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The introduction of affordable, consumer-oriented 3-D printers is a milestone in the current \"maker movement,\" which has been heralded as the next industrial revolution. Combined with free and open sharing of detailed design blueprints and accessible development tools, rapid prototypes of complex products can now be assembled in one's own garage--a game-changer reminiscent of the early days of personal computing. At the same time, 3-D printing has also allowed the scientific and engineering community to build the \"little things\" that help a lab get up and running much faster and easier than ever before.

Neuroimaging technologies such as Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) collect three-dimensional data (3D) that is typically viewed on two-dimensional (2D) screens. Actual 3D models, however, allow interaction with real objects such as implantable electrode grids, potentially improving patient specific neurosurgical planning and personalized clinical education. Desktop 3D printers can now produce relatively inexpensive, good quality prints. We describe our process for reliably generating life-sized 3D brain prints from MRIs and 3D skull prints from CTs. We have integrated a standardized, primarily open-source process for 3D printing brains and skulls. We describe how to convert clinical neuroimaging Digital Imaging and Communications in Medicine (DICOM) images to stereolithography (STL) files, a common 3D object file format that can be sent to 3D printing services. We additionally share how to convert these STL files to machine instruction gcode files, for reliable in-house printing on desktop, open-source 3D printers. We have successfully printed over 19 patient brain hemispheres from 7 patients on two different open-source desktop 3D printers. Each brain hemisphere costs approximately $3-4 in consumable plastic filament as described, and the total process takes 14-17 hours, almost all of which is unsupervised (preprocessing = 4-6 hr; printing = 9-11 hr, post-processing = <30 min). Printing a matching portion of a skull costs $1-5 in consumable plastic filament and takes less than 14 hr, in total. We have developed a streamlined, cost-effective process for 3D printing brain and skull models. We surveyed healthcare providers and patients who confirmed that rapid-prototype patient specific 3D models may help interdisciplinary surgical planning and patient education. The methods we describe can be applied for other clinical, research, and educational purposes.

Soft tissue prostheses such as artificial ear, eye and nose are widely used in the maxillofacial rehabilitation. In this report we demonstrate how to fabricate soft prostheses mold with a low cost desktop 3D printer. The fabrication method used is referred to as Scanning Printing Polishing Casting (SPPC). Firstly the anatomy is scanned with a 3D scanner, then a tissue casting mold is designed on computer and printed with a desktop 3D printer. Subsequently, a chemical polishing method is used to polish the casting mold by removing the staircase effect and acquiring a smooth surface. Finally, the last step is to cast medical grade silicone into the mold. After the silicone is cured, the fine soft prostheses can be removed from the mold. Utilizing the SPPC method, soft prostheses with smooth surface and complicated structure can be fabricated at a low cost. Accordingly, the total cost of fabricating ear prosthesis is about $30, which is much lower than the current soft prostheses fabrication methods.

Three‐dimensional (3D) printing has shown great promise in medicine with increasing reports in congenital heart disease (CHD). This systematic review aims to analyse the main clinical applications and accuracy of 3D printing in CHD, as well as to provide an overview of the software tools, time and costs associated with the generation of 3D printed heart models. A search of different databases was conducted to identify studies investigating the application of 3D printing in CHD. Studies based on patient's medical imaging datasets were included for analysis, while reports on in vitro phantom or review articles were excluded from the analysis. A total of 28 studies met selection criteria for inclusion in the review. More than half of the studies were based on isolated case reports with inclusion of 1–12 cases (61%), while 10 studies (36%) focused on the survey of opinion on the usefulness of 3D printing by healthcare professionals, patients, parents of patients and medical students, and the remaining one involved a multicentre study about the clinical value of 3D printed models in surgical planning of CHD. The analysis shows that patient‐specific 3D printed models accurately replicate complex cardiac anatomy, improve understanding and knowledge about congenital heart diseases and demonstrate value in preoperative planning and simulation of cardiac or interventional procedures, assist surgical decision‐making and intra‐operative orientation, and improve patient‐doctor communication and medical education. The cost of 3D printing ranges from USD 55 to USD 810. This systematic review shows the usefulness of 3D printed models in congenital heart disease with applications ranging from accurate replication of complex cardiac anatomy and pathology to medical education, preoperative planning and simulation. The additional cost and time required to manufacture the 3D printed models represent the limitations which need to be addressed in future studies. This systematic review analyses 28 studies published about the applications of 3D printing in congenital heart disease and results show the usefulness of 3D printed models in congenital heart disease with applications ranging from accurate replication of complex cardiac anatomy and pathology to medical education, preoperative planning and simulation.

