Specification Analysis, Design, and Prototyping of a Burr Hole Endoscope Stabilization Device

2016 ◽  
Vol 23 (6) ◽  
pp. 613-619 ◽  
Author(s):  
Dimitrios Paraskevopoulos
Keyword(s):  
Computer Aided Design ◽  
Burr Hole ◽  
Fixation Index ◽  
Intracranial Surgery ◽  
3 Dimensional ◽  
Solo Surgery ◽  
3D Printed ◽  
Analysis Design ◽  
Aided Design ◽  
Specification Analysis

Objective. Aim of this study was to develop a prototype for an innovative, burr-hole mounted device, for stabilizing endoscopes during intracranial surgery. The objective was an easily maneuverable device, freeing one hand without compromising flexibility and safety. This could avoid the need for a second surgeon or a bulky holder, thus improving coordination. Methods. The initial concept arose from the observation that intraventricular endoscopy is often performed by 2 surgeons, 1 navigating the endoscope and 1 inserting/handling instruments through the working channel. A specification analysis was performed. Desired properties were specified through a literature review, as well as informal interviews with surgeons and engineers. Tools used for the design included blueprints, 3-dimensional computer aided-design and cooperating with engineers. The final prototype was 3D-printed and the toruses were produced with molding. Results. A prototype named BuESta (Burr hole Endoscope Stabililizer) was produced. This consists of 2 half hollow sphere parts and interchangeable toruses and has the following features: easy to produce, inexpensive, not prolonging surgical time, semirigid, variable fixation, easy to fix/release, safe, no bulky articulated arms, mimicking basic concepts of second hand fixation (index finger/thumb fixation, hand resting/stabilizing on skull). Conclusions. This work represents a feasibility study including specification analysis, design and prototyping of a novel Burr hole endoscope stabilizing device. The device offers variable support for the endoscope, from complete free-hand to semirigid to rigid, thus freeing one hand which is often used to stabilize the endoscope. It can potentially help achieve solo surgery.

Feasibility and Efficiency of Sutureless End Enterostomy by Means of a 3D-Printed Device in a Porcine Model

2020 ◽  
Vol 27 (2) ◽  
pp. 203-210
Author(s):  
Eric Sejor ◽  
Tarek Debs ◽  
Niccolo Petrucciani ◽  
Pauline Brige ◽  
Sophie Chopinet ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Computer Aided Design ◽  
Porcine Model ◽  
Bowel Function ◽  
3 Dimensional ◽  
3D Printers ◽  
3D Printed ◽  
Design Software ◽  
Aided Design ◽  
Oral Diet

Objective. The aim of this study is to present a 3-dimensional (3D)-printed device to simply perform abdominal enterostomy and colostomy. Summary Background Data. Enterostomy and colostomy are frequently performed during abdominal surgery. 3D-printed devices may permit the creation of enterostomy easily. Methods. The device was designed by means of a CAD (computer-aided design) software, Rhinoceros 6 by MC Neel, and manufactured using 3D printers, Factory 2.0 by Omni 3D and Raise 3D N2 Dual Plus by Raise 3D. Colostomy was scheduled on a human cadaver and on 6 Pietrain pigs to test the device and the surgical technique. Results. The test on the cadaver showed that the application of the device was easy. Test on porcine models confirmed that the application of the device was also easy on the living model. The average duration of the surgical procedure was 32 minutes (25-40 minutes). For the female pigs, return to full oral diet and recovery of a normal bowel function was observed at postoperative day 2. The device fell by itself on average on the third day. Until day 10, when euthanasia was practiced, the stoma mucosa had a good coloration indicating a perfect viability of tissues. No complications were observed. Conclusions. This is the first study that describes the use of a 3D-printed device in abdominal surgery. End-type colostomy using a 3D-printed device can be safely and easily performed in an experimental porcine model, without postoperative complications. Further studies are needed to evaluate its utility in the clinical setting.

