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Masterclass:
              Biomedical applications of
              Additive Manufacturing


Part 01: General considerations and clinical case studies
   Masterclass part 01:
    • Entirely dedicated to current and mature industrial
      applications
    • Theory – basic principles, technologies, applications and
      software
    • Case studies and general future applications of AM
   Masterclass part 02:
    • Futuristic applications: bio-printing & organ-printing
    • More theoretical
    • Current applications, future perspectives and case studies


Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              2
   11h45: Reception & lunch
   12h40: Welcome session – introduction
     • Carsten Engel, SIRRIS
   13h10: Taking into consideration the technical aspects
     • Julien Magnien, SIRRIS
   13h50: Taking into consideration the medical aspects
     • Bernardo Innocenti, ULB
   14H30: From medical images to design of a custom medical
    device
     • Herlien Declerck, Materialise
   15h15: Coffee Break (and snow fight)


Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              3
   15h25: Case study 01 - Practical clinical case study using MIMICS software
    from Materialise
     • Bram Lenaerts, Mobelife
   16h00: Case study 02 - Clinical support requirement for Additive
    Manufacturing to be successful: Lessons learned from the Walter Reed
    Army Medical Center
     • Stephen Rouse, AM consultant
   16h35: Case study 03 - Veterinary case studies – successful AM
    manufactured bone replacements
     • Vojislav Petrovic, AIMME
   17H10: New features and functions in implants through an innovative
    design approach and Additive Manufacturing (Laser Beam Melting)
     • Thomas Töppel, Fraunhofer IWU
   17h45: 2nd Coffee Break

Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              4
   17h50: Future perspectives and business opportunities of
    Additive Manufacturing. Market overview, latest trends in
    technologies, applications and materials
     • Thierry Dormal, SIRRIS
   18h20: Networking




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              5
Masterclass:
       Biomedical applications of
       Additive Manufacturing


Welcome session and general introduction
Aerospace Automotive Construction products
    Contracting & Maintenance Electrical engineering
                Industrial automation Mechatronical engineering
Information and communication technologies (ICT)
  Metals & materials Metal processing Mounting & cranes
        Plastics & composites Security & defence


Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              7
Ghent                                                       Leuven
                     Materials Engineering                                   Mechatronics
                                                                      Technology Coaching




                     Brussels
                     Software Engineering & ICT                                 Hasselt
                     Technology Coaching                             Materials Engineering
                                                                    Production Technology




                                                                                     Liège
                     Charleroi                                      Additive Manufacturing
                     Additive Manufacturing                          Materials Engineering
                     Bio- Manufacturing Platform                             Nanomaterials



Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              8
Case study: Femoral & Total hip implants

• Today : Mass fabrication of standard femoral implants (& others)




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              9
Yes, it will work. But ….




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              10
Next generation pre-operative manufactured implants:

 • Custom implant manufacture :
       • CT-Scan
       • CAD File of the patient is produced
       • Engineer + Surgeon 3D implant approved
       • FEM analysis (when needed)
       • Custom manufacturing (low cost)
       • Surgery
       • Follow up




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              11
Medical Additive Manufacturing Software:
•   Materialise: Mimics
•   Materialise: 3matic
•   Marcam: Autofab
•   Able Software Corp: 3D Doctor
•   Medicim: Maxilim
•   ProEngineer
•   New: Lenexa: Analyze
•   New: Brisbane: Anatomics
•   (…)

                                                                                [Mimics & 3-matic - Materialise]

Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                                   12
Trends in biocompatible materials used in Rapid Prototyping /
   Manufacturing:
Metals:                                                           Polymers:
 •   Titanium (Ti6Al4V)                      •                         PTFE (Polytetrafluoroethylene)
 •   Ti-alloys                               •                         PMMA (Polymethyl methaacrylate)
 •   Stainless steel                         •                         PE (Polyethylene)
 •   Shape memory alloys (Ni-Ti) – in research
                                             •                         PEEK
 •   Noble materials (Gold)                  •                         PEKK
 •   …                                       •                         … others, too but not implantable

