Lecture 1 Flashcards

1
Q

What does ‘PSI’ stand for?

A

Patient Specific Implants

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2
Q

What does ‘CMF’ stand for?

A

Craniomaxillofacial

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3
Q

What is the problem with standard implants?

A
  • They are non patient specific
  • They have fit issues
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4
Q

How many OEM polymer manufacturers?

A

> 180 (over 180)

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5
Q

How many OEM metal manufacturers?

A

> 130 (over 130)

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6
Q

How many additive manufactured implants were manufactured in 2019? What is the esimate of additive manufactured implants for 2027?

A

600,000 in 2019
4 mio in 2027

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7
Q

What are the 3 branches of Patient specific impant/medical devices (PSI)?

A
  • Custom-made medical device (e.g. surgical plate/guide)
  • Patient-matched medical device (e.g. skull impant)
  • Adaptable medical devices (e.g. bent plate for jaw surgery)
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8
Q

Custom-made medical device

A
  • for sole use of a particular individual (single patient)
  • made with a written request
  • Prescriber (requestee) has a certain responsibility for the design
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9
Q

Patient-matched medical device

A
  • matched to a patient’s anatomy within a specifc design template
  • Then “matched” to patient
  • Produced in batch
  • Designed and produced unde the responsibility of a manufacturer
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10
Q

Adaptable Medical Device

A
  • Mass produced
  • adapted/shaped at the point of care according to manufacturer instruction
  • E.g. bending plates
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11
Q

What fienlds are PSIs used for?

A
  • Neuro
  • CMF
  • Trauma
  • Plastic surgery
  • Orthopedics (on the way)
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12
Q

Benefits of PSIs:

A
  • Better anatomical fit
  • Reduced operating time
  • Aesthetic
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13
Q

What is the oldest application of PSI?

A
  • Skull reconstruction
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14
Q

Advantages of Medical Additive Manufacturing (MAM)?

A
  • Complex bone replacement implants
  • Fast (for small quantities)
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15
Q

MAM challanges?

A
  • Some materials can’t be modified during operation time so bone must be shaped/cut instead
    -integrating 3D printing in remote areas
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16
Q

Typed of MAM prints?

A
  • Planning model
  • Template for planning transfer
  • Temporary or permanent implant
  • Absorbable
17
Q

Implant of the future

A

Personalized, resorbable, and functinos like bone

18
Q

Custom made or patient matched process?

A
  1. Obtain patient data
  2. Anatomical segmentation
  3. Pre-surgical planning/design
  4. Pre-processing for production
  5. AM production (additive maufacturing)
  6. Post-processing
  7. Quality control
  8. Cleaning, sterilisation, packaging
  9. implantation
19
Q

Methods for obtaining patient data

A
  • CT
  • MRI
  • Both transmitted and stored as DICOM
20
Q

Medical Image segmentation

A

Procedure of extracting the region of interest through autmatic or semi-automatic process

21
Q

Why is CAD good? And where is is specifically useful?

A

Benefits:
- Low cost, high quality and fast variable processes
- Provides virtual access to the entire product

Specific use:
Only true for product produced in larger (and economic quantities).
Mass customisation is increasingly required so alternatives to CAD are needed

22
Q

What are the categories VOLUME representation in CAD?

A
  • Tetrahedral meshes
  • Voxcel models (“Minecrafting”)
23
Q

What are the categories BOUNDARY representation in CAD?

A
  • Polygon mesh models
  • NURBS models (non uniform rational basis splines)
24
Q

What is the problem with doing a conversion of geometry represntation?

A

Information might be lost gonig from one to another one

25
Q

What are some benefits of FEA?

A
  • Reduces development time
  • Reduces/eliminates testing
  • Improves safety
26
Q

What is the FEA Process chain?

A
  1. Geometric modelling
  2. Finite element modelling
  3. Define the environment (loads and boundary conditions)
  4. Perform analysis
  5. Assess results

REPEAT (if necessary)