CN105877875A - Personalized thyroid cartilage prosthesis and production method thereof - Google Patents

Personalized thyroid cartilage prosthesis and production method thereof Download PDF

Info

Publication number
CN105877875A
CN105877875A CN201610365421.3A CN201610365421A CN105877875A CN 105877875 A CN105877875 A CN 105877875A CN 201610365421 A CN201610365421 A CN 201610365421A CN 105877875 A CN105877875 A CN 105877875A
Authority
CN
China
Prior art keywords
thyroid cartilage
personalized
curved surface
prosthese
grasshopper
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201610365421.3A
Other languages
Chinese (zh)
Inventor
杨永强
张国庆
王安民
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
South China University of Technology SCUT
Original Assignee
South China University of Technology SCUT
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by South China University of Technology SCUT filed Critical South China University of Technology SCUT
Priority to CN201610365421.3A priority Critical patent/CN105877875A/en
Publication of CN105877875A publication Critical patent/CN105877875A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/02Inorganic materials
    • A61L27/04Metals or alloys
    • A61L27/06Titanium or titanium alloys
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00Processes of additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0068Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials Engineering (AREA)
  • Inorganic Chemistry (AREA)
  • Dermatology (AREA)
  • Medicinal Chemistry (AREA)
  • Epidemiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a personalized thyroid cartilage prosthesis and a production method thereof. The method includes: scanning an affected part to obtain lamella data, importing the lamella data into Mimics software, performing threshold segmentation on the lamella data, and performing region growing to further subdivide the disconnected segmentation regions on a primary threshold segmentation masking so as to generate a new masking; importing a rebuilt point cloud model into reverse engineering software, packaging point cloud to generate an STL-format triangular patch model, and extracting the contour curve surface of an excision part; importing the extracted curve surface into universal three-dimensional software to complete modeling, using Grasshopper to extract incisive bone corresponding surface profile, and generating a meshed porous structure on an incisive bone surface; performing motion simulation stress analysis on the biological fixation type thyroid cartilage prosthesis, and outputting adjusting parameters for real-time adjusting so as to optimize the design according the finite element motion stress analysis result. The thyroid cartilage prosthesis produced by the method is of a curve surface structure and corresponds to the shape of a to-be-replaced part, and accordingly the adverse effect caused by surgery can be eliminated effectively.

