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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 141
3D PRINTED HAND ORTHOSIS DESIGN
Jagadish D. Kshirsagar
PG Student (Mechanical Design Engineering), AMGOI, Vathar Tarf Vadgaon, Maharashtra, India
----------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - 3D printing, or additive manufacturing, is a
technology that uses a digital model to print a three-
dimensional object, layer by layer. Today, it is widely used in
many different fields and provides a manufacturing method
with advantages such as precision and the ability to print
complex shapes from many different materials. 3D printed
prostheses have recently gained a lot of interest thanks to the
possibility to reduce material costs and production time. The
aim of this thesis has been to create a body powered 3D
printed prosthetic arm and evaluate the 3D printing
technology for this purpose.
The final prototype is lightweight, easily maneuvered for the
user and with a simplistic design. However, many aspects still
require future work to develop a fully functional orthosis
device, which is discussed in the end of the thesis. The project
has shown that 3D printing is an incredible method with
potential to orthosis make more customized, cheaper and
produced faster. Hopefully this area will continue to grow to
help more patients.
Key Words: 3D Printing, Additive Manufacturing, Orthosis,
Prosthetic Arm, Rapid Prototyping.
1. INTRODUCTION
An orthosis is “an externally applied device used to modify
the structural and functional characteristics of the
neuromuscular and skeletal system”. An orthotist is the
primary medical clinician responsible for the prescription,
manufacture and management of orthosis.
This project is titled “3D printed orthosis design”. The
purpose of the present study is to define and describe the
new product that has been developed. This product aims to
present a new concept of 3D printed wrist orthosis. The aim
of this Proyecto is to create a product which is able to solve
medical problems such us tendinitis, carpal tunnel
syndrome, wrist sprains and so on. Nowadays, these
problems are affecting a large number of the population.
One of the most important aspects to consider is the
aesthetics. As it is known, an orthosis is something that
cannot be hidden. This is why it was wanted to look for an
innovative product as the same as simple in order to
anybody who will wear without any qualms.
As said before, the production method will be the additive
manufacturing which not only means an aesthetic
improvement but it will be much easier to use and to place,
besides allowing the doctor a better help for the recovery of
the patient. It also will avoid problems that the traditional
plaster had, as for example sweat, itching or the inability to
take a shower.
Furthermore, 3D printing improves the quality ofthepieces,
speed up the production process and advances in the
reduction of costs which is a very important factor of the
society nowadays. So one of the requirements to achieve is
to design an affordable orthosis for everyone.
1.1 RELEVANCE
As we saw before, the concept of orthosis has been studied,
as well as her functions, or the different types that exist in
the market. This project aims to develop a study of design of
a personalized wrist orthosis, so the different medicals
problems which the orthosis has to face and is able to solve,
must be examined.
The wrist is a joint in itself, so it is very much susceptible to
injury. This susceptibility is furtherincreased bythefactthat
the wrist is commonly used and easy to overuse. We need
our hands to function in our day-to-day, so even a minimum
pain, it should not be ignored, since if left untreated, this
could lead to arthritis and other medical conditions to the
wrist that could be more problematic.
1.2 PROBLEM DEFINATION
The main aim of using Additive Manufacturing (AM) to
produce orthosis is to get higher levels of compliance
amongst patients who are required to wear a wrist orthosis.
For it, it is necessary to study the disadvantages presented
by the traditional orthosis, such as:
 Difficulties keeping orthosis clean and dry.
 Induced perspiration, subsequently leading to odor
issues.
 Poor aesthetics.
 Weight implications.
 Discomfort, poorly fitted orthosis can cause
pressure points and friction.
 Limited function and compromised performance
during everyday tasks.
 Fasteners which may be difficult to fix, adjust,
remove and replace.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 142
 Difficulty putting on and taking off the orthosis.
1.3 PROBLEM STATEMENT
One of the purposes of the new orthosis in 3d printing is to
be able to solve or improve the problems mentioned above.
Orthosis can be made that are easier to clean. Splints can be
made that have a pattern cut out leading to a greater
aesthetic value and a lighter and more breathable orthosis.
Using a scan of the patient’s hand, a orthosis can be
fabricated that fits perfectly.
