3DMedLIVE 2019

Freya Leask, Publisher, 3DMedNet, UK  

Chair: Dietmar W. Hutmacher, Professor and Chair in Regenerative Medicine, Science and Engineering Faculty, Chemistry, Physics, Mechanical Engineering, Biomedical Engineering and Medical Physics, Queensland University, Australia 

• The RCS Commission on the Future of Surgery – what’s the view? 
• What does the NHS Long Term Plan mean for joint commissioning and pooled budgets? 
• What’s the impact of the Getting It Right First Time (GIRFT) programme on surgical techniques?

Richard Kerr, Chair, RCS Commission on the Future of Surgery, UK   

Lorna Marson, Past-President of the British Transplantation Society, UK   

Adrian Sugar, Chair, Centre for Applied Reconstructive Technologies in Surgery, UK 

• Improving patient outcomes through the use of 3D printing 
• Streamlining surgical procedures 
• Improved safety and surgical confidence through bespoke surgical planning 
• Increased effectiveness through customisation 

Joyce Lim, Paediatric Cardiologist and Foetal Cardiologist, Alder Hey Children’s Hospital NHS Foundation Trust, UK  

Amy Alexander, Senior Biomedical Engineer, Anatomical Modeling Laboratory, Mayo Clinic, USA 

• Patient-specific anatomical models 

Pankaj Chandak, Speciality Registrar in Transplant Surgery, Guy’s and St Thomas’ and Great Ormond Street Hospital for Children NHS Trust, UK, Research Fellow, Kings College London 

• Choosing between insourcing, outsourcing and service provider models 
• What are the benefits of onsite models? 
• Are there benefits to a remote service? 
• Embedded 3D printing hubs: a hybrid / service provider model 

Amanda Isaac, Consultant Musculoskeletal Radiologist, Quality Improvement Lead for Clinical Radiology, Guy’s and St Thomas’ NHS Foundation Trust, UK  

Tom Cosker, Consultant Orthopaedic Surgeon, Director of Anatomy, University of Oxford, UK 

Danielle Maes, Fellow Orthopaedic Oncology ROH Birmingham 

Matteo Giachino, CTO Hospital, Italy 

• Whose budget line does it come from – radiology? Operations? Surgery? 
• How do NHS trusts respond to a new cost line? 
• When will 3D printing be in the NHS England procurement framework for England?

Henry Pinchbeck, CEO, 3D LifePrints, UK 

• 3D surgical planning for high tibial osteotomy and unicompartmental knee surgery 
• Novel 3D-printed surgical guide designs 
• Clinical trial results, including comparison with robotic technology

Gareth G. Jones, Consultant Orthopaedic Surgeon and Clinical Senior Lecturer, MSk Lab, Imperial College London, UK 

• 2020 European Act – are we ready for May? 
• Impact on customisation and personalisation of medical devices 
• Exceptional use: what’s the in-house exemption? Will it stay? 
• Engineering standards, quality management systems, sterilisation 
• What’s the cost of meeting the regulatory burden? 
• Who’s responsible? Is there a way of regulating the product liability supply network?

Duncan McPherson, Clinical Director, MHRA, UK  

Amie Smirthwaite, Global Head, Clinical Compliance, BSI, UK

12:25 

13:05 

• The real-life story of using 3D printing to plan for an extremely complex, life-saving, surgery 
• The ways in which 3D printing is being utilised by hospitals across the world 
• The ROI and tangible benefits of 3D printing for hospitals

 Tim Brown, Consultant Transplant Surgeon, Belfast City Hospital, UK 

14:10 

14:40 

David Dunaway, Professor of Craniofacial Surgery, Institute of Child Health, Great Ormond Street and University College London, UK 

• Is 3D printing a safe practice? 
• What is the impact of radiation? 
• Are there risk management protocols we need to consider?

Led by: Amy Alexander, Senior Biomedical Engineer, Anatomical Modeling Laboratory, Mayo Clinic, USA 

• Getting started with 3D printing in the clinical setting 
• Considerations for scaling your medical 3D printing lab 
• Understanding and overcoming obstacles to medical 3D printing

Daniel Crawford, Founder and CSO, axial3D, UK 

• Do you need biomedical engineers implanted in the clinical workflow? 
• Who do you need in your multi-disciplinary team meetings? 
• Radiologists, surgeons, engineers / designers, technologists / segmenters, technicians / 3D printing experts – how does it all fit together? 

 Pieter-Jan Belmans, Clinical Engineering Manager, Materialise, UK  

• Diffusion tensor cardiovascular magnetic resonance (DT-CMR) is an MRI–based method and the only technique providing non–invasive assessment of the cardiac microstructure and its function, but results are affected by strain throughout the cardiac cycle 
• Developing an MRI–compatible Langendorff perfused porcine heart setup that allows direct comparison of DT-CMR data acquired in beating and arrested states with subsequent histology 
• Developing custom 3D–printed equipment to enable MRI compatibility of the setup  
• Benefits of the range of materials, rapid turnaround and complex designs enabled by 3D printing 

Andrew D. Scott, Senior Physicist, The Royal Brompton and Harefield NHS Foundation Trust and National Heart and Lung Institute, Imperial College, UK 

• How do you get information from the scanners? 
• How to run protocols from scanners to optimise the 3D printing process? 
• Are there ways to scan to make it easier? How do you set up your MRI scanner? 
• Image acquisition, data transfer and storage 
• Anatomic segmentation, CAD/CAM, 3D printing, post-processing, quality control of prints, sterilisation

Paul Unwin, Co-Chair (Industrial), Strategy Steering Group of Additive Manufacturing, UK 

• What are the contributory factors in model accuracy? 
• How accurate does the model need to be? 
• How to assess model accuracy? 

