In 2016, when I co-authored the first edition of ” A Roadmap from Idea to Implementation: 3D Printing for Pre-Surgical Application: Operational Management for 3D Printing in Surgery“, focusing on a systematic thinking process to address these questions by evaluating components of operational management with Michelle Gabriel. However, selling a book is not going to accelerate adaption, instead, I decided to publish this book as a regularly updated online version of 3DHEALS Guide in five digestible parts, focusing on and adding new information from field experts from all over the world to provide a foundation to any early adapters.
The first time I learned about 3D printing (a.k.a. additive manufacturing ) for pre-surgical planning was in 2012 during RSNA (Radiological Society of North America) in Chicago. As a small box containing pieces of a 3D-printed heart from a pediatric patient was passed around the conference room, I could tell that the room stopped breathing. For me, it was a sensational moment as a radiologist and as a healthcare provider. Having a patient’s disease in three-dimension in my hands was unimaginable. I immediately wanted to learn more about the technology and how I, as a radiologist, could use it to help my clinical colleagues. However, to me, the road to implementation was not simple and almost obscure. The barrier to entry for such technology seems to require one to be a combination of a designer, a mechanical engineer, and a software developer, and lastly a healthcare provider.
Not giving up, I started organizing meetings focusing on learning and discussing healthcare 3D printing solutions in San Francisco called 3DHEALS, hoping to create a community composed of various disciplines to start to have more practical conversations to accelerate the adaptation of the technology.
Michelle and I met at an after-work healthcare technology conference, and we instantly hit it off because of our complementary knowledge and interest in healthcare, operational management, 3D printing, and engineering. We are both fascinated with the complex process of integrating promising technologies into healthcare. On top of that, Michelle’s background in both operations management and material science and engineering, and mine in medicine and education add unique perspectives to this book.
That said, we both are fully aware of our limitations in various aspects of the subject of 3D printed surgical planning and do not proclaim to be field experts. This post serves as part 7 of this Guide series to thank individuals and companies for their insights and relationship with us and publication reference. Since our Guides are regularly updated and our conversations with our ecosystem never stop, this page will be updated whenever our guides are updated when appropriate.
Now On Demand:
- Introduction: What is operational management?
- Technical Background
- Strategic Issues
- Tactical Issues
- Financial Issues
- Financial Worksheet
We would like to give special thanks and acknowledgment to the following individuals:
- Dr. Parit Patel (Assistant professor of plastic and reconstructive surgery at Loyola Medicine)
- Dr. Elliot Brown (Assistant professor of radiology and biomedical imaging at Yale University)
- Dr. Jose Morey (Medical scientist with IBM Watson project, adjunct professor of radiology and biomedical imaging at the University of Virginia)
- Mr. Glen Jett from Sutter Health for providing valuable financial insights.
- Dr. Justin Ryan (Arizona State University Post-Doctoral Researcher, Phoenix Children’s Hospital Research Scientist) for providing valuable feedbacks and research on 3D printing for pediatric congenital heart cases.
- Dr. Justin Ryan
- Mr. Shannon Walter (Stanford School of Medicine, Manager of 3D and Quantitative Imaging Laboratory)
- Mr. Chris Letrong (Stanford School of Medicine, 3D Technologist)
- Dr. Ben Taragin (Children Hospital at Montefiore, Director of Pediatric Radiology)
- Dr. Joaquim M. Farinhas (Neuroradiology, Montefiore Medical Center)
- Materialse Inc.
- Whitecloud Inc.
- Stanford School of Medicine
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- Chen HJ, Gabriel M. Healthcare 3D printing in academia. 3D https://3dheals.com/healthcare-3d-printing-in-academia/. Published October 1, 2015.
- Friedman T, Michalski M, Goodman TR, Elliot Brown. 3D printing from diagnostic images: a radiologist’s primer with an emphasis on musculoskeletal imaging—putting the 3D printing of pathology into the hands of every physician. Skeletal Radiology, 1–15. http://doi.org/10.1007/s00256-015-2282-6. Published November 23, 2015.
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- Vaquerizo B, Theriault-Lauzier P, Piazza N. Percutaneous Transcatheter Mitral Valve Replacement: Patient-specific Three-dimensional Computer-based Heart Model and Prototyping. Revista Española De Cardiología (English Edition), 1–9. http://doi.org/10.1016/j.rec.2015.08.005.
- Giannopoulos AA, Chepelev L, Sheikh A, et al. 3D printed ventricular septal defect patch: a primer for the 2015 Radiological Society of North America (RSNA) hands-on course in 3D printing. 3D Printing in Medicine, 1–20. http://doi.org/10.1186/s41205-015-0002-4.
- Cai T, Rybicki FJ, Giannopoulos AA, et al. The residual STL volume as a metric to evaluate accuracy and reproducibility of anatomic models for 3D printing: application in the validation of 3D-printable models of maxillofacial bone from reduced radiation dose CT images. 3D Printing in Medicine, 1–9. http://doi.org/10.1186/s41205-015-0003-3.
