Point-of-care manufacturing: a single university hospital's initial experience

被引:14
作者
Calvo-Haro, Jose Antonio [1 ,2 ,3 ]
Pascau, Javier [3 ,4 ]
Asencio-Pascual, Jose Manuel [1 ,2 ,3 ]
Calvo-Manuel, Felipe [5 ]
Cancho-Gil, Maria Jose [1 ,3 ]
Del Canizo Lopez, Juan Francisco [1 ,2 ,3 ]
Fanjul-Gomez, Maria [1 ,3 ]
Garcia-Leal, Roberto [1 ,2 ,3 ]
Gonzalez-Casaurran, Guillermo [1 ,3 ]
Gonzalez-Leyte, Manuel [1 ,3 ]
Leon-Luis, Juan Antonio [1 ,2 ,3 ]
Mediavilla-Santos, Lydia [1 ,3 ]
Ochandiano-Caicoya, Santiago [1 ,3 ]
Perez-Caballero, Ramon [1 ,3 ]
Ribed-Sanchez, Almudena [1 ,3 ]
Rio-Gomez, Javier [1 ,3 ]
Sanchez-Perez, Eduardo [1 ,3 ]
Serrano-Andreu, Javier [5 ]
Tousidonis-Rial, Manuel [1 ,3 ]
Vaquero-Martin, Javier [1 ,2 ,3 ]
Garcia San Jose, Sonia [1 ,3 ]
Perez-Mananes, Ruben [1 ,2 ,3 ]
机构
[1] Hosp Gen Univ Gregorio Maranon, Adv Planning & 3D Mfg Unit, Calle Doctor Esquerdo 46, Madrid 28007, Spain
[2] Univ Complutense, Fac Med, Madrid, Spain
[3] Inst Invest Sanitaria Gregorio Maranon, Madrid, Spain
[4] Univ Carlos III Madrid, Dept Bioingn & Ingn Aeroesp, Madrid, Spain
[5] Clin Univ Navarra, Madrid, Spain
关键词
3D printing; Manufacturing university hospital; POC manufacturing; Preoperative planning; Biomodel; Surgical guides; Custom implants; CUTTING GUIDES; 3D; MODELS; INSTRUMENTS; SURGERY; TECHNOLOGY; DESIGN;
D O I
10.1186/s41205-021-00101-z
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
BackgroundThe integration of 3D printing technology in hospitals is evolving toward production models such as point-of-care manufacturing. This study aims to present the results of the integration of 3D printing technology in a manufacturing university hospital.MethodsObservational, descriptive, retrospective, and monocentric study of 907 instances of 3D printing from November 2015 to March 2020. Variables such as product type, utility, time, or manufacturing materials were analyzed.ResultsOrthopedic Surgery and Traumatology, Oral and Maxillofacial Surgery, and Gynecology and Obstetrics are the medical specialties that have manufactured the largest number of processes. Working and printing time, as well as the amount of printing material, is different for different types of products and input data. The most common printing material was polylactic acid, although biocompatible resin was introduced to produce surgical guides. In addition, the hospital has worked on the co-design of custom-made implants with manufacturing companies and has also participated in tissue bio-printing projects.ConclusionsThe integration of 3D printing in a university hospital allows identifying the conceptual evolution to "point-of-care manufacturing."
引用
收藏
页数:14
相关论文
共 65 条
[1]   A Novel Plasma-Based Bioink Stimulates Cell Proliferation and Differentiation in Bioprinted, Mineralized Constructs [J].
Ahlfeld, Tilman ;
Cubo-Mateo, Nieves ;
Cometta, Silvia ;
Guduric, Vera ;
Vater, Corina ;
Bernhardt, Anne ;
Akkineni, A. Rahul ;
Lode, Anja ;
Gelinsky, Michael .
ACS APPLIED MATERIALS & INTERFACES, 2020, 12 (11) :12557-12572
[2]   Analysis of principles inspiring design of three-dimensional-printed custom-made prostheses in two referral centres [J].
Angelini, Andrea ;
Kotrych, Daniel ;
Trovarelli, Giulia ;
Szafranski, Andrzej ;
Bohatyrewicz, Andrzej ;
Ruggieri, Pietro .
INTERNATIONAL ORTHOPAEDICS, 2020, 44 (05) :829-837
[3]   Three-dimension-printed custom-made prosthetic reconstructions: from revision surgery to oncologic reconstructions [J].
Angelini, Andrea ;
Trovarelli, Giulia ;
Berizzi, Antonio ;
Pala, Elisa ;
Breda, Anna ;
Ruggieri, Pietro .
INTERNATIONAL ORTHOPAEDICS, 2019, 43 (01) :123-132
[4]   Three dimensional-printed patient-specific cutting guides for femoral varization osteotomy: Do it yourself [J].
Arnal-Burro, Juan ;
Perez-Mananes, Ruben ;
Gallo-del-Valle, Eudaldo ;
Igualada-Blazquez, Cristina ;
Cuervas-Mons, Manuel ;
Vaquero-Martin, Javier .
KNEE, 2017, 24 (06) :1359-1368
[5]   Medical 3D Printing Cost-Savings in Orthopedic and Maxillofacial Surgery: Cost Analysis of Operating Room Time Saved with 3D Printed Anatomic Models and Surgical Guides [J].
Ballard, David H. ;
Mills, Patrick ;
Duszak, Richard, Jr. ;
Weisman, Jeffery A. ;
Rybicki, Frank J. ;
Woodard, Pamela K. .
ACADEMIC RADIOLOGY, 2020, 27 (08) :1103-1113
[6]   3D-printed spine surgery implants: a systematic review of the efficacy and clinical safety profile of patient-specific and off-the-shelf devices [J].
Burnard, Joshua L. ;
Parr, William C. H. ;
Choy, Wien J. ;
Walsh, William R. ;
Mobbs, Ralph J. .
EUROPEAN SPINE JOURNAL, 2020, 29 (06) :1248-1260
[7]   3D surgical printing and pre contoured plates for acetabular fractures [J].
Chana-Rodriguez, Francisco ;
Mananes, Ruben Perez ;
Rojo-Manaute, Jose ;
Gil, Pablo ;
Martinez-Gomiz, Jose Maria ;
Vaquero-Martin, Javier .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2016, 47 (11) :2507-2511
[8]   3D Printing Technology: A New Milestone in the Development of Pharmaceuticals [J].
Chandekar, Anish ;
Mishra, Dinesh K. ;
Sharma, Sanjay ;
Saraogi, Gaurav K. ;
Gupta, Umesh ;
Gupta, Gaurav .
CURRENT PHARMACEUTICAL DESIGN, 2019, 25 (09) :937-945
[9]   Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios [J].
Chepelev, Leonid ;
Wake, Nicole ;
Ryan, Justin ;
Althobaity, Waleed ;
Gupta, Ashish ;
Arribas, Elsa ;
Santiago, Lumarie ;
Ballard, David H ;
Wang, Kenneth C ;
Weadock, William ;
Ionita, Ciprian N ;
Mitsouras, Dimitrios ;
Morris, Jonathan ;
Matsumoto, Jane ;
Christensen, Andy ;
Liacouras, Peter ;
Rybicki, Frank J ;
Sheikh, Adnan .
3D Printing in Medicine, 2018, 4 (01)
[10]   Current state of 3D-printed custom-made spinal implants [J].
Choy, Wen Jie ;
Mobbs, Ralph J. .
LANCET DIGITAL HEALTH, 2019, 1 (04) :E149-E150