Z Corp.

Medical Modeling
Solutions
Improving Patient Outcomes With 3D Precision

Agenda

Leading Customers
Applications and Case Examples
Emerging Applications
Additional Capabilities
Technical Requirements
The Z Corp. Advantage

3D Medical Models
Z Corp.s 3D Printers enable
surgeons to rapidly produce
inexpensive 3D models to
obtain better case information
to reduce operating time,
enhance patient and physician
communication and improve
patient outcomes.
The speed of Z Corp. Printers
enables 3D models to be used
for trauma cases; a significant
advancement for use in the
medical field.

Diverse Customer Base

Service Bureaus
Orthopaedics & Maxillo-Facial
Medical Modeling
University of New Mexico Medical
Javelin 3D
Center
Stereolithographers
Seoul National University
Plastic Surgery
Fukushima Medical University
Clinica Olinda
Faminsa
Implant Manufacturers
Synthes
EBI

Pediatrics
University of New Mexico

Applications and Case Examples

Enables pre-operative
analysis of complex
total hip replacement

Pre-operative sizing of
uni-compartmental total
knee replacement

Leading 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

Pre-Surgical Planning:
Implant Pre-contouring
Z Corp. models enable implants
to be pre-contoured prior to
opening 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 procedure

rehearsals

Case Example: Maxillo-facial Surgery

Z Corp. models used for
facial trauma cases can be
sawed apart and re-aligned
for proper anatomical fit of
pre-contoured plates
Bone virtually sucks up
against the implant, insuring
a perfect fit

Case Example: Maxillo-Facial Surgery

Mandible Reconstruction
Pre-contoured mandible plate
reduced time in the O.R. by 45
minutes
Dr. Fernando Urrutia
Plastic Surgeon (Mexico City,
Mexico)

Case Example: Orthopaedic Surgery

Acetabula Reconstruction
Pre-contouring acetabula fixation
plates can reduce O.R. time by
as much as 2 hours
Incisions can be reduced from
over 12 to as little as 4 in some
cases
Dr. George Brown
Chief, Division of Spine Surgery
University of New Mexico Health
Science Center
Albuquerque, NM

Complex
pelvic and
acetabula
fracture

Pre-Surgical Planning:
Screw Trajectory
Z Corp. models are used to
analyze fractures and
determine the precise
location and trajectory of
alignment screws and
fixation plates

Complex bi-lateral
pelvic fracture

Pre-Surgical Planning:
Screw Selection and Location
Z Corp. models permit
detailed analysis of
bone mass to enable
screw length selection
and location to occur
pre-operatively
Reduces O.R. time
Improves fit of
implant hardware

Custom Implant Manufacture

Z Corp. models permit
the worlds leading
implant manufacturers
to fabricate custom
implants rapidly and
cost effectively for the
ultimate in performance

Case Example: Custom Implant

Manufacture
Silicone septum implant was
constructed and fit to the Z Corp.
model saving 1 hour of O.R. time
Dr. Fernando Urrutia
Plastic Surgeon
Clinica Olinda
Mexico City, Mexico

Enhance Physician to Physician

Communication
Z Corp. models permit
excellent communication
between physicians and
surgical teams; particularly
useful in multi-disciplinary
cases

Patient Communication Tool

Z Corp. models
enhance the physicians
ability to communicate
with patients; raising
confidence in the
surgeon and the
likelihood of a
successful outcome

Silicone cheek implant

Medical Student/Resident Education

Z Corp. models prove
very useful in
communicating with
students and residents
Complex 2D images
can be converted into
easy to understand 3D
models that can be held
and easily manipulated
for a more complete
understanding of the
anatomy

Emerging Applications

Cardiology
Advancements in CT
technology now permit 3D
capture of soft tissue data
Physicians can better
quantify size, shape and
function of the heart.
Examining the whole,
beating heart makes
examinations and surgical
procedures more precise
and rapid.

3D Surface Scanning/
Custom Prosthesis Design
Utilizing 3D surface
imaging technology;
custom prosthesis can
be fabricated from Z
Corp. models used as
patterns for the
development of molds

FE Analysis
Full color Z Corp.
medical models enable
surgeons to better
understand the affects
of impact and
compressive stress on
bone to anticipate
additional areas of
concern

Additional Capabilities

Model Labeling
Using Z Corp.s ZPrint
software, surfaces can
be labeled to mark
particular areas of
interest on the 3D
model
Label text can be raised
(or colored on the
Z406 and Z810
Printers)

Precision Fixtures
Z Corp. models can be
accompanied with
precise fixtures to
enable measurements
and protect models with
complex cavities

Vascular tumor captured with an MRI

Technical 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

Z Corp. Advantages vs. Legacy

Technology

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 and
easily post-processed
Material Properties
Models can be sawed, drilled, scribed, painted and
bonded very simply

Z Corp. Advantages vs. Legacy

Technology
Simplicity of Use
Z Corp. 3D Printers and software enable users to
be fully trained in 2 days
Full Color Capabilities
Z Corp. models can be printed in millions of colors
to 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

Value Delivered
Z Corp. 3D models deliver accurate information
rapidly to enable faster, less costly surgical
procedures
Pre-contoured surgical implants are positioned
easier, more precisely and minimize the likelihood of
hardware complications
Communication between individuals, physicians and
patients alike, is simplified and easily shared

Reimbursement
Several U.S. surgeons have informed Z Corp. about the
following CPT codes that can be used to obtain reimbursement
funds for 3DP models.
CPT code 76375 was recently created as an adjunct to
CT/MRI codes to cover printed holography with modifier 22
(unusual procedural service)
Z Corp. has been told by the AMA that the additional codes
listed below can also be used to identify what our models are
used for. These codes are all now used for making custom
equipment/devices for treatment, planning, and simulation.
These fall within the 77300 family of codes. They are 77332,
77333, 77334. Each code essentially covers components of
varying degrees of complexity.

Maxillo-facial and Orthopaedic Surgery References

Simply stated, our Z Corp. models are improving patient outcomes with 3D, computer
aided precision.
Dr. Jon Wagner and Dr. George Brown
University of New Mexico
Health Science Center
Albuquerque, New Mexico