Patient-specific orthoses with reversible formability/adaptation

Challenge

Orthoses are typically used to immobilize individual joints or joint chains and should be custom-made or adjusted to achieve the best possible effect for the patient.

Solution

With WEAM (Wire Encapsulation Additive Manufacturing), orthoses can initially be printed in 2D to the individual size and pre-dimensioned for the individual body measurements. Thanks to integrated (printed-in) heating wires, they can then be optimally adapted to the individual anatomy. The integrated wire is heated by electrical resistance, causing the plastic coating to warm up to the softening temperature. The plastic then becomes as easily formable as modeling clay. After cooling, it becomes stiff again, fulfilling its intended support function optimally. The advantage over prefabricated standard orthoses is the individual adaptability, which is also possible during the course of treatment by reheating the plastic to adjust to changing treatment conditions.

Compared to three-dimensionally printed aids, WEAM orthoses require less printing time and are less prone to errors due to their flexible adaptability. Another advantage of wire-integrated orthoses is the simple handling of the system, as there is no time limitation in the adjustment process compared to conventional orthoses made from standard material (thermoplastic, which is heated in a water bath or oven). This means that the soft, formable state of the orthosis can be maintained independently of time, unlike the current iterative process in patient fitting (heating - forming - heating - forming, etc.). Repeated heating of the orthosis in a water bath or oven is no longer necessary, leading to an overall shorter fitting time.

Insight into the Project

WEAM-Orthese
WEAM-manufactured finger orthosis shaped to a hand model
WEAM finger orthosis as a planar blank and in individually shaped form
WEAM finger orthosis shaped to different finger contours
WEAM-Orthese
Production process for adaptive multi-material ankle orthosis with WEAM
Functional demonstrator of a WEAM-manufactured ankle orthosis with integrated heating wires for adaptive shaping
Demonstrator of a functionally integrated ankle orthosis manufactured with the WEAM process

Publications

  • Expansion of the Fused Filament Fabrication (FFF) Process Through Wire Embedding, Automated Cutting and Electrical Contacting
    March 2021 IEEE Access PP(99):1-1 DOI:10.1109/ACCESS.2021.3065873 LicenseCC BY 4.0
  • Fused Filament Fabrication of Actuating Objects
    July 2022 DOI:10.1002/mame.202200214 LicenseCC BY 4.0