Peter Metherall, Department of Medical Physics, Sheffield Teaching Hospitals NHS Foundation Trust, UK  

Amanda Isaac, Consultant Musculoskeletal Radiologist, Quality Improvement Lead for Clinical Radiology, Guy’s and St Thomas’ NHS Foundation Trust, UK 

Dietmar W. Hutmacher, Professor and Chair in Regenerative Medicine, Science and Engineering Faculty, Chemistry, Physics, Mechanical Engineering, Biomedical Engineering and Medical Physics, Queensland University, Australia 

• Guided surgical planning – how far have we come? 
• State of the art 
• Collaboration, innovation, and outcomes

Amy Alexander, Senior Biomedical Engineer, Anatomical Modeling Laboratory, Mayo Clinic, USA 

• Interventional planning based on patient-specific 3D-printed models 
• Catheterisation simulation devices based on 3D-printed models 
• The future of advanced 3D imaging: from 3D-printed models to virtual reality 

 Israel Valverde, Chief of Paediatric Cardiology unit at Hospital Virgen del Rocio in Seville, Spain, and Locum Consultant in Paediatric Cardiology at the Evelina London Children’s Hospital, UK 

Danielle Maes, Fellow Orthopaedic Oncology ROH Birmingham 

• Pioneering in a digital healthcare landscape  
• What works? 
• Design your innovator life / work

Carol Read, Consultancy and Faculty member NHS Digital Academy/University of Edinburgh, UK 

Israel Valverde, Chief of Paediatric Cardiology unit at Hospital Virgen del Rocio in Seville, Spain, and Locum Consultant in Paediatric Cardiology at the Evelina London Children’s Hospital, UK 

• How do new products gain successful market access? How do you demonstrate benefits to patients, providers of care, payers of care? 
• How do you gain NICE approval?  
• How to analyse current NHS patient pathways 

Michael Branagan-Harris, CEO,  

Device Access, UK  

• Design 
• 3D printing and materials 
• Sterilisation and usage 
• Surgical response 

 Amy Alexander, Senior Biomedical Engineer, Anatomical Modeling Laboratory, Mayo Clinic, USA 

• Best practice for sourcing hospitals for clinical trials 
• Keeping the intellectual property in the NHS 
• How challenging is it to get your innovations into the NHS? 
• How do Innovation Exchanges work, and what funding is available?

Karen Livingstone, Innovation Exchange Lead Director, UK   

Ian Newington, NIHR Office for Clinical Research Infrastructure, UK  

Richard Cooper, Lead, Additive Manufacturing Special Interest Group (SIG) in the Knowledge Transfer Network (KTN), UK 

• Working through joint replacement surgery workflows 
• Approaching complex tumour and transplant procedures

Pieter-Jan Belmans, Clinical Engineering Manager, Materialise, UK 

13:50 

14:20 

Applications of patient–specific (or personalised) 3D-printed models in congenital cardiac surgery  

• Pre-operative planning 
• Simulation 
• Training, education and communication

Joyce Lim, Paediatric Cardiologist and Foetal Cardiologist, Alder Hey Children’s Hospital NHS Foundation Trust, UK 

• Introduction to biofabrication and bioprinting 
• Review technologies, applications, limitations 
• Present ongoing work on new technologies and applications at Newcastle

Kenny Dalgarno, Professor of Manufacturing Engineering, Newcastle University, Deputy Director of the EPSRC Centre for Innovative Manufacture in Medical Devices, UK 

14:20 

14:50 

• World’s first 3D-printed inner ear transplant – how could this research compound faster delivery of 3D–printed custom implants and surgery approaches? 
• How ready are doctors for the fourth industrial revolution disruption due to 3D printing? 
• How will AI tech and machine learning help doctors pioneer new procedures or platforms together with 3D printing? 
• Making informed decisions alongside 3D printing platforms: could secure, collaborative research through the digital platform deliver fast and effective live information to doctors? 
• Can we deliver first–world country processes to the developing world? 

Jason Laing, Director, ProMake International, UK and South Africa 

• Understanding clinical need 
• Scientific origins of the scaffold technology in Australia 
• Re-engineering the concept in light of regulatory requirements; biomedical engineering perspective and focus towards simplicity  
• Progression from concept, to design, to bench testing, to animal studies, to ISO 13485 certification, to clinical trial strategy 
• Lessons learned; navigating uncertain standards / guidelines re: 3D-printed devices and navigating changing regulatory landscape (EU MDR, breast implants controversies)

Mohit P. Chhaya, Co-Founder and Chief Technology Officer, BellaSeno, Germany 

Zameer Shah, Consultant Trauma and Orthopaedic Surgeon, Guy’s and St Thomas’ NHS Foundation Trust, UK 

• Anatomical locking plates

Dan Jones, Managing Director, Fusion Implants, Liverpool University, UK 

• How do we get buy-in from different stakeholders in hospitals: management, clinicians, specialities 
• What do you need to consider for an efficient workflow? 
• How do you ensure that what you’ve set up is safe, and adhering to all regulatory aspects 

Peter Metherall, Department of Medical Physics, Sheffield Teaching Hospitals NHS Foundation Trust, UK  

3D printing in prototyping for medical devices  

• Multi–typing – what’s the exponential route to speed up the design process 
• Choice of materials and printer types   
• What are the limitations?   

Richard Trimlett, Consultant Cardio-thoracic Surgeon, Lead Clinician for Mechanical Support, The Royal Brompton Hospital, UK  

Alex Berry, Founder and Director, Sutrue, UK 

Closing keynote: Augmented reality and 3D technology in developing world surgery  

Matthew Ginn, Co-founder Proximie, Plastic Surgery Registrar and Clinical Entrepreneur, UK  

Replacing Nadine Harach-Haram