The COVID-19 pandemic stressed healthcare systems all over the world. Two primary challenges that healthcare systems faced were a shortage of personal protective equipment and the need for new technologies to handle infection prevention for staff and patients. The Department of Veteran's Affairs (VA) Technology Transfer Program responded by prioritizing the development of innovations in the Technology Transfer Assistance Project which addressed the pandemic. This paper describes several innovations that addressed the needs of the VA healthcare system during the pandemic and how they were rapidly developed.

The COVID-19 pandemic placed tremendous strain on people, medical supply chains, and healthcare systems. The US Department of Veterans Affairs (VA) had to take extraordinary efforts to protect the veterans that it serves. The goal of this project was to rapidly deploy safe and effective nasopharyngeal (NP) test swabs to enable expanded testing for COVID-19 with a US veteran population. This manuscript describes the technical steps to achieving this goal. VA had internal additive manufacturing resources for many of the common processes and materials. Once the process and material were selected, the design of the NP swab geometry for effectiveness, strength, and maximum throughput commenced. A NP swab with tip geometry that resembles thin, rounded, stacked disks was selected for the design after the clinical members of the team reviewed several iterations of prototypes. Following the ASTM D790 test, the NP swabs were examined using a 10-power digital microscope to check for micro-fractures and surface finish. Once the NP swabs passed the initial quality assurance process, the NP swabs required cleaning, sterilization, and packaging. Subsequently, each NP swab package was labeled for identification. Approximately 30,000 NP swabs were produced with around 18,000 of them made available for immediate deployment. The effort showed that additive manufacturing along with good professional practice by engineers and healthcare professionals could rapidly respond to a shortage of NP swabs. Internal additive manufacturing and other digital manufacturing technologies should be part of an overall strategy to increase the robustness of healthcare delivery in emergency situations.

Clinicians and staff of the Department of Veterans Affairs Health Care System (VA), who provide services to veterans, have invented many devices and methods for improving veterans' lives. However, translating those inventions to the market has been a challenge due to limited collaboration between the clinical inventors and the scientists, researchers, and engineers who can produce the prototypes necessary for licensing the technology. The VA Technology Transfer Program office and the Human Engineering Research Laboratories, a research laboratory with experience with developing prototypes and licensing technology, jointly developed a program called the Technology Transfer Assistance Project (TTAP) to bridge the gap between clinical inventors and prototypes ready for licensing. This paper describes TTAP and provides examples of the first inventions that were developed or enhanced through TTAP.