It’s a reasonable certainty that 3D-printing is one day going to be a huge part of medicine. From hip implants to stents that prop open blood vessels to whole organs laid down layer by layer, humans will probably benefit immensely from medical printing. But if they do, the animals will get there first; somebody has to try this stuff out, after all.
An early if an unwilling adopter of 3D-printed medical appliances is [Jary], a 22-year-old Great Pied Hornbill, who recently received a 3D-printed replacement for his casque, the large, mostly hollow protuberance on the front the bird’s skull leading out over the upper beak. There’s no known function for the casque, but it had to be removed since cancer was destroying it and [Jary] wouldn’t have fared well post-surgically without one. Working from CT scans, the veterinary team created a model of the casque as well as a jig to guide the saw during surgery. There’s no word on what filament was used, but we’d guess PLA since it’s biocompatible and available in medical grades. The video below shows some of the surgery; it’s interesting to note that the prosthetic started out natural colored but quickly turned yellow as [Jary] preened with oils from glands near his tail feathers, just like a natural casque would.
Hornbills live to about 40 years old, so [Jary] is just middle-aged. Here’s hoping that he lives a long, happy life in return for being a pioneer in 3D-printing for medical and surgical appliances.
Our bodies are not like LEGO blocks or computers because we cannot swap out our parts in the living room while watching television. Organ transplants and cosmetic surgery are currently our options for upgrades, repairs, and augments, but post-transplant therapy can be a lifelong commitment because of rejection. Elective surgery costs more than a NIB Millenium Falcon LEGO set. Laboratories have been improving the processes and associated treatments for decades but experimental labs and even home laboratories are getting in on the action as some creative minds take the stage. These folks aren’t performing surgeries, but they are expanding what is possible to for people to do and learn without a medical license.
One promising gateway to human building blocks is the decellularization and recellularization of organic material. Commercial scaffolds exist but they are expensive, so the average tinkerer isn’t going to be buying a few to play with over a holiday weekend.
Let’s explore what all this means. When something is decellularized, it means that the cells are removed, but the structure holding the cells in place remains. Recellularizing is the process where new cells are grown in that area. Decellularizing is like stripping a Hilton hotel down to the girders. The remaining structures are the ECM or the Extra Cellular Matrix, usually referred to as scaffolding. The structure has a shape but no functionality, like a stripped hotel. The scaffolding can be repopulated with new cells in the same way that our gutted hotel can be rebuilt as a factory, office building, or a hospital.
There may be no place on Earth less visited by humans than the South Pole. Despite a permanent research base with buildings clustered about the pole and active scientific programs, comparatively few people have made the arduous journey there. From October to February, up to 200 people may be stationed at the Amundsen-Scott South Pole Station for the Antarctic summer, and tourists checking an item off their bucket lists come and go. But by March, when the sun dips below the horizon for the next six months, almost everyone has cleared out, except for a couple of dozen “winter-overs” who settle in to maintain the station, carry on research, and survive the worst weather Mother Nature brews up anywhere on the planet.
To be a winter-over means accepting the fact that whatever happens, once that last plane leaves, you’re on your own for eight months. Such isolation and self-reliance require special people, and Dr. Jerri Nielsen was one who took the challenge. But as she and the other winter-overs watched the last plane leave the Pole in 1998 and prepared for the ritual first-night screening of John Carpenter’s The Thing, she had no way of knowing what she would have to do to survive the cancer that was even then growing inside her.
The machine learning algorithm needed to be trained to identify the relevant parts of surgical videos. To do this, the laparoscopic surgeries being investigated were split up into distinct stages, each relating to a different part of the surgical process. Researchers would then watch recordings of prior surgeries and mark the start of each stage. This data was used to train the model which was then used to sift through other recordings to capture the key moments of each surgery.
The time-saving advantages of such technology could be applied to a great many fields – such an algorithm could be put to great use to sort through hours of uneventful security footage looking for anomalies, or rapidly cut together holiday footage so you only have to see the good parts. We’d love to see the researchers release footage showing the algorithm’s work – thus far, all we have to go off is the project paper.
As the many many warnings at the base of the Open Surgery website clearly state, doing your own surgery is a very bad idea. However, trying to build a surgery robot like Da Vinci to see if it can be done cheaply, is a great one.
For purely academic reasons, [Frank Kolkman] decided to see if one could build a surgery robot for less than an Arab prince spends on their daily commuter vehicle. The answer is, more-or-less, yes. Now, would anyone want to trust their precious insides to a 3D printed robot with dubious precision? Definitely not.
The end effectors were easily purchased from a chinese seller. Forty bucks will get you a sterile robotic surgery gripper, scissor, or scalpel in neat sterile packaging. The brain of the robot is basically a 3D printer. An Arduino and a RAMPS board are the most economical way to drive a couple steppers.
The initial version of the robot proves that for around five grand it’s entirely possible to build a surgery robot. Whether or not it’s legal, safe, usable, etc. Those are all questions for another research project.
The lucky and resourceful hacker in this case is one [Julien Schuermans], who managed to take home pieces of a multi-million dollar da Vinci Si surgical robot. Before anyone cries “larcency”, [Julien] appears to have come by the hardware legitimately – the wrist units of these robots are consumable parts costing about $2500 each, and are disposed of after 10 procedures. The video below makes it clear how they interface with the robot arm, and how [Julien] brought them to life in his shop. A quartet of Arduino-controlled servos engages drive pins on the wrist and rotates pulleys that move the cables that drive the instruments. A neat trick by itself, but when coupled with the Leap Motion controller, the instruments become gesture controlled. We’re very sure we’d prefer the surgeon’s hands on a physical controller, but the virtual control is surprisingly responsive and looks like a lot of fun.
When [Cassidy and Chad Lexcen]’s twin daughters were born in August, smaller twin [Teegan] was clearly in trouble. Diagnostics at the Minnesota hospital confirmed that she had been born with only one lung and half a heart. [Teegan]’s parents went home and prepared for the inevitable, but after two months, she was still alive. [Cassidy and Chad] started looking for second opinions, and after a few false starts, [Teegan]’s scans ended up at Miami’s Nicklaus Children’s Hospital, where the cardiac team looked them over. They ordered a 3D print of the scans to help visualize possible surgical fixes, but the 3D printer broke.
Not giving up, they threw [Teegan]’s scans into Sketchfab, slapped an iPhone into a Google Cardboard that one of the docs had been playing with in his office, and were able to see a surgical solution to [Teegan]’s problem. Not only was Cardboard able to make up for the wonky 3D printer, it was able to surpass it – the 3D print would only have been the of the heart, while the VR images showed the heart in the context of the rest of the thoracic cavity.[Dr. Redmond Burke] and his team were able to fix [Teegan]’s heart in early December, and she should be able to go home in a few weeks to join her sister [Riley] and make a complete recovery.
We love the effect that creative use of technology can have on our lives. We’ve already seen a husband using the same Sketchfab tool to find a neurologist that remove his wife’s brain tumor. Now this is a great example of doctors doing what it takes to better leverage the data at their disposal to make important decisions.