Description

A kind of personalized thyroid cartilage prosthese and preparation method thereof
Technical field
The present invention relates to print based on 3D and manufacture medical science implantation prosthese, particularly relate to a kind of personalized first shape soft Bone prosthese and preparation method thereof.
Background technology
Laryngeal carcinoma or injury of larynx patient inevitably cut away all or part of first shape in operation process Cartilage, owing to thyroid cartilage belongs to non-renewable tissue, thyroid defect can have a strong impact on patient Function of deglutition, vocal function and work of breathing function etc., make patient's postoperative life quality reduce, and severe patient is very To causing death.The most domestic carry out Surgery for Laryngeal Carcinoma time typically can reduce thyroid excision model as far as possible Enclose, thus reduce the side effect that thyroid cartilage defect is brought, but this processing mode reliability is the highest.
The domestic hospital that can carry out thyroid cartilage Using prosthesis operation still belongs to minority, and the case of successful surgery The rarest report of example.In operation process, the wire netting of the prosthese of implantation typically doctor's plane is former Material carries out shaped by hand to it and obtains.The effect of prosthese shaped by hand fully relies on the warp of doctor individual Test, it is impossible to the thyroid cartilage cut with patient mates completely, effectively overcome cartilage although the most postoperative The side effect that disappearance is brought, but original appearance cannot be replied in appearance.
Summary of the invention
It is an object of the invention to overcome the shortcoming and defect of above-mentioned prior art, it is provided that a kind of support effect Well, personalized thyroid cartilage prosthese of simple in construction and preparation method thereof.The first shape prepared by the method Cartilage prosthese, its shape structure in curved surface, and corresponding with alternative site shape, thus effectively eliminate The harmful effect that operation is brought.
The present invention is achieved through the following technical solutions:
A kind of personalized thyroid cartilage prosthese preparation method, it is characterised in that comprise the steps:
Step A00;Scan patient part by CT or MRT, obtain sheet layer data;
Step B00;The sheet layer data obtained is imported in Mimics software, it is carried out Threshold segmentation, The cut zone that region increases being not connected with each other in preliminary threshold segmentation masking-out segments subgroup further, Generate new masking-out;Finally smooth it, denoising etc. operates, and obtains the point cloud model after reconstruction;
Step C00;Point cloud model after rebuilding imports Geomagic Studio, is packaged a cloud Generate the tringle coal of STL form, extract the contour surface at cut position;
Step D00;The modeling of loose structure is realized by any one method in the following two kinds method:
Method (1): the curved surface of extraction is imported general three-dimensional software and completes modeling, pass through Grasshopper Extract deep corresponding surface profile, generate reticulated porous structures in osteotomy surface;Or
Method (2): led by the curved surface of extraction and carry out force analysis of finite element, extracts force analysis posterior nodal point letter Breath, utilizes Grasshopper to complete finite element loose structure in Rhinoceros software;
Step E00: personalized thyroid cartilage prosthese is carried out motion simulation force analysis, transports according to finite element Dynamic force analysis result, input regulation parameter adjusts in real time, optimizes design;
Step F00: obtain three-dimensional entity model, carries out slicing delamination, path planning, imports 3D metal Printing device, carries out 3D solid molding;
In above-mentioned steps D00, the threedimensional model after method (1) specifically will be rebuild is introduced directly into In Grasshopper, carry out Control curve parameter by coding, input variable is set and controls to excise model Enclose;Cut curved surface sets up network structure, by the regulation cancellated thickness of parameter i.e. adjustable Degree, grid hole porosity, average pore size;It is carried out motion simulation force analysis, moves according to finite element Force analysis result input regulation parameter adjusts in real time, optimizes design.
In above-mentioned steps D00, the model after Rhinoceros cutting is specifically imported by method (2) Autodesk Simulation Mechanical, arranges network size to it, carries out tetrahedron or hexahedro Body or mixed mesh, grid optimization, after adding material properties, after imposed load and constraint, carry out Finite Element Simulation Analysis;By thyroid cartilage prosthese Finite element analysis results, from Autodesk Simulation Mechanical software platform is derived with Excel form document form, extracts node location information;Lead Enter Rhinoceros software, utilize Grasshopper to write battery figure program, defeated to realize by regulation Entering parameter to change model, detailed process is as follows:
1. open Rhinoceros software and read Excel file by Grasshopper, limited to read Meta-model nodal information;
2. battery figure program is write by a generation line, baking by the Grasshopper plug-in unit of Rhinoceros After rhinoceros software is arrived in training, deletion of node information;
3. again read in the model of deletion of node with Grasshopper, write battery program, carry out structure excellent Change, line generate curved surface, sew up, after adding a cover, generate body;The model that Grasshopper is generated After carrying out smooth operation such as grade, bake and bank up with earth in Rhinoceros software, thus realize having of thyroid cartilage prosthese Limit unit parametric modeling.
In the print procedure of 3D metallic print equipment described in step F00,
(1) size of n Yu N is judged;
(2) if n < N, step F00 is performed;
(3) if n >=N, step I00 is performed;
(4) print complete, obtain satisfactory biological fixation type thyroid cartilage prosthese;
Wherein, n >=N.
Through 3D metallic print equipment print the personalized thyroid cartilage prosthese prepared need annealed, sandblasting, Electrobrightening, mirror finish process.The material that 3D metallic print equipment is used is titanium alloy powder.
A kind of personalized thyroid cartilage prosthese, this thyroid cartilage prosthese is curved surface network structure, this net surfaces Shape structure is divided into: network structure left plate region 100, fixed area 200, network structure right panel region 300 With Adam's apple region 400;The corresponding cut thyroid cartilage region of curved surface network structure, fixed area 200 sets There is screw hole;Described fixed area 200 is positioned at the cancellated two ends of curved surface;Described Adam's apple region 400 Outer margin contour be U-shaped rounding off.(it is cut that outer margin contour shape extracts from patient's thyroid cartilage completely Position, the most not necessarily rounding off)
