1
|
Vázquez-Silva E, Bohorquez-Vivas D, Peña-Tapia P, Moncayo-Matute F, Torres-Jara P, Moya-Loaiza D. Oculopalpebral prosthesis prototype design using the additive manufacturing technique: A case study. JPRAS Open 2024; 39:228-236. [PMID: 38323101 PMCID: PMC10843991 DOI: 10.1016/j.jpra.2023.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 12/29/2023] [Indexed: 02/08/2024] Open
Abstract
Three-dimensional (3D) printing technology has advanced for applications in the field of reconstructive surgery. This study reports the application of a comprehensive methodology to obtain an anatomical model, using computed tomography and 3D printing, to treat a patient with cancer who designed a prototype oculopalpebral prosthesis for the reconstruction of the affected area of the face (left eye). A personalized prototype was obtained, which adapted to the face of the person, and improved the aesthetics and quality of life. The applied techniques helped to make definitive prostheses using materials that could be permanent. The training and tests carried out in this study favored the understanding and assimilation of the technology and the possibility of applying it to patients in need of facial prosthetic rehabilitation.
Collapse
Affiliation(s)
- E. Vázquez-Silva
- Department of Mechanical Engineering/Research Group on New Materials and Transformation Processes (GIMAT), Salesian Polytechnic University (UPS), Cuenca, Azuay, Ecuador
| | - D.D. Bohorquez-Vivas
- Department of Mechanical Engineering/Research Group on New Materials and Transformation Processes (GIMAT), Salesian Polytechnic University (UPS), Cuenca, Azuay, Ecuador
| | - P.G. Peña-Tapia
- Department of Neurosurgery/Society for the Fight Against Cancer, SOLCA Cancer Institute, Cuenca, Azuay, Ecuador
| | - F.P. Moncayo-Matute
- Department of Mechanical Engineering/Research Group on New Materials and Transformation Processes (GIMAT), Salesian Polytechnic University (UPS), Cuenca, Azuay, Ecuador
| | - P.B. Torres-Jara
- Department of Mechanical Engineering/Research Group on New Materials and Transformation Processes (GIMAT), Salesian Polytechnic University (UPS), Cuenca, Azuay, Ecuador
| | - D.P. Moya-Loaiza
- Department of Mechanical Engineering/Research Group on New Materials and Transformation Processes (GIMAT), Salesian Polytechnic University (UPS), Cuenca, Azuay, Ecuador
| |
Collapse
|
2
|
Moncayo-Matute FP, Torres-Jara PB, Vázquez-Silva E, Peña-Tapia PG, Moya-Loaiza DP, Abad-Farfán G. Finite element analysis of a customized implant in PMMA coupled with the cranial bone. J Mech Behav Biomed Mater 2023; 146:106046. [PMID: 37562162 DOI: 10.1016/j.jmbbm.2023.106046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 08/12/2023]
Abstract
This computational study investigates the effect of the Von Misses stresses and deformations distribution generated by coupling a customized cranial implant with its fixation system for anchoring in the cranial bone of a specific patient. Three simulations were carried out under static loads, in different areas of the implant and during the rest-activity; and another three simulations were considered preset maximum intracranial pressures. Anatomical models were obtained by computed tomography. The design of the device to be implanted was carried out by applying reverse engineering processes, from the corresponding computer-aided design (CAD) model of the bone structure of interest. Likewise, the anchoring system was modeled in detail. Loads were applied at three points on the custom implant. The stress distribution on the artificial plate and the implant-natural bone interface was analyzed. The distribution of the stresses caused by the internal load states on the plate and the anchoring system was also studied. The neurocranial reconstruction with the customized polymethylmethacrylate (PMMA)-based implant and the finite element analysis demonstrated that the fixation and coupling system of the bone-implant interface guarantees adequate protection for the internal structures of the restored area. In addition, the custom-designed and placed implant will not cause non-physiological harm to the patient. Nor will failures occur in the anchoring system.
