3D Printed Assistive Technology Creation in the Clinic:

A Case Study

Ben Salatin

Rehabilitation Engineer

McGuire Veterans Medical Center

Richmond, Virginia, USA

Outline Overview of Veterans Assistive Technology Centers

Description of 3D Printing Technology

Case Studies from a Rehab Clinic

How Can You Access 3D Printing?

Hands On Time & Questions Slides at https://goo.gl/wwVQii (PDF and PowerPoint files)

U.S. Department of Veterans Affairs

Second largest government agency $60 billion budget for healthcare services (2014) 150 Hospitals 820 Outpatient Clinics Currently serving about 6 million veterans each year 250,000 employees approx

5 Assistive Technology Centers Palo Alto, CA Minneapolis, MN Richmond, VA Tampa, FL San Antonio, TX

Program Director (OT) Rehabilitation Engineers Backgrounds in: Mechanical Electrical

AT Clinical Team Occupational Therapists Physical Therapists Speech Therapists Driving Rehab Specialists Adaptive Sports Specialists Doctors

L-R: Ben Salatin, Melissa Oliver, Brian Burkhardt

Richmond Assistive Technology Center Staff

Role of Rehab Engineers at the VA

Assist the Clinician in….

Evaluating Technology

Setup & Configuration

Training

Troubleshooting

Outcome Measures

And also….

Find new technologies

Adapt/Modify off-the-shelf technologies

Provide in-services to staff on technology

Create clinical infrastructure for use by therapists

Create new technologies

3D Printing

How Does 3D Printing Work?

Source:

Sculpteo.com

Materials to Print With

Liquid 3D Printing Method

http://youtu.be/NM55ct5KwiI

Powder 3D Printing Method

http://youtu.be/9E5MfBAV_tA

Filament 3D Printing Method

http://youtu.be/WHO6G67GJbM

Creating Assistive Technology With 3D Printing

The Tools

Design Software

3D Scanning

3D Printer

Reason for Printing: Urgency

iPad Keyguard for Hand Tremor

Reason for Printing: Item Did Not Exist

Version 1

Version 2

Mount Rotation for Limited Hand Function

Reason for Printing: Item Did Not Exist

Ball Attachment Not Compatible

Solution: 3D Printed Backshell

Non Flexible Cell Phone Mount

Mounting System Adapter

Custom Mouth Stick

Holder

Reason for Printing: Item Did Not Exist

Prototype Mouth Stick Holder from Foam Tube Created by

Occupational Therapist

3D Printed Mountable Mouth Stick Holder

Sip n’ Puff + Drinking Tube Mount for Wheelchair

Reason for Printing: Item Did Not Exist & Urgency

Version 1

Version 2

Original Temp Solution

Final Design

Reason for Printing: Item Did Not Exist

Purchased Item 3D Printed Design Added Hinge for Easy Insertion & Light

Hygiene Mirror

Larger Design Created by Occupational Therapist

from Moldable Thermoplastic

Current Version

Prosthetist at Omaha working with Richmond & Walter Reed to 3D scan, design and 3D print a solution.

Prosthetic Shoulder Cap

Reason for Printing: Customization & Weight

1st Fitting

Prosthetic End Limb Attachments

Fishing Pole Attachment

Adaptive Driving Attachment

Example from Walter Reed 3D Medical Applications Center

Hockey Hand Attachment Direct Skate Attachment

Prosthetic End Limb Attachments

Example from Walter Reed 3D Medical Applications Center

Splinting Using 3D Scanning & Printing

Reason for Printing: More Durable, Customizable & Repeatable

Abby Paterson at Loughborough University, UK 2014

Current Manual Splinting Process with Moldable Thermoplastic

Trial of Clinical Software for 3D Design & Printing of Splints

Splinting Using 3D Scanning & Printing

Edit Design on Computer for Weight & Strength

Lightweight Custom 3D Printed Brace 3D Scanning Splint made by

Occupational Therapist from Moldable Thermoplastic

Reason for Printing: More Durable, Customizable & Repeatable

How Can You Access 3D Printing?

Design Software Free http://3dp4e.com/resources/free-3d-modeling-software

Low cost ($50-$200)

How Can You Access 3D Printing?

3D Scanning Low Cost Scanners Cubify iSense $500 http://cubify.com/en/Products/iSense MakerBot Digitizer $800

http://store.makerbot.com/digitizer Fuel3D $1,500 http://fuel-3d.com/

How Can You Access 3D Printing?

3D Printing Contact a local university, high schools, library, or

Makerspace/Hackerspace Own a printer (Ultimaker, MakerBot, Afinia) Make Magizine yearly review of consumer 3D printers

Use a printing service (Materialise, Shapeways, Sculpteo, Staples, Solid Concepts)

How Can You Access 3D Printing?

Getting Ideas and Sharing Designs 3D model search engines Yeggi http://www.yeggi.com/ 3Dbility http://3dbility.com/

Thingiverse http://www.thingiverse.com/ YouMagine https://www.youmagine.com/

SketchFab https://sketchfab.com/ Grab CAD https://grabcad.com/library AutoDesk 123D App Library

http://www.123dapp.com/Gallery/content/all Fabster http://www.fabster.com/

Hands On Time & Questions

How Would You Use 3D Design, Scanning, & Printing?

Office +1-804-675-5000 x4897

benjamin.salatin@va.gov

Mobile +1-804-316-9231

benjamin.salatin@gmail.com

Ben Salatin Rehabilitation Engineer

McGuire Veterans Medical Center

Assistive Technology Center website http://www.richmond.va.gov/services/AT.asp

Slides at https://goo.gl/wwVQii (PDF and PowerPoint files)