The cancellated shape of described curved surface and size and patient need excision thyroid shape and Scope is corresponding.
Described curved surface network structure is monolayer network structure or multilamellar network structure;
Curved surface network structure is titanium alloy material;
The cancellated mesh-density of described curved surface, can be adjusted according to different implant sites.(grid is close Degree does not has this fixing Changing Pattern, needs to determine according to the actual demand of finite element analysis and patient)
The cancellated grid of described curved surface is any in continuous print triangle, rectangle or roundness mess One or combination;When using triangular mesh, the base of each triangular mesh and tip are distributed many The lines that bar is parallel to each other.
Described curved surface network structure integral thickness is consistent, or by thinning between central region to exterior lateral area Or it is the most thickening.This structure more has personalization.
The cancellated size of mesh opening of described curved surface, middle part to two ends be gradually reduced or between increase.
The present invention, relative to prior art, has such advantages as and effect:
Owing to the Data Source of prosthese modelling is in patient self, so the shape of prosthese is corresponding with patient Position is mated completely, it is achieved that personalization truly;By using parametric modeling method, The change of model need not redesign, it is only necessary to regulation input parameter just can complete, and can be greatly improved Design efficiency;Owing to using parametric modeling method, can be directly by regulation input parameter regulation grid-shaped Shape, mesh-density, web thickness are to adapt to the actual demand of different patient;It is imitative owing to it is carried out motion True force analysis, can realize the optimum allocation of biological fixation type thyroid cartilage prosthese power, thus reduce postoperative The risk that prosthese damages;Owing to using titanium alloy powder to carry out metallic print, the thyroid cartilage after molding is false Body can realize good biocompatibility after implanting human body;(raw owing to using 3D Method of printing to make Thing fixed pattern) structure of implanting prosthese no longer limited by process conditions, irregular complicated bent to having Face and porous network structure can realize directly manufacturing;Owing to using laser 3D to print so that implant The mechanical property of prosthese is the most superior;By to implanting the parametric modeling of prosthese and SLM straight forming, Design efficiency can be greatly improved, reach directly to manufacture the purpose of personalized implant, implant vacation to improving In the service life of body, the quality of life of patient is significant.
Thyroid cartilage prosthese of the present invention is curved surface network structure, and effect is to support throat muscles tissue, not only Can adapt to different individual requirements, and muscular tissue inside and outside network structure can be made to stick and pass grid Normal growth.
Accompanying drawing explanation
Fig. 1 is personalization thyroid cartilage borrowed structure schematic diagram of the present invention.
Fig. 2 is personalization thyroid cartilage prosthese front view of the present invention.
Fig. 3 is personalization thyroid cartilage prosthese top view of the present invention.
Fig. 4 is this personalization thyroid cartilage prosthese preparation technology flow chart.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is more specifically described in detail.
Embodiment
Also known as " metal 3D prints selective laser fusing (Selective Laser Melting, SLM) technology Technology " it is to increase the cutting edge technology that material manufactures, utilize the focusing laser beam of diameter 30~50 microns, metal Or alloy powder constituency successively melts, it is piled into a metallurgical binding, the entity of dense structure, thus obtains Almost arbitrary shape, there is the metal function part of complete metallurgical binding.
As shown in Figures 1 to 4.The invention discloses a kind of personalized thyroid cartilage prosthese preparation method, logical Cross following steps to realize:
Step A00;Scan patient part by CT or MRT, obtain sheet layer data;
Step B00;The sheet layer data obtained is imported in Mimics software, it is carried out Threshold segmentation, The cut zone that region increases being not connected with each other in preliminary threshold segmentation masking-out segments subgroup further, Generate new masking-out;Finally smooth it, denoising etc. operates, and obtains the point cloud model after reconstruction;
Step C00;Point cloud model after rebuilding imports Geomagic Studio, is packaged a cloud Generate the tringle coal of STL form, extract the contour surface at cut position;
Step D00;The modeling of loose structure is realized by any one method in the following two kinds method:
Method (1): the curved surface of extraction is imported general three-dimensional software and completes modeling, pass through Grasshopper Extract deep corresponding surface profile, generate reticulated porous structures in osteotomy surface;Or
Method (2): led by the curved surface of extraction and carry out force analysis of finite element, extracts force analysis posterior nodal point letter Breath, utilizes Grasshopper to complete finite element loose structure in Rhinoceros software;
Step E00: personalized thyroid cartilage prosthese is carried out motion simulation force analysis, transports according to finite element Dynamic force analysis result, input regulation parameter adjusts in real time, optimizes design;
Step F00: obtain three-dimensional entity model, carries out slicing delamination, path planning, imports 3D metal Printing device, carries out 3D solid molding;
In above-mentioned steps D00, the threedimensional model after method (1) specifically will be rebuild is introduced directly into In Grasshopper, carry out Control curve parameter by coding, input variable is set and controls to excise model Enclose;Cut curved surface sets up network structure, by the regulation cancellated thickness of parameter i.e. adjustable Degree, grid hole porosity, average pore size;It is carried out motion simulation force analysis, moves according to finite element Force analysis result input regulation parameter adjusts in real time, optimizes design.
Set up network structure on cut curved surface, refer to by the part or all of thyroid cartilage of excision Network structure is set up on the surface model of front surface.Need exist for explanation, if patient's thyroid cartilage quilt Excise position corrupted the most or disappearance and complete data cannot be extracted, then can extract offside corresponding The data in intact region carry out mirror image modeling, or at the defective thyroid CT extracted or After MRT image carries out three-dimensional modeling, the threedimensional model surface at defective position is carried out manual process, thus It is met the curved surface of operation demand.