- Rybicki FJ. 3D Printing in Medicine: an introductory message from the Editor-in-Chief. 3D Printing in Medicine, 1–1. http://doi.org/10.1186/s41205-015-0001-5.
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- Dickinson KJ, Matsumoto J, Cassivi SD, et al. Individualizing Management of Complex Esophageal Pathology Using Three-Dimensional Printed Models. The Annals of Thoracic Surgery, 100(2), 692–697. http://doi.org/10.1016/j.athoracsur.2015.03.115.
- Itagaki MW. Using 3D printed models for planning and guidance during endovascular intervention: a technical advance. Diagnostic and Interventional Radiology, 21(4), 338–341. http://doi.org/10.5152/dir.2015.14469.
- Tai BL, Wang AC, Joseph JR, et al. A physical simulator for endoscopic endonasal drilling techniques: technical note. Journal of Neurosurgery, 1–6. http://doi.org/10.3171/2015.3.JNS1552.
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- Huotilainen E, Jaanimets R., Valášek J, et al. Inaccuracies in additive manufactured medical skull models caused by the DICOM to STL conversion process Journal of Cranio-Maxillofacial Surgery. 2014:42(5), e259–e265. http://doi.org/10.1016/j.jcms.2013.10.001.
- Lethaus B, Poort L, Böckmann R, et al. Additive manufacturing for microvascular reconstruction of the mandible in 20 patients. Journal of Cranio-Maxillofacial Surgery. 2012:40(1), 43–46. http://doi.org/10.1016/j.jcms.2011.01.007.
- Li Y, Jiang Y, Ye B, et al. Treatment of Dentofacial Deformities Secondary to Osteochondroma of the Mandibular Condyle Using Virtual Surgical Planning and 3-Dimensional Printed Surgical Templates. Journal of Oral Maxillofacial Surgery. 2015:1–20. http://doi.org/10.1016/j.joms.2015.06.169.
- Mazzoni S, Bianchi A, Schiariti G, et al. Computer-Aided Design and Computer-Aided Manufacturing Cutting Guides and Customized Titanium Plates Are Useful in Upper Maxilla Waferless Repositioning. Journal of Oral Maxillofacial Surgery. 2015:73(4), 701–707. http://doi.org/10.1016/j.joms.2014.10.028.
- Ogden KM, Aslan C, Ordway N, et al. Factors Affecting Dimensional Accuracy of 3-D Printed Anatomical Structures Derived from CT Data. Journal of Digital Imaging. 2015. http://doi.org/10.1007/s10278-015-9803-7.
- Pinto JM, Arrieta C, Andia ME, et al. Sensitivity analysis of geometric errors in additive manufacturing medical models. Medical Engineering and Physics. 2015:37(3), 328–334. http://doi.org/10.1016/j.medengphy.2015.01.009.
- Ryan JR, Chen T, Nakaji P, et al. Ventriculostomy simulation using patient-specific ventricular anatomy, 3D printing and hydrogel casting. World Neurosurgery. 1–7. http://doi.org/10.1016/j.wneu.2015.06.016.
- Wang JQ, Zhao CP, Sun X, et al. Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: initial results. Chinese Medical Journal. 2015:128(4), 477–6. http://doi.org/10.4103/0366-6999.151088.
- Watson RA. A low-cost surgical application of additive fabrication. Journal of Surgical Education. 2014:71(1), 14–17. http://doi.org/10.1016/j.jsurg.2013.10.012.
- Werner H, Santos JRL, Fontes R, et al. Additive manufacturing models of fetuses built from three-dimensional ultrasound, magnetic resonance imaging and computed tomography scan data. Ultrasound in Obstetrics and Gynecology. 2010:36(3), 355–361. http://doi.org/10.1002/uog.7619.
- Wong KC, Kumta SM, Geel NV, et al. One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection. Computer Aided Surgery: Official Journal of the International Society for Computer Aided Surgery. 2015:20(1), 14–23. http://doi.org/10.3109/10929088.2015.1076039.
- Mendez B, Chiodo MV, and Patel PA. Customized “in-office” three-dimensional printing for virtual surgical planning in craniofacial surgery. The Journal of Craniofacial Surgery. 2015:26(5):1584-6. http://doi.org/10.1097/SCS.0000000000001768.
- Peasah SK, McKay NL, Harman JS, et al. Medicare non-payment of hospital-acquired infections: infection rates three years post implementation. Medicaid & Medicare Research Review. 2013:3(3). https://www.cms.gov/mmrr/Downloads/MMRR2013_003_03_a08.pdf.
- Willis DR. How to decide whether to buy new medical equipment. American Academy of Family Physicians. 2004. http://www.aafp.org/fpm/2004/0300/p53.html.
