來(lái)自FEMA、CDC和白宮的官員討論其醫(yī)療用品的分配問(wèn)題。
聯(lián)邦政府也在越發(fā)積極地參與到這一工作中來(lái)。4月8日,美國(guó)衛(wèi)生與公眾服務(wù)部宣布與通用汽車(chē)簽定了一項(xiàng)價(jià)值4.89億美元的合同,由后者負(fù)責(zé)在8月底前交付30000臺(tái)呼吸機(jī)。屆時(shí),福特或?qū)⒛軌蚬?yīng)大量的醫(yī)療用品與個(gè)人防護(hù)裝備。4月13日,福特宣布已開(kāi)始生產(chǎn)口罩,并將原本用于生產(chǎn)安全氣囊的原料用于生產(chǎn)可重復(fù)使用的防護(hù)服。
隨著防護(hù)面罩源源不斷的從其工廠中出貨,瑪西也將工作重點(diǎn)轉(zhuǎn)移到了更復(fù)雜的醫(yī)療設(shè)備之上,即一款使用電池供電的空氣凈化呼吸面罩。福特內(nèi)部將其稱為簡(jiǎn)版PAPR(電動(dòng)空氣凈化呼吸器),PAPR是一種由兜帽、供氣軟管構(gòu)成的防護(hù)裝備,醫(yī)生有時(shí)會(huì)在佩戴N95口罩的同時(shí)使用這種裝備,或者在N95口罩嚴(yán)重短缺的情況下用其代替N95口罩。瑪西表示:“我們當(dāng)時(shí)覺(jué)得這種物資可能會(huì)出現(xiàn)缺口,別家可能生產(chǎn)不了,而福特在這方面恰好擁有很多優(yōu)勢(shì)。”
該款PAPR由福特在3M產(chǎn)品的基礎(chǔ)上改造而來(lái),并根據(jù)3M的建議開(kāi)發(fā),在4月14日投產(chǎn)前,福特也需要與監(jiān)管機(jī)構(gòu)進(jìn)行溝通。福特表示,將在其臨近密歇根州夫萊特洛克的弗利蘭工廠組裝至少10萬(wàn)套PAPR呼吸面罩。
瑪西本月早些時(shí)候表示:“現(xiàn)在的情況充滿了不確定性,病毒的傳播速度實(shí)在太快了。”這也是疫情籠罩的春天里大家最常說(shuō)的一句話。
向病毒開(kāi)戰(zhàn)
1940年代,為打贏二戰(zhàn),福特和通用汽車(chē)的工廠紛紛轉(zhuǎn)產(chǎn)飛機(jī)、坦克。現(xiàn)在,它們與許多汽車(chē)行業(yè)的同行和其它行業(yè)的領(lǐng)導(dǎo)者一樣,為抗擊新冠疫情轉(zhuǎn)而生產(chǎn)醫(yī)療物資。讓我們來(lái)看看這些企業(yè)都在做些什么:
福特
福特每周生產(chǎn)的塑料防護(hù)面罩已達(dá)100萬(wàn)只,并承諾在7月前生產(chǎn)5萬(wàn)臺(tái)Airon呼吸機(jī)。該公司還在生產(chǎn)3M設(shè)計(jì)的一款呼吸面罩,同時(shí)也在幫助3M和通用電氣提升呼吸面罩與呼吸機(jī)的產(chǎn)量。
通用汽車(chē)
通用汽車(chē)向聯(lián)邦政府承諾將與醫(yī)療器械生產(chǎn)廠家Ventec Life Systems攜手在8月底前生產(chǎn)3萬(wàn)臺(tái)呼吸機(jī)。除此之外,通用汽車(chē)還將生產(chǎn)醫(yī)用外科口罩,并表示最終產(chǎn)能將達(dá)到日產(chǎn)5萬(wàn)只。
施樂(lè)
施樂(lè)正與Vortran Medical Technology合作生產(chǎn)非ICU用一次性呼吸機(jī),月產(chǎn)能在6月前最高將達(dá)20萬(wàn)臺(tái)。
戴森
戴森向英國(guó)政府承諾提供1萬(wàn)臺(tái)新設(shè)計(jì)的呼吸機(jī),公司創(chuàng)始人詹姆斯·戴森還表示其個(gè)人將再向國(guó)際社會(huì)額外捐贈(zèng)5000臺(tái)呼吸機(jī)。
譯者:梁宇
審校:夏林
For Marcy Fisher, one of the global pandemic’s biggest and most urgent recent headaches involved a small piece of elastic.