Space curved surface network structure, is to program, by setting in Grasshopper based on Grasshopper Put mesh-density, mesh shape, web thickness regulation parameter input point, can be directly by regulation input ginseng Number regulation mesh-density, mesh shape, web thickness, to adapt to the actual demand of patient.
In above-mentioned steps D00, method (2) specifically parameterized finite element modeling, the advantage of this method It it is the optimum allocation that node can be ranked up realizing according to stressing conditions power.Detailed description of the invention is: Model after Rhinoceros cutting is imported Autodesk Simulation Mechanical, it is set Put network size, carry out tetrahedron or hexahedron or mixed mesh, grid optimization, add material and belong to After property, after imposed load and constraint, carry out Finite Element Simulation Analysis (general finite element analysis software); By thyroid cartilage prosthese Finite element analysis results, from Autodesk Simulation Mechanical software Platform is derived with Excel form document form, extracts node location information;Import Rhinoceros soft Part, utilizes Grasshopper to write battery figure program, to realize by adjusting input parameters to change mould Type, detailed process is as follows:
1. open Rhinoceros software and read Excel file by Grasshopper, limited to read Meta-model nodal information;
2. battery figure program is write by a generation line, baking by the Grasshopper plug-in unit of Rhinoceros After rhinoceros software is arrived in training, deletion of node information;
3. again read in the model of deletion of node with Grasshopper, write battery program, carry out structure excellent Change, line generate curved surface, sew up, after adding a cover, generate body;The model that Grasshopper is generated After carrying out smooth operation such as grade, bake and bank up with earth in Rhinoceros software, thus realize having of thyroid cartilage prosthese Limit unit parametric modeling.
In the print procedure of 3D metallic print equipment described in step F00,
(1) size of n Yu N is judged;
(2) if n < N, step F00 is performed;
(3) if n >=N, step I00 is performed;
(4) print complete, obtain satisfactory biological fixation type thyroid cartilage prosthese;
Wherein, n >=N.
Through 3D metallic print equipment print the personalized thyroid cartilage prosthese prepared need annealed, sandblasting, Electrobrightening, mirror finish process.The material that 3D metallic print equipment is used is titanium alloy powder.
Personalization thyroid cartilage prosthese of the present invention, is according to thyroid cartilage by metal 3D laser printing apparatus Prosthese cross section profile data, control laser beam and optionally melt each layer metal dust paved, progressively heap Fold and form.Within formed precision can be controlled in 100 μm.
This thyroid cartilage prosthese is curved surface network structure, and effect is to support throat muscles tissue, and can make net Inside and outside shape structure, grid normal growth is sticked and passed to muscular tissue, therefore can realize the above net acted on Trellis shape.
This curved surface network structure is divided into: network structure left plate region 100, fixed area 200, network structure Right panel region 300 and Adam's apple region 400;The corresponding cut thyroid cartilage region of curved surface network structure, Gu Determining region 200 and be provided with screw hole, position and the number of screw hole are not fixed, depending on patient practical situation and Fixed, network structure and fixed structure consistency of thickness, the concrete numerical value of thickness should be regarding the practical situation of patient Fixed.Described fixed area 200 is positioned at the cancellated two ends of curved surface;The outer rim in described Adam's apple region 400 Profile is U-shaped rounding off.
The cancellated shape of described curved surface and size and patient need excision thyroid shape and Scope is corresponding.
Described curved surface network structure is monolayer network structure or multilamellar network structure;Its effect is to support Throat muscles tissue, and muscular tissue inside and outside network structure can be made to stick and pass grid normal growth.
Curved surface network structure is titanium alloy material;In order to improve the quality of molding, titanium alloy (powder) is former Material needs through filtering and drying and processing before adding powder cylinder: by titanium alloy powder raw material through shaking Dynamic sieve filters, to filter the impurity in powder raw material;Again powder raw material is carried out drying and processing, To reduce the oxygen content of powder raw material.Titanium alloy powder raw material enters from 3D metallic print equipment and prints Region can be by realizing for powder form or dusting powders.
The cancellated mesh-density of described curved surface, can be adjusted according to different implant sites, to adapt to Different individual requirements.
The cancellated grid of described curved surface is any in continuous print triangle, rectangle or roundness mess One or combination;When using triangular mesh, the base of each triangular mesh and tip are distributed many The lines that bar is parallel to each other;This structure is conducive to the cancellated extensibility of curved surface and support strength.
Described curved surface network structure integral thickness is consistent, or by thinning between central region to exterior lateral area Or it is the most thickening.This structure more has personalization, to adapt to different individual requirements;
The cancellated size of mesh opening of described curved surface, middle part to two ends be gradually reduced or between increase, To adapt to different individual requirements.
Personalization thyroid cartilage prosthese of the present invention is mounted in the outside of cut thyroid cartilage corresponding region Substitute cut thyroid cartilage, its shape be according to patient need excision thyroid scope and Determine.Several screw holes on its cancellated border, thyroid cartilage in laminating correct in operation process Screw special fixed fae body is used after prosthese.
As it has been described above, just can preferably realize the present invention.
Embodiments of the present invention are also not restricted to the described embodiments, and other are any without departing from the present invention's The change made under spirit and principle, modify, substitute, combine, simplify, all should be putting of equivalence Change mode, within being included in protection scope of the present invention.