Local 3-Dimensional Printing of a Calvarium-Anchored Ventricular Catheter Occlusion Device

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Tyler S Cole ◽  
Dakota T Graham ◽  
Andre A Wakim ◽  
Michael A Bohl ◽  
Clinton D Morgan ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Surgical Instruments ◽  
Ventricular Catheter ◽  
3 Dimensional ◽  
Occlusion Device ◽  
Short Time Span ◽  
Final Design ◽  
3D Printed ◽  
Aided Design

ABSTRACT Three-dimensional (3D)-printed objects have been incorporated into many surgical specialties for various purposes. These devices can be customized and used as implants or surgical instruments. This study describes the use of a 3D-printed device that eliminates the need for a surgical assistant to occlude and retain the intracranial catheter during ventriculoperitoneal shunt creation and revision. After we identified design considerations and solutions, we modeled the device dimensions using computer-aided design software. Prototypes were 3D printed using stereolithography. Iterative design improvements were tested on cadaveric cranial samples. A final design was established, prepared by the in-hospital sterile processing department, and deployed successfully for clinical use. The design process for 3D-printed surgical instruments can produce straightforward idea-to-prototype pipelines. Because 3D-printed devices are easily duplicated and modified, small adjustments and new models can be developed, printed, and tested in a short time span.

A CAD System for Designers’ Decision Making: An Approach With 2D and 3D Integrated and Hierarchical Assembly Models

1991 ◽  
Author(s):  
S. Minami ◽  
T. Ishida ◽  
S. Yamamoto ◽  
K. Tomita ◽  
M. Odamura
Keyword(s):  
Decision Making ◽  
Computer Aided Design ◽  
Mechanical Design ◽  
Prototype System ◽  
Dimensional Model ◽  
3 Dimensional ◽  
Hierarchical Assembly ◽  
Cad System ◽  
Aided Design ◽  
2D And 3D

Abstract A concept for the initial stage of the mechanical design and its implementation in the computer-aided design (CAD) are presented. The process of decision making in design is: (1) determining an outline of the whole assembly using a 2-dimensional model that is easy to operate; (2) checking the outline using a 3-dimensional model in which it is easy to identify the spatial relationships; (3) determining details of its sub-assemblies or their components using the 2-dimensional model; and (4) checking the details using the 3-dimensional model. The CAD system must provide consistent relationships through all the steps. For that, following functions are implemented in our prototype system: (1) a 2D and 3D integrated model for consistency between 2- and 3-dimensional shapes, (2) a hierarchical assembly model with dimensional constraints for consistency within an assembly and their components, and (3) a check on constraints for consistency between shapes and designers’ intentions. As a result, the system can provide an environment well fitted to the designers’ decision making process.

Vision-force guided precise robotic assembly for 2.5D components in a semistructured environment

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Boyoung Kim ◽  
Minyong Choi ◽  
Seung-Woo Son ◽  
Deokwon Yun ◽  
Sukjune Yoon
Keyword(s):  
Computer Aided Design ◽  
Degrees Of Freedom ◽  
Printed Circuit Board ◽  
Force Sensor ◽  
Circuit Board ◽  
Robotic Assembly ◽  
Ccd Cameras ◽  
Content Type ◽  
3 Dimensional ◽  
Aided Design

Purpose Many manufacturing sites require precision assembly. Particularly, similar to cell phones, assembly at the sub-mm scale is not easy, even for humans. In addition, the system should assemble each part with adequate force and avoid breaking the circuits with excessive force. The purpose of this study is to assemble high precision components with relatively reasonable vision devices compared to previous studies. Design/methodology/approach This paper presents a vision-force guided precise assembly system using a force sensor and two charge coupled device (CCD) cameras without an expensive 3-dimensional (3D) sensor or computer-aided design model. The system accurately estimates 6 degrees-of-freedom (DOF) poses from a 2D image in real time and assembles parts with the proper force. Findings In this experiment, three connectors are assembled on a printed circuit board. This system obtains high accuracy under 1 mm and 1 degree error, which shows that this system is effective. Originality/value This is a new method for sub-mm assembly using only two CCD cameras and one force sensor.

