Applications of 3D printing in critical care medicine: A scoping review

2021 ◽  
pp. 0310057X2097665
Author(s):  
Natasha Abeysekera ◽  
Kirsty A Whitmore ◽  
Ashvini Abeysekera ◽  
George Pang ◽  
Kevin B Laupland

Although a wide range of medical applications for three-dimensional printing technology have been recognised, little has been described about its utility in critical care medicine. The aim of this review was to identify three-dimensional printing applications related to critical care practice. A scoping review of the literature was conducted via a systematic search of three databases. A priori specified themes included airway management, procedural support, and simulation and medical education. The search identified 1544 articles, of which 65 were included. Ranging across many applications, most were published since 2016 in non – critical care discipline-specific journals. Most studies related to the application of three-dimensional printed models of simulation and reported good fidelity; however, several studies reported that the models poorly represented human tissue characteristics. Randomised controlled trials found some models were equivalent to commercial airway-related skills trainers. Several studies relating to the use of three-dimensional printing model simulations for spinal and neuraxial procedures reported a high degree of realism, including ultrasonography applications three-dimensional printing technologies. This scoping review identified several novel applications for three-dimensional printing in critical care medicine. Three-dimensional printing technologies have been under-utilised in critical care and provide opportunities for future research.

2019 ◽  
Vol 109 (2) ◽  
pp. 166-173 ◽  
Author(s):  
A.B.V. Pettersson ◽  
M. Salmi ◽  
P. Vallittu ◽  
W. Serlo ◽  
J. Tuomi ◽  
...  

Background and Aims: Additive manufacturing or three-dimensional printing is a novel production methodology for producing patient-specific models, medical aids, tools, and implants. However, the clinical impact of this technology is unknown. In this study, we sought to characterize the clinical adoption of medical additive manufacturing in Finland in 2016–2017. We focused on non-dental usage at university hospitals. Materials and Methods: A questionnaire containing five questions was sent by email to all operative, radiologic, and oncologic departments of all university hospitals in Finland. Respondents who reported extensive use of medical additive manufacturing were contacted with additional, personalized questions. Results: Of the 115 questionnaires sent, 58 received answers. Of the responders, 41% identified as non-users, including all general/gastrointestinal (GI) and vascular surgeons, urologists, and gynecologists; 23% identified as experimenters or previous users; and 36% identified as heavy users. Usage was concentrated around the head area by various specialties (neurosurgical, craniomaxillofacial, ear, nose and throat diseases (ENT), plastic surgery). Applications included repair of cranial vault defects and malformations, surgical oncology, trauma, and cleft palate reconstruction. Some routine usage was also reported in orthopedics. In addition to these patient-specific uses, we identified several off-the-shelf medical components that were produced by additive manufacturing, while some important patient-specific components were produced by traditional methodologies such as milling. Conclusion: During 2016–2017, medical additive manufacturing in Finland was routinely used at university hospitals for several applications in the head area. Outside of this area, usage was much less common. Future research should include all patient-specific products created by a computer-aided design/manufacture workflow from imaging data, instead of concentrating on the production methodology.


2018 ◽  
Vol 24 (4) ◽  
pp. 784-798 ◽  
Author(s):  
Suvash Chandra Paul ◽  
Gideon P.A.G. van Zijl ◽  
Ming Jen Tan ◽  
Ian Gibson

Purpose Three-dimensional printing of concrete (3DPC) has a potential for the rapid industrialization of the housing sector, with benefits of reduced construction time due to no formwork requirement, ease of construction of complex geometries, potential high construction quality and reduced waste. Required materials adaption for 3DPC is within reach, as concrete materials technology has reached the point where performance-based specification is possible by specialists. This paper aims to present an overview of the current status of 3DPC for construction, including existing printing methods and material properties required for robustness of 3DPC structures or structural elements. Design/methodology/approach This paper has presented an overview of three categories of 3DPC systems, namely, gantry, robotic and crane systems. Material compositions as well as fresh and hardened properties of mixes currently used for 3DPC have been elaborated. Findings This paper presents an overview of the state of the art of 3DPC systems and materials. Research needs, including reinforcement in the form of bars or fibres in the 3D printable cement-based materials, are also addressed. Originality/value The critical analysis of the 3D concrete printing system and materials described in this review paper is original.


Author(s):  
Hui Wang ◽  
Zhonghan Wang ◽  
He Liu ◽  
Jiaqi Liu ◽  
Ronghang Li ◽  
...  

Although there have been remarkable advances in cartilage tissue engineering, construction of irregularly shaped cartilage, including auricular, nasal, tracheal, and meniscus cartilages, remains challenging because of the difficulty in reproducing its precise structure and specific function. Among the advanced fabrication methods, three-dimensional (3D) printing technology offers great potential for achieving shape imitation and bionic performance in cartilage tissue engineering. This review discusses requirements for 3D printing of various irregularly shaped cartilage tissues, as well as selection of appropriate printing materials and seed cells. Current advances in 3D printing of irregularly shaped cartilage are also highlighted. Finally, developments in various types of cartilage tissue are described. This review is intended to provide guidance for future research in tissue engineering of irregularly shaped cartilage.


