Point-of-care manufacturing: a single university hospital's initial experience
Jose Antonio Calvo-Haro 1 2 3 , Javier Pascau 4 5 , José Manuel Asencio-Pascual 6 7 4 , Felipe Calvo-Manuel 8 , Maria José Cancho-Gil 6 4 , Juan Francisco Del Cañizo López 6 7 4 , María Fanjul-Gómez 6 4 , Roberto García-Leal 6 7 4 , Guillermo González-Casaurrán 6 4 , Manuel González-Leyte 6 4 , Juan Antonio León-Luis 6 7 4 , Lydia Mediavilla-Santos 6 4 , Santiago Ochandiano-Caicoya 6 4 , Ramón Pérez-Caballero 6 4 , Almudena Ribed-Sánchez 6 4 , Javier Río-Gómez 6 4 , Eduardo Sánchez-Pérez 6 4 , Javier Serrano-Andreu 8 , Manuel Tousidonis-Rial 6 4 , Javier Vaquero-Martín 6 7 4 , Sonia García San José 6 4 , Rubén Perez-Mañanes 6 7 4
Background: The integration of 3D printing technology in hospitals is evolving toward production models such as point-of-care manufacturing. This study aims to present the results of the integration of 3D printing technology in a manufacturing university hospital.
Methods: Observational, descriptive, retrospective, and monocentric study of 907 instances of 3D printing from November 2015 to March 2020. Variables such as product type, utility, time, or manufacturing materials were analyzed.
Results: Orthopedic Surgery and Traumatology, Oral and Maxillofacial Surgery, and Gynecology and Obstetrics are the medical specialties that have manufactured the largest number of processes. Working and printing time, as well as the amount of printing material, is different for different types of products and input data.
The most common printing material was polylactic acid, although biocompatible resin was introduced to produce surgical guides. In addition, the hospital has worked on the co-design of custom-made implants with manufacturing companies and has also participated in tissue bio-printing projects.
Conclusions: The integration of 3D printing in a university hospital allows identifying the conceptual evolution to "point-of-care manufacturing."