Soa Report
Soa Report
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ABSTRACT
The objective of the state of art is to review the literature related to recent development in
Additive Manufacturing field and its application in 4D Printing of Smart Polymers based
thermoformable orthopaedic devices. Aim of this project is to overcome the limitations of the
conventional POP and fiberglass cast as well as introduce a methodology to improve the
additional user-centric metrics such as comfort, aesthetics, etc and reduce currently required
time and complexity for printing. 3D printing is the process of layer-by-layer addition of
material and producing product, utilizing inherent properties of the material in this case heat
responsiveness printed structure can be modified with time using a stimulus or trigger this
process called 4D printing opens new avenues in the field of biomedical, soft robotics and
many more. In this literature design and printing of initially flat shaped fracture cast model
was done and then transformed into a cast by wrapping into user’s hand using heating by
Magnetic inductive heating. It can be observed that whole process can be optimised using this
methodology.
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CONTENTS
CHAPTER 1. INTRODUCTION`
1.1 Additive Manufacturing.....................................................................................................5
1.2 Classification of 3D Printing Technology……………………………………………..6
1.3 Bioprinting…………………………...............................................................................8
1.4 4D Printing……………….………………………………………………………….......8
1.5 Smart Materials……………………………………………………………………………9
1.6 Thermo-Responsive SMM………………………………………………………………….10
REFERENCES……………………………………………………………………………….20
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LIST OF FIGURES
LIST OF TABLES
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CHAPTER 1
INTRODUCTION
The term "additive manufacturing" (AM) refers to a technique that uses digital 3D data to
build up a component layer by depositing material. AM and 3D printing are frequently used
layer, as opposed to typical subtractive manufacturing processes, which involve cutting raw
material and machining to a desired precision level to achieve a desired shape. This method
has gained popularity in recent years because to the accessibility of CAD/CAM software,
and user-driven design. This ground-breaking method has been used in a variety of fields,
including biomedicine, soft robotics, aerospace, the automobile industry, civil engineering,
etc. The process follows as model generation in CAD software in which 3D geometry is
defined for the part, and CAD file gets converted to STL file, this conversion from part file to
STL file is done for the Slicing software. Slicing software cuts/divide the entire model in thin
slices according to the requirements and specifications of machine and then sliced STL file is
converted to machine code file (G-code, M-code) file which then transferred to the 3D printer
for printing.
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Through 3D printing technology complexity with which we can build the product has
increased immensely. Objects like jet engines, aerospace parts, jewellery, surgical devices,
prosthetic/orthotics, electronics and so on. Available options for the material that can be used
to manufacture a part has increased for example metal, plastics, ceramics, biomaterials,
composites. Using different 3D printers based on different technique of material addition fast
prototypes can be made with much less time hence reducing the product development phase.
Objects with functionally graded or mixed multiple materials are possible. In conventional
manufacturing processes cost/unit reduces as number of units or volume increases but the
trend is opposite for complex and customised parts this limitation is overcome by AM since
1.2.1. Fused Deposition Modeling (FDM): In this technique filament in form of wire is
fed into the temperature and pressure-controlled nozzle, in the extrusion nozzle
filament gets melted into a semisolid state. By keeping constant pressure inside the
nozzle constant flow of material is achieved. Support structures are needed for this
method.
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1.2.2. Vat Photopolymerization: Vat polymerization employs a reservoir containing a liquid
photopolymer resin, from which the model is gradually built layer by layer. To
solidify the resin as needed, an ultraviolet (UV) light is utilized, while a platform
moves the object downwards after each layer is hardened. Unlike powder-based
techniques, which lack material support during the construction stage, this method
1.2.3. Material Jetting: Material is deposited onto a build platform by means of either a
continuous or Drop on Demand (DOD) method. The material is then jetted onto the
construction of the model layer by layer. The material layers are exposed to
1.2.4. Binder Jetting: The binder jetting process utilizes powder-based material and liquid
binder as adhesive between powder layers. The print head deposits alternating layers
layer approach but uses paper as material and adhesive instead of welding.
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1.2.7. Powder Bed Fusion: PBF methods fuse powder with laser or electron beam. All PBF
processes involve spreading powder over previous layers. Mechanisms include roller
or blade.
1.3. Bioprinting
biomaterials known as bioinks, which replicate natural tissue compositions. These bioinks
viscosity, controlling the rate of solidification, and managing syringe pressure. This
addressing organ transplantation issues, and creating soft tissues. Various software tools
like AutoCAD, Matter Control, Mesh Mixer, Miniaturizer, SolidWorks, and 3D Builder
are employed for design and modeling. However, challenges in this field revolve around
1.4. 4D Printing
4D printing is a process where a 3D printed object transforms into another structure due to
external energy inputs like temperature or light. This technology uses commercial 3D printers
and inputs a smart material, such as hydrogel or shape memory polymer. Smart materials
have thermomechanical properties that allow shape change, distinguishing them from
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Figure 1.3. The differences between 3D printing and 4D printing processes [22].
