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Open source surgical fracture table for digitally distributed manufacturing

Roughly a third of the surgical procedures the World Bank is prioritizing as essential and cost-effective are orthopedic procedures. Yet in much of the developing world, prohibitive costs are a substantial barrier to universal access. One area where this is clear is surgical fracture tables, which g...

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Detalles Bibliográficos
Autores principales: Bow, J. K., Gallup, N., Sadat, S. A., Pearce, J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286293/
https://www.ncbi.nlm.nih.gov/pubmed/35839177
http://dx.doi.org/10.1371/journal.pone.0270328
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author Bow, J. K.
Gallup, N.
Sadat, S. A.
Pearce, J. M.
author_facet Bow, J. K.
Gallup, N.
Sadat, S. A.
Pearce, J. M.
author_sort Bow, J. K.
collection PubMed
description Roughly a third of the surgical procedures the World Bank is prioritizing as essential and cost-effective are orthopedic procedures. Yet in much of the developing world, prohibitive costs are a substantial barrier to universal access. One area where this is clear is surgical fracture tables, which generally cost >US$200,000 new. With the advent of 3-D printing, a new way to reduce medical equipment costs is to use open source hardware licensed designs to fabricate digitally-distributed manufactured medical hardware. That approach is applied here to make surgical tables more accessible. This study describes the design and manufacture of an open source surgical fracture table that uses materials that are widely available worldwide with specialty components being 3-D printed. The bill of materials and assembly instructions are detailed and the fracture table is validated to perform mechanically to specifications. Using an open source desktop RepRap-class 3-D printer, the components can be printed in a little over a week of continuous printing. Including the 3-D printed parts, the open source fracture table can be constructed for under US$3,000 in material costs, representing a 98.5% savings for commercial systems, radically increasing accessibility. The open source table can be adjusted 90–116 cm in height, tilted from +/-15 degrees, the leg height ranges from 31 to 117 cm, the arm supports and foot holder both have a 180-degree range, the foot position has a 54 cm range, and the legs can be adjusted from 55 to 120 degrees. It is mechanically adjusted so does not require electricity, however, surgical staff need to be trained on how to perform needed adjustments during surgery. The open source surgical table has verified performance for mechanical loading over 130 kg, geometric flexibility to allow for wide array of common surgeries, is radiolucent in surgical zones, and is modular and upgradeable.
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spelling pubmed-92862932022-07-16 Open source surgical fracture table for digitally distributed manufacturing Bow, J. K. Gallup, N. Sadat, S. A. Pearce, J. M. PLoS One Research Article Roughly a third of the surgical procedures the World Bank is prioritizing as essential and cost-effective are orthopedic procedures. Yet in much of the developing world, prohibitive costs are a substantial barrier to universal access. One area where this is clear is surgical fracture tables, which generally cost >US$200,000 new. With the advent of 3-D printing, a new way to reduce medical equipment costs is to use open source hardware licensed designs to fabricate digitally-distributed manufactured medical hardware. That approach is applied here to make surgical tables more accessible. This study describes the design and manufacture of an open source surgical fracture table that uses materials that are widely available worldwide with specialty components being 3-D printed. The bill of materials and assembly instructions are detailed and the fracture table is validated to perform mechanically to specifications. Using an open source desktop RepRap-class 3-D printer, the components can be printed in a little over a week of continuous printing. Including the 3-D printed parts, the open source fracture table can be constructed for under US$3,000 in material costs, representing a 98.5% savings for commercial systems, radically increasing accessibility. The open source table can be adjusted 90–116 cm in height, tilted from +/-15 degrees, the leg height ranges from 31 to 117 cm, the arm supports and foot holder both have a 180-degree range, the foot position has a 54 cm range, and the legs can be adjusted from 55 to 120 degrees. It is mechanically adjusted so does not require electricity, however, surgical staff need to be trained on how to perform needed adjustments during surgery. The open source surgical table has verified performance for mechanical loading over 130 kg, geometric flexibility to allow for wide array of common surgeries, is radiolucent in surgical zones, and is modular and upgradeable. Public Library of Science 2022-07-15 /pmc/articles/PMC9286293/ /pubmed/35839177 http://dx.doi.org/10.1371/journal.pone.0270328 Text en © 2022 Bow et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bow, J. K.
Gallup, N.
Sadat, S. A.
Pearce, J. M.
Open source surgical fracture table for digitally distributed manufacturing
title Open source surgical fracture table for digitally distributed manufacturing
title_full Open source surgical fracture table for digitally distributed manufacturing
title_fullStr Open source surgical fracture table for digitally distributed manufacturing
title_full_unstemmed Open source surgical fracture table for digitally distributed manufacturing
title_short Open source surgical fracture table for digitally distributed manufacturing
title_sort open source surgical fracture table for digitally distributed manufacturing
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286293/
https://www.ncbi.nlm.nih.gov/pubmed/35839177
http://dx.doi.org/10.1371/journal.pone.0270328
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