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Z Corp. Medical Modeling Solutions Improving Patient Outcomes With 3D Precision. Agenda. Leading Customers Applications and Case Examples Emerging Applications Additional Capabilities Technical Requirements The Z Corp. Advantage. 3D Medical Models.

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agenda
Agenda
  • Leading Customers
  • Applications and Case Examples
  • Emerging Applications
  • Additional Capabilities
  • Technical Requirements
  • The Z Corp. Advantage
3d medical models
3D Medical Models
  • Z Corp.’s 3D Printers enable surgeons to rapidly produce inexpensive 3D models to obtain better case information to reduce operating time, enhance patient and physician communication and improve patient outcomes.
  • The speed of Z Corp. Printers enables 3D models to be used for trauma cases; a significant advancement for use in the medical field.
diverse customer base
Orthopaedics & Maxillo-Facial

University of New Mexico Medical Center

Seoul National University

Plastic Surgery

Fukushima Medical University

Clinica Olinda

Faminsa

Implant Manufacturers

Synthes

EBI

Service Bureaus

Medical Modeling

Javelin 3D

Stereolithographers

Pediatrics

University of New Mexico

Diverse Customer Base
applications and case examples

Applications and Case Examples

Enables pre-operative analysis of complex total hip replacement

Pre-operative sizing of uni-compartmental total knee replacement

leading applications
Leading Applications
  • Pre-surgical planning
    • Implant pre-contouring
    • Screw trajectory
    • Screw selection/location
    • Instrument selection
    • Technique rehearsal
  • Custom implant manufacture
  • Physician to physician communication
  • Powerful patient presentation tool
  • Medical student/resident education
  • 3D Surface Scanning/Custom Prosthesis Design
pre surgical planning implant pre contouring
Pre-Surgical Planning: Implant Pre-contouring
  • Z Corp. models enable implants to be pre-contoured prior to opening patients
    • Significantly reduces O.R. time
      • Lowers cost
      • Reduces O.R. team fatigue
    • Enhances patient outcomes
      • Reduces “re-do” procedures
      • Minimizes size of incisions
      • Speeds recovery time
      • Improves anatomical alignment
        • Bone “sucks in” to the plates
      • Enables multiple procedure rehearsals
case example maxillo facial surgery
Case Example: Maxillo-facial Surgery
  • Z Corp. models used for facial trauma cases can be sawed apart and re-aligned for proper anatomical fit of pre-contoured plates
  • Bone virtually “sucks” up against the implant, insuring a perfect fit
case example maxillo facial surgery mandible reconstruction
Case Example: Maxillo-Facial SurgeryMandible Reconstruction
  • Pre-contoured mandible plate reduced time in the O.R. by 45 minutes
    • Dr. Fernando Urrutia Plastic Surgeon (Mexico City, Mexico)
case example orthopaedic surgery acetabula reconstruction
Case Example: Orthopaedic Surgery – Acetabula Reconstruction
  • Pre-contouring acetabula fixation plates can reduce O.R. time by as much as 2 hours
  • Incisions can be reduced from over 12” to as little as 4” in some cases
    • Dr. George Brown Chief, Division of Spine Surgery University of New Mexico Health Science Center Albuquerque, NM

Complex pelvic and acetabula fracture

pre surgical planning screw trajectory
Pre-Surgical Planning: Screw Trajectory
  • Z Corp. models are used to analyze fractures and determine the precise location and trajectory of alignment screws and fixation plates

Complex bi-lateral pelvic fracture

pre surgical planning screw selection and location
Pre-Surgical Planning: Screw Selection and Location
  • Z Corp. models permit detailed analysis of bone mass to enable screw length selection and location to occur pre-operatively
    • Reduces O.R. time
    • Improves fit of implant hardware
custom implant manufacture
Custom Implant Manufacture
  • Z Corp. models permit the world’s leading implant manufacturers to fabricate custom implants rapidly and cost effectively for the ultimate in performance
case example custom implant manufacture
Case Example: Custom Implant Manufacture
  • Silicone septum implant was constructed and fit to the Z Corp. model saving 1 hour of O.R. time

