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
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

Applications and Case Examples

Enables pre-operative analysis of complex total hip replacement

Pre-operative sizing of uni-compartmental total knee replacement

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

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

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

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

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

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

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

Z Corp. models permit the worlds leading implant manufacturers to fabricate custom implants rapidly and cost effectively for the ultimate in performance

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

Z Corp. models permit excellent communication between physicians and surgical teams; particularly useful in multi-disciplinary cases

Patient Communication Tool

Z Corp. models enhance the physicians ability to communicate with patients; raising confidence in the surgeon and the likelihood of a successful outcome

Silicone cheek implant

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

Emerging Applications

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

Utilizing 3D surface imaging technology; custom prosthesis can be fabricated from Z Corp. models used as patterns for the development of molds

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

Additional Capabilities

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 Z406 and Z810 Printers)

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
CT and MRI data in DICOM 3.0 format 0.5mm 3mm slices Mimics imaging software (Materialise) Z Corp. 3D Printer ZPrinter310 Z406 Color 3D Printer Z810 Large Format, Color 3D Printer

 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 Technology

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
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

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