Design and development of a novel 3D-printed non-metallic self-locking prosthetic arm for a forequarter amputation

2020 ◽  
pp. 030936462094829 ◽  
Author(s):  
Trevor Binedell ◽  
Eugene Meng ◽  
Karupppasamy Subburaj
Keyword(s):  
Computer Aided Design ◽  
Ease Of Use ◽  
Prosthetic Design ◽  
Forequarter Amputation ◽  
Digital Scanning ◽  
Survey Results ◽  
3D Printed ◽  
And Function ◽  
The Cost ◽  
Aided Design

Background: Upper limb, in particular forequarter amputations, require highly customised devices that are often expensive and underutilised. Objectives: The objective of this study was to design and develop a comfortable 3D-printed cosmetic forequarter prosthetic device, which was lightweight, cool to wear, had an elbow that could lock, matched the appearance of the contralateral arm and was completely free of metal for a specific user’s needs. Study Design: Device design. Technique: An iterative user-centred design approach was used for digitising, designing and developing a functional 3D-printed prosthetic arm for an acquired forequarter amputation, while optimising the fit and function after each prototype. Results: The cost of the final arm was 20% less expensive than a traditionally-made forequarter prostheses in Singapore. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) 2.0 survey was administered, with results indicating that the 3D-printed arm was preferred due to its overall effectiveness, accurate size, ease of use and suspension. However, durability had a lower score, and the weight of the arm was 100 g heavier than the user’s current prosthesis. The technique described resulted in a precise fitting and shaped forequarter prosthesis for the user. Using the user’s feedback in the iterations of the design resulted in improved QUEST survey results indicating the device was effective, easy to use, perceived as lighter and more secure than the user’s traditionally-made device. Conclusion: A fully customised cosmetic forequarter prosthesis was designed and developed using digital scanning, computer-aided design modelling and 3D printing for a specific user. These technologies enable new avenues for highly complex prosthetic design innovations.

A Surgical Simulator for Tympanostomy Tube Insertion Incorporating Capacitive Sensing Technology to Track Instrument Placement

2020 ◽  
Vol 162 (3) ◽  
pp. 343-345
Author(s):  
Vilija J. Vaitaitis ◽  
Michael E. Dunham ◽  
Yong-Chan Kwon ◽  
Wyatt C. Mayer ◽  
Adele K. Evans ◽  
...  
Keyword(s):  
External Auditory Canal ◽  
Computer Aided Design ◽  
Capacitive Sensor ◽  
Physical Models ◽  
Tympanostomy Tube ◽  
Tympanic Cavity ◽  
Tube Insertion ◽  
3 Dimensional ◽  
Sensing Technology ◽  
Aided Design

We describe a device engineered for realistic simulation of myringotomy and tympanostomy tube insertion that tracks instrument placement and objectively measures operator proficiency. A 3-dimensional computer model of the external ear and cartilaginous external auditory canal was created from a normal maxillofacial computed tomography scan, and models for the bony external auditory canal and tympanic cavity were created with computer-aided design software. Physical models were 3-dimensionally printed from the computer reconstructions. The external auditory canal and tympanic cavity surfaces were coated with conductive material and wired to a capacitive sensor interface. A programmable microcontroller with custom embedded software completed the system. Construct validation was completed by comparing the run times and total sensor contact times of otolaryngology faculty and residents.

scholarly journals Accuracy Assessment of Molded, Patient-Specific Polymethylmethacrylate Craniofacial Implants Compared to Their 3D Printed Originals

2020 ◽  
Vol 9 (3) ◽  
pp. 832 ◽  
Author(s):  
Dave Chamo ◽  
Bilal Msallem ◽  
Neha Sharma ◽  
Soheila Aghlmandi ◽  
Christoph Kunz ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Accuracy Assessment ◽  
Three Dimensional ◽  
Production Costs ◽  
Patient Specific ◽  
Patient Specific Implants ◽  
3D Printed ◽  
Cost Efficient ◽  
Craniofacial Implants ◽  
Aided Design

