scholarly journals Novel Procedure for Designing and 3D Printing a Customized Surgical Template for Arthrodesis Surgery on the Sacrum

Symmetry ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 334 ◽  
Author(s):  
Francesco Naddeo ◽  
Alessandro Naddeo ◽  
Nicola Cappetti ◽  
Emilio Cataldo ◽  
Riccardo Militio

In this article, the authors propose a novel procedure for designing a customized 3D-printed surgical template to guide surgeons in inserting screws into the sacral zone during arthrodesis surgeries. The template is characterized by two cylindrical guides defined by means of trajectories identified, based on standard procedure, via an appropriate Computer-Aided-Design (CAD)-based procedure. The procedure is based on the definition of the insertion direction by means of anatomical landmarks that enable the screws to take advantage of the maximum available bone path. After 3D printing, the template adheres perfectly to the bone surface, showing univocal positioning by exploiting the foramina of the sacrum, great maneuverability due to the presence of an ergonomic handle, as well as a break system for the two independent guides. These features make the product innovative. Thanks to its small size and the easy anchoring, the surgeon can simply position the template on the insertion area and directly insert the screws, without alterations to standard surgical procedures. This has the effect of reducing the overall duration of the surgery and the patient’s exposure to X-rays, and increasing both the safety of the intervention and the quality of the results.

2017 ◽  
Vol 37 (2) ◽  
pp. 162-169 ◽  
Author(s):  
Julien Gardan

Purpose This paper aims to present a technical approach to evaluate the quality of textures obtained by an inkjet during binder jetting in 3D printing on a powder bed through contours detection to improve the quality of the surface printed according to the result of the assembly between the inkjet and a granular product. Design/methodology/approach The manufacturing process is based on the use of computer-aided design and a 3D printer via binder jetting. Image processing measures the edge deviation of a texture on the granular surface with the possibility of implementing a correction in an active assembly through a “design for manufacturing” (DFM) approach. Example application is presented through first tests. Findings This approach observes a shape alteration of the printed image on a 3D printed product, and the work used the image processing method to improve the model according to the DFM approach. Originality/value This paper introduces a solution for improving the texture quality on 3D printed products realized via binder jetting. The DFM approach proposes an active assembly by compensating the print errors in upstream of a product life cycle.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Yu-Tzu Wang ◽  
Jian-Hong Yu ◽  
Lun-Jou Lo ◽  
Pin-Hsin Hsu ◽  
CHun-Li Lin

This study integrates cone-beam computed tomography (CBCT)/laser scan image superposition, computer-aided design (CAD), and 3D printing (3DP) to develop a technology for producing customized dental (orthodontic) miniscrew surgical templates using polymer material. Maxillary bone solid models with the bone and teeth reconstructed using CBCT images and teeth and mucosa outer profile acquired using laser scanning were superimposed to allow miniscrew visual insertion planning and permit surgical template fabrication. The customized surgical template CAD model was fabricated offset based on the teeth/mucosa/bracket contour profiles in the superimposition model and exported to duplicate the plastic template using the 3DP technique and polymer material. An anterior retraction and intrusion clinical test for the maxillary canines/incisors showed that two miniscrews were placed safely and did not produce inflammation or other discomfort symptoms one week after surgery. The fitness between the mucosa and template indicated that the average gap sizes were found smaller than 0.5 mm and confirmed that the surgical template presented good holding power and well-fitting adaption. This study addressed integrating CBCT and laser scan image superposition; CAD and 3DP techniques can be applied to fabricate an accurate customized surgical template for dental orthodontic miniscrews.


2021 ◽  
Vol 11 (19) ◽  
pp. 9246
Author(s):  
Gülce Çakmak ◽  
Alfonso Rodriguez Cuellar ◽  
Mustafa Borga Donmez ◽  
Martin Schimmel ◽  
Samir Abou-Ayash ◽  
...  

