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Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery

Stereolithography is emerging as a promising additive manufacturing technology for a range of applications in the medical domain. However, for miniature, medical devices such as those used in ophthalmic surgery, a number of production challenges arise due to the small size of the components. In this...

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Autores principales: Lussenburg, Kirsten, Scali, Marta, Sakes, Aimée, Breedveld, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891482/
https://www.ncbi.nlm.nih.gov/pubmed/35252963
http://dx.doi.org/10.3389/fmedt.2022.842958
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author Lussenburg, Kirsten
Scali, Marta
Sakes, Aimée
Breedveld, Paul
author_facet Lussenburg, Kirsten
Scali, Marta
Sakes, Aimée
Breedveld, Paul
author_sort Lussenburg, Kirsten
collection PubMed
description Stereolithography is emerging as a promising additive manufacturing technology for a range of applications in the medical domain. However, for miniature, medical devices such as those used in ophthalmic surgery, a number of production challenges arise due to the small size of the components. In this work, we investigate the challenges of creating sub-millimeter features for a miniature, functional trocar using Stereolithography. The trocar cannula system is used in eye surgery to facilitate a passage for other instruments. A standard trocar consists of a hollow cannula and a flexible check valve. The research was performed in two stages: in the first stage we investigated the effect of different materials and print settings on the current design of the cannula and the valve separately, and in the second stage we used these findings to optimize the design and production process. After the first investigation, it became apparent that even though the dimensions of the trocar are within the feature size range of Stereolithography, all hollow features tended to fuse shut during printing. This effect appeared regardless of the materials or print settings, and can be attributed to refraction of the laser source. In order to circumvent this, we identified two potential strategies: (1) increasing the negative space surrounding features; and (2) decreasing the surface area per layer. By applying these strategies, we tested a new design for the cannula and valve and managed to 3D print a functional trocar, which was tested in an artificial eye. The design of the 3D printed trocar allows for further personalization depending on the specific requirements of both patient and surgeon. The proposed strategies can be applied to different applications to create miniature features using Stereolithography.
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spelling pubmed-88914822022-03-04 Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery Lussenburg, Kirsten Scali, Marta Sakes, Aimée Breedveld, Paul Front Med Technol Medical Technology Stereolithography is emerging as a promising additive manufacturing technology for a range of applications in the medical domain. However, for miniature, medical devices such as those used in ophthalmic surgery, a number of production challenges arise due to the small size of the components. In this work, we investigate the challenges of creating sub-millimeter features for a miniature, functional trocar using Stereolithography. The trocar cannula system is used in eye surgery to facilitate a passage for other instruments. A standard trocar consists of a hollow cannula and a flexible check valve. The research was performed in two stages: in the first stage we investigated the effect of different materials and print settings on the current design of the cannula and the valve separately, and in the second stage we used these findings to optimize the design and production process. After the first investigation, it became apparent that even though the dimensions of the trocar are within the feature size range of Stereolithography, all hollow features tended to fuse shut during printing. This effect appeared regardless of the materials or print settings, and can be attributed to refraction of the laser source. In order to circumvent this, we identified two potential strategies: (1) increasing the negative space surrounding features; and (2) decreasing the surface area per layer. By applying these strategies, we tested a new design for the cannula and valve and managed to 3D print a functional trocar, which was tested in an artificial eye. The design of the 3D printed trocar allows for further personalization depending on the specific requirements of both patient and surgeon. The proposed strategies can be applied to different applications to create miniature features using Stereolithography. Frontiers Media S.A. 2022-02-17 /pmc/articles/PMC8891482/ /pubmed/35252963 http://dx.doi.org/10.3389/fmedt.2022.842958 Text en Copyright © 2022 Lussenburg, Scali, Sakes and Breedveld. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medical Technology
Lussenburg, Kirsten
Scali, Marta
Sakes, Aimée
Breedveld, Paul
Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title_full Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title_fullStr Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title_full_unstemmed Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title_short Additive Manufacturing of a Miniature Functional Trocar for Eye Surgery
title_sort additive manufacturing of a miniature functional trocar for eye surgery
topic Medical Technology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891482/
https://www.ncbi.nlm.nih.gov/pubmed/35252963
http://dx.doi.org/10.3389/fmedt.2022.842958
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