2. LITERATURE SURVEY
The paper provides the information about the ankle foot
orthosis is a device that supports the ankle and foot area of
the body and extends from below the knee and including
foot area. This device is used to control instabilities in the
lower limb by maintaining proper alignmentandcontrolling
motion of the foot. Finite element analysis of models was
developed to predict the mechanical behavior of AFO. The
Carbon Fiber is best suitable material for manufacturing of
AFO also CF-AFO is capable of taking maximum stress than
thermoplastic material also CF-AFO is light weight and
durable than other materials. Thisisvalidatedbyconducting
experimental testing and analysis by Ansys. [1]
The paper presents the detailed information about rapid
prototyping (RP) is a novel technologyandemergingrapidly
in medical & engineering applications. RP technology works
on the principle of layer by layer manufacturing. Recent
studies prove that Bio-RP plays a key role in tissue
engineering, preplanning of complex medical surgeries,
manufacturing of prosthesis, forensic pathology, surgical
simulation, diagnosis, design & manufacturing of implants
and as well as medical tools. This Bio-RP gives a new
dimension to the medical field. Now a day's medical models
are also fabricated with biocompatible materials which can
be implant directly in to the patient. Bio-RP models are
fabricated as per patient specific requirement.Thesemodels
are not only having biocompatibility but also having high
accuracy, low cost, time saving and biodegradableinspecific
scenarios. This articleprovidesoverall understandingofBio-
RP models, Bio-printing process, fabrication of RP methods
and its applications. [2]
2.1 3D PRINTING METHODOLOGY
As has already been explained, 3D printing has become a
reality in the world of health. This advance in technology
allows to create solutions adapted and customized for
patients. In order for this to be possible, we must look at the
fabrication of orthoses produced both using traditional
methods and 3D printed.
The process of creating an orthosis by additive
manufacturing, begins with an evaluation of X-rays on the
fractured person, and later a three-dimensional scan of the
area is made using a 3D scanner. Once this has been done,
the model of the orthosis is processed using CAD software,
considering the proportions of the patient’s limb. Finally,
through the 3D printing technology, the custom structure is
printed. After the creation process is complete, all that
remains is for the specialist to place and adjust the orthosis
on the patient, leaving an orthosis fully adapted for each
patient.
Fig No. 1 Printing Procedure
For the realization of a traditional orthosis, the first step
must be done is taking a measurement of the body segment,
once this, a negative impression is taken with a plaster of
bandage. Upon hardening of the plaster, it is carefully cut or
sectioned and removed, preserving the shape. Finally, the
surface of the positive plastermodel issmoothed bysanding.
Fig. No. 2 3D printed Fig. No. 3 Traditional plaster
3. CONCLUSIONS
Finally, it can be said that a final product has been designed
in accordance with the objectives to be achieved, raised at
the beginning of the Project. The requirements and
specifications required bythedesignerwerealsoachievedin
order to ensure that the product meets the user needs.
Regarding to its functionality, the Velcro closure system, not
only works as a way to close the orthosis, but also, gives the
possibility ofmakingtheorthosispersonalizedanadjustable,
what is something essential for the first days of recovery, in
which tend to appear swellings. Movement is key; An
orthosis that can be assembled and disassembled easily
requires little effort and can be adapted to all typesofspaces
and maneuvers.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 143
It also has been reached the production requirement
through 3D printing which means reducing costs and being
able to create more organic shapes. The material in which
the orthosis is made, makes this a lightweight orthosisatthe
same time resistant. Specifically,itistentimesmorethanthe
traditional ones. On the other hand, it is a responsible
product with the environment, since the main material is
recyclable and reusable.
This orthosis design also has ventilation and it can be wet. It
is as well more hygienic than a traditional plasterandallows
the doctor to perform a better inspection of the limb.
As a conclusion it can be said that an innovative product has
been reached and it also is going to help people’s life helping
them with their daily tasks, without having to forego of such
simple things as a simple dip in the pool could be.
REFERENCES
[1] A. Pawale, V. N. Chougule, W. N. Tamboli, A. V. Mulay,
“Analysis and Manufacturing of Ankle Foot Orthosis for
Foot Drop”, IOSR Journal of Mechanical and Civil
Engineering (IOSR-JMCE), e-ISSN: 2278-1684, p-ISSN:
2320-334X, PP. 12-15
[2] Santosh kumar Malyala and Ravi Kumar Y, “AReviewon
Rapid Prototyping Technologies in Biomedical
Applications”, International Journal of Recent Scientific
Research, Vol. 7, Issue, 5, pp. 10783-10789, May, 2016
[3] Sandeep & Deepak Chhabra, “Comparison and Analysis
of Different 3d Printing Techniques”, International
Journal of Latest Trends in Engineering and Technology
Vol. (8) Issue (4-1), pp.264-272 DOI: 44 e-ISSN:2278-
621X
[4] Aman Sharma, Harish Garg, “Utility and Challenges Of 3
D Printing”, IOSR Journal of Mechanical and Civil
Engineering (IOSR-JMCE) e-ISSN: 2278-1684, p-ISSN:
2320–334X.