The information in the literature on the effect of printing layer thickness on interim 3D-printed crowns is limited. In the present study, the effect of layer thickness on the trueness and margin quality of 3D-printed composite resin crowns was investigated and compared with milled crowns. The crowns were printed in 3 different layer thicknesses (20, 50, and 100 μm) by using a hybrid resin based on acrylic esters with inorganic microfillers or milled from polymethylmethacrylate (PMMA) discs and digitized with an intraoral scanner (test scans). The compare tool of the 3D analysis software was used to superimpose the test scans and the computer-aided design file by using the manual alignment tool and to virtually separate the surfaces. Deviations at different surfaces on crowns were calculated by using root mean square (RMS). Margin quality of crowns was examined under a stereomicroscope and graded. The data were evaluated with one-way ANOVA and Tukey HSD tests. The layer thickness affected the trueness and margin quality of 3D-printed interim crowns. Milled crowns had higher trueness on intaglio and intaglio occlusal surfaces than 100 μm-layer thickness crowns. Milled crowns had the highest margin quality, while 20 μm and 100 μm layer thickness printed crowns had the lowest. The quality varied depending on the location of the margin.


Actuators ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. 110
Author(s):  
Chin-Tai Chen ◽  
Hsin-Fang Hsu

Microfluidic structures and devices have been studied over decades for the transport of liquid through internal channels using versatile microfabrication schemes such as surface and bulk micromachining technologies. One challenge in consideration of the device design involves the breakthrough of microfluidic reservoir and channels being substantially limited in two-dimensional (2D) geometry. However, recent progress of the emerging 3D printing technologies has showed great potential to overcome this problem in a simple manner. This paper comprehensively reports an additive manufacturing of polylactic acid (PLA) layers to significantly improve the complexity in the formation of the 3D microfluidic structures as compared to conventional micro-manufacturing techniques. Moreover, a handheld mechatronic device with a small height of ~10 mm, assembled with a thin planar atomizer and a micro controller, was produced and demonstrated for generation of droplets (~6 μm in diameter). Both the analytical and experimental results indicated that the grids of channel microstructures were simply varied by different line widths (300–500 μm) and spacing (250–400 μm) 3D printed within the device, thereby providing the design capability for capillary flow. In this regard, a variety of complex micro devices fabricated via computer-aided design (CAD) and the 3D printing method could be applied for more applications than ever, such as microfluidic delivery of biomedical materials and health care devices of a small size.


MRS Advances ◽  
2017 ◽  
Vol 2 (16) ◽  
pp. 913-920 ◽  
Author(s):  
Reece D. Gately ◽  
Stephen Beirne ◽  
Geoff Latimer ◽  
Matthew Shirlaw ◽  
Buyung Kosasih ◽  
...  

ABSTRACTWe demonstrate that Additive Manufacturing (3D printing) is a viable approach to rapidly prototype personalised fins for surfboards. Surfing is an iconic sport that is extremely popular in coastal regions around the world. We use computer aided design and 3D printing of a wide range of composite materials to print fins for surfboards, e.g. ABS, carbon fibre, fibre glass and amorphous thermoplastic poly(etherimide) resins. The mechanical characteristics of our 3D printed fins were found to be comparable to commercial fins. Computational fluid dynamics was employed to calculate longitudinal (drag) and tangential (turning) forces, which are important for surfboard maneuverability, stability and speed. A commercial tracking system was used to evaluate the performance of 3D printed fins under real-world conditions (i.e. surfing waves). These data showed that the surfing performance of surfboards with 3D printed fins is similar to that of surfboards with commercial fins.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Cheng Long ◽  
Jin-hai Liu ◽  
Xiang-ping Chai ◽  
Xiang-feng Liu ◽  
Zhi-xi Duan

Background. The aim of this study was to investigate the application of computer-aided design and 3D printing technology for percutaneous fixation of femoral neck fractures using cannulated compression screws. Methods. Using computed tomography data, an individualized proximal femur model was created with a 3D printer. The reduction of the femoral neck fracture and the placement of the cannulated compression screws were simulated on a computer. A 3D printing guide plate was designed to match the proximal femur. After demonstrating the feasibility of the 3D model before the surgical procedure, the guide needles and cannulated compression screws were inserted with the aid of the 3D-printed guide plate. Results. During the procedure, the 3D-printed guide plate for each patient matched the bone markers of the proximal femur. With the aid of the 3D-printed guide plate, three cannulated compression screws were accurately inserted into the femoral neck to treat femoral neck fractures. After screw placement, intraoperative X-ray examination showed results that were consistent with the preoperative design. The time taken to complete the procedure in the guide plate group was 35.3 ± 2.1   min , the intraoperative blood loss was 6.3 ± 2.8   mL , and X-ray fluoroscopy was only performed 9.1 ± 3.5 times. Postoperative radiographs showed adequate reduction of the femoral neck fractures. The entry point, entry direction, and length of the three cannulated compression screws were consistent with the preoperative design, and the screws did not penetrate the bone cortex. Conclusion. Using computer-aided design and 3D printing technology, personalized and accurate placement of cannulated compression screws can be realized for the treatment of femoral neck fractures. This technique can shorten the time required for the procedure and reduce damage to the femoral neck cortex, intraoperative bleeding, and the exposure of patients and healthcare staff to radiation.