Laboratory equipment is critical for automating tasks in modern scientific research, but often limited by high costs, large footprints, and sustainability concerns. Emerging strategies to provide low-cost research automation tools include microfluidic devices, open-hardware devices, 3D printing, and LEGO ® products. LEGO ® -based equipment may be advantageous with respect to sustainability, since their inherent modularity enables disassembly, re-purposing and re-use. To explore the feasibility and cost savings of replacing conventional lab equipment with LEGO ® -based alternatives, we developed and characterized the performance of three LEGO ® Technic TM laboratory tools: a syringe pump, an orbital shaker, and a microcentrifuge. These three machines share 384 pieces in common and can be constructed in series (687 pieces, <$83 USD) or in parallel (1215 pieces, <$174 USD). As a proof of concept, calcium carbonate microparticles were synthesized and isolated using the LEGO ® -based and analogous commercial equipment, yielding comparatively similar results. Moreover, the ability to program custom shake profiles for the LEGO ® -based orbital shaker gave access to a wider range of particle characteristics than the commercial shaker. We propose that the high cost savings and reusability of LEGO ® -based lab tools extends beyond their well-established efficacy in K-12 STEM education to an attractive resource for budget-, space- and/or sustainability-conscious laboratories.

3D bioprinting has emerged as a promising technology in tissue engineering, allowing for the precise fabrication of complex structures to mimic native tissues. Coaxial bioprinting enhances the complexity of printed structures by extruding multiple materials in concentric layers. However, costly commercial systems and a lack of Do-it-Yourself (DIY) guides for coaxial 3D bioprinting limit the wider adoption of this technology. This study presents a detailed description of modifying a commercial 3D printer to a coaxial 3D bioprinting system that simultaneously drives two syringe pump extruders connected to a coaxial nozzle. The system was validated using a soft alginate-gelatin hydrogel core and a load-bearing methylcellulose-based (MC) hydrogel shell. Shape fidelity of the 3D printed structures was evaluated for core-shell extrusion ratio, coaxial nozzle configuration, and in-situ crosslinking of the hydrogel core. Employing optimized printing settings allowed the fabrication of complex scaffold structures with a gradual transition between the extrusion of core and shell material. Mesenchymal stem cells (MSCs) encapsulated in varying alginate concentrations were printed, maintaining shape fidelity and high cell viability. In conclusion, we developed a cost-effective DIY coaxial 3D bioprinter capable of extruding soft cell-laden hydrogels that are not printable by conventional extrusion bioprinting. This printer presents an easy to build and modify platform to encourage a wider audience to utilize and tailor coaxial bioprinting for their specific requirements.

The anatomy of the superior mesenteric vessels is complex, yet important, for right-sided colorectal surgery. The usefulness of three-dimensional (3D) printing of these vessels in right hemicolon cancer surgery has rarely been reported. In this prospective clinical study, 61 patients who received laparoscopic surgery for right hemicolon cancer were preoperatively randomized into 3 groups: 3D-printing (20 patients), 3D-image (19 patients), and control (22 patients) groups. Surgery duration, bleeding volume, and number of lymph node dissections were designed to be the primary end points, whereas postoperative complications, post-operative flatus recovery time, duration of hospitalization, patient satisfaction, and medical expenses were designed to be secondary end points. To reduce the influence of including different surgeons in the study, the surgical team was divided into 2 groups based on surgical experience. The duration of surgery for the 3D-printing and 3D-image groups was significantly reduced (138.4 ± 19.5 and 154.7 ± 25.9 min vs. 177.6 ± 24.4 min, P  = 0.000 and P  = 0.006), while the number of lymph node dissections for the these 2 groups was significantly increased (19.1 ± 3.8 and 17.6 ± 3.9 vs. 15.8 ± 3.0, P  = 0.001 and P  = 0.024) compared to the control group. Meanwhile, the bleeding volume for the 3D-printing group was significantly reduced compared to the control group (75.8 ± 30.4 mL vs. 120.9 ± 39.1 mL, P  = 0.000). Moreover, patients in the 3D-printing group reported increased satisfaction in terms of effective communication compared to those in the 3D-image and control groups. Medical expenses decreased by 6.74% after the use of 3D-printing technology. Our results show that 3D-printing technology could reduce the duration of surgery and total bleeding volume and increase the number of lymph node dissections. 3D-printing technology may be more helpful for novice surgeons. Trial registration : Chinese Clinical Trial Registry, ChiCTR1800017161. Registered on 15 July 2018.