Claims (10)

1. a personalized thyroid cartilage prosthese preparation method, it is characterised in that comprise the steps:
Step A00;Scan patient part by CT or MRT, obtain sheet layer data;
Step B00;The sheet layer data obtained is imported in Mimics software, it is carried out Threshold segmentation, The cut zone that region increases being not connected with each other in preliminary threshold segmentation masking-out segments subgroup further, Generate new masking-out;Finally smooth it, denoising etc. operates, and obtains the point cloud model after reconstruction;
Step C00;Point cloud model after rebuilding imports Geomagic Studio, is packaged a cloud Generate the tringle coal of STL form, extract the contour surface at cut position;
Step D00;The modeling of loose structure is realized by any one method in the following two kinds method:
Method (1): the curved surface of extraction is imported general three-dimensional software and completes modeling, pass through Grasshopper Extract deep corresponding surface profile, generate reticulated porous structures in osteotomy surface;Or
Method (2): led by the curved surface of extraction and carry out force analysis of finite element, extracts force analysis posterior nodal point letter Breath, utilizes Grasshopper to complete finite element loose structure in Rhinoceros software;
Step E00: personalized thyroid cartilage prosthese is carried out motion simulation force analysis, transports according to finite element Dynamic force analysis result, input regulation parameter adjusts in real time, optimizes design;
Step F00: obtain three-dimensional entity model, carries out slicing delamination, path planning, imports 3D metal Printing device, carries out 3D solid molding.
The most personalized thyroid cartilage prosthese preparation method, it is characterised in that step In rapid D00, the threedimensional model after method (1) specifically will be rebuild is introduced directly in Grasshopper, Carry out Control curve parameter by coding, input variable is set to control excision extension;Cut Set up network structure on curved surface, by regulation the cancellated thickness of parameter i.e. adjustable, grid hole porosity, Average pore size;It is carried out motion simulation force analysis, inputs according to finite element motion force analysis result Regulation parameter adjusts in real time, optimizes design.
The most personalized thyroid cartilage prosthese preparation method, it is characterised in that step In rapid D00, the model after Rhinoceros cutting is specifically imported Autodesk by method (2) Simulation Mechanical, arranges network size to it, carries out tetrahedron or hexahedron or hybrid network Lattice divide, grid optimization, after adding material properties, after imposed load and constraint, carry out finite element simulation Analyze;By thyroid cartilage prosthese Finite element analysis results, from Autodesk Simulation Mechanical Software platform is derived with Excel form document form, extracts node location information;Import Rhinoceros Software, utilizes Grasshopper to write battery figure program, to realize by adjusting input parameters to change Model, detailed process is as follows:
1. open Rhinoceros software and read Excel file by Grasshopper, limited to read Meta-model nodal information;
2. battery figure program is write by a generation line, baking by the Grasshopper plug-in unit of Rhinoceros After rhinoceros software is arrived in training, deletion of node information;
3. again read in the model of deletion of node with Grasshopper, write battery program, carry out structure excellent Change, line generate curved surface, sew up, after adding a cover, generate body;The model that Grasshopper is generated After carrying out smooth operation such as grade, bake and bank up with earth in Rhinoceros software, thus realize having of thyroid cartilage prosthese Limit unit parametric modeling.
The most personalized thyroid cartilage prosthese preparation method, it is characterised in that In the print procedure of 3D metallic print equipment described in step F00,
(1) size of n Yu N is judged;
(2) if n < N, step F00 is performed;
(3) if n >=N, step I00 is performed;
(4) print complete, obtain satisfactory biological fixation type thyroid cartilage prosthese;
Wherein, n >=N.
The most personalized thyroid cartilage prosthese preparation method, it is characterised in that warp 3D metallic print equipment prints the personalized thyroid cartilage prosthese prepared needs annealed, sandblasting, electrolysis Polishing, mirror finish process.
The most personalized thyroid cartilage prosthese preparation method, it is characterised in that should The material that 3D metallic print equipment is used is titanium alloy powder.
7. a personalized thyroid cartilage prosthese, it is characterised in that use any one of claim 1 to 6 Described personalized thyroid cartilage prosthese preparation method prepares, and this thyroid cartilage prosthese is curved surface network structure;
This curved surface network structure is divided into: network structure left plate region (100), fixed area (200), net Shape structure right panel region (300) and Adam's apple region (400);The corresponding cut first shape of curved surface network structure Cartilaginous areas, fixed area (200) is provided with screw hole;
Described fixed area (200) is positioned at the cancellated two ends of curved surface;Described Adam's apple region (400) Outer margin contour be U-shaped rounding off.
The most personalized thyroid cartilage prosthese, it is characterised in that described net surfaces The shape of shape structure and size need the thyroid shape of excision and scope corresponding with patient.
The most personalized thyroid cartilage prosthese, it is characterised in that described net surfaces Shape structure is monolayer network structure or multilamellar network structure;
Curved surface network structure is titanium alloy material.
The most personalized thyroid cartilage prosthese, it is characterised in that described curved surface Cancellated grid is any one or combination in continuous print triangle, rectangle or roundness mess; When using triangular mesh, the base of each triangular mesh and tip are distributed a plurality of line being parallel to each other Bar;
Described curved surface network structure integral thickness is consistent, or by thinning between central region to exterior lateral area Or it is the most thickening;
The cancellated size of mesh opening of described curved surface, middle part to two ends be gradually reduced or between increase.
CN201610365421.3A 2016-05-27 2016-05-27 Personalized thyroid cartilage prosthesis and production method thereof Pending CN105877875A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610365421.3A CN105877875A (en) 2016-05-27 2016-05-27 Personalized thyroid cartilage prosthesis and production method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610365421.3A CN105877875A (en) 2016-05-27 2016-05-27 Personalized thyroid cartilage prosthesis and production method thereof

