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3D printing medical devices: enabling patient-specific solutions for a better quality of care

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Alexander Pieters, Heleen De Schrijver, Ward Neefs & Wout Vertenten, Life Sciences Consultants at QbD Group
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3D printing medical devices offers unrivaled flexibility and personalization as illustrated by the case of Joe DiMeo's face and hand transplant. Curious? Be sure to read on!

Additive manufacturing, particularly 3D printing, has attracted strong attention of the medical devices and medical community at large over the past decade.
 
This bottom-up production technology uses raw material to create complex, three-dimensional objects. This relatively new technology has the potential to provide flexible and patient-specific solutions for medical device manufacturing.
 
3D printing is currently used for multiple applications such as:
  • Surgical implants (e.g. protheses, stents, …)
  • Tumor, organ and anatomical visualization for operation planning
  • Surgical equipment
  • Tissue engineering
  • In vitro diagnostic medical devices (IVDs) 

This innovative fabrication method also brings new challenges to guarantee quality and patient safety. This blog introduces you to Joe DiMeo and the state-of-the-art applications of 3D printing that changed his life. The medical world still has a lot of challenges to tackle and 3D printing could be one of the solutions. 

3D printing medical devices: what are the benefits?

3D printing medical devices can bring many benefits to both patients and medical professionals. 3D printing technology makes it possible to manufacture bottom-up involved designs with a high degree of complexity that are otherwise unfeasible.

Moreover, the uncomplicated production of customized and personalized medical products, drugs, and medical devices with a single 3D printer is one of the most important advantages in the medical field.

 
The benefits of 3D printing in medical devices - QbD

Figure 1 – The benefits of 3D printing for the medical and medical device industries

 

But it doesn’t stop there! Cost-effectiveness, increased productivity and speed, the democratization of design and manufacturing, rapid prototyping, low material waste, and improved collaboration are also benefits associated with 3D printing in medical devices and in medicine.

Improving the quality of patient care is the ultimate goal. If 3D printing technology is properly implemented and fully utilized, it will have a beneficial impact on the lives of many people. Highly complex surgeries involving multiple conditions simultaneously can be more thoroughly prepared and completed in a shorter time frame. A good example of this will be discussed in detail. 

Case study: face and double hand transplant

In 2018, Joe DiMeo was in a terrible car accident, after which the 22-year-old spent more than 3 months in a coma. He suffered such severe injuries to both his hands and face that a normal life was no longer possible, and unfortunately, traditional medical treatments would fall short.

That’s why a Belgian company, Materialise, teamed up with NYU Langone surgeons for the world’s first full face and double hand transplant. This highly complex and time-sensitive surgical procedure was facilitated by 3D printing, virtual 3D design, and meticulous procedure planning.

In the months before surgery, a 3D model of the patient’s face and arms was created, allowing for virtual planning and visualization of various outcomes. After 14 months of preparation, a team of about 80 healthcare providers was ready to begin the 23-hour surgery

3D printing in medical devices - the case of Joe DiMeo

Figure 2 – Rehearsing Joe DiMeo’s surgery in a lab environment to develop and fine-tune the surgical plan
(Source: Materialise

During this surgery, custom 3D-printed surgical guides were used to cut, drill and place medical implants. The patient-specific guides fit perfectly on Joe’s bones and ensured that surgical procedures were performed without the need for revision. This is due to the high accuracy and precision of the 3D-printed parts.

This well-prepared, patient-specific and coordinated effort led to a successful reconstruction. The custom-designed guidance systems for bone repositioning and fixation were critical during the surgery to achieve high precision and reduce overall surgery time. Joe’s function, appearance, and overall quality of life improved dramatically, bringing the use of 3D printing in medicine into the spotlight.  

3D Technologies Support World’s First Successful Double Hand and Face Transplant - Materialise

Figure 3 – Pre-surgical planning allowed surgeons to virtually select and place medical implants to predict the optimal fit (Source: Materialise)

 

Guaranteeing quality: the need for regulation when 3D printing medical devices

As these types of new manufacturing technologies emerge, regulations must keep their finger on the pulse to continue to provide safe and effective care to patients.

Many 3D printing applications fall under the current European Medical Device Regulation (MDR) 2017/745 or are in the transition from directives (MDD) to regulations (MDR). The MDR has made the effort to include 3D printed medical devices compared to the MDD. Although there are still some pitfalls, progress is being made.

Conducting the necessary conformity assessment procedures, compiling a technical file, preparing the EU Declaration of Conformity, and affixing the CE mark, if applicable, are necessary requirements before 3D printed medical devices or appliances can be placed on the market.

3D printers are subject to mandatory EU standards. The health, safety, and performance of the printer must be guaranteed. Harmonized specific technical solutions are included in the MDR or a different technical solution may be chosen, which requires a detailed explanation of compliance with EU requirements. 

Great strides are being made, but we still have a long way to go!

3D printing is already in widespread use to create medical devices, but there are still many challenges ahead. The classification of these devices is not always straightforward, which can make their validation difficult, resulting in the difficulty of ensuring quality for each patient.   

QbD has experts ready to guide you through this process. Don’t hesitate to contact us should you have any questions about your medical device and/or its regulatory framework.

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Case study

Revolutionizing pharmacovigilance: a success story of strategic partnership and seamless integration

Discover how QbD Group's expert support enhanced a pharmaceutical company's pharmacovigilance, leading to a favorable inspection outcome by the local Regulatory Authority (AEMPS).
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Case study

The journey toward IVDR compliance for the LVOne device

QbD Group helped Upfront Diagnostics gain entry into the MD/IVD industry by supporting them on their path to ISO 13485 certification.
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Case study

Patient Support Program (PSP)

Learn about our patient support program (PSP) and how it helps manage customer support for a PV Spanish client. Resolve quality issues and ensure stability with QbD Pharma.
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Case study

Ensuring a smooth MDR transition for Oystershell's medical devices

The landscape of medical device regulations is constantly evolving, making it a challenge for companies to keep up. Our collaboration with Oystershell, which began in July 2023, highlights our expertise in transforming complex challenges into success stories, all with a touch of QbD Clinical magic.
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Case study

Successful clinical evaluation supports rapid CE marking of Minze Health's Uroflowmeter

QbD Clinical assisted Minze Health, a urology-focused medical devices company, in obtaining CE marking under MDR through clinical evaluation.
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Webinar

The Medical Device CE Certification Pathway Explained: From Classification to Conformity Assessment by the Notified Body

Learn about the Medical Device CE Certification Pathway, from classification to conformity assessment by a Notified Body. Join our webinar on demand.
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Case study

Helping Relu to comply with changing regulations

QbD Group supported software company Relu with their expertise to comply with changing regulations.
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Case study

Helping Abraca BioSystems to obtain ISO 13485 certification

QbD Group helped Abraca Biosystem gain entry into the MD/IVD industry by supporting them on their path to ISO 13485 certification.
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Case study

Help BioLizard build their Quality Management System

QbD Group helped BioLizard document the fundamental processes of their QMS and enabled them to continue building it on their own.
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Case study

Supporting Oncomfort in developing and certifying their ISO 13485 QMS

QbD Group helped Oncomfort quickly implement and certify an ISO 13485 compliant Quality Management System.
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Case study

Quickly bringing a new COVID-19 medical device to market

Obtaining the required government certifications for a medical device is always a challenge. Especially when the COVID clock is ticking.