[5] Mary B. Halli, Narayana Swamy R, “Design and
Implementation of Arduino Based 3d Printing Using
FDM Technique”, International Journal of Research in
Engineering and Technology eISSN: 2319-1163 |pISSN:
2321-7308
BIOGRAPHIES
Mr. Jagadish D. Kshirsagar
completed BE in 2017 and
presently pursing M.Tech in
Mechanical Design Engineering

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IRJET- 3D Printed Hand Orthosis Design

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 141 3D PRINTED HAND ORTHOSIS DESIGN Jagadish D. Kshirsagar PG Student (Mechanical Design Engineering), AMGOI, Vathar Tarf Vadgaon, Maharashtra, India ----------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - 3D printing, or additive manufacturing, is a technology that uses a digital model to print a three- dimensional object, layer by layer. Today, it is widely used in many different fields and provides a manufacturing method with advantages such as precision and the ability to print complex shapes from many different materials. 3D printed prostheses have recently gained a lot of interest thanks to the possibility to reduce material costs and production time. The aim of this thesis has been to create a body powered 3D printed prosthetic arm and evaluate the 3D printing technology for this purpose. The final prototype is lightweight, easily maneuvered for the user and with a simplistic design. However, many aspects still require future work to develop a fully functional orthosis device, which is discussed in the end of the thesis. The project has shown that 3D printing is an incredible method with potential to orthosis make more customized, cheaper and produced faster. Hopefully this area will continue to grow to help more patients. Key Words: 3D Printing, Additive Manufacturing, Orthosis, Prosthetic Arm, Rapid Prototyping. 1. INTRODUCTION An orthosis is “an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system”. An orthotist is the primary medical clinician responsible for the prescription, manufacture and management of orthosis. This project is titled “3D printed orthosis design”. The purpose of the present study is to define and describe the new product that has been developed. This product aims to present a new concept of 3D printed wrist orthosis. The aim of this Proyecto is to create a product which is able to solve medical problems such us tendinitis, carpal tunnel syndrome, wrist sprains and so on. Nowadays, these problems are affecting a large number of the population. One of the most important aspects to consider is the aesthetics. As it is known, an orthosis is something that cannot be hidden. This is why it was wanted to look for an innovative product as the same as simple in order to anybody who will wear without any qualms. As said before, the production method will be the additive manufacturing which not only means an aesthetic improvement but it will be much easier to use and to place, besides allowing the doctor a better help for the recovery of the patient. It also will avoid problems that the traditional plaster had, as for example sweat, itching or the inability to take a shower. Furthermore, 3D printing improves the quality ofthepieces, speed up the production process and advances in the reduction of costs which is a very important factor of the society nowadays. So one of the requirements to achieve is to design an affordable orthosis for everyone. 1.1 RELEVANCE As we saw before, the concept of orthosis has been studied, as well as her functions, or the different types that exist in the market. This project aims to develop a study of design of a personalized wrist orthosis, so the different medicals problems which the orthosis has to face and is able to solve, must be examined. The wrist is a joint in itself, so it is very much susceptible to injury. This susceptibility is furtherincreased bythefactthat the wrist is commonly used and easy to overuse. We need our hands to function in our day-to-day, so even a minimum pain, it should not be ignored, since if left untreated, this could lead to arthritis and other medical conditions to the wrist that could be more problematic. 1.2 PROBLEM DEFINATION The main aim of using Additive Manufacturing (AM) to produce orthosis is to get higher levels of compliance amongst patients who are required to wear a wrist orthosis. For it, it is necessary to study the disadvantages presented by the traditional orthosis, such as:  Difficulties keeping orthosis clean and dry.  Induced perspiration, subsequently leading to odor issues.  Poor aesthetics.  Weight implications.  Discomfort, poorly fitted orthosis can cause pressure points and friction.  Limited function and compromised performance during everyday tasks.  Fasteners which may be difficult to fix, adjust, remove and replace.
