MP34-01 DEVELOPMENT AND DISSEMINATION OF A LOW COST THREE-DIMENSIONALLY PRINTED LAPAROSCOPIC TRAINER

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology III1 Apr 2016MP34-01 DEVELOPMENT AND DISSEMINATION OF A LOW COST THREE-DIMENSIONALLY PRINTED LAPAROSCOPIC TRAINER Renai Yoon, Zhamshid Okhunov, Benjamin Dolan, Michael J. Schwartz, Paras H. Shah, Hannah Bierwiler, Kamaljot Kaler, Ralph Clayman, and Jaime Landman Renai YoonRenai Yoon More articles by this author , Zhamshid OkhunovZhamshid Okhunov More articles by this author , Benjamin DolanBenjamin Dolan More articles by this author , Michael J. SchwartzMichael J. Schwartz More articles by this author , Paras H. ShahParas H. Shah More articles by this author , Hannah BierwilerHannah Bierwiler More articles by this author , Kamaljot KalerKamaljot Kaler More articles by this author , Ralph ClaymanRalph Clayman More articles by this author , and Jaime LandmanJaime Landman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1559AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The UCiTrainer is a low cost, portable laparoscopic trainer that utilizes an electronic tablet for video and optics; it can be printed with a consumer-level three-dimensional (3D) printer. We report our initial experience on the feasibility of using 3D printing technology as a novel method of manufacturing and distribution for low cost, surgical education tools on a global on demand basis. METHODS We created computer-aided designs (CAD) using Solidworks Software (Dassault Systemes Solidworks Corp., Velizy-Villacoublay, France) for nine separate components which could then be assembled into a laparoscopic training device including an instrument port mold. These files were provided to two remote institutions to 3D print and assemble the trainer. The CAD files were uploaded to Makerware software (MakerBot Industries, New York City, NY) to be sliced into layers and prepared for printing. All pieces were printed using a Flashforge Creator 3D printer (Flashforge, Jinhua, China) in five separate prints. The following printer settings were used: raft layer, 15% infill, 2 shells, 0.10 mm layer height, 230 ? C extruder, 110 ? C build plate, 90 mm/s extrusion and 150 mm/s travel. In this process, successive layers of a heated, acrylonitrile butadiene styrene filament were extruded and laid on top of one another in both the horizontal and vertical axis. The printed mold was used to create two instrument ports using a liquid silicone rubber. Both remote institutions were provided oral and written instructions for assembly of the components. RESULTS Initial attempts of 3D printing of the larger pieces (Figure 1b) were not successful due to deformation of the plastic. Additionally, initial calibration and leveling of the 3D printer were challenging to novices. Accordingly, the build plate was increased to 120 ? C and a full enclosure was made for the 3D printer to retain heat during the printing process. With these adjustments, successful printing of the components was accomplished. Both institutions were subsequently able to completely assemble and use the training device using only the oral and written instructions provided. CONCLUSIONS 3D printing technology can be used successfully to disseminate a training device for use in surgical education. The device is inexpensive and can be made on an as-needed basis. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e471 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Renai Yoon More articles by this author Zhamshid Okhunov More articles by this author Benjamin Dolan More articles by this author Michael J. Schwartz More articles by this author Paras H. Shah More articles by this author Hannah Bierwiler More articles by this author Kamaljot Kaler More articles by this author Ralph Clayman More articles by this author Jaime Landman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...