- Rybicki F. Medical 3D printing for the radiologist. Radiographics. 2015:35(7):1965-88. http://www.ncbi.nlm.nih.gov/pubmed/26562233.
- Small T, Krebs V, Molloy R, et al. Comparison of acetabular shell position using patient specific instruments vs. standard surgical instruments: a randomized clinical trial. The Journal of Arthroplasty. 2014:29(5): 1030–1037. http://dx.doi.org/10.1016/j.arth.2013.10.006.
- Frakes DH, Ryan JR, Almefty KK, et al. Cerebral aneurysm clipping surgery simulation using patient-specific 3d printing and silicone casting. World Neurosurgery. 2016:88,175-181. http://www.worldneurosurgery.org/article/S1878-8750(16)00112-1/abstract.
- Sher D. New study confirms 3d printing market to grow to $17 billion by 2020. 3D Printing Industry. 2015. http://3dprintingindustry.com/2015/08/24/new-study-confirms-3d-printing-market-grow-17-billion-2020/.
- Zaleski A. Here’s why 2016 could be 3D printing’s breakout year. Fortune. 2015. http://fortune.com/2015/12/30/2016-consumer-3d-printing/.
- Sher D. Many 3d printing patents are expiring soon: heres a round up & overview of them. 3D Printing Industry. 2015. http://3dprintingindustry.com/2013/12/29/many-3d-printing-patents-expiring-soon-heres-round-overview/.
- Earls A, and Baya V. The road ahead for 3-D printers. PwC. 2014. http://www.pwc.com/us/en/technology-forecast/2014/3d-printing/features/future-3d-printing.html.
- After explosion, US Department of Labor’s OSHA cites 3-D printing firm for exposing workers to combustible metal powder, electrical hazards: Powderpart Inc. faces $64,400 in penalties. S. Department of Labor: Occupational Safety & Health Administration. 2014. https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=NEWS_RELEASES&p_id=26019.
- Azimi P, Zhao D, Pouzet C, et al. Emissions of ultrafine particles and volatile organic compounds from commercially available desktop three-dimensional printers with multiple filaments. ACS Publication. 2016. http://pubs.acs.org/doi/full/10.1021/acs.est.5b04983.
- 3d printing safety. Carnegie Mellon University. http://www.cmu.edu/ehs/fact-sheets/3D-Printing-Safety.pdf.
- Columbus L. 2015 roundup of 3d printing market forecasts and estimates. Forbes. 2015. http://www.forbes.com/sites/louiscolumbus/2015/03/31/2015-roundup-of-3d-printing-market-forecasts-and-estimates/.
- We cant wait: Obama administration announces new public-private partnership to support consortium of businesses, universities, and community colleges from Ohio, West Virginia and Pennsylvania co-invest with federal government in a manufacturing innovation institute. The White House. 2012. https://www.whitehouse.gov/the-press-office/2012/08/16/we-can-t-wait-obama-administration-announces-new-public-private-partners.
- Standard Terminology for Additive Manufacturing – General Principles-Terminology (ASTM) ISO/ASTM 52900:2015(E)
- Gross BC, Erkal JL, Lockwood SY, et al. Evaluation of 3d printing and its potential impact on Biotechnology and the chemical sciences. Analytical Chemistry. 2014:86, 3240-3253. http://pubs.acs.org/doi/ipdf/10.1021/ac403397r.
- 3d printers and 3d printing: technologies, processes and techniques. Sculpteo. https://www.sculpteo.com/en/3d-printing/3d-printing-technologies/.
- Davies CT, Baird LM, Jacobson MD, et al. 3d printing of medical devices: when a novel technology meets traditional legal principles. Reed Smith. 2015. https://www.reedsmith.com/3d-printing-of-medical-devices–when-a-novel-technology-meets-traditional-legal-principles-09-09-2015/.
- Leinauer M. FDA regulations (or lack thereof) of 3d printed medical devices. Ice Miller Legal Counsel. 2015. http://www.icemiller.com/ice-on-fire-insights/publications/fda-regulations-%28or-lack-thereof%29-of-3d-printed-me/.
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- Ejaz F, Ryan J, Henriksen M1, David Frakes, et al. Color-coded patient-specific physical models of congenital heart disease. Rapid Prototyping Journal. 2013. http://ipalab.fulton.asu.edu/wp-content/JournalPubs/RPJ_2013.pdf.
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- Laser melting (LM). Additively. https://www.additively.com/en/learn-about/laser-melting.
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- Technical Considerations of Additive Manufacture Medical Device: Draft Guidance for Industry and Food and Drug Administration Staff. 2016. http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM499809.pdf
3DHEALS Guides (Collective) – This is where we dive deep into subjects that you will find helpful for your projects and career.
3DHEALS From Academia (Collective) – This section features recent, relevant, close to commercialization academic publications in the space of healthcare 3D printing, 3D bioprinting, and related emerging technologies.