Collapse
Affiliation(s)
- F P Moncayo-Matute
- Research Group on New Materials and Transformation Processes (GIMAT-acronym in Spanish), Universidad Politécnica Salesiana (UPS), Cuenca, Azuay, Ecuador
| | - P B Torres-Jara
- Research Group on New Materials and Transformation Processes (GIMAT-acronym in Spanish), Universidad Politécnica Salesiana (UPS), Cuenca, Azuay, Ecuador
| | - E Vázquez-Silva
- Research Group on New Materials and Transformation Processes (GIMAT-acronym in Spanish), Universidad Politécnica Salesiana (UPS), Cuenca, Azuay, Ecuador.
| | - P G Peña-Tapia
- Department of Neurosurgery/Society for the Fight Against Cancer, SOLCA Cancer Institute, Cuenca, Azuay, Ecuador
| | - D P Moya-Loaiza
- Research Group on New Materials and Transformation Processes (GIMAT-acronym in Spanish), Universidad Politécnica Salesiana (UPS), Cuenca, Azuay, Ecuador
| | - G Abad-Farfán
- Research Group on New Materials and Transformation Processes (GIMAT-acronym in Spanish), Universidad Politécnica Salesiana (UPS), Cuenca, Azuay, Ecuador
| |
Collapse
|
3
|
Moncayo-Matute FP, Vázquez-Silva E, Peña-Tapia PG, Torres-Jara PB, Moya-Loaiza DP, Viloria-Ávila TJ. Finite Element Analysis of Patient-Specific 3D-Printed Cranial Implant Manufactured with PMMA and PEEK: A Mechanical Comparative Study. Polymers (Basel) 2023; 15:3620. [PMID: 37688247 PMCID: PMC10490355 DOI: 10.3390/polym15173620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/08/2023] [Accepted: 08/18/2023] [Indexed: 09/10/2023] Open
Abstract
This article reports on a patient who required a cranial protection system. Using additive manufacturing techniques and surgical planning with the help of bio-models, a patient-specific bone implant solution was proposed that allows aesthetic restoration of the affected area and provides an adequate level of protection. In addition, through a comparative analysis with finite elements, the mechanical response to external actions of the medical device, printed with two materials: polymethylmethacrylate (PMMA) and polyether-ether-ketone (PEEK), is simulated. The tested materials have recognized biocompatibility properties, but their costs on the market differ significantly. The results obtained demonstrate the similarities in the responses of both materials. It offers the possibility that low-income people can access these devices, guaranteeing adequate biomechanical safety, considering that PMMA is a much cheaper material than PEEK.
Collapse
Affiliation(s)
- Freddy P. Moncayo-Matute
- Grupo de Investigación en Nuevos Materiales y Procesos de Transformación (GIMAT), Universidad Politécnica Salesiana, Sede Cuenca EC010102, Ecuador; (F.P.M.-M.); (P.B.T.-J.); (D.P.M.-L.)
| | - Efrén Vázquez-Silva
- Grupo de Investigación en Nuevos Materiales y Procesos de Transformación (GIMAT), Universidad Politécnica Salesiana, Sede Cuenca EC010102, Ecuador; (F.P.M.-M.); (P.B.T.-J.); (D.P.M.-L.)
| | - Pablo G. Peña-Tapia
- Instituto oncológico SOLCA, Sociedad de Lucha Contra el Cáncer, Cuenca EC010109, Ecuador;
| | - Paúl B. Torres-Jara
- Grupo de Investigación en Nuevos Materiales y Procesos de Transformación (GIMAT), Universidad Politécnica Salesiana, Sede Cuenca EC010102, Ecuador; (F.P.M.-M.); (P.B.T.-J.); (D.P.M.-L.)
| | - Diana P. Moya-Loaiza
- Grupo de Investigación en Nuevos Materiales y Procesos de Transformación (GIMAT), Universidad Politécnica Salesiana, Sede Cuenca EC010102, Ecuador; (F.P.M.-M.); (P.B.T.-J.); (D.P.M.-L.)