Publications (1)

Publication Number Publication Date
CN105877875A true CN105877875A (en) 2016-08-24

Family

ID=56708867

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610365421.3A Pending CN105877875A (en) 2016-05-27 2016-05-27 Personalized thyroid cartilage prosthesis and production method thereof

Country Status (1)

Country Link
CN (1) CN105877875A (en)

Cited By (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106344221A (en) * 2016-10-26 2017-01-25 四川大学 Bonelike porous biomechanical bionic designed spinal fusion device and preparation method and use thereof
CN106420117A (en) * 2016-11-09 2017-02-22 河北医科大学第三医院 Bone tumor prosthesis for firmly connecting tendon and making method thereof
CN107137167A (en) * 2017-05-05 2017-09-08 南方医科大学 Modeling method, manufacture method and the Auricular framework of the exposed Auricular framework of prevention
CN107802378A (en) * 2017-11-22 2018-03-16 华南理工大学 Astragalus local route repair body and its design and production method with loose structure
CN107968080A (en) * 2018-01-04 2018-04-27 钦州学院 Microelectronics heat exchanger and its manufacture method based on earthworm microcosmic surface
CN108010893A (en) * 2018-01-04 2018-05-08 钦州学院 Minitype radiator and its manufacture method based on lotus leaf microcosmic surface
CN108491596A (en) * 2018-03-08 2018-09-04 大连理工大学 A kind of hierarchy slicing profile building method on point cloud model
CN108734783A (en) * 2018-05-22 2018-11-02 南方医科大学 A method of judging reconstruction ear supporter ulceration risk
CN108763709A (en) * 2018-05-22 2018-11-06 南方医科大学 A kind of reconstruction ear supporter topological structure optimization method based on finite element analysis
CN109049719A (en) * 2018-09-30 2018-12-21 西安点云生物科技有限公司 A kind of no silk 3D printing method
CN109129818A (en) * 2018-09-06 2019-01-04 浙江大学 A kind of method of construction and composite beam of the composite beam of 3D printing braiding integrated molding
CN109604602A (en) * 2019-01-31 2019-04-12 攀枝花三帝科技有限公司 A kind of production method of 3D printing hearing aid shell
CN109848414A (en) * 2019-01-31 2019-06-07 攀枝花三帝科技有限公司 A kind of production method that 3D printing customizes hearing aid
CN109893302A (en) * 2019-03-26 2019-06-18 北京航空航天大学 Meniscus implant with Negative poisson's ratio
CN110039050A (en) * 2019-04-16 2019-07-23 南京医科大学附属逸夫医院 A kind of specific modality and the preparation facilities of tissue engineering bracket of structure and preparation method thereof
CN110096728A (en) * 2019-03-12 2019-08-06 昆明理工大学 A kind of lotus-root-shape porous metal finite element method based on Reverse reconstruction
CN110612194A (en) * 2017-03-10 2019-12-24 普瑞利思生物制品公司 Method and system for printing biological material
CN110811929A (en) * 2019-11-07 2020-02-21 西安交通大学 Personalized lower limb long bone segment substitute and preparation method thereof
CN111249038A (en) * 2020-01-14 2020-06-09 国家康复辅具研究中心 Method for producing a bone implant with an integrated porous structure and bone implant
CN111281608A (en) * 2020-02-28 2020-06-16 北京大学第一医院 Module for repairing cartilage defect and forming method thereof
CN112140552A (en) * 2020-07-23 2020-12-29 西安交通大学 In-situ 3D printing curved surface layering and path planning method
CN112233791A (en) * 2020-10-16 2021-01-15 东北大学 Device and method for preparing mammary gland prosthesis based on point cloud data clustering
US11085018B2 (en) 2017-03-10 2021-08-10 Prellis Biologics, Inc. Three-dimensional printed organs, devices, and matrices
CN114191179A (en) * 2021-12-28 2022-03-18 中南大学湘雅医院 Head and neck post-operation conformal pressure-regulating binding device based on 3D printing technology and manufacturing method
US11767514B2 (en) 2017-05-25 2023-09-26 Prellis Biologics, Inc Three-dimensional printed organs, devices, and matrices