Ceramics:
 •   Hydroxyapatite (HAP)
 •   Zirconium                                                    Others:
 •   Tricalcium phosphate (TCP)                                    •   Hydrogels + Human cells
 •   Alumina
 •   …

 Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                               13
Leading applications:

• Pre-surgical planning:                                                                                  [Arcam & Objet technology]

• Custom implant manufacture
                                                            [Z. Corp Medical Modeling Solutions]

• Physician to physician communication
• Powerful patient presentation tool
• Medical student/resident education
                                                                                                                      [Sirris ADD]
• 3D Surface Scanning/Custom Prosthesis Design
                                                                   [Z. Corp Medical Modeling Solutions]




  Masterclass: Biomedical applications of Additive Manufacturing    Organized by SIRRIS the 12th of March 2013
                                                                                                                                       14
Leading applications:                                 “No matter how good our 3-D graphics are, there is
                                                            nothing like a model in your hands . . .”

 • Pre-surgical planning:
       • Implant pre-contouring
       • Screw trajectory
       • Screw selection/location
       • Instrument selection
       • Technique rehearsal
                                                             [Objet]                             [Objet]




          [Objet Connex Eden 500]                                                [Objet]




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              15
Leading applications:

 • Pre-surgical planning advantages:
      • Significantly reduces O.R. time
            • Lowers cost
            • Reduces O.R. team fatigue
      • Enhances patient outcomes
            • Reduces “re-do” procedures
            • Minimizes size of incisions                                                   [Z. Corp Medical Modeling Solutions]

            • Speeds recovery time
            • Improves anatomical alignment
            • Enables multiple procedure rehearsals




                                  [Case study: The Alfred Hospital, Melbourne, Australia]




Masterclass: Biomedical applications of Additive Manufacturing            Organized by SIRRIS the 12th of March 2013
                                                                                                                                   16
Leading applications:

 • Physician to physician communication
 • Powerful patient presentation tool
 • Medical student/resident education
 • Custom Prosthesis Design
 • Complex parts manufacturing                                       [Sirris ADD]                  [Sirris ADD]




      [Sirris ADD]                  [Sirris ADD]                      [Sirris ADD]                 [Sirris ADD]




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                                  17
[Sirris ADD]                           [Sirris ADD]




                                                                                     0,5mm




           [Sirris ADD]                             [Sirris ADD]                            [Sirris ADD]




Masterclass: Biomedical applications of Additive Manufacturing     Organized by SIRRIS the 12th of March 2013
                                                                                                                18
[Walter Reed Army Medical Center, Washington DC, USA ]




    [Dr J. Poukens - UHasselt]




Masterclass: Biomedical applications of Additive Manufacturing    Organized by SIRRIS the 12th of March 2013
                                                                                                                   19
Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              20
[UHasselt, Layerwise, Xilloc, Sirris, CamBioceramics, Orbis Medisch Centrum, Xios, KUL]




Masterclass: Biomedical applications of Additive Manufacturing               Organized by SIRRIS the 12th of March 2013
                                                                                                                          21
Ti6Al4V: E(GPa) = 110 !


Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              22
Case study: Femoral & Total hip implants

• Tomorrow: Custom-fit femoral implants & adapted Young’s modulus
     • Patient custom-fit implants
     • Better distribution of the stresses
     • Reducing stress-shielding
     • Reducing micro-motion between bone & sinkage
     • Surface roughness for strong fixation
     • Hydroxyapatite coating eased up
     • Complex biodegradable scaffolds combining HAP & βTCP




    +                                                       +
                                                                                                     [Sirris - ADD]


                               [Sirris - ADD]

Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                                      23
Finger implant (Dr. P. Ledoux, Prof. G. Guerlement UMONS)




                                          [Université de Mons, Faculté Polytechnique]