| | - Tony J. Viloria-Ávila
- Grupo de Investigación en Biotecnología y Ambiente (INBIAM), Universidad Politécnica Salesiana, Sede Cuenca EC010102, Ecuador;
| |
Collapse
|
4
|
Rajendran S, Palani G, Kanakaraj A, Shanmugam V, Veerasimman A, Gądek S, Korniejenko K, Marimuthu U. Metal and Polymer Based Composites Manufactured Using Additive Manufacturing-A Brief Review. Polymers (Basel) 2023; 15:2564. [PMID: 37299364 PMCID: PMC10255547 DOI: 10.3390/polym15112564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 05/29/2023] [Accepted: 05/29/2023] [Indexed: 06/12/2023] Open
Abstract
This review examines the mechanical performance of metal- and polymer-based composites fabricated using additive manufacturing (AM) techniques. Composite materials have significantly influenced various industries due to their exceptional reliability and effectiveness. As technology advances, new types of composite reinforcements, such as novel chemical-based and bio-based, and new fabrication techniques are utilized to develop high-performance composite materials. AM, a widely popular concept poised to shape the development of Industry 4.0, is also being utilized in the production of composite materials. Comparing AM-based manufacturing processes to traditional methods reveals significant variations in the performance of the resulting composites. The primary objective of this review is to offer a comprehensive understanding of metal- and polymer-based composites and their applications in diverse fields. Further on this review delves into the intricate details of metal- and polymer-based composites, shedding light on their mechanical performance and exploring the various industries and sectors where they find utility.
Collapse
Affiliation(s)
- Sundarakannan Rajendran
- Institute of Agricultural Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, India; (S.R.); (G.P.)
| | - Geetha Palani
- Institute of Agricultural Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, India; (S.R.); (G.P.)
| | - Arunprasath Kanakaraj
- Department of Mechanical Engineering, PSN College of Engineering and Technology, Tirunelveli 627152, India;
| | - Vigneshwaran Shanmugam
- Instituteof Mechanical Engineering, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, India;
| | - Arumugaprabu Veerasimman
- Faculty of Mechanical Engineering, Kalasalingam Academy of Research and Education, Krishnankoil 626126, India;
| | - Szymon Gądek
- Faculty of Materials Engineering and Physics, Cracow University of Technology, Al. Jana Pawła II 37, 31-864 Kraków, Poland;
| | - Kinga Korniejenko
- Faculty of Materials Engineering and Physics, Cracow University of Technology, Al. Jana Pawła II 37, 31-864 Kraków, Poland;
| | - Uthayakumar Marimuthu
- Faculty of Mechanical Engineering, Kalasalingam Academy of Research and Education, Krishnankoil 626126, India;
| |
Collapse
|
5
|
Moreta-Martínez R, Rubio-Pérez I, García-Sevilla M, García-Elcano L, Pascau J. Evaluation of optical tracking and augmented reality for needle navigation in sacral nerve stimulation. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 224:106991. [PMID: 35810510 DOI: 10.1016/j.cmpb.2022.106991] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 06/10/2022] [Accepted: 06/28/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND OBJECTIVE Sacral nerve stimulation (SNS) is a minimally invasive procedure where an electrode lead is implanted through the sacral foramina to stimulate the nerve modulating colonic and urinary functions. One of the most crucial steps in SNS procedures is the placement of the tined lead close to the sacral nerve. However, needle insertion is very challenging for surgeons. Several x-ray projections are required to interpret the needle position correctly. In many cases, multiple punctures are needed, causing an increase in surgical time and patient's discomfort and pain. In this work we propose and evaluate two different navigation systems to guide electrode placement in SNS surgeries designed to reduce surgical time, minimize patient discomfort and improve surgical outcomes. METHODS We developed, for the first alternative, an open-source navigation software to guide electrode placement by real-time needle tracking with an optical tracking system (OTS). In the second method, we present a smartphone-based AR application that displays virtual guidance elements directly on the affected area, using a 3D printed reference marker placed on the patient. This guidance facilitates needle insertion with a predefined trajectory. Both techniques were evaluated to determine which one obtained better results than the current surgical procedure. To compare the proposals with the clinical method, we developed an x-ray software tool that calculates a digitally reconstructed radiograph, simulating the fluoroscopy acquisitions during the procedure. Twelve physicians (inexperienced and experienced users) performed needle insertions through several specific targets to evaluate the alternative SNS guidance methods on a realistic patient-based phantom. RESULTS With each navigation solution, we observed that users took less average time to complete each insertion (36.83 s and 44.43 s for the OTS and AR methods, respectively) and needed fewer average punctures to reach the target (1.23 and 1.96 for the OTS and AR methods respectively) than following the standard clinical method (189.28 s and 3.65 punctures). CONCLUSIONS To conclude, we have shown two navigation alternatives that could improve surgical outcome by significantly reducing needle insertions, surgical time and patient's pain in SNS procedures. We believe that these solutions are feasible to train surgeons and even replace current SNS clinical procedures.