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102805675A (en) * 2012-08-13 2012-12-05 杭州电子科技大学 Biological manufacturing and constructing method of customized artificial larynx
CN103656760A (en) * 2013-12-09 2014-03-26 广西大学 Method for preparing individual porous thyroid cartilage support
CN104462720A (en) * 2014-12-25 2015-03-25 河海大学常州校区 Feature-based quick bone plate design method
CN105105853A (en) * 2015-09-29 2015-12-02 李焰 Skeleton operation guide plate manufacturing method based on 3D printing
US20160045317A1 (en) * 2013-03-15 2016-02-18 Conformis, Inc. Kinematic and Parameterized Modeling for Patient-Adapted Implants, Tools, and Surgical Procedures
CN205964230U (en) * 2016-05-27 2017-02-22 华南理工大学 Individualized thyroid cartilage false body

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102805675A (en) * 2012-08-13 2012-12-05 杭州电子科技大学 Biological manufacturing and constructing method of customized artificial larynx
US20160045317A1 (en) * 2013-03-15 2016-02-18 Conformis, Inc. Kinematic and Parameterized Modeling for Patient-Adapted Implants, Tools, and Surgical Procedures
CN103656760A (en) * 2013-12-09 2014-03-26 广西大学 Method for preparing individual porous thyroid cartilage support
CN104462720A (en) * 2014-12-25 2015-03-25 河海大学常州校区 Feature-based quick bone plate design method
CN105105853A (en) * 2015-09-29 2015-12-02 李焰 Skeleton operation guide plate manufacturing method based on 3D printing
CN205964230U (en) * 2016-05-27 2017-02-22 华南理工大学 Individualized thyroid cartilage false body

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
刘小龙,等: "基于CT及逆向工程软件构建正常人骨盆三维有限元模型", 《中国组织工程研究》 *