 Masterclass: Biomedical applications of Additive Manufacturing           Organized by SIRRIS the 12th of March 2013
                                                                                                                       24
Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              25
« Medical Additive Manufacturing & Rapid Prototyping »




                                                 « Sirris »


Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              26
Carsten ENGEL

                                                          Biomedical Engineer
                                                          Additive Manufacturing Department

                                                          Mail: carsten.engel@sirris.be
                                                          Mobile: +32 498 91 94 50
                                                          Skype: Carsten-Engel

                                                          SIRRIS
                                                          Rue Auguste Piccard, 20
                                                          B-6041 GOSSELIES BELGIUM
                                                          http://www.sirris.be




Masterclass: Biomedical applications of Additive Manufacturing   Organized by SIRRIS the 12th of March 2013
                                                                                                              27

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2013 03-12-masterclass-biomedical-applications-of-am sirris-intro_general_medical

  • 1. Masterclass: Biomedical applications of Additive Manufacturing Part 01: General considerations and clinical case studies
  • 2. Masterclass part 01: • Entirely dedicated to current and mature industrial applications • Theory – basic principles, technologies, applications and software • Case studies and general future applications of AM  Masterclass part 02: • Futuristic applications: bio-printing & organ-printing • More theoretical • Current applications, future perspectives and case studies Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 2
  • 3. 11h45: Reception & lunch  12h40: Welcome session – introduction • Carsten Engel, SIRRIS  13h10: Taking into consideration the technical aspects • Julien Magnien, SIRRIS  13h50: Taking into consideration the medical aspects • Bernardo Innocenti, ULB  14H30: From medical images to design of a custom medical device • Herlien Declerck, Materialise  15h15: Coffee Break (and snow fight) Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 3
  • 4. 15h25: Case study 01 - Practical clinical case study using MIMICS software from Materialise • Bram Lenaerts, Mobelife  16h00: Case study 02 - Clinical support requirement for Additive Manufacturing to be successful: Lessons learned from the Walter Reed Army Medical Center • Stephen Rouse, AM consultant  16h35: Case study 03 - Veterinary case studies – successful AM manufactured bone replacements • Vojislav Petrovic, AIMME  17H10: New features and functions in implants through an innovative design approach and Additive Manufacturing (Laser Beam Melting) • Thomas Töppel, Fraunhofer IWU  17h45: 2nd Coffee Break Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 4
  • 5. 17h50: Future perspectives and business opportunities of Additive Manufacturing. Market overview, latest trends in technologies, applications and materials • Thierry Dormal, SIRRIS  18h20: Networking Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 5
  • 6. Masterclass: Biomedical applications of Additive Manufacturing Welcome session and general introduction
  • 7. Aerospace Automotive Construction products Contracting & Maintenance Electrical engineering Industrial automation Mechatronical engineering Information and communication technologies (ICT) Metals & materials Metal processing Mounting & cranes Plastics & composites Security & defence Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 7
  • 8. Ghent Leuven Materials Engineering Mechatronics Technology Coaching Brussels Software Engineering & ICT Hasselt Technology Coaching Materials Engineering Production Technology Liège Charleroi Additive Manufacturing Additive Manufacturing Materials Engineering Bio- Manufacturing Platform Nanomaterials Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 8
  • 9. Case study: Femoral & Total hip implants • Today : Mass fabrication of standard femoral implants (& others) Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 9