3D printing, on the other hand, creates static structures, while 4D printing introduces time,
polymers (SMPs) are a promising choice for 4D printing due to their ability to revert back to
their original shape upon exposure to specific triggers. By merging 4D printing technology
with SMPs, researchers can create structures that undergo programmable, time-dependent
shape changes, enabling the creation of dynamic and functional systems. SMPs are crucial in
biomedical and soft robotics due to their ability to undergo shape transformation in response
Shape-memory materials (SMMs) are smart featured materials that can remember and
recover their original shape from a significant and seemingly plastic deformation upon a
particular external stimulus such as temperature, magnetic field, electric field, chemical
(moisture, solvent, and pH change), and light (UV and infrared light). SMMs are classified
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into groups of shape-memory alloys (SMAs), shape-memory polymers (SMPs), shape-
In SMMs, shape memory alloy (SMA) and shape memory polymer (SMP) have been used in
practical applications. These are the smart materials that are responsive to the heat or
temperature stimuli. SMMs are further divided as one-way, two-way, and three-way materials
depending upon the number of shape transformation. In one-way SMMs, the initial shape
cannot be regained after deformation whereas in two and three-way SMMs the original shape
can be regained after deforming into a temporary shape via an intermediate shape.
1. Shape Memory Alloy (SMA): Shape memory effect mechanism in shape memory alloys
is based on the reversible transformation of the alloy's crystal structure under thermal or
mechanical stimulus. The alloy's atoms move and rearrange themselves in a specific
2. Shape Memory Polymer (SMP): The SMPs have a characteristic glass transition
temperature (Tg) which is usually higher than the temperature at which they are mostly
operated. Above Tg, and at specific thermal and mechanical conditions they are
programmed and when cooled they possess a temporary shape which is free from any
external loading. And when the temperature is again raised above T g, they retain their
original shape. This is due to the reason that below Tg, the internal energy of polymer
chains is low, and they cannot move freely resulting in the material being glassy and
rigid. But above Tg, the energy is provided to the polymer chains causing their movement
as a result the material becomes rubbery and prone to deformation and manipulation.
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The key characteristics of shape memory materials include:
Shape Memory Effect: The ability to remember and recover a specific shape upon
typically reversible, allowing the material to undergo multiple cycles of shape change.
Responsive to Multiple Stimuli: Some shape memory materials can respond to various
Customized assistive devices, such as splints and braces, adjustable in shape to aid
Automotive: SMAs can be employed in automotive systems for applications like active
Robotics: Shape memory materials are used in robotics for soft actuators and
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CHAPTER 2
APPLICATION OF 4D PRINTING
Biodegradable Dental
stents Application
Tissue
engineering
Bone fractures present a major challenge to the healthcare system and a significant financial
burden for society and the patient. For nonsurgically treatment of fractures, the concept of
using 3D printing technology to make a personalized cast with an appropriate fit and a
ventilated structure for patients has also emerged. Since the introduction of the plaster casting
(gypsum plaster or plaster of Paris) in the 10th century, the technique has not significantly
changed. The advantages of the conventional casts are its easy handling, subsequent
plasticity, and low cost, although its heavy weight, low breathability, and lack of water
resistance, in addition to the inability to directly observe soft tissue and the possible skin
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reactions, limit its use. The introduction of fiberglass casts in the 1970s provided a more
durable and water-repellent alternative, although they could not eliminate the other
disadvantages. To gain a 3D-printed cast, technicians can use the image data with 3D spatial
information of limbs captured by the 3D scanner or medical imaging devices and then
conduct the computer-aided design to obtain the Stereolithography (STL) format file for 3D
printing. For the pressure more appropriately distributing, a 3D-printed cast is expected to be
more comfortable during the treatment. In addition to the benefit from personalized design
and use of lightweight materials for 3D printing, the novel cast is more fashionable and
portable as well. Although 3D printing had made advances in the development of casting
techniques, most published works for application of 3D-printed casts were still in the concept
stage or initial phase, speaking to the need for experimental data and clinical experiences.
(a) (b)
Figure 2.2. (a) Conventional plaster, (b) Custom designed 3D printed plaster [6].
Forearm fractures are common skeletal injuries and occur at all ages especially in children
and in the elderly, and distal radius fractures are the most common type. Cast immobilization
is preferred in most patients with nonsurgically treated forearm fractures. Poor ventilation
and improper fit present in traditional casts are associated with treatment complications. Our
previously published studies developed a novel cast fabricated by 3D printing and gained
preliminary clinical experiences, which was the first clinical experience reported.