On March 20, Fisher, a Ford Motor lifer who normally oversees the automaker’s global body exterior and interior engineering, became one of about 200 Ford executives and employees facing an urgent new mandate: How could the country’s largest automakers, their massive production lines idled by the threat of spreading infections, pivot into producing desperately needed medical supplies?
Crosstown rival General Motors had already jumped into action, hammering out a partnership with ventilator specialist Ventec Life Systems. Ford CEO Jim Hackett and his deputies consulted with experts at the Mayo Clinic, a medical supplier, and the White House, which was agitating—loudly—for the automakers to get involved. Soon they were strategizing with their counterparts at General Electric and 3M.
While those more complicated devices would take weeks or months to produce, Fisher’s team started with one of the most basic of supplies: the plastic face shields that medical workers use to protect themselves from patients’ infected coughs and other airborne health hazards. Within a day she had a viable design and was talking to suppliers about getting the material to make hundreds of thousands more. The plastic part was simple enough. But when it came to the elastic band that secures the shield onto someone’s head, Ford “ran into a big industry shortage,” Fisher recalls.
The solution, when it came, was gloriously banal. At 4 a.m. on March 26, one of Ford’s suppliers opened up its plant and started extruding a version of the flexible rubber tubing, or weather strips, that you’ll more normally find sealing car doors and windows. “By 8 a.m. we had a prototype,” Fisher says. Within hours, her team was dropping off samples at local hospitals for ER doctors to vet. Within days, Ford had manufactured 100,000 of the final products; by mid-April, it was making 1 million per week. And the elastic substitute? “It’s completely innovative, and it totally works,” says Erin Brennan, an emergency physician at a Detroit hospital, who tested the face shields. “This team has been awesome.”
But that was the easy part. The rest of Ford’s high-speed efforts to turn itself into a medical manufacturer—including a promise to produce 50,000 ventilators by July 4—will be even more complicated and subject to much greater scrutiny.
Ford’s “Project Apollo,” named for the scrappy rescue of the Apollo 13 astronauts, involves cross-industry partnerships with GE, 3M, and many smaller suppliers, as well as the willing participation of more than 750 United Auto Workers members who will operate Ford’s retooled factories. Besides face shields and ventilators, it will yield medical supplies including masks, gowns, and respirators. Few of these devices are simple to design, source components for, or manufacture—especially under the pandemic’s life-and-death deadlines.
“Lives are at stake,” says Jim Baumbick, the Ford vice president of enterprise product line management, who’s overseeing the automaker’s efforts to make medical supplies for COVID-19. “A lot of these machines are incredibly complex, and adding capacity takes time. And time is the enemy.”
That’s especially true for the sophisticated and urgently needed ventilators that help critically ill patients breathe. Traditionally made by a handful of medical-device specialists, ventilators require many more components and are much more regulated than face shields.
In an attempt to streamline the process, Ford and GE decided to focus on an FDA-approved, relatively simple version produced by a small Florida company, Airon. “The key factor is speed and getting as many ventilators as possible to clinicians treating COVID-19 patients,” Tom Westrick, GE Healthcare’s chief quality officer, says in an emailed statement.
It’s completely innovative, and it totally works.