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 142  Difficulty putting on and taking off the orthosis. 1.3 PROBLEM STATEMENT One of the purposes of the new orthosis in 3d printing is to be able to solve or improve the problems mentioned above. Orthosis can be made that are easier to clean. Splints can be made that have a pattern cut out leading to a greater aesthetic value and a lighter and more breathable orthosis. Using a scan of the patient’s hand, a orthosis can be fabricated that fits perfectly. 2. LITERATURE SURVEY The paper provides the information about the ankle foot orthosis is a device that supports the ankle and foot area of the body and extends from below the knee and including foot area. This device is used to control instabilities in the lower limb by maintaining proper alignmentandcontrolling motion of the foot. Finite element analysis of models was developed to predict the mechanical behavior of AFO. The Carbon Fiber is best suitable material for manufacturing of AFO also CF-AFO is capable of taking maximum stress than thermoplastic material also CF-AFO is light weight and durable than other materials. Thisisvalidatedbyconducting experimental testing and analysis by Ansys. [1] The paper presents the detailed information about rapid prototyping (RP) is a novel technologyandemergingrapidly in medical & engineering applications. RP technology works on the principle of layer by layer manufacturing. Recent studies prove that Bio-RP plays a key role in tissue engineering, preplanning of complex medical surgeries, manufacturing of prosthesis, forensic pathology, surgical simulation, diagnosis, design & manufacturing of implants and as well as medical tools. This Bio-RP gives a new dimension to the medical field. Now a day's medical models are also fabricated with biocompatible materials which can be implant directly in to the patient. Bio-RP models are fabricated as per patient specific requirement.Thesemodels are not only having biocompatibility but also having high accuracy, low cost, time saving and biodegradableinspecific scenarios. This articleprovidesoverall understandingofBio- RP models, Bio-printing process, fabrication of RP methods and its applications. [2] 2.1 3D PRINTING METHODOLOGY As has already been explained, 3D printing has become a reality in the world of health. This advance in technology allows to create solutions adapted and customized for patients. In order for this to be possible, we must look at the fabrication of orthoses produced both using traditional methods and 3D printed. The process of creating an orthosis by additive manufacturing, begins with an evaluation of X-rays on the fractured person, and later a three-dimensional scan of the area is made using a 3D scanner. Once this has been done, the model of the orthosis is processed using CAD software, considering the proportions of the patient’s limb. Finally, through the 3D printing technology, the custom structure is printed. After the creation process is complete, all that remains is for the specialist to place and adjust the orthosis on the patient, leaving an orthosis fully adapted for each patient. Fig No. 1 Printing Procedure For the realization of a traditional orthosis, the first step must be done is taking a measurement of the body segment, once this, a negative impression is taken with a plaster of bandage. Upon hardening of the plaster, it is carefully cut or sectioned and removed, preserving the shape. Finally, the surface of the positive plastermodel issmoothed bysanding. Fig. No. 2 3D printed Fig. No. 3 Traditional plaster 3. CONCLUSIONS Finally, it can be said that a final product has been designed in accordance with the objectives to be achieved, raised at the beginning of the Project. The requirements and specifications required bythedesignerwerealsoachievedin order to ensure that the product meets the user needs. Regarding to its functionality, the Velcro closure system, not only works as a way to close the orthosis, but also, gives the possibility ofmakingtheorthosispersonalizedanadjustable, what is something essential for the first days of recovery, in which tend to appear swellings. Movement is key; An orthosis that can be assembled and disassembled easily requires little effort and can be adapted to all typesofspaces and maneuvers.
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 143 It also has been reached the production requirement through 3D printing which means reducing costs and being able to create more organic shapes. The material in which the orthosis is made, makes this a lightweight orthosisatthe same time resistant. Specifically,itistentimesmorethanthe traditional ones. On the other hand, it is a responsible product with the environment, since the main material is recyclable and reusable. This orthosis design also has ventilation and it can be wet. It is as well more hygienic than a traditional plasterandallows the doctor to perform a better inspection of the limb. As a conclusion it can be said that an innovative product has been reached and it also is going to help people’s life helping them with their daily tasks, without having to forego of such simple things as a simple dip in the pool could be. REFERENCES [1] A. Pawale, V. N. Chougule, W. N. Tamboli, A. V. Mulay, “Analysis and Manufacturing of Ankle Foot Orthosis for Foot Drop”, IOSR Journal of Mechanical and Civil Engineering (IOSR-JMCE), e-ISSN: 2278-1684, p-ISSN: 2320-334X, PP. 12-15 [2] Santosh kumar Malyala and Ravi Kumar Y, “AReviewon Rapid Prototyping Technologies in Biomedical Applications”, International Journal of Recent Scientific Research, Vol. 7, Issue, 5, pp. 10783-10789, May, 2016 [3] Sandeep & Deepak Chhabra, “Comparison and Analysis of Different 3d Printing Techniques”, International Journal of Latest Trends in Engineering and Technology Vol. (8) Issue (4-1), pp.264-272 DOI: 44 e-ISSN:2278- 621X [4] Aman Sharma, Harish Garg, “Utility and Challenges Of 3 D Printing”, IOSR Journal of Mechanical and Civil Engineering (IOSR-JMCE) e-ISSN: 2278-1684, p-ISSN: 2320–334X. [5] Mary B. Halli, Narayana Swamy R, “Design and Implementation of Arduino Based 3d Printing Using FDM Technique”, International Journal of Research in Engineering and Technology eISSN: 2319-1163 |pISSN: 2321-7308 BIOGRAPHIES Mr. Jagadish D. Kshirsagar completed BE in 2017 and presently pursing M.Tech in Mechanical Design Engineering