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CHAPTER 3
LITERATURE REVIEW
The literature review has been organized into three different sections namely, design
methodology, material selection and FEA analysis of fracture cast model. At the end of the
chapter identified research gaps and objectives of the thesis work have been presented.
N P Sorimpuk et al. (2022) [4] Initially 3D printed the cast as a flat object, heated at 60 ºC,
and then transformed into a functional orthopedic cast by wrapping it around the user’s hand
while it is still soft. Thermoformable cast design was set to 5 mm thickness. Thermoformable
PLA using FDM shows better results than SLS printed and POP cast. Safety factor simulation
shows low readings in cast structure corners, particularly around ventilation holes.
Elimination of these edges using fillet features improves structure strength. Yanjun Chen et
al. (2020) [5] Given that the Velcro straps were adopted as fixation straps, it was convenient
to adjust, disassemble, and assemble the 3D-printed cast. It took about 3-5 days for a cast to
be designed and manufactured relatively high fabrication cost of a 3D printing cast restricted
its application. Drawback of long designing and manufacturing time can be overcome by use
of PLA based cast using FDM rather than SLS which is used in this study and heat responsive
Mehrshad et al. (2021) [3] focused on improving the programming behavior of PLA by
literature in this regard uses a blend of PLA with other polymers, like polyurethane (PU), to
enhance shape recovery and to reduce the glass transition temperature ( T g) of PLA, thereby
increasing its sensitivity to thermal programming. PLA is a compelling material for FDM-3D
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printing due to its desirable properties including low T g and shape memory. PLA presents
suggest its applications to the biomedical field. Capability of PLA for commercial FDM 3D
printing process as a high quality and inexpensive method for producing parts. Schlégl et al.
(2021) [6] study shows that 3D-printed materials cast is better in both static and dynamic
mechanical tests. The 3D-printed materials were shown to have a higher tensile strength and
flexural strength than plaster cast and fiberglass cast. Total time required for production of 3D
printed cast was higher due to printing complete cast in one piece. The polymer and
composite-based casts have a significantly greater resistance to dynamic forces. Prices and
time needed for application are still more favorable for traditional methods. Liu et al., (2022)
[26] magneto-responsive shape memory composite filaments for 3D printing based PLA,
TPU and Fe3O4 particles were fabricated via direct melt blending. high tensile strength and
composites.
Yanjun Chen et al. (2020) [5] This is the first comparative study on the application of 3D-
printed cast and traditional cast. A three-dimensional FEA model was developed to simulate
the external cast fixation in the fore- arm fracture model and to simulate the different loading
tests. Computed tomography (CT) volume data was used to create 3D model in SolidWorks.
Wei Yan et al. (2019) [9] provides a systematic topology optimization-based design approach
to design lightweight and porous splint for distal radius fractures. Lin et al., (2016) [25]
performed FEA analysis by setting the opening edges are set as fixed boundaries and applied
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Other than above discussed literature few more researchers has worked in this area, a brief
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Fernando Printing times and high initial investment represent the main
Blaya et al. complications to be overcome in previous 3D printing technique for cast.
(2017) [11] Considerable reduction in waste generated because of recyclability of
material.
Pasquale Compared with the plaster cast, the ABS CAD/CAM device entails
Guida et al. greater convenience, compliance, and satisfaction for both patients and
(2019) [18] their families. Easy removal. Study shows effective treatment whose
costs are like or even lower also since removal involves merely cutting
the strips that join the two shells, thereby eliminating use of the
oscillating saw that is necessary to remove the traditional plaster cast.
ii. Due to the current printing method high precision 3d printer is required with long
printing times.
iv. Due to high water absorption rate for PLA at elevated temperature water-based
v. Until now Magneto Thermal actuation is not utilized for thermoforming of the Patient
specific cast.
vi. There were no papers which used nanoparticles and Smart polymer blend to improve
properties of the filament material and integration of fast magneto thermal actuation.
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3.5. Motivation
1. Bone fractures are a major public health concern across the world, but there hasn't been a
2. Fractures are a significant burden on people, families, societies, and healthcare systems
because they can cause job absenteeism, lower productivity, disability, diminished quality
3. A 2019 survey found that 455 million people were suffering from pain or other issues
related to recent or ancient fractures. number of fractures per 100,000 people, there were
4. Traditional cast materials commonly used for treatment have certain disadvantages,
including a lack of mechanical and water resistance, poor hygiene, and odors. Three-
printing.
iv. To evaluate the efficacy of the design and proposed methodology of thermoforming
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3.7. THESIS WORK PLAN
Literature Review.
FEA analysis of
fracture cast in
ANSYS
UTM testing for determination of tensile
strength and Young’s modulus.
Material Testing
Charpy impact test to test the impact
resistance.
Evaluation of
results
Thesis Write-up
References
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