Background There is an increasing number of children with traumatic and congenital hand amputations or reductions. Children's prosthetic needs are complex due to their small size, constant growth, and psychosocial development. Families’ financial resources play a crucial role in the prescription of prostheses for their children, especially when private insurance and public funding are insufficient. Electric-powered (i.e., myoelectric) and body-powered (i.e., mechanical) devices have been developed to accommodate children’s needs, but the cost of maintenance and replacement represents an obstacle for many families. Due to the complexity and high cost of these prosthetic hands, they are not accessible to children from low-income, uninsured families or to children from developing countries. Advancements in computer-aided design (CAD) programs, additive manufacturing, and image editing software offer the possibility of designing, printing, and fitting prosthetic hands devices at a distance and at very low cost. The purpose of this preliminary investigation was to describe a low-cost three-dimensional (3D)-printed prosthetic hand for children with upper-limb reductions and to propose a prosthesis fitting methodology that can be performed at a distance. Results No significant mean differences were found between the anthropometric and range of motion measurements taken directly from the upper limbs of subjects versus those extracted from photographs. The Bland and Altman plots show no major bias and narrow limits of agreements for lengths and widths and small bias and wider limits of agreements for the range of motion measurements. The main finding of the survey was that our prosthetic device may have a significant potential to positively impact quality of life and daily usage, and can be incorporated in several activities at home and in school. Conclusions This investigation describes a low-cost 3D-printed prosthetic hand for children and proposes a distance fitting procedure. The Cyborg Beast prosthetic hand and the proposed distance-fitting procedures may represent a possible low-cost alternative for children in developing countries and those who have limited access to health care providers. Further studies should examine the functionality, validity, durability, benefits, and rejection rate of this type of low-cost 3D-printed prosthetic device.

Videolaryngoscopes have been designed to improve the success rate of tracheal intubation on the first attempt; however, their high cost, especially in low- and middle-income countries, is a major disadvantage. Considering the clinical importance of this device, the Engineering School in partnership with the Anesthesiology Department developed a videolaryngoscope using three-dimensional (3D) printing technology at a more affordable cost. The methodology consisted of three stages: prospecting, modeling and prototyping, and realistic simulation on airway mannequins. The primary objective was to describe the creation and development process of the prototypes. The secondary objective was to determine the final production cost. This was an applied project utilizing an exploratory and descriptive approach. The study was developed during the COVID-19 pandemic, between May 2020 and June 2021, at the School of Engineering and in the realistic simulation room at the university hospital. Ten prototypes were produced before the final product, and they were subjected to strength and bending tests and evaluated on airway training mannequins to simulate the procedure conducted by anesthesiologists. As a result, we obtained a resistant, and low-cost device, named VLG3DUFF.

The modern acoustic stethoscope is a useful clinical tool used to detect subtle, pathological changes in cardiac, pulmonary and vascular sounds. Currently, brand-name stethoscopes are expensive despite limited innovations in design or fabrication in recent decades. Consequently, the high cost of high quality, brand name models serves as a barrier to clinicians practicing in various settings, especially in low- and middle-income countries. In this publication, we describe the design and validation of a low-cost open-access (Free/Libre) 3D-printed stethoscope which is comparable to the Littmann Cardiology III for use in low-access clinics.