COVID-19 - America Makes

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COVID-19 MANUFACTURER FORM

America Makes is actively assessing capabilities and readiness across the additive manufacturing industry to meet the needs of America’s health care workers on the front lines of the Coronavirus crisis.

If you are an additive manufacturer and can help with the COVID-19 crisis, please complete this form and follow the provided instructions.

CONTACT INFORMATION

Name

Title

E-mail

Business Phone

Ext

Mobile Phone

COMPANY INFORMATION

Company Name

Street Address 1

Street Address 2

City

State

Zip

Business Type

Role

Designer of AM parts

AM Equipment Supplier

Material Supplier

Part Supplier

Post Processing

Inspection/Testing

Other

HEALTH CARE ITEMS YOUR COMPANY CAN PRODUCE

Click in the box and select an NIH reviewed item from the list. See the full list of NIH items here: https://3dprint.nih.gov/collections/covid-19-response

NIH Reviewed Item 1

NIH Reviewed Item

Quantity Your Company Can Manufacture Per Day

NIH Reviewed Item 2

NIH Reviewed Item

Quantity Your Company Can Manufacture Per Day

NIH Reviewed Item 3

NIH Reviewed Item

Quantity Your Company Can Manufacture Per Day

NIH Reviewed Item 4

NIH Reviewed Item

Quantity Your Company Can Manufacture Per Day

NIH Reviewed Item 5

NIH Reviewed Item

Quantity Your Company Can Manufacture Per Day

CERTIFICATIONS / ACCREDITATIONS

Quality Certifications / Accreditations

ISO 9001

AS 9100

Nadcap

ISO/TS 16949

ISO 17025

ISO 13485 or 21 CFR Part 820 (Medical)

None

Other (industry or customer standard)

ITAR Compliant

AVAILABLE MATERIALS

Please provide material names separated by comma

Polymer

Metal

Ceramic

Sand

Composite

Other

MANUFACTURING CAPABILITIES

Please give the total # machines for a process, for model name give specific quantities (e.g. (3) Fortus 400mc)

Vat Photopolymerization

# of Machines

Model Name

Material Extrusion

# of Machines

Model Name

Powder Bed Fusion

# of Machines

Model Name

Material Jetting

# of Machines

Model Name

Directed Energy Deposition

# of Machines

Model Name

Binder Jetting

# of Machines

Model Name

Sheet lamination

# of Machines

Model Name

Other Manufacturing Capabilities

Other

DESIGN TOOLS / ENGINEERING SERVICES

3D Scanning

CAD Software

Reverse Engineering

STL Manipulation

DfAM

Other

POST PROCESSING

Wire Cutting

Heat Treatment

Surface Finishing

Surface Treatment

Machining

Sterilization

Other

INSPECTION / TESTING

Dimensions and Tolerances

Metallurgical Analysis (Microstruture, Metallography)

CMM Inspection

Non-Destructive Testing (NDE, NDT)

Mechanical Testing (Tensile, Hardness, Impact)

Chemical Analysis

Raw Material Testing

Other