Robotica ◽  
2020 ◽  
pp. 1-11
Author(s):  
Jonqlan Lin ◽  
Kuan-Chung Lai

SUMMARY The objective of this work is to construct a robot that is based on 3D printing to meet the low-cost and light structures. The Computer-aided-design model is used with LabVIEW to simulate the given trajectory. Users of the simulation of such methodology can preview the simulated motion and perceive and resolve discrepancies between the planned and simulated paths prior to execution of a task. The advantages of this study are the lack of need to mount extra sensors on realistic robot to measure joint space coordinates, simplifying the hardware. These outcomes can also be used in an undergraduate robotics course.


Author(s):  
Mohd Hairi Mohd Zaman ◽  
Mohd Hadri Hafiz Mokhtar ◽  
Mohd Faisal Ibrahim ◽  
Aqilah Baseri Huddin ◽  
Gan Kok Beng

Engineering students at an undergraduate level typically learn the design aspect and concept through lectures and practical sessions using computeraided software. However, the current computer-aided design and engineering (CAD/CAE) course did not expose the students to apply and relate the latest advanced technologies to solve global issues, for instance as listed in the United Nations Sustainable Development Goals (UN SDG). Therefore, an improved CAD/CAE course taken by the students of the Electrical and Electronic Engineering Programme in Universiti Kebangsaan Malaysia integrates 3D printing and conduct their project based on UN SDG themes. A total of 22 projects was produced, which involves both mechanical and electrical design with some of the physical models were 3D printed. Thus, students able to strengthen their understanding of the design concept through the integration of 3D printing and simultaneously aware of the current global issues.


2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
D G E Thiem ◽  
B Al-Nawas ◽  
P W Kämmerer

Abstract In recent years, alloplastic temporomandibular joint (TMJ) replacement has become a permissible procedure for the reconstruction of severely destroyed TMJs. The use of computer-aided design/computer-aided manufacturing (CAD/CAM) has extended the range of applications to complex anatomical situations. The aim of the treatment is to improve the usually restricted mouth opening and thus oral hygiene and nutrition, which leads to a regular improvement in the general quality of life. The following case report describes the bilateral replacement of ankylotically destroyed TMJs using patient-specific endoprostheses with simultaneous displacement of the maxilla. Innovative in the case described is the impression-free CAD/CAM planning, whereby the upper and lower prostheses were produced on the basis of 3D printed patient models.


2020 ◽  
Vol 16 ◽  
Author(s):  
Wei Liu ◽  
Shifeng Liu ◽  
Yunzhe Li ◽  
Peng Zhou ◽  
Qian ma

Abstract:: Surgery to repair damaged tissue, which is caused by disease or trauma, is being carried out all the time, and a desirable treatment is compelling need to regenerate damaged tissues to further improve the quality of human health. Therefore, more and more research focus on exploring the most suitable bionic design to enrich available treatment methods. 3D-printing, as an advanced materials processing approach, holds promising potential to create prototypes with complex constructs that could reproduce primitive tissues and organs as much as possible or provide appropriate cell-material interfaces. In a sense, 3D printing promises to bridge between tissue engineering and bionic design, which can provide an unprecedented personalized recapitulation with biomimetic function under the precise control of the composition and spatial distribution of cells and biomaterials. This article describes recent progress in 3D bionic design and the potential application prospect of 3D printing regenerative medicine including 3D printing biomimetic scaffolds and 3D cell printing in tissue engineering.


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