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R_Bibb_Medical_Modelling_The_Application_of_Adv.pdf

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Case studies 157<br />

<strong>The</strong> more fundamental problem <strong>of</strong> using the approach described here to<br />

include the bending and fi tting <strong>of</strong> distractor plates will be addressed in<br />

future research by exploring other s<strong>of</strong>tware applications and techniques.<br />

6.6.7 Conclusions<br />

SLM TM has been shown to be a viable RM method for the direct manufacture<br />

<strong>of</strong> surgical guides for both drilling and cutting. Stainless steel parts<br />

produced using the SLM TM process result in surgical guides that are comparable<br />

in terms <strong>of</strong> accuracy, quality <strong>of</strong> fi t and function with previous experience<br />

with surgical guides produced using other RP processes yet they display<br />

superior rigidity, very good wear resistance and are easy to sterilise.<br />

6.6.8 References<br />

1. Heissler E, Fischer F S, Bolouri S, Lehmann T, Mathar W, Gebhardt A, Lanksch<br />

W, Bier J (1998), ‘Custom-made cast titanium implants produced with CAD/<br />

CAM for the reconstruction <strong>of</strong> cranium defects’, International Journal <strong>of</strong> Oral<br />

and Maxill<strong>of</strong>acial Surgery, 27 (5), 334–8.<br />

2. Eufi nger H, Wehmoller M (1998), ‘Individual prefabricated titanium implants<br />

in reconstructive crani<strong>of</strong>acial surgery: clinical and technical aspects <strong>of</strong> the fi rst<br />

22 cases’, Plastic and Reconstructive Surgery, 102 (2), 300–308.<br />

3. Petzold R, Zeilh<strong>of</strong>er H-F, Kalender W A (1999), ‘Rapid prototyping technology<br />

in medicine – basics and applications’, Computerized <strong>Medical</strong> Imaging and<br />

Graphics, 23 (5), 277–84.<br />

4. J<strong>of</strong>fe J, Harris M, Kahugu F, Nicoll S, Linney A, Richards R (1999), ‘A prospective<br />

study <strong>of</strong> computer-aided design and manufacture <strong>of</strong> titanium plate for<br />

cranioplasty and its clinical outcome’, British Journal <strong>of</strong> Neurosurgery, 13 (6),<br />

576–80.<br />

5. Winder J, Cooke R S, Gray J, Fannin T, Fegan T (1999), ‘<strong>Medical</strong> rapid prototyping<br />

and 3D CT in the manufacture <strong>of</strong> custom made cranial titanium plates’,<br />

Journal <strong>of</strong> <strong>Medical</strong> Engineering and Technology, 23 (1), 26–8.<br />

6. D’Urso P S, Earwaker W J, Barker T M, Redmond M J, Thompson R G,<br />

Effeney D J, Tomlinson F H (2000), ‘Custom cranioplasty using stereolithography<br />

and acrylic’, British Journal <strong>of</strong> Plastic Surgery, 53 (3), 200–204.<br />

7. <strong>Bibb</strong> R, Brown R (2000), ‘<strong>The</strong> application <strong>of</strong> computer aided product development<br />

techniques in medical modelling’, Biomedical Sciences Instrumentation,<br />

36, 319–24.<br />

8. Webb P A (2000), ‘A review <strong>of</strong> rapid prototyping (RP) techniques in the<br />

medical and biomedical sector’, Journal <strong>of</strong> <strong>Medical</strong> Engineering and Technology,<br />

24 (4), 149–53.<br />

9. <strong>Bibb</strong> R, Brown R, Williamson T, Sugar A, Evans P, Bocca A (2000), ‘<strong>The</strong><br />

application <strong>of</strong> product development technologies in crani<strong>of</strong>acial reconstruction’,<br />

Proceedings <strong>of</strong> the 9 th European Conference on Rapid Prototyping and<br />

Manufacturing, Athens, Greece, 113–22.<br />

10. Sanghera B, Naique S, Papaharilaou Y, Amis A (2001), ‘Preliminary study <strong>of</strong><br />

rapid prototype medical models’, Rapid Prototyping Journal, 7 (5), 275–84.

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