2020 ◽  
pp. bmjstel-2020-000663
Author(s):  
Patrick Gallagher ◽  
Ryan Smith ◽  
Gillian Sheppard

BackgroundThere is a significant learning curve when teaching ultrasonography to medical trainees; task trainers can help learners to bridge this gap and develop their skills. Three-dimensional printing technology has the potential to be a great tool in the development of such simulators. ObjectiveThis scoping review aimed to identify what 3D-printed models have been used in ultrasound education to date, how they were created and the pros and limitations involved.DesignResearchers searched three online databases to identify 3D-printed ultrasound models used in medical education.ResultsTwelve suitable publications were identified for inclusion in this review. The models from included articles simulated largely low frequency and/or high stakes events, with many models simulating needle guidance procedures. Most models were created by using patient imaging data and a computer-aided design software to print structures directly or print casting molds. The benefits of 3D-printed educational trainers are their low cost, reproducibility, patient specificity and accuracy. The current limitations of this technology are upfront investments and a lack of optimisation of materials.ConclusionsThe use of 3D-printed ultrasound task trainers is in its infancy, and more research is needed to determine whether or not this technology will benefit medical learners in the future.


2020 ◽  
Vol 15 ◽  
pp. 155892502093344 ◽  
Author(s):  
Timo Grothe ◽  
Bennet Brockhagen ◽  
Jan Lukas Storck

The combination of textiles and three-dimensional printing offers a wide range of research and application areas, but only publications in combination with fused deposition modeling processes can be found so far. In this article the possibility of printing resin directly on textiles in the stereolithography process is presented. A broad spectrum of textiles and surfaces is examined to clearly present the feasibility. It was found that printing directly on most textiles can be performed without major difficulties, while problems were only observed on smooth surfaces and coatings on textiles.


2020 ◽  
Vol 5 (7) ◽  
pp. 430-441
Author(s):  
Jasmine N. Levesque ◽  
Ajay Shah ◽  
Seper Ekhtiari ◽  
James R. Yan ◽  
Patrick Thornley ◽  
...  

Three-dimensional printing (3DP) has become more frequently used in surgical specialties in recent years. These uses include pre-operative planning, patient-specific instrumentation (PSI), and patient-specific implant production. The purpose of this review was to understand the current uses of 3DP in orthopaedic surgery, the geographical and temporal trends of its use, and its impact on peri-operative outcomes One-hundred and eight studies (N = 2328) were included, published between 2012 and 2018, with over half based in China. The most commonly used material was titanium. Three-dimensional printing was most commonly reported in trauma (N = 41) and oncology (N = 22). Pre-operative planning was the most common use of 3DP (N = 63), followed by final implants (N = 32) and PSI (N = 22). Take-home message: Overall, 3DP is becoming more common in orthopaedic surgery, with wide range of uses, particularly in complex cases. 3DP may also confer some important peri-operative benefits. Cite this article: EFORT Open Rev 2020;5:430-441. DOI: 10.1302/2058-5241.5.190024


1992 ◽  
Vol 114 (4) ◽  
pp. 481-488 ◽  
Author(s):  
E. Sachs ◽  
M. Cima ◽  
P. Williams ◽  
D. Brancazio ◽  
J. Cornie

Three Dimensional Printing is a process for the manufacture of tooling and functional prototype parts directly from computer models. Three Dimensional Printing functions by the deposition of powdered material in layers and the selective binding of the powder by “ink-jet” printing of a binder material. Following the sequential application of layers, the unbound power is removed, resulting in a complex three-dimensional part. The process may be applied to the production of metal, ceramic, and metal-ceramic composite parts. An experiment employing continuous-jet ink-jet printing technology has produced a three-dimensional ceramic part constructed of 50 layers, each 0.005 in. thick. The powder is alumina and the binder is colloidal silica. The minimum feature size is 0.017 in., and features intended to be 0.5000 in. apart average 0.4997 in. apart in the green state and 0.5012 in. apart in the cured state, with standard deviations of 0.0005 in. and 0.0018 in., respectively. Future research will be directed toward the direct fabrication of cores and shells for metal casting, and toward the fabrication of porous ceramic preforms for metal-ceramic composite parts.


Author(s):  
Simon W Partridge ◽  
Matthew J Benning ◽  
Matthew J German ◽  
Kenneth W Dalgarno

This article describes a proof of concept study designed to evaluate the potential of an in vivo three-dimensional printing route to support minimally invasive repair of the musculoskeletal system. The study uses a photocurable material to additively manufacture in situ a model implant and demonstrates that this can be achieved effectively within a clinically relevant timescale. The approach has the potential to be applied with a wide range of light-curable materials and with development could be applied to create functionally gradient structures in vivo.


2013 ◽  
Vol 1492 ◽  
pp. 73-77 ◽  
Author(s):  
Susanne Klein ◽  
Fraser Dickin ◽  
Guy Adams ◽  
Steve Simske

ABSTRACTTraditional assembly line manufacturing is speculative, costly and environmentally unsustainable. It is speculative because it commits substantial resources—energy, materials, shipping, handling, stocking and displaying—without a guaranteed sale. It is costly because each of these resources—material, process, people and place—involves expense not encountered when a product is manufactured at the time of sale. It is environmentally unsustainable because, no matter how much recycling is done, not using the resources unless actually needed is always a better path. Three-dimensional printing is currently of great commercial interest as it can be employed to manufacture parts on-demand economically and without the significant cost & environmental downsides, i.e. inventory and waste, associated with traditional manufacturing processes. Herein, we describe the formulation of a novel water-based material which can be used in a traditional 3D printer extrusion process to create optically transparent glass-based objects. Such objects have a wide range of applications including, but not wholly limited to: security printing using color & coating effects, protective films and coatings, electronic codes readable by smartphones, tablets or touch screens. Additional all glass objects traditionally manufactured by the so called kiln glass method can be generated by this type of 3D printing making it interesting for the high end market of art objects.


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