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 ◽  
...  

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.

2016 ◽  
Vol 34 (2) ◽  
pp. 239-258 ◽  
Author(s):  
Michael Groenendyk

Purpose – The number of 3D models available on the internet to both students and educators is rapidly expanding. Not only are the 3D model collections of popular websites like Thingiverse.com growing, organizations such as the Smithsonian Institution and NASA have also recently begun to build collections of 3D models and make these openly accessible online. Yet, even with increased interest in 3D printing and 3D scanning technologies, little is known about the overall structure of the 3D models available on the internet. The paper aims to discuss this issue. Design/methodology/approach – To initiate this project, a list was built of 33 of the most widely used 3D model websites on the internet. Freely downloadable models, as well as models available for purchase or as 3D printed objects were included in the list. Once the list of 33 websites was created, the data for each individual 3D model in the collections was manually assembled and recorded. The titles of the 3D models, keywords, subject headings, license information, and number of views and downloads were recorded, as this information was available. The data were gathered between January and May 2015, and compiled into a CSV database. To determine how online 3D model content relates to a variety of educational disciplines, relevant subject terms for a variety of educational disciples were extracted from the EBSCO database system. With this list of subject terms in hand, the keywords in the CSV database of model information were searched for each of the subject terms, with an automated process using a Perl script. Findings – There have been many teachers, professors, librarians and students who have purchased 3D printers with little or no 3D modelling skills. Without these skills the owners of these 3D printers are entirely reliant on the content created and freely shared by others to make use of their 3D printers. As the data collected for this research paper shows, the vast majority of open 3D model content available online pertains to the professions already well versed in 3D modelling and Computer Aided Design design, such as engineering and architecture. Originality/value – Despite that fact that librarians, teachers and other educators are increasingly using technologies that rely on open 3D model content as educational tools, no research has yet been done to assess the number of 3D models available online and what educational disciplines this content relates to. This paper attempts to fill this gap, providing an overview of the size of this content, the educational disciplines this content relates to and who has so far been responsible for developing this content. This information will be valuable to librarians and teachers currently working with technology such as 3D printers and virtual reality, as well as those considering investing in this technology.


2016 ◽  
Vol 23 (6) ◽  
pp. 613-619 ◽  
Author(s):  
Dimitrios Paraskevopoulos

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.


Prosthesis ◽  
2020 ◽  
Vol 2 (4) ◽  
pp. 325-332
Author(s):  
Kelly M. Suralik ◽  
Jie Sun ◽  
Chia-Yu Chen ◽  
Sang J. Lee

There has been an increase in utilizing 3D printers in dental restorations. The purpose of the study is to compare mechanical properties of 3D-printed prostheses to those of self-cured and/or computer-aided design-computer-aided manufacturing (CAD-CAM) restorations. A metal master typodont was prepared for the mandibular left sextant with implant analogs embedded at the first premolar and first molar positions with a missing second premolar. Three-unit provisional fixed dental prosthesis (FDP) was designed utilizing the 3Shape tooth library and forty-five uniform specimens were fabricated with different materials: self-cured poly(methyl methacrylate) (PMMA) (N = 15), milled PMMA CAD-CAM blocks (N = 15) and 3D-printed resin (N = 15). All specimens were tested using an Instron machine at a crosshead speed of 0.5 mm/min by an axial load on the occlusal surface of the second premolar pontic site. Statistical analysis was completed with Shapiro-Wilk, ANOVA and Tukey post-hoc tests. Mean fracture force was 300.61 N, 294.64 N and 408.49 N for self-cured PMMA, milled PMMA and 3D-printed resin, respectively. Mean force at FDP fracture of 3D-printed resin was significantly greater than the mean fracture force of either self-cured (p = 0.016, 95% CI [17.86, 197.91]) or milled (p = 0.010, 95% CI [23.83, 203.88]) PMMA.


Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Leonardo Cavallo ◽  
Antonia Marcianò ◽  
Marco Cicciù ◽  
Giacomo Oteri

(1) Background: To mitigate the shortage of respiratory devices during the Covid-19 epidemic, dental professional volunteers can contribute to create printed plastic valves, adapting the dental digital workflow and converting snorkeling masks in emergency CPAP (continuous positive airways pressure) devices. The objective of this report was to provide the specific settings to optimize printing with the 3D printers of the dental industry. (2) Methods: In order to provide comprehensive technical notes to volunteer dental professionals interested in printing Charlotte and Dave connectors to breathing devices, the entire digital workflow is reported. (3) Results: The present paper introduces an alternative use of the dental Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) machinery, and reports on the fabrication of a 3D printed connection prototypes suitable for connection to face masks, thereby demonstrating the feasibility of this application. (4) Conclusions: This call for action was addressed to dentists and dental laboratories who are willing to making available their experience, facilities and machinery for the benefit of patients, even way beyond dentistry.


2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Tyler S Cole ◽  
Dakota T Graham ◽  
Andre A Wakim ◽  
Michael A Bohl ◽  
Clinton D Morgan ◽  
...  

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.


Author(s):  
Felicitas Pielsticker ◽  
Ingo Witzke ◽  
Amelie Vogler

AbstractDigital media have become increasingly important in recent years and can offer new possibilities for mathematics education in elementary schools. From our point of view, geometry and geometric objects seem to be suitable for the use of computer-aided design software in mathematics classes. Based on the example of Tinkercad, the use of CAD software — a new and challenging context in elementary schools — is discussed within the approach of domains of subjective experience and the Toulmin model. An empirical study examined the influence of Tinkercad on fourth-graders’ development of a model of a geometric solid and related reasoning processes in mathematics classes.


Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 685
Author(s):  
Manuel Prado-Velasco ◽  
Rafael Ortiz-Marín

The emergence of computer-aided design (CAD) has propelled the evolution of the sheet metal engineering field. Sheet metal design software tools include parameters associated to the part’s forming process during the pattern drawing calculation. Current methods avoid the calculation of a first pattern drawing of the flattened part’s neutral surface, independent of the forming process, leading to several methodological limitations. The study evaluates the reliability of the Computer Extended Descriptive Geometry (CeDG) approach to surpass those limitations. Three study cases that cover a significative range of sheet metal systems are defined and the associated solid models and patterns’ drawings are computed through Geogebra-based CeDG and two selected CAD tools (Solid Edge 2020, LogiTRACE v14), with the aim of comparing their reliability and accuracy. Our results pointed to several methodological lacks in LogiTRACE and Solid Edge that prevented to solve properly several study cases. In opposition, the novel CeDG approach for the computer parametric modeling of 3D geometric systems overcame those limitations so that all models could be built and flattened with accuracy and without methodological limitations. As additional conclusion, the success of CeDG suggests the necessity to recover the relevance of descriptive geometry as a key core in graphic engineering.


Author(s):  
S. Minami ◽  
T. Ishida ◽  
S. Yamamoto ◽  
K. Tomita ◽  
M. Odamura

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.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Boyoung Kim ◽  
Minyong Choi ◽  
Seung-Woo Son ◽  
Deokwon Yun ◽  
Sukjune Yoon

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.


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