Background: Treatment burden is a barrier to adherence in CF. Involving people with CF (PWCF) in the co-production of devices may optimise design and improve adherence. Objectives: To describe a process of web-based collaborative design using 3D printing to produce open-source Creon (pancreatic enzyme) dispensers. Methods: An online community used an open design website (http:// airdesignspace.ning.com) to share ideas about design challenges within CF. Creon use outside the home was identified as a vital issue, with novel Creon dispensers suggested as a potential solution. Led by an expert product designer and aided by an active discussion forum, various 3-dimensional (3D) computer-aided designs of dispensers were produced. The dispenser parts were constructed with 3D printing, and then assembled. These dispensers were tested by the CF community who shared their experience on the forum. The design of the dispenser was iterated with further online discussions. Online collaboration is essential due to the segregation policy among PWCF. Results: Over 500 people from across the world participated in this exercise. 17 PWCF formed the nucleus of the design activity. The open-source Creon dispenser was rapidly iterated. The "final" design fits easily into a pocket or handbag. The design dispenses 1 capsule per push. Further work funded by the UK CF Trust is on-going to incorporate electronic data capture to allow feedback and adherence support. Conclusion: The online collaborative design approach worked well and harnessed the creativity of CF community to co-design a Creon dispenser that PWCF would like to use. The dispenser is open-source, with the files available to all to download and test.
Dexter, M., Heller, B., Hoo, Z. H., Milne, A., & Wildman, M. (2014). 239 Using collaborative design and 3D printing to co-produce devices for CF care. Journal of Cystic Fibrosis, 13, S108. https://doi.org/10.1016/s1569-1993(14)60374-x