“…The distributed manufacturing of scientific equipment has been shown to provide custom, high-quality scientific tools for substantially lower costs than conventional proprietary products [42] , [43] , [44] , [45] , [46] . This is because a scientific tool can be developed once and then digitally replicated for approximately the cost of the materials [47] creating enormous distributed value [48] a high return on investment [49] , and the ability to focus investments for strategic national goals [50] , [51] . This same open source hardware design approach [52] can be applied to medical equipment [53] , [54] , [55] , [56] to overcome supply shortages [57] , [58] , [59] , [60] , [61] .…”