3D Printing = New Clinical Care Options for Veterans. Ben Salatin & Brian Burkhardt Clinical Rehabilitation Engineers

Transcription

1 3D Printing = New Clinical Care Options for Veterans Ben Salatin & Brian Burkhardt Clinical Rehabilitation Engineers

2 Disclosures Presenter: Ben Salatin No Conflicts to Disclose Presenter: Brian Burkhardt No Conflicts to Disclose This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with PVA. PESG, PVA, and all accrediting organization do not support or endorse any product or service mentioned in this activity.

3 Learning Objectives Describe the role of a clinical rehabilitation engineer on an SCI healthcare team. Describe 3 types of 3D printing processes. List 2 examples of 3D printed end use assistive technology. List 2 ways to access 3D printing services through the VA healthcare system.

4 CE/CME Credit If you would like to receive continuing education credit for this activity, please visit:

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6 Personalized Assistive Technology = Patient Goals solved by Clinicians and Engineers using the sum of 3D Printing and Electronics

7 What is Clinical Rehabilitation Engineering? Patient Focused Unbiased Technical Expert Custom Designer

8 Key to Success Client Centered Multidisciplinary Team Educator Recreational Therapist Occupational Therapist Case Manager & Social Worker Physical Therapist Rehabilitation Counselor Consumer / Patient / Student / Family Physician Kinesiotherapist Manufacturer Speech and Language Pathologist Clinical Rehab Engineer Rehabilitation Technology Supplier

9 Same Goals, Different Perspectives Engineer / Technologist Problem assessment Design and testing Technical background Clinicians Functional assessment Intervention implementation Clinical background

10 Role of Rehab Engineers at the VA Assist Clinician in. Evaluating Technology Setup & Configuration Training Troubleshooting Outcome Measures And also. Training staff on various technology Seek out new technologies Adapt/Modify off theshelf technologies Create new technologies

11 Assistive Technology: The Continuum Design and Fabricate AT Customized AT Modified AT Assistive Technology Off the shelf consumer products

12 How Does 3D Printing Work?

13 The Tools 3D Scanning Design Software 3D Printer

14 How Does 3D Printing Work? Source: 3dprintingindustry.com

15 Materials to Print With Source: Sculpteo.com

16 Liquid 3D Printing Method

17 Inkjet 3D Printing Method

18 Powder 3D Printing Method

19 Filament 3D Printing Method

20 Clinical Case Studies

21 Toggle Switch Adapter Small Toggle Switch Difficult for Vet with Quadriplegia to Actuate Push On Adapter Fits Over Toggle Switch Reason for Printing: Item Did Not Exist

22 Sip n Puff + Drinking Tube Mount for Wheelchair Original Temp Solution Version 1 Version 2 Final Design Reason for Printing: Item Did Not Exist & Urgency

23 Hygiene Mirror Purchased Item 3D Printed Design Added Hinge for Easy Insertion & Light Larger Design Created by Occupational Therapist from Moldable Thermoplastic Current Version Reason for Printing: Item Did Not Exist

24 Mount Rotation Modification to Allow Use Without Finger Function This Piece Functions as a Spring Allowing the Phone to Snap Into a Vertical Position The Diameter of This Piece Determines the Force Required to Rotate the Phone Left or Right Reason for Printing: Item Did Not Exist

25 Adapted Utensil 3D Printed Utensil with Spoon Glued In Prototype Created by Occupational Therapist Reason for Printing: Item Did Not Exist

26 Custom Mouth Stick Holder for Person with Quadraplegia Prototype Mouth Stick Holder from Foam Tube Created by Occupational Therapist 3D Printed Mountable Mouth Stick Holder Reason for Printing: Item Did Not Exist

27 Phone Mount Adapter Non Flexible Cell Phone Mount Solution: 3D Printed Backshell Ball Attachment Not Compatible Reason for Printing: Item Did Not Exist

28 Large Button Phone Case for Wheelchair Lap Tray Reason for Printing: Item Did Not Exist

29 Mount Adjustment Handle Extension Press On Handle Extension with Lanyard Loop Reason for Printing: Item Did Not Exist

30 Non Warranty Voiding Infrared Controller for Hospital Bed Custom Mechanical & Electrical Adapter to Add Infrared Control of Bed for Smart Home Caregiver Remote Arduino Microcontroller 3D Printed Structure 3D Printed Mount Reason for Printing: Item Did Not Exist

31 Magnetic Chair Exit Switch Magnetic seat exit switch triggers alarm with personal message Reason for Printing: Item Did Not Exist

32 Challenges of Using 3D Printing Initial designs can be labor intensive Not as simple as clicking print Material selection Long print times Unclear material safety sometimes Commercial software and printers are expensive

33 What Does the FDA Think? Many assistive tech devices are considered Class 1 exempted by the FDA which means no FDA approval is required for sale. /315.cfm?GMPPart=890#start FDA considers 3D printing simply a manufacturing method which is not regulated by FDA. FDA regulates the end product and its intended use instead. Procedures/3DPrintingofMedicalDevices/default.htm 6/s

34 Clinical Care Pilot Studies Hand & Arm Braces / Splints Test appropriateness of 3D printing & understand possible clinical workflows Foot Orthotics Determine best foot shape capture technique & optimal 3D printing method Assistive Technology Develop button and switch fabrication kits

35 How Can You Access 3D Printing in VA?

36 VA 3D Printing National Network + Walter Reed Informal grassroots network Supporting each other with design, printing & training services. Advocating to VA HQ for assistance with formal network development digital-fabrication Minneapolis, Pittsburgh & Richmond national leaders

37 VA Application Experts Radiology & Surgery Radiologist Washington & Virginia Surgeon California Simulation & Training Natl Medical Simulation Director Florida Simulation Director Minnesota Rehabilitation & Assistive Tech Clinical Rehab Engineer New Mexico & Virginia Prosthetics & Orthotics Prosthetist/Orthotist Louisiana & Texas Research & Engineering Designer / Fabricator Minnesota Connect with an expert in your discipline Sign up for VAPulse to see full contact details Researcher / Intellectual Property Management Minnesota Researcher / Fabricator Pennsylvania

38 3D Design & Printing Free & Low Cost Design Software Shapr3D Find local access to a 3D printer by creatively partnering with university, library or Makerspace Use a 3D printing service vendor Buy a printer for your hospital Make Magazine yearly review of consumer 3D printers

39 Thank You Ben Salatin x6883 Brian Burkhardt x2176

40 3D Design Libraries Getting Ideas and Sharing Designs 3D model search engines Yeggi 3Dbility Thingiverse YouMagine SketchFab Grab CAD AutoDesk 123D App Library Fabster

41 3D Scanning (Low Cost Options) Sense2 $400 Structure $500 XYZPrinting $200 Scanner Matter&Form $517 Free Apps Android scann3d.smartmobilevision.com ios