The use of patient-specific implants (PSIs) in craniofacial surgery is often limited due to a lack of expertise and/or production costs. Therefore, a simple and cost-efficient template-based fabrication workflow has been developed to overcome these disadvantages. The aim of this study is to assess the accuracy of PSIs made from their original templates. For a representative cranial defect (CRD) and a temporo-orbital defect (TOD), ten PSIs were made from polymethylmethacrylate (PMMA) using computer-aided design (CAD) and three-dimensional (3D) printing technology. These customized implants were measured and compared with their original 3D printed templates. The implants for the CRD revealed a root mean square (RMS) value ranging from 1.128 to 0.469 mm with a median RMS (Q1 to Q3) of 0.574 (0.528 to 0.701) mm. Those for the TOD revealed an RMS value ranging from 1.079 to 0.630 mm with a median RMS (Q1 to Q3) of 0.843 (0.635 to 0.943) mm. This study demonstrates that a highly precise duplication of PSIs can be achieved using this template-molding workflow. Thus, virtually planned implants can be accurately transferred into haptic PSIs. This workflow appears to offer a sophisticated solution for craniofacial reconstruction and continues to prove itself in daily clinical practice.

Design System Mfk—An Important Step towards an Engineering Workbench

1993 ◽  
Vol 207 (2) ◽  
pp. 105-116 ◽  
Author(s):  
H Meerkamm
Keyword(s):  
Computer Aided Design ◽  
Tolerance Analysis ◽  
Design System ◽  
Product Model ◽  
Cad System ◽  
Knowledge Based ◽  
Different Types ◽  
Analysis Design ◽  
Aided Design ◽  
Production Tolerance

The Design System mfk will support the designer by an object-orientated synthesis of parts and an integrated knowledge-based analysis. An own-product model which is completely independent from the data structure of the used computer aided design (CAD) system contains all necessary information on geometry, technology, function and organization. It allows different types of analysis: design for production, tolerance analysis, cost and stress calculation, repeated component search, etc. Usable for products of higher complexity the Design System can be seen as an approach to an engineering workbench.

The Use of Computer-aided Design and 3-Dimensional Models in the Treatment of Forearm Malunions in Children

2015 ◽  
Vol 19 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Dora A.R. Storelli ◽  
Andrea S. Bauer ◽  
Lisa L. Lattanza ◽  
H. Relton McCarroll
Keyword(s):  
Computer Aided Design ◽  
3 Dimensional ◽  
Computer Aided ◽  
Dimensional Models ◽  
Aided Design

scholarly journals Comparison of Intaglio Surface Trueness of Interim Dental Crowns Fabricated with SLA 3D Printing, DLP 3D Printing, and Milling Technologies

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 983
Author(s):  
Keunbada Son ◽  
Jung-Ho Lee ◽  
Kyu-Bok Lee
Keyword(s):  
3D Printing ◽  
Computer Aided Design ◽  
Reference Model ◽  
Digital Light Processing ◽  
3 Dimensional ◽  
Dental Crowns ◽  
Test Models ◽  
Significant Difference ◽  
Manufacturing Accuracy ◽  
Aided Design

This study aimed to evaluate the intaglio surface trueness of interim dental crowns fabricated with three 3-dimensional (3D) printing and milling technologies. Dental crown was designated and assigned as a computer-aided design (CAD) reference model (CRM). Interim dental crowns were fabricated based on CRM using two types of 3D printer technologies (stereolithography apparatus and digital light processing) and one type of milling machine (n = 15 per technology). The fabricated interim dental crowns were obtained via 3D modeling of the intaglio surface using a laboratory scanner and designated as CAD test models (CTMs). The alignment and 3D comparison of CRM and CTM were performed based on the intaglio surface using a 3D inspection software program (Geomagic Control X). Statistical analysis was validated using one-way analysis of variance and Tukey HSD test (α = 0.05). There were significant differences in intaglio surface trueness between the three different fabrication technologies, and high trueness values were observed in the milling group (p < 0.05). In the milling group, there was a significant difference in trueness according to the location of the intaglio surface (p < 0.001). In the manufacturing process of interim dental crowns, 3D printing technologies showed superior and uniform manufacturing accuracy than milling technology.

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