Collapse
Affiliation(s)
- Rafael Moreta-Martínez
- Departamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés 28911, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid 28007, Spain
| | - Inés Rubio-Pérez
- Servicio de Cirugía General, Hospital Universitario La Paz, Madrid 28046, Spain
| | - Mónica García-Sevilla
- Departamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés 28911, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid 28007, Spain
| | - Laura García-Elcano
- Departamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés 28911, Spain; Centro de Investigación Médica Aplicada, Clínica Universidad de Navarra, Madrid 28027, Spain
| | - Javier Pascau
- Departamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Leganés 28911, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid 28007, Spain.
| |
Collapse
|
6
|
Polymer 3D Printing Review: Materials, Process, and Design Strategies for Medical Applications. Polymers (Basel) 2021; 13:polym13091499. [PMID: 34066639 PMCID: PMC8124560 DOI: 10.3390/polym13091499] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 04/23/2021] [Indexed: 12/12/2022] Open
Abstract
Polymer 3D printing is an emerging technology with recent research translating towards increased use in industry, particularly in medical fields. Polymer printing is advantageous because it enables printing low-cost functional parts with diverse properties and capabilities. Here, we provide a review of recent research advances for polymer 3D printing by investigating research related to materials, processes, and design strategies for medical applications. Research in materials has led to the development of polymers with advantageous characteristics for mechanics and biocompatibility, with tuning of mechanical properties achieved by altering printing process parameters. Suitable polymer printing processes include extrusion, resin, and powder 3D printing, which enable directed material deposition for the design of advantageous and customized architectures. Design strategies, such as hierarchical distribution of materials, enable balancing of conflicting properties, such as mechanical and biological needs for tissue scaffolds. Further medical applications reviewed include safety equipment, dental implants, and drug delivery systems, with findings suggesting a need for improved design methods to navigate the complex decision space enabled by 3D printing. Further research across these areas will lead to continued improvement of 3D-printed design performance that is essential for advancing frontiers across engineering and medicine.
Collapse
|
7
|
Ramadi KB, Srinivasan SS, Traverso G. Electroceuticals in the Gastrointestinal Tract. Trends Pharmacol Sci 2020; 41:960-976. [PMID: 33127099 PMCID: PMC8186669 DOI: 10.1016/j.tips.2020.09.014] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/25/2020] [Accepted: 09/30/2020] [Indexed: 02/08/2023]
Abstract
The field of electroceuticals has attracted considerable attention over the past few decades as a novel therapeutic modality. The gastrointestinal (GI) tract (GIT) holds significant potential as a target for electroceuticals as the intersection of neural, endocrine, and immune systems. We review recent developments in electrical stimulation of various portions of the GIT (including esophagus, stomach, and small and large intestine) and nerves projecting to the GIT and supportive organs. This has been tested with varying degrees of success for several dysmotility, inflammatory, hormonal, and neurologic disorders. We outline a vision for the future of GI electroceuticals, building on advances in mechanistic understanding of GI physiology coupled with novel ingestible technologies. The next wave of electroceutical therapies will be minimally invasive and more targeted than current approaches, making them an indispensable tool in the clinical armamentarium.
Collapse
Affiliation(s)
- Khalil B Ramadi
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Shriya S Srinivasan
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Giovanni Traverso
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
| |
Collapse
|