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106344221A (en) * 2016-10-26 2017-01-25 四川大学 Bonelike porous biomechanical bionic designed spinal fusion device and preparation method and use thereof
CN106420117A (en) * 2016-11-09 2017-02-22 河北医科大学第三医院 Bone tumor prosthesis for firmly connecting tendon and making method thereof
US11085018B2 (en) 2017-03-10 2021-08-10 Prellis Biologics, Inc. Three-dimensional printed organs, devices, and matrices
CN110612194A (en) * 2017-03-10 2019-12-24 普瑞利思生物制品公司 Method and system for printing biological material
US11919231B2 (en) 2017-03-10 2024-03-05 Prellis Biologics, Inc. Three-dimensional printed organs, devices, and matrices
CN107137167B (en) * 2017-05-05 2019-03-22 南方医科大学 The modeling method, manufacturing method and Auricular framework for preventing exposed Auricular framework
CN107137167A (en) * 2017-05-05 2017-09-08 南方医科大学 Modeling method, manufacture method and the Auricular framework of the exposed Auricular framework of prevention
US11767514B2 (en) 2017-05-25 2023-09-26 Prellis Biologics, Inc Three-dimensional printed organs, devices, and matrices
CN107802378A (en) * 2017-11-22 2018-03-16 华南理工大学 Astragalus local route repair body and its design and production method with loose structure
CN108010893A (en) * 2018-01-04 2018-05-08 钦州学院 Minitype radiator and its manufacture method based on lotus leaf microcosmic surface
CN107968080A (en) * 2018-01-04 2018-04-27 钦州学院 Microelectronics heat exchanger and its manufacture method based on earthworm microcosmic surface
CN108491596A (en) * 2018-03-08 2018-09-04 大连理工大学 A kind of hierarchy slicing profile building method on point cloud model
CN108763709A (en) * 2018-05-22 2018-11-06 南方医科大学 A kind of reconstruction ear supporter topological structure optimization method based on finite element analysis
CN108734783A (en) * 2018-05-22 2018-11-02 南方医科大学 A method of judging reconstruction ear supporter ulceration risk
CN108763709B (en) * 2018-05-22 2021-06-15 南方医科大学 Reconstruction ear support topological structure optimization method based on finite element analysis
CN108734783B (en) * 2018-05-22 2021-06-15 南方医科大学 Method for judging ulceration risk of reconstructed ear support
CN109129818A (en) * 2018-09-06 2019-01-04 浙江大学 A kind of method of construction and composite beam of the composite beam of 3D printing braiding integrated molding
CN109049719A (en) * 2018-09-30 2018-12-21 西安点云生物科技有限公司 A kind of no silk 3D printing method
CN109049719B (en) * 2018-09-30 2020-07-17 西安点云生物科技有限公司 Silk-free 3D printing method
CN109604602A (en) * 2019-01-31 2019-04-12 攀枝花三帝科技有限公司 A kind of production method of 3D printing hearing aid shell
CN109848414A (en) * 2019-01-31 2019-06-07 攀枝花三帝科技有限公司 A kind of production method that 3D printing customizes hearing aid
CN110096728A (en) * 2019-03-12 2019-08-06 昆明理工大学 A kind of lotus-root-shape porous metal finite element method based on Reverse reconstruction
CN109893302A (en) * 2019-03-26 2019-06-18 北京航空航天大学 Meniscus implant with Negative poisson's ratio
CN110039050A (en) * 2019-04-16 2019-07-23 南京医科大学附属逸夫医院 A kind of specific modality and the preparation facilities of tissue engineering bracket of structure and preparation method thereof
CN110811929B (en) * 2019-11-07 2021-01-15 西安交通大学 Personalized lower limb long bone segment substitute and preparation method thereof
CN110811929A (en) * 2019-11-07 2020-02-21 西安交通大学 Personalized lower limb long bone segment substitute and preparation method thereof
CN111249038A (en) * 2020-01-14 2020-06-09 国家康复辅具研究中心 Method for producing a bone implant with an integrated porous structure and bone implant
CN111281608A (en) * 2020-02-28 2020-06-16 北京大学第一医院 Module for repairing cartilage defect and forming method thereof
CN112140552A (en) * 2020-07-23 2020-12-29 西安交通大学 In-situ 3D printing curved surface layering and path planning method
CN112140552B (en) * 2020-07-23 2021-12-28 西安交通大学 In-situ 3D printing curved surface layering and path planning method
CN112233791A (en) * 2020-10-16 2021-01-15 东北大学 Device and method for preparing mammary gland prosthesis based on point cloud data clustering
CN112233791B (en) * 2020-10-16 2023-12-29 东北大学 Mammary gland prosthesis preparation device and method based on point cloud data clustering
CN114191179A (en) * 2021-12-28 2022-03-18 中南大学湘雅医院 Head and neck post-operation conformal pressure-regulating binding device based on 3D printing technology and manufacturing method

Similar Documents

Publication Publication Date Title
CN105877875A (en) Personalized thyroid cartilage prosthesis and production method thereof
CN105499575B (en) A kind of design and preparation method of perforated grill structural material
CN105997306B (en) A kind of bone, which implants, fills the design method of perforated grill structure
CN110226991B (en) Method for producing a customized orthopaedic implant
US8706285B2 (en) Process to design and fabricate a custom-fit implant
AU2001242995B2 (en) Method of producing profiled sheets as prosthesis
US9056017B2 (en) 3D design and fabrication system for implants
CN105853026A (en) Personalized femoral prosthesis and manufacturing method
US8090540B2 (en) Method for designing 3-dimensional porous tissue engineering scaffold
CN107391784A (en) A kind of cancellous bone loose structure modeling method based on topological optimization technology
CN106073870A (en) A kind of facies articularis ossium is rebuild 3D and is printed the method repairing implant
CN107607452B (en) Method for determining porosity of porous prosthesis according to stress distribution
CN109172049A (en) A kind of porous network structure orthopaedics based on the connection of laminated sheet bar repairs the designing and manufacturing method and implant of implant
CN108577958A (en) A kind of design method of the personalized 3D printing calcaneal steel plate based on topological optimization
CN111063023B (en) Skull defect reconstruction method based on three-dimensional convolutional neural network
CN105581860A (en) 3D print type artificial bone trabecula structure cervical fusion device and preparing method and application thereof
Sharma et al. Design and additive manufacturing of a biomimetic customized cranial implant based on voronoi diagram
KR101624608B1 (en) Method for designing automatically customized nasal implant
CN109766599A (en) A kind of personalized anterior intervertebral fusion device design method based on bone remoulding principle
CN205831965U (en) A kind of personalized femoral prosthesis
CN107997855A (en) 3D porous supports method for establishing model, device and preparation system
CN108433851A (en) A kind of preparation method of upper section of tibia tumorous type prosthese
CN107374786A (en) A kind of prosthese manufacture method of personalized loose structure
CN106863785A (en) The preparation method and device of bone model
CN205964230U (en) Individualized thyroid cartilage false body

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
WD01 Invention patent application deemed withdrawn after publication
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20160824