|
|
Quality control main point on medicine-engineering interaction during design and development of customized bone implant and instrument |
GUO Xiaolei LIU Bin |
Center for Medical Device Evaluation (CMDE), China Food and Drug Administration (CFDA), Beijing 100081, China |
|
|
Abstract Medicine-engineering interaction runs through the design and development (D&D) of customized bone implant and matching instrument. The procedure, planning, input, output, review, verification, validation, transfer, change and file documentation should be deeply mastered by clinician based on diagnosis, operation and postoperative rehabilitation. So that there should be considerable and systematic control on clinicians′ action to enhance D&D quality of customized implant and instrument. Based on research and development system of manufacturing enterprise, engineers including statisticians transfer clinical need to engineering language, define and calibrate the inter-clinician degree of freedom, so as to ensure stability of product performance. At the same time, the medicine-engineering interaction has deep and further influence on characteristic of long-term clinical study, so that abundant capability of clinical research is necessary for the clinician.
|
|
|
|
|
[1] 国家食品药品监督管理局.YY/T 0287-2017 医疗器械质量管理体系用于法规的要求[S].北京:中国标准出版社,2017.
[2] 管晓东,郭毅伟,徐开怀,等.定制髋关节假体数字化设计与制造技术研究[J].机电工程,2017,34(3):256-277.
[3] 梁文清,郑龙坡,蔡郑东,等.计算机辅助设计人工假体治疗髋臼周围肿瘤[J].中国组织工程研究与临床康复,2010,14(4):585-588.
[4] 郭卫,王毅飞,张熠丹,等.3D打印组配式骨盆假体重建骨盆肿瘤切除后骨缺损[J].中华骨科杂志,2016,36(20):1302-1311.
[5] 李慧武,朱振安,毛远青,等.快速成型技术在严重髋臼骨缺损翻修术中的应用[J].中华关节外科杂志,2015,9(6):725-731.
[6] 陈春艳,鲍海宏,曹志强,等.3D打印技术在颌面部复杂骨折治疗中的应用[J].解放军医药杂志,2015,27(11):10-12.
[7] 欧飞,段世均,张金鸽,等.颅颌面部畸形个体数字化修复技术的临床应用[J].中国组织工程研究与临床康复,2010,14(22):4032-4035.
[8] 黄宏,张弓,彭忠凯,等.下颌骨个性化手术钛板的设计与制造技术研究[J].口腔疾病防治,2016,24(7):402-406.
[9] 罗翼,段宏,罗教明,等.组配式半骨盆假体置换术中髋关节旋转中心定位及临床意义[J].四川大学学报:医学版,2016,47(3):365-370.
[10] Xu N,Wei F,Liu X,et al. Reconstruction of the upper cervical spine using a personalized 3d printed vertebral body in an adolescent with ewing sarcoma [J]. Spine(Phila Pa 1976),2016,41(1):E50-E54.
[11] Jardini AL,Larosa MA,Maciel Filho R,et al. Cranial reconstruction:3D biomodel and custom-built implant created using additive manufacturing [J]. J Craniomaxillofac Surg,2014,42(8):1877-1884.
[12] 张秀娟,王冬梅,孙健,等.个性化下颌钛支架植入体的设计与生物力学评价[J].上海交通大学学报,2005,39(7):1167-1171.
[13] 贾娟,吴双江,夏德林,等.下颌角骨折坚强内固定生物力学的三维有限元法分析[J].海南医学,2016,27(4):577-580.
[14] 丁月峰,周培刚,费学东,等.多种软件和图像联合技术构建个体化颞下颌关节三维有限元模型的初步研究[J].口腔颌面外科杂志,2014,9(2):108-112.
[15] Marina E,Fusib S,Pressacco M,et al. Characterization of cellular solids in Ti6Al4V for orthopaedic implant applications:Trabecular titanium [J]. J Mech Behav Biomed Mater,2010,3(5):373-381.
[16] 姬涛,郭卫,汤小东,等.组配式人工半骨盆假体在步行周期载荷下的有限元分析[J].北京大学学报:医学版,2010,42(2):192-196.
[17] Sváek P,Louda P,Kozel K,et al. On numerical simulation of three-dimensional flow problems by finite element and finite volume techniques [J]. J Comput Appl Math,2014,270(11):451-461.
[18] Thomsen P,Malmstr?觟m J,Emanuelsson L,et al. Electron beam-melted,free-form-fabricated titanium alloy implants:Material surface characterization and early bone response in rabbits [J]. J Biomed Mater Res B Appl Biomater,2008,90(1):35-44.
[19] Bertollo N,Da Assuncao R,Hancock NJ,et al. Influence of electron beam melting manufactured implants on ingrowth and shear strength in an ovine model [J]. J Arthroplasty,2012,27(8):1429-1436.
[20] Ji T,Guo W,Yang RL,et al. Modular hemipelvic endoprosthesis reconstructione--experience in 100 patients with mid-term follow-up results [J]. Eur J Surg Oncol,2013,39(1):53-60.
[21] 梁海杰,郭卫,张熠丹,等.3D打印半骨盆假体重建骨盆Ⅱ区或Ⅱ+Ⅲ区肿瘤切除后骨缺损的回顾性病例对照研究[J].中国骨与关节杂志,2017,6(5):326-333.
[22] Parthasarathy J,Starly B,Raman S,et al. Mechanical evaluation of porous titanium (Ti6Al4V) structures with electron beam melting (EBM)[J]. J Mech Behav Biomed Mater,2010,3(3):249-259.
[23] 陈春雨,罗翼,段宏,等.组配式半骨盆假体置换术后早期系统康复训练的临床应用[J].成都医学院学报,2016, 11(3):307-312. |
|
|
|