Roughly a third of the surgical procedures the World Bank is prioritizing as essential and cost-effective are orthopedic procedures. Yet in much of the developing world, prohibitive costs are a substantial barrier to universal access. One area where this is clear is surgical fracture tables, which generally cost >US$200,000 new. With the advent of 3-D printing, a new way to reduce medical equipment costs is to use open source hardware licensed designs to fabricate digitally-distributed manufactured medical hardware. That approach is applied here to make surgical tables more accessible. This study describes the design and manufacture of an open source surgical fracture table that uses materials that are widely available worldwide with specialty components being 3-D printed. The bill of materials and assembly instructions are detailed and the fracture table is validated to perform mechanically to specifications. Using an open source desktop RepRap-class 3-D printer, the components can be printed in a little over a week of continuous printing. Including the 3-D printed parts, the open source fracture table can be constructed for under US$3,000 in material costs, representing a 98.5% savings for commercial systems, radically increasing accessibility. The open source table can be adjusted 90–116 cm in height, tilted from +/-15 degrees, the leg height ranges from 31 to 117 cm, the arm supports and foot holder both have a 180-degree range, the foot position has a 54 cm range, and the legs can be adjusted from 55 to 120 degrees. It is mechanically adjusted so does not require electricity, however, surgical staff need to be trained on how to perform needed adjustments during surgery. The open source surgical table has verified performance for mechanical loading over 130 kg, geometric flexibility to allow for wide array of common surgeries, is radiolucent in surgical zones, and is modular and upgradeable.
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See also[edit | edit source]
Open Source Devices
Health Policy
- Distributed Manufacturing of Flexible Products- Technical Feasibility and Economic Viability
- Quantifying the Value of Open Source Hardware Development
In the News[edit | edit source]
- Open-source tech enables 3D-printed surgical table Western News
- Western University-led project paves way for increased health-care accessibility, affordability Education News Canada
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- Western University helps develop 3D-printed surgical table CTV News
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- La tecnologia open source consente il tavolo chirurgico stampato in 3D Bartellaweb
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- Western College aids establish 3D-printed medical table Outposts buzz.
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- Tecnologia de código aberto de mesa cirúrgica impressa em 3D melhora acessibilidade aos cuidados de saúde Tech 4 Health
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- پرینت سه بعدی میز جراحی iDesign3D
- Un lettino per fratture chirurgiche funzionale stampato in 3D ed Open Source Stampare in 3D
- Una mesa ortopédica en 3D podría ayudar a mejorar las intervenciones quirúrgicas y ginecológicas Consalud ES
- Orthopedic table in 3D could help in operations Cuba Detail Zero