Osteomodel Company Presentation

2. Objective and observed Necessities
Objective: Be one of the leaders in the market of the production of osseous tissue replica
and/or soft parts, and the production of implants of customized osseous tissue, from
Computerized Axial Tomographies, X-rays film or MRI
Action Areas:
1ª.- The development of techniques in the preparation and study of surgical operations,
which allow the surgeons, by using biomodels, made by techniques of Rapid Prototyping, to
improve surgery, reducing surgery time.
2ª.- The decrease in the number of further operations and their duration due to the
manufacturing of customized implants (Biocompatible materials), and to the use of Rapid
Prototyping techniques which enable the surgeon to set implants as soon as possible
3ª.- the development of new bioactive technologies in the manufacturing of implants, which
strengthen the osteointegration of the bone with the implant.

3. Osteomodel products
Replica Stage I:
Getting physical Replicas in 3D, within a maximum of 2 weeks, of tissue, osseous or soft, or a
combination of both, so that the doctor can:
a) Have a precise idea of the condition of the patient.
b) Plan the appropriate surgical intervention.
c) undertake the intervention.
Patient with adenoblastoma in Treatment of the image to Model of Rapid
the mandible identify the affected part. Prototyping to plan
appropriate intervention.

4. Osteomodel Products
Biocompatible, not bioactive implants Stage II:
Utilising the same technique used to produce replicas, with the same deadlines, we produce
implants with biocompatible and implantable material. This enables:
a) to obtain personalized implants according to the need of the patient.
b) The abolition of parallel interventions to obtain osseous fragments.
c) A reduction in the time of intervention and of the patient recovery time.
Biocompatible and Bioactive Implants, Stage III:
This is based on the same principle, but we include bioactive components (e.g. mother cells,
etc.) which allow integration, with a more effective and faster cure.
3D Model taken from
Patient with cranio Plastic Patient after
the medical image
encephalic trauma surgery.
(e.g. CAT or MRI,…)
cranioplasty

5. The production stages
The production process:
Stage I
From the CAT, resonances, etc., the hospital sends a 3D model on a magnetic support for
further treatment by Osteomodel We use a specific protocol for the production of these
files for the radiologists.
Sending the CD or the files to Osteomodel ftp site (osteomodel@ftp.nextvision.pt)
Data processing of the gathered images, for their transformation into a cloud of dots (3D
image, STL format ), which will be utilised by the manufacturing system. (SW: Mimics)
Introduction of the treated images into the production system, for the manufacture of the
replicas by stereolithography (SLA of 3D System), plastic sintering (SLS) and other
technologies (Objet).
Stages II and III
From the image transformed into cloud of dots, we obtain the negative of the osseous zone to
treat (SW: 3-Matics) By transmitting the information to the machine, we will obtain a first
plastic implant for the surgeon to test with the replica produced before. (The points of fixing
will be thus determined, if necessary, by the surgeon)
After the surgeon has checked the implant manufactured beforehand with the counterpart, we
will proceed to the manufacture of the final implant (with a biological load (Stage III) or not
(Stage II)). (Metal Sintering or machining (Titanium or Peek)).

6. The production stages
Digitalisation of the medical image in 2D Process of image
and obtaining a model in 3D and/or process of
engineering
Results : Physical
replica and/or implant
Manufacture of models

7. Stage I
Stage I : Reproduction of Osseous Models
CAT Images
CD/DVD-FTP Treatment of the DICOM files (CAT)
STL Stereolithographic Model

8. CAT Protocol
Technique CT for Stereolithography
Gantry tilt: 0º.
Helical technique with acquisition of 0.626 mm.
Reconstruction from 0.625 to 1 mm. thickness.
Overlapping of 30-50% between the images
Reconstruction Kernel of soft parts (approx. 40).
Recording of the whole of images on CD-DVD format DICOM 3.0

9. CAT Protocol
For a perfect result and definition of the teeth, it is
preferable to use I-Cat scan

10. Potential customers
C. Maxillo-facial and/or C. Plastic
Orthognatic surgery, Reconstructive surgery
Traumatisms
Neurosurgery
Skull Bases Tumours
Traumatisms (Knee), Otorhinos, Ophtalmologist (Orbit), Hepatologist

11. Application Examples
MAXILLOFACIAL
Models for Orthognathic Surgery Biomaterials Models
Models for Reconstruction Surgery Maxillary Model Implantology

12. Application Examples
SKULL BASE TUMOR
Tumor Resection Planning

13. Application Examples
NEUROSURGERY
Plasties Cranial Extent PMMA
Spine Surgery Planning

14. Application Examples
HEPATIC
Model for Diagnosis, Planning, teaching patient Communication

15. Application Examples
EAR PROSTHESIS
Implant with bar Silicone prosthesis

16. Application Examples
BURNS SPLINT
CAD model Splint by thermoforming

17. Example of use
in Maxillo-facial orthognatic surgery
Orthognatic surgery of jawbone and lifting of three parts
The model osteosynthesis plates are prepared
4 hours duration

18. Example of use
in Maxillo-facial orthognatic surgery

19. Example of use
in Maxillo-facial orthognatic surgery

20. Example of use
in Maxillo-facial orthognatic surgery

21. Example of use
in Maxillo-facial orthognatic surgery

22. Example of use
in Maxillo-facial orthognatic surgery

23. Example of use
in Maxillo-facial orthognatic surgery

24. Example of use
in Maxillo-facial orthognatic surgery

25. Example of use
in Maxillo-facial orthognatic surgery

26. Example of use
in Maxillo-facial orthognatic surgery

27. Example of use
in Maxillo-facial orthognatic surgery

28. The advantages of preleminary
orthognatic surgery
Real observation of the patient’s condition
Preparation of the patient’s osteotomy with the plates
modeling ready to be implanted in the operating room. The
model can be sterilized by Steris gas
Simulation of the real movements of the mandible through
the observation of the points of impact. The points of impact
are laid down before.
Aesthetic simulation with the change of the oclusal plan.
Reduction in the post surgery interventions

29. Example of the use in
Maxillo-facial Reconstructive surgery

30. Example of the use in
Maxillo-facial Reconstructive surgery

31. Example of the use in
Maxillo-facial Reconstructive surgery

32. Example of the use in
Maxillo-facial Reconstructive surgery

33. Example of the use in
Maxillo-facial Reconstructive surgery

34. Example of the use in
Maxillo-facial Reconstructive surgery

35. Example of the use in
Maxillo-facial Reconstructive surgery

36. Example of the use in
Maxillo-facial Reconstructive surgery

37. Example of the use in
Maxillo-facial Reconstructive surgery

38. Example of the use in
Maxillo-facial Reconstructive surgery

39. Example of the use in
Maxillo-facial Reconstructive surgery

40. The advantages of the preliminary
Reconstructive surgery
Observation of the real patient’s condition
Preparation of the patient’s osteotomy with the plates
modeling ready to be implanted in the operating room.
Simulation of the real movements of the mandible by the
observation of the points of impact. The points of impact are
laid down before.
Aesthetic simulation with the change of the oclusal plan.
Reduction of the post surgery interventions.

41. The advantages of the preliminary
Reconstructive surgery
Withdrawal of the fibula, necessary for the mandible. (It used as
model in operating room)
Sterilization of the models to use them as guides in the real
surgery.