Lee Dockstader, Vice President of Business Development, 3D Systems

1. MANUFACTURINGTHEFUTURE
Additive Manufacturing for Healthcare
April 2014
WWW.3DSYSTEMS.COM NYSE:DDD

2. 2
Complete Content-To-Print Coverage
•Consumer
•Graphics
•Medical
•On-Demand
Parts
•On-Demand
Manufacturing
•Low volume
manufacturing
•Model
•Capture
•Sculpt
•Measure
•Inspect
•Personal
•Professional
•Production
3D
Printers
3D
Software
3D
Content
3D Parts
2

3. 4
PROFESSIONAL GRADE
Price: $1,300 - $20,000
PERSONAL
Price: $20,000 - $300,000 Price: $250,000 - $950,000
Modeling & Design Prototyping & Production
Unmatched 3D Printer Portfolio
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4. 3D Systems Print Engines

5. 8
On-Demand Parts Service
Quick-turn manufacturing
services
Latest additive and
traditional capabilities in
nine locations worldwide
Instant online quoting with
proprietary, integrated
sales and manufacturing
platform
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6. Engineered Skull Plates - ISO-10993 – 140MP
ITE – Hearing Aid –
Hearing Protection
BTE – Hearing Aid –
Custom Audio & Communications
Prosthodontics
Orthodontics – Bracket Fixturing
Dentures
Chair side full Digital Crown
Sacrificial Patterns – Denture Substructures
Orthodontics – Clear Aligner Vac. Forming
Orthodontics – bracket casting
Mouth guard
Implant Drill Guide
PrePrep Guide
Custom Neck Brace
Neck implant – Spinal Cage
Heart Valve place - Preoperative tuning
Fracture – Engineered Cast
Implant Sacrificial Pattern
Implant Instrumentation
Prosthetic Fairings
Prosthetic Limbs
Orthopedic Braces
Dynamic Ankle Foot Orthosis
Custom Orthotics
Cleft Pallet Correction
Temporary Crowns
Anatomy of Medical Applications

7. Sample Medical Customers

9. Artificial Nose - Freeform

10. Artificial Nose - Freeform

11. Custom ear prosthetic - AZM - academisch Maastricht

13. Facial reconstruction - Freeform

14. Clinical Models for Pre-Surgical Planning
 Surgical planning
 Informed consent
 Trauma surgery
 Congenital deformities
 Craniofacial
reconstruction

15. • Custom Hearing Aids (SLA)
• Orthopedics (SLS)
• Dental Prosthetics (MJM)
• Orthodontics (SLA)
It is likely these four applications produce more patient specific custom
medical devices per day than all the industrial “RP” machines in the
world combined
Key Healthcare applications

16. Digital Design Process
Impression Scan Impression
(1-2 min/shell)
3D Software
Manipulation
(4-8 min/shell)

17. Rapid Manufacturing Process
Shell Production Complete and finish Final Product

18. Knee replacement example – Conformis iFit

19. Orthopedic--Hand Braces

20. Traditional Hand Braces
Current orthopedic hand/wrist braces are bulky, uncomfortable, unattractive & “one-size fits all”.

21. Scan
Enjoy
Design
Build
Orthopedic – Digital Hand Brace

22. Orthopedics
Braces / Casts (SLS)
Fracture
Artificial limb cladding

23. Orthodontics -- Align Technologies
 SLA Systems used to produce models
 Aligners thermoformed on models
 More than 17 million models in 2012 (60,000+ per day)*
*Align 2012 Financials

24. Impression or intraoral scan taken
Thermoformed into Aligners
X-Ray scanned into software
3D Printed using SLA Technology
Orthodontics– Align Technologies

25. Technology Driving Digital Dentistry

26. Traditional Subtractive Dental Manufacturing
 Start with a big block
 Large amount of waste
 High detail means longer milling times
 Geometry Limitations

27. Digital Dental Workflow
 Plaster or intraoral scan data
 ProJet DP for copings
 ProJet MP for dental models
 Simultaneously send a split file
to each system
 Model and coping that fit
together
 Finished at the same time!
Models
Waxups
Scan

28. Digital Dental - Applications
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29. Expanding The Range Of Digital Dental Manufacturing
3D Working Models
And guides
Wax ups
Direct Metal
iPro™ 8000MP
SLA System
ProJet™ DP3510
ProJet 3510 MPProJet 6000
Phenix PXS and PXM
Confidential
ProJet 1200
Medical Models

30. Surgicase - Dental Implant Planning Software and guides

31. Hawley Models

32. 44
Virtually Erase brackets
Build Hawley retainer
before brackets are
removed

33. 46
Phenix CoCr
Partials, Copings and Bridges

34. Crown
Crown
Filling
Crack
Market Background: Millions of restorations done per year – Typical Case
• 52 year old patient
• 30+ year old fillings
• Too big to replace
• Cracked
• 2nd molar filling can
be repaired
Total Cost of these restorations
$2,750 = $350(Filling) + $1200 (Crown) + $1200 (Crown)
47

35. Background: Tooth preparation
Initial Step: Dentist
grinds down the tooth
to prepare for a crown
Final Result: Filling in
the back two all
ceramic crowns placed
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36. Current Options: Metal Base vs All Ceramic
Porcelain fused to metal
All ceramic
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37. Pressed Crown vs Milling
• full anatomy pressed crowns
• Milled Zirconia
• more expensive per unit
• Does not look as good
51

38. ProJet® 1200
US$4,900
One hour
10-12 units
50 cents per unit
30 micron layers
43 x 27 mm build area
Built in curing unit
200 x 200 x 300mm footprint

39. Physician Requirements for wider use
Scan
Virtual or Physical Model
• Easy to use software
• In house staff
• Less than an hour training
• Easy to order model
• Under $100 for most models
Design

40. Patient Communication
Print bone models to match
surgical planning software
models.

41. Custom Device Manufacturers
• Models can be sawed and drilled,
exhibiting properties similar to real bone
• Reduction in Cadaver cost and logistics
• More hands on training
• Duplicate sample cases thousands of times
• Surgeon marketing
• Trade show practice samples

42. 66
Surgical Procedures

43. Archeology / Anthropology / Veterinarian
• Virtually unwrap mummies for study
• Create lifelike duplicates for loan or
educational purposes
• Pre-study anatomy of valuable animals
before surgery

44. 71
Low Cost Models
Volume cu cm 890 cu cm 278 cu cm 84 cu cm 76 cu cm 67cu cm 21cu cm
Volume cu in 54.3 cu in 17.0 cu in 5.1 cu in 4.6 cu in 4.1cu in 1.3 cu in
In House Cost $272 $85 $26 $23 $20 $6
Cloud printed Cost $869 $271 $92 $92 $81 $50

45. Thank You
WWW.3DSYSTEMS.COM NYSE:DDD
MANUFACTURINGTHEFUTURE