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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 Brace3D 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)

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3D Printing Assistive Tech_Salatin_RESNA 2015

  • 1. 3D Printed Assistive Technology Creation in the Clinic: A Case Study Ben Salatin Rehabilitation Engineer McGuire Veterans Medical Center Richmond, Virginia, USA
  • 2. 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)
  • 3. 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
  • 4.  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
  • 5. 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
  • 7.
  • 8. How Does 3D Printing Work?
  • 10. Liquid 3D Printing Method http://youtu.be/NM55ct5KwiI
  • 11. Powder 3D Printing Method http://youtu.be/9E5MfBAV_tA
  • 12. Filament 3D Printing Method http://youtu.be/WHO6G67GJbM
  • 15. Reason for Printing: Urgency iPad Keyguard for Hand Tremor
  • 16. Reason for Printing: Item Did Not Exist Version 1 Version 2 Mount Rotation for Limited Hand Function
  • 17. Reason for Printing: Item Did Not Exist Ball Attachment Not Compatible Solution: 3D Printed Backshell Non Flexible Cell Phone Mount Mounting System Adapter
  • 18. 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
  • 19. 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
  • 20. 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
  • 21. 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
  • 22. Prosthetic End Limb Attachments Fishing Pole Attachment Adaptive Driving Attachment Example from Walter Reed 3D Medical Applications Center
  • 23. Hockey Hand Attachment Direct Skate Attachment Prosthetic End Limb Attachments Example from Walter Reed 3D Medical Applications Center
  • 24. 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
  • 25. Splinting Using 3D Scanning & Printing Edit Design on Computer for Weight & Strength Lightweight Custom 3D Printed Brace3D Scanning Splint made by Occupational Therapist from Moldable Thermoplastic Reason for Printing: More Durable, Customizable & Repeatable
  • 26. How Can You Access 3D Printing? Design Software  Free  http://3dp4e.com/resources/free-3d-modeling-software  Low cost ($50-$200)
  • 27. 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/
  • 28. 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)
  • 29. 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/
  • 30. Hands On Time & Questions How Would You Use 3D Design, Scanning, & Printing?
  • 31. 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)