Manufatura Aditiva para Resiliência em Saúde: Uma Narrativa de Design e Inovação em Tempos de Crise

Additive Manufacturing for Healthcare Resilience: A Narrative of Design and Innovation in Times of Crisis

Vinagre, Raphael; Azevedo, João Victor; Ferreira, Jorge Marcelo Viana Marques; Lopes, Jorge Roberto

Artigo:

Esta pesquisa explora a aplicação da manufatura aditiva na produção de dispositivos médicos essenciais, conectores para máscaras de ventilação não-invasiva (VNI), em cenários de crise, como a pandemia de COVID-19. Aborda a importância de uma abordagem de design centrada no ser humano, que considere não apenas a técnica, mas também a narrativa e os atores envolvidos no processo de desenvolvimento. O estudo demonstra como a manufatura aditiva pode ser utilizada de forma efetiva e racional para solucionar problemas críticos em saúde, promovendo a resiliência e a sustentabilidade em sistemas de saúde. Analisa o desenvolvimento de um componente crítico para máscaras de VNI, o "cotovelo", destacando a metodologia de Research Through Design (RTD) e a importância da colaboração interdisciplinar. Conclui que a manufatura aditiva distribuída (DRAM) oferece uma solução promissora para a produção de itens críticos em hospitais, reduzindo o tempo de espera de 6 meses para 48 horas e os custos em 98,4%, e fortalecendo a autonomia tecnológica em saúde.

This research explores the application of additive manufacturing in the production of essential medical devices, such as non-invasive ventilators, in crisis scenarios like the COVID-19 pandemic. It addresses the importance of a human centered design approach that considers not only the technical aspects but also the narrative and the actors involved in the development process. The study demonstrates how additive manufacturing can be effectively and rationally used to solve critical healthcare problems, promoting resilience and sustainability in healthcare systems. It analyzes the development of a critical component for ventilators, the "elbow," highlighting the Research Through Design (RTD) methodology and the importance of interdisciplinary collaboration. It concludes that distributed additive manufacturing (DRAM) offers a promising solution for the production of critical items in hospitals, optimizing costs and waiting times, and strengthening technological autonomy in healthcare.

Palavras-chave: manufatura aditiva, design, saúde, inovação, resiliência additive manufacturing, design, health, innovation, resilience

DOI: 10.5151/mxriodc2025-0028

Referências bibliográficas

• [1] ANVISA. (2020). RDC Nº 406, de 22 de julho de 2020. Dispõe sobre as boas práticas de fabricação de produtos para saúde.
• [2] Azevedo, J. C. (2024). Additive manufacturing and distributed recycling: Waste as raw material in the design and manufacture of utilitarian objects. Mix Sustentável (Online), 10, 6338.
• [3] Chowdhury, P., & Govindan, K. (2021). Supply chain resilience in the COVID-19 pandemic: A systematic review. Journal of Cleaner Production, 287, 125562. https://doi.org/10.1016/j.jclepro.2020. 125562
• [4] FDA. (2017). Technical Considerations for Additive Manufactured Medical Devices.
• [5] Fraser, H. (2012). Design research in the studio. Design Studies, 33(3), 297–312. https://doi.org/10. 1016/j.destud.2011.11.002
• [6] Gomes, S., & Santos, J. L. (2019). Viability of recycled filaments for 3D printing in medical applications. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 107(7), 2315–2324. https://doi.org/10.1002/jbm.b.34315
• [7] Ivanov, D., & Das, A. (2020). COVID-19 and supply chain resilience: The role of digital technologies. Springer.
• [8] Koskinen, I., Zimmerman, J., Binder, T., Redstrom, G., & Wensveen, S. (2011). Design Research Through Practice: From the Lab, Field, and Showroom. Morgan Kaufmann.
• [9] Leary, M. (2020). Additive Manufacturing: A Guide for the Manufacturing Engineer. CRC Press.
• [10] Melles, M., de Koning, L., & Overbeek, H. (2011). Design research for medical devices: A case study of a customized CPAP mask. Journal of Medical Devices, 5(2), 027501. https://doi.org/10.1115/1. 4004278
• [11] Moss, R., & van der Rodgers, A. (2021). Supply chain disruptions and medical equipment shortages during the COVID-19 pandemic. Journal of Public Health Management and Practice, 27, S20– S26. https://doi.org/10.1097/PHH.0000000000001300
• [12] Pearce, J. M. (2020). A review of open source hardware for medical applications. Journal of Medical Devices, 14(2), 020901. https://doi.org/10.1115/1.4046702
• [13] Pearce, J. M. (2021). Distributed recycling and additive manufacturing. Additive Manufacturing, 41, 101961. https://doi.org/10.1016/j.addma.2021.101961
• [14] Ranney, M. L., Griffeth, V., & Jha, A. K. (2020). Critical supply shortages and COVID-19: A global perspective. New England Journal of Medicine, 382(18), e41. https://doi.org/10.1056/NEJMp2006141
• [15] Tino, R., Nardinocchi, M., & Furlani, M. (2020). 3D printing during COVID-19 pandemic: A review. Journal of Manufacturing Systems, 56, 364–372. https://doi.org/10.1016/j.jmsy.2020.06.002
• [16] Vinagre, R. P. (2023). Manufatura aditiva para emergências: Reposição de peças para respiradores não-invasivos [tese de dout., Pontifícia Universidade Católica do Rio de Janeiro].
• [17] World Health Organization. (2020). Shortage of personal protective equipment endangering health workers worldwide.
• [18] Zimmerman, J., Forlizzi, J., & Evenson, S. (2007). Research through design as a method for interaction design research in HCI. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 493–502. https://doi.org/10.1145/1240624.1240704

Como citar:

Vinagre, Raphael; Azevedo, João Victor; Ferreira, Jorge Marcelo Viana Marques; Lopes, Jorge Roberto; "Manufatura Aditiva para Resiliência em Saúde: Uma Narrativa de Design e Inovação em Tempos de Crise", p-322-336. In: 11º MXRio Design Conference 2025. São Paulo: Blucher, 2026.
ISSN 23186968, DOI 10.5151/mxriodc2025-0028