Medical Modeling

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    Z Corp. Medical ModelingZ Corp. Medical ModelingSolutionsSolutions

    Improving Patient Outcomes With 3D Precision

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    AgendaAgenda

    Leading Customers Applications and Case Examples

    Emerging Applications Additional Capabilities

    Technical Requirements The Z Corp. Advantage

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    3D Medical Models3D Medical Models Z Corp.s 3D Printers enablesurgeons to rapidly produceinexpensive 3D models to

    obtain better case informationto reduce operating time,enhance patient and physician

    communication and improvepatient outcomes.

    The speed of Z Corp. Printers

    enables 3D models to be usedfor trauma cases; a significantadvancement for use in themedical field.

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    Diverse Customer BaseDiverse 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

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    Applications and Case ExamplesApplications and Case Examples

    Enables pre-operative

    analysis of complextotal hip replacement

    Pre-operative sizing ofuni-compartmental totalknee replacement

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    Leading ApplicationsLeading 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

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    PrePre--Surgical Planning:Surgical Planning:

    Implant PreImplant Pre--contouringcontouring

    Z Corp. models enable implantsto be pre-contoured prior toopening 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 procedurerehearsals

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    Case Example:Case Example: MaxilloMaxillo--facial Surgeryfacial Surgery

    Z Corp. models used forfacial trauma cases can besawed apart and re-aligned

    for proper anatomical fit ofpre-contoured plates

    Bone virtually sucks up

    against the implant, insuringa perfect fit

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    Case Example:Case Example: MaxilloMaxillo--Facial SurgeryFacial Surgery

    Mandible ReconstructionMandible Reconstruction

    Pre-contoured mandible platereduced time in the O.R. by 45minutes

    Dr. Fernando Urrutia

    Plastic Surgeon (Mexico City,Mexico)

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    Case Example:Case Example: OrthopaedicOrthopaedic SurgerySurgery

    AcetabulaAcetabula ReconstructionReconstruction

    Pre-contouring acetabula fixation

    plates can reduce O.R. time byas much as 2 hours

    Incisions can be reduced fromover 12 to as little as 4 in somecases

    Dr. George BrownChief, Division of Spine SurgeryUniversity of New Mexico HealthScience CenterAlbuquerque, NM

    Complexpelvic andacetabulafracture

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    PrePre--Surgical Planning:Surgical Planning:

    Screw TrajectoryScrew Trajectory

    Z Corp. models are used toanalyze fractures anddetermine the preciselocation and trajectory of

    alignment screws andfixation plates

    Complex bi-lateralpelvic fracture

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    PrePre--Surgical Planning:Surgical Planning:

    Screw Selection and LocationScrew Selection and Location

    Z Corp. models permitdetailed analysis ofbone mass to enablescrew length selection

    and location to occurpre-operatively

    Reduces O.R. time

    Improves fit ofimplant hardware

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    Custom Implant ManufactureCustom Implant Manufacture

    Z Corp. models permitthe worlds leadingimplant manufacturersto fabricate custom

    implants rapidly andcost effectively for theultimate in performance

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    Case Example: Custom ImplantCase Example: Custom Implant

    ManufactureManufacture

    Silicone septum implant wasconstructed and fit to the Z Corp.model saving 1 hour of O.R. time

    Dr. Fernando Urrutia

    Plastic Surgeon

    Clinica Olinda

    Mexico City, Mexico

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    Enhance Physician to PhysicianEnhance Physician to Physician

    CommunicationCommunication

    Z Corp. models permit

    excellent communicationbetween physicians andsurgical teams; particularlyuseful in multi-disciplinary

    cases

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    Patient Communication ToolPatient Communication Tool

    Z Corp. models

    enhance the physiciansability to communicatewith patients; raising

    confidence in thesurgeon and thelikelihood of asuccessful outcome

    Silicone cheek implant

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    Emerging ApplicationsEmerging Applications

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    CardiologyCardiology

    Advancements in CT

    technology now permit 3Dcapture of soft tissue data

    Physicians can betterquantify size, shape andfunction of the heart.

    Examining the whole,beating heart makes

    examinations and surgicalprocedures more preciseand rapid.

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    3D Surface Scanning/3D Surface Scanning/

    Custom Prosthesis DesignCustom Prosthesis Design

    Utilizing 3D surface

    imaging technology;custom prosthesis canbe fabricated from Z

    Corp. models used aspatterns for thedevelopment of molds

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    FE AnalysisFE Analysis

    Full color Z Corp.

    medical models enablesurgeons to betterunderstand the affects

    of impact andcompressive stress onbone to anticipateadditional areas of

    concern

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    Additional CapabilitiesAdditional Capabilities

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    Model LabelingModel Labeling

    Using Z Corp.s ZPrint

    software, surfaces canbe labeled to markparticular areas of

    interest on the 3Dmodel

    Label text can be raised

    (or colored on theZ406 and Z810Printers)

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    Precision FixturesPrecision Fixtures

    Z Corp. models can be

    accompanied withprecise fixtures toenable measurements

    and protect models withcomplex cavities

    Vascular tumor captured with an MRI

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    Technical RequirementsTechnical 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

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    Z Corp. Advantages vs. LegacyZ Corp. Advantages vs. Legacy

    TechnologyTechnology 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 andeasily post-processed

    Material Properties Models can be sawed, drilled, scribed, painted and

    bonded very simply

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    Z Corp. Advantages vs. LegacyZ Corp. Advantages vs. Legacy

    TechnologyTechnology

    Simplicity of Use

    Z Corp. 3D Printers and software enable users tobe fully trained in 2 days

    Full Color Capabilities

    Z Corp. models can be printed in millions of colorsto 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

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    Value DeliveredValue Delivered

    Z Corp. 3D models deliver accurate information

    rapidly to enable faster, less costly surgicalprocedures

    Pre-contoured surgical implants are positionedeasier, more precisely and minimize the likelihood ofhardware complications

    Communication between individuals, physicians andpatients alike, is simplified and easily shared

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    MaxilloMaxillo--facial andfacial and OrthopaedicOrthopaedic Surgery ReferencesSurgery References

    Simply stated, our Z Corp. models are improving patient outcomes with 3D, computeraided precision.

    Dr. Jon Wagner and Dr. George Brown

    University of New Mexico

    Health Science Center

    Albuquerque, New Mexico