  • 10. Yes, it will work. But …. Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 10
  • 11. Next generation pre-operative manufactured implants: • Custom implant manufacture : • CT-Scan • CAD File of the patient is produced • Engineer + Surgeon 3D implant approved • FEM analysis (when needed) • Custom manufacturing (low cost) • Surgery • Follow up Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 11
  • 12. Medical Additive Manufacturing Software: • Materialise: Mimics • Materialise: 3matic • Marcam: Autofab • Able Software Corp: 3D Doctor • Medicim: Maxilim • ProEngineer • New: Lenexa: Analyze • New: Brisbane: Anatomics • (…) [Mimics & 3-matic - Materialise] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 12
  • 13. Trends in biocompatible materials used in Rapid Prototyping / Manufacturing: Metals: Polymers: • Titanium (Ti6Al4V) • PTFE (Polytetrafluoroethylene) • Ti-alloys • PMMA (Polymethyl methaacrylate) • Stainless steel • PE (Polyethylene) • Shape memory alloys (Ni-Ti) – in research • PEEK • Noble materials (Gold) • PEKK • … • … others, too but not implantable Ceramics: • Hydroxyapatite (HAP) • Zirconium Others: • Tricalcium phosphate (TCP) • Hydrogels + Human cells • Alumina • … Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 13
  • 14. Leading applications: • Pre-surgical planning: [Arcam & Objet technology] • Custom implant manufacture [Z. Corp Medical Modeling Solutions] • Physician to physician communication • Powerful patient presentation tool • Medical student/resident education [Sirris ADD] • 3D Surface Scanning/Custom Prosthesis Design [Z. Corp Medical Modeling Solutions] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 14
  • 15. Leading applications: “No matter how good our 3-D graphics are, there is nothing like a model in your hands . . .” • Pre-surgical planning: • Implant pre-contouring • Screw trajectory • Screw selection/location • Instrument selection • Technique rehearsal [Objet] [Objet] [Objet Connex Eden 500] [Objet] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 15
  • 16. Leading applications: • Pre-surgical planning advantages: • Significantly reduces O.R. time • Lowers cost • Reduces O.R. team fatigue • Enhances patient outcomes • Reduces “re-do” procedures • Minimizes size of incisions [Z. Corp Medical Modeling Solutions] • Speeds recovery time • Improves anatomical alignment • Enables multiple procedure rehearsals [Case study: The Alfred Hospital, Melbourne, Australia] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 16
  • 17. Leading applications: • Physician to physician communication • Powerful patient presentation tool • Medical student/resident education • Custom Prosthesis Design • Complex parts manufacturing [Sirris ADD] [Sirris ADD] [Sirris ADD] [Sirris ADD] [Sirris ADD] [Sirris ADD] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 17
  • 18. [Sirris ADD] [Sirris ADD] 0,5mm [Sirris ADD] [Sirris ADD] [Sirris ADD] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 18
  • 19. [Walter Reed Army Medical Center, Washington DC, USA ] [Dr J. Poukens - UHasselt] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 19
  • 20. Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 20
  • 21. [UHasselt, Layerwise, Xilloc, Sirris, CamBioceramics, Orbis Medisch Centrum, Xios, KUL] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 21
  • 22. Ti6Al4V: E(GPa) = 110 ! Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 22
  • 23. Case study: Femoral & Total hip implants • Tomorrow: Custom-fit femoral implants & adapted Young’s modulus • Patient custom-fit implants • Better distribution of the stresses • Reducing stress-shielding • Reducing micro-motion between bone & sinkage • Surface roughness for strong fixation • Hydroxyapatite coating eased up • Complex biodegradable scaffolds combining HAP & βTCP + + [Sirris - ADD] [Sirris - ADD] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 23
  • 24. Finger implant (Dr. P. Ledoux, Prof. G. Guerlement UMONS) [Université de Mons, Faculté Polytechnique] Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 24
  • 25. Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 25
  • 26. « Medical Additive Manufacturing & Rapid Prototyping » « Sirris » Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 26
  • 27. Carsten ENGEL Biomedical Engineer Additive Manufacturing Department Mail: carsten.engel@sirris.be Mobile: +32 498 91 94 50 Skype: Carsten-Engel SIRRIS Rue Auguste Piccard, 20 B-6041 GOSSELIES BELGIUM http://www.sirris.be Masterclass: Biomedical applications of Additive Manufacturing Organized by SIRRIS the 12th of March 2013 27