3D Printing is frequently in the news as a process for manufacturing prosthesis to replace lost limbs. And it’s an obvious choice when additive manufacturing is combined with 3D Scanning to easily custom fit a prosthetic to a patient’s unique physical requirements.
Here at Potomac we’re also finding more and more unique applications to micro 3D Print small implantable prosthetics. In one recent project we were able to make the tiny elements of the middle ear to help develop prosthesis for Otosclerosis disease.
According to the American Academy of Otolaryngology – Head and Neck Surgery [AAO-HNS], hearing is a complex process that is dynamic in nature. Vibrations from sound waves are transferred by the eardrum to three tiny bones in the middle ear. It is the stapes, commonly called the stirrup bone that sets the inner ear fluids in motion, starting the sensory process of hearing.
NIH’s National Institute on Deafness and Other Communication Disorders explains that Otosclerosis is an abnormal hardening of body tissue. In the lifelong regeneration of new bone tissue, occasionally abnormal “remodeling” of bone occurs. If the abnormal bone remodeling is around the stapes bone it will become fixed which inhibits its ability to generate the vibrations needed for proper hearing.
AAO-HNS estimates that a full 10% of the world’s adult Caucasian population is affected by Otosclerosis, and NIH puts the number of US cases at over 3 million. There are no drug treatments, hearing aids only work in mild cases, and most people are diagnosed while in their 20’s so it is a lifelong problem. Consequently, it is important to try to develop prosthesis solutions.
Monika Kwacz, a researcher at the Institute of Micromechanics and Photonics at Warsaw Technical University in Poland has been studying the results of stapedotomy surgery, leading to her team’s development of new stapes prosthesis. Monika came to Potomac she says because “Intuitively, it seemed to me that 3D Printing would be the best technology for first prototyping. We need the first prototypes to experimentally verify that the device geometry was well designed and we will be able to implant the device in a temporal bone. If the geometry is good, then we will check the mechanical operation of the device. However, if we find we do need to modify the device geometry, 3D Printing provides an easy way to modify in the CAD design step.”
Monika had tried another 3D Printing process but it could not meet the precise requirement of the stapes design. Using a 3D Systems ProJet high-resolution 3D Printer, Potomac was able to get the very small, precise geometries she needed with tight tolerances. Turnaround, even shipping “across the pond” to Europe, was also quick.
Given the small size of the parts, short production runs may also be economically viable once the design is proven. In the meantime, we’ll be working with Monika to Micro 3D Print a solution that will literally bring music to the ears of many Otosclerosis suffers.