Even these ventilators require about a month of sourcing, design, and regulatory conversations before Ford’s factory workers at the Rawsonville plant in Ypsilanti, Mich., can start producing them. Each Airon machine has up to 350 parts, which Adrian Price’s manufacturing team spent a weekend taking apart and 3D-scanning, before starting to look for ways to replicate them on a massive scale. (One substitution: adapting a timer valve usually used in Ford vehicles’ powertrains.)
“When we build a car or truck, the first thing for us as a manufacturing team is to figure out how to build one, and then how to build a few, and then how to build them at rate,” says Price, Ford’s director of global manufacturing core engineering and the executive in charge of its new ventilators, in early April. “And that’s really the process that we’ll be going through over the next couple of weeks.”
Ford expects its internal ventilator production to start the week of April 20, with a goal of making 1,500 ventilators by the end of April; 12,000 by the end of May; and 50,000 within 100 days. (GM will supply 6,000 by the end of May and 30,000 by the end of August.) Still, the effort may not be enough, as experts are predicting the country will need another 14,000 ventilators by mid-April.
“We’re too late to the party,” says Marcus Schabacker, a physician and the head of ECRI, a nonprofit focused on medical devices and patient safety. No matter how many ventilators are actually produced in the next few months, there are other hurdles that no manufacturer can solve, he says—including an equally dire shortage of trained health care personnel that can use them.
The UAW workers who have volunteered to risk the virus and manufacture the ventilators will be working at social-distance levels, and Ford says it is considering new, as-yet-unspecified technology to protect them. But that’s not a guarantee, of course—and the last two questions are even trickier. Baumbick says, “We haven’t spent any time talking about cost,” and adds that Ford is working with a coalition of hospitals and government agencies and officials, including FEMA, the CDC, and the White House, to decide where its medical supplies will go.
“It’s very good and very positive that these companies are stepping forward,” adds Julie Letwat, a health care attorney with McGuireWoods in Chicago. “But the devil’s in the details. Will they have enough workers? Who’s paying for these? How will they be distributed?”
The federal government is also getting more actively involved. On April 8, the U.S. Department of Health and Human Services announced that it had given GM a $489 million contract to deliver 30,000 ventilators by the end of August. By then, Ford may be supplying a vast array of medical supplies and personal protective equipment. On April 13 the company announced that it has started making masks, and is turning airbag material into reusable gowns.
Now that the face shields are flying out of its factories, Fisher has turned her focus to a much more complex device: a battery-powered, air-purifying respirator. Internally, Ford calls it a “scrappy” version of a PAPR, the hood-and-air-hose devices that doctors sometimes wear with or in lieu of the N95 masks that are in such short supply. “We thought it was going to be an area of unmet need,” Fisher says. “And it looked like something that not everybody could do, in an area where we have a lot of engineering depth.”
The PAPR design, which Ford has adapted from and is developing with advice from 3M, also required regulatory conversations and testing before Ford could start production on April 14. The company says that it will assemble 100,000 or more of the PAPRs at its Vreeland facility near Flat Rock, Mich.
“Things are very fluid right now,” Fisher said earlier in the month, echoing a common refrain during this coronavirus spring. “It’s just moving so fast.”
Going to war with the virus
In the 1940s, Ford and General Motors switched their factories over to manufacture tanks and airplanes for World War II. Now both are invoking that comparison to make supplies to fight COVID-19, as are some of their fellow automakers and leaders of many other industries. What they’re making:
Ford
Ford is already producing 1 million plastic face shields a week and has promised 50,000 Airon ventilators by July. It’s also making a version of 3M’s respirators and is helping 3M and GE ramp up their own production of respirators and ventilators.
General Motors
General Motors has promised the federal government 30,000 ventilators by the end of August, in partnership with medical-device specialist Ventec Life Systems. GM is also working on surgical masks and says it could eventually make 50,000 a day.
Xerox
Xerox is partnering with Vortran Medical Technology to make up to 200,000 disposable, non-ICU ventilators a month by June.
Dyson
Dyson has promised the U.K. government 10,000 of a newly designed ventilator, and founder James Dyson has said he will donate another 5,000 internationally.