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

3D Printing in Medicine

Jose Antonio Calvo-Haro¹  Javier Vaquero-Martín¹  Juan Francisco Del Cañizo López¹  Roberto García-Leal¹  Juan Antonio León-Luis¹  Rubén Perez-Mañanes¹  José Manuel Asencio-Pascual¹  Lydia Mediavilla-Santos²  Manuel González-Leyte²  Maria José Cancho-Gil²  María Fanjul-Gómez²  Ramón Pérez-Caballero²  Almudena Ribed-Sánchez²  Santiago Ochandiano-Caicoya²  Guillermo González-Casaurrán²  Javier Río-Gómez²  Sonia García San José²  Eduardo Sánchez-Pérez²  Manuel Tousidonis-Rial²  Felipe Calvo-Manuel³  Javier Serrano-Andreu³  Javier Pascau⁴ 

[1] Advanced Planning and 3D Manufacturing Unit, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo, 46, 28007, Madrid, Spain;Faculty of Medicine, Universidad Complutense, Madrid, Spain;Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain;Advanced Planning and 3D Manufacturing Unit, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo, 46, 28007, Madrid, Spain;Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain;Clínica Universidad de Navarra, Madrid, Spain;Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain;Departamento de Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Madrid, Spain;

关键词: 3D printing;    Manufacturing university hospital;    POC manufacturing;    Preoperative planning;    Biomodel;    Surgical guides;    Custom implants;   

DOI  :  10.1186/s41205-021-00101-z

来源: Springer

【 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.”

【 授权许可】

CC BY