Dr. Fernando Urrutia

Plastic Surgeon

Clinica Olinda

Mexico City, Mexico

enhance physician to physician communication
Enhance Physician to Physician Communication
  • Z Corp. models permit excellent communication between physicians and surgical teams; particularly useful in multi-disciplinary cases
patient communication tool
Patient Communication Tool
  • Z Corp. models enhance the physician’s ability to communicate with patients; raising confidence in the surgeon and the likelihood of a successful outcome

Silicone cheek implant

medical student resident education
Medical Student/Resident Education

Z Corp. models prove very useful in communicating with students and residents

Complex 2D images can be converted into easy to understand 3D models that can be held and easily manipulated for a more complete understanding of the anatomy

cardiology
Cardiology
  • Advancements in CT technology now permit 3D capture of soft tissue data
  • Physicians can better quantify size, shape and function of the heart.
  • Examining the whole, beating heart makes examinations and surgical procedures more precise and rapid.
3d surface scanning custom prosthesis design
3D Surface Scanning/ Custom Prosthesis Design
  • Utilizing 3D surface imaging technology; custom prosthesis can be fabricated from Z Corp. models used as patterns for the development of molds
fe analysis
FE Analysis
  • Full color Z Corp. medical models enable surgeons to better understand the affects of impact and compressive stress on bone to anticipate additional areas of concern
model labeling
Model Labeling
  • Using Z Corp.’s ZPrint software, surfaces can be labeled to mark particular areas of interest on the 3D model
  • Label text can be raised (or colored on the Z®406 and Z810 Printers)
precision fixtures
Precision Fixtures
  • Z Corp. models can be accompanied with precise fixtures to enable measurements and protect models with complex cavities

Vascular tumor captured with an MRI

technical requirements
Technical Requirements
  • CT and MRI data in DICOM 3.0 format
    • 0.5mm – 3mm slices
  • Mimics™ imaging software (Materialise)
  • Z Corp. 3D Printer
    • ZPrinter™310
    • Z406 Color 3D Printer
    • Z810 Large Format, Color 3D Printer
z corp advantages vs legacy technology
Z Corp. Advantages vs. Legacy Technology
  • Cost
    • Z Corp. models are the lowest cost in the RP world
    • $1 - $2 per cubic inch
  • Speed
    • Critical trauma data can be captured and transformed into 3D models in hours
    • Build rate is 1” – 2” vertical inches per hour
  • Complex Geometries
    • No support structures permit the most detailed, delicate models with complex cavities to be built and easily post-processed
  • Material Properties
    • Models can be sawed, drilled, scribed, painted and bonded very simply
z corp advantages vs legacy technology27
Z Corp. Advantages vs. Legacy Technology
  • Simplicity of Use
    • Z Corp. 3D Printers and software enable users to be fully trained in 2 days
  • Full Color Capabilities
    • Z Corp. models can be printed in millions of colors to communicate FEA (finite element analysis), bone density and tumor location data
  • Office Friendly
    • Z Corp. 3D Printers are simple to operate in any office environment and require minimal space
value delivered
Value Delivered
  • Z Corp. 3D models deliver accurate information rapidly to enable faster, less costly surgical procedures
  • Pre-contoured surgical implants are positioned easier, more precisely and minimize the likelihood of hardware complications
  • Communication between individuals, physicians and patients alike, is simplified and easily shared
reimbursement
Reimbursement
  • Several U.S. surgeons have informed Z Corp. about the following CPT codes that can be used to obtain reimbursement funds for 3DP models.
    • CPT code 76375 was recently created as an adjunct to CT/MRI codes to cover “printed holography” with modifier 22 (unusual procedural service)
    • Z Corp. has been told by the AMA that the additional codes listed below can also be used to identify what our models are used for. These codes are all now used for making custom equipment/devices for treatment, planning, and simulation. These fall within the 77300 family of codes. They are 77332, 77333, 77334. Each code essentially covers components of varying degrees of complexity.
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Maxillo-facial and Orthopaedic Surgery References

“Simply stated, our Z Corp. models are improving patient outcomes with 3D, computer aided precision.”

Dr. Jon Wagner and Dr. George Brown

University of New Mexico

Health Science Center

Albuquerque, New Mexico