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Purpose Left atrial appendage occlusion (LAAO) is a structural interventional cardiology procedure that offers several possibilities for the application of additive manufacturing technologies. The literature shows a growing interest in the use of 3D-printed models for LAAO procedure planning and occlusion device choice. This study aims to describe a full workflow to create a 3D-printed LAA model for LAAO procedure planning. Design/methodology/approach The workflow starts with the patient’s computed tomography diagnostic image selection. Segmentation in a commercial software provides initial geometrical models in standard tessellation language (STL) format that are then preprocessed for print in dedicated software. Models are printed using a commercial stereolithography machine and postprocessing is performed. Findings Models produced with the described workflow have been used at the Careggi Hospital of Florence as LAAO auxiliary planning tool in 10 cases of interest, demonstrating a good correlation with state-of-the-art software for device selection and improving the surgeon’s understanding of patient anatomy and device positioning. Originality/value 3D-printed models for the LAAO planning are already described in the literature. The novelty of the article lies in the detailed description of a robust workflow for the creation of these models. The robustness of the method is demonstrated by the coherent results obtained for the 10 different cases studied.

The LIFE SNEAK project, started in September 2021, aims at the reduction of noise from road traffic that mainly affects densely populated urban areas where the noise and vibrations produced by the tram overlap with noise produced by road traffic. Applicative measures will be designed and tested in a pilot case of the city of Florence, such as low-noise and vibration surfaces, with life cycle costs comparable to those of traditional surfaces, and measures to reduce tram noise aiming to obtain substantial reductions in noise and annoyance. Referring to tram noise, in the first phase of the project, specific attention has been dedicated to the state-of-the-art analysis concerning possible measures to perform noise reduction with specific attention to noise due to wheel-rail contact and "squeal noise" phenomena that mainly occur in urban environments close to curves with small radius. In this paper, the results of the state-of-the-art analysis are presented with particular attention to the use of sound-absorbing panels to be applied on the tram (bogie skirts).

The objective of this study is to establish a new methodology for the metrological characterization of interactive multi-camera systems. In the case of 3D system highly adapted to specific needs the accuracy evaluation cannot be performed using standard state-of-the-art techniques. To this end, the metrological characterization techniques used in the literature were investigated in order to define a new methodology that can be adjusted to each device by making the appropriate modifications. The proposed strategy is adopted for the metrological characterization of a new interactive multi-camera system for the acquisition of the arm.

This paper considers the fitting of a CAD template model to tessellated data as strategy to implement a reverse engineering process that aims at the reconstruction of a parametric associative CAD model. The reconstruction methodology, called Template-Based CAD Reconstruction (TCRT), has been presented and fully discussed in a previous paper Buonamici et al. (J Comput Des Eng 5:145–159, 2018). The present paper focuses on the study of a fast and robust strategy to perform the fitting of the Template CAD Model to reference data. The study explores how different optimization strategies and evaluation metrics can affect a parametric CAD-fitting methodology. Two different optimization algorithms (PSO and GA) and three formulations of the objective function are tested to find the most effective combination. Reconstruction test cases are presented and discussed in the text.

Computer Numerical Control (CNC) milling is still today the elective process for the production of single-piece impellers, as it can reliably produce complex geometries, removing the need for additional manufacturing processes. Nevertheless, Additive Manufacturing is winning more and more ground due to its ability to make components of any geometry that cannot be produced using subtractive techniques. As a result, the use of this technology can eventually be seen as the key to develop high-performance rotor components. In this scenario, the design of 3D impellers does not make an exception. Accordingly, the present paper proposes a general framework for engineered re-design and manufacture of 3D impellers installed on centrifugal compressors by exploiting Topology Optimization and Additive Manufacturing's potential. The procedure investigates also the rotoric component's best configuration for both static and dynamic behavior. Finally, the topology-optimized component is produced with AM through the use of suitable materials that can ensure efficient mechanical efficiency to prove the manufacturability of the entire procedure. To validate the proposed framework, the complete re-design of a 3D impeller of a major Italian-based Oil & Gas company is carried out, demonstrating that the re-thinking of the component in terms of Topology Optimization is a straightforward approach to increase the overall performance of the produced rotoric part.

RGB-D cameras are employed in several research fields and application scenarios. Choosing the most appropriate sensor has been made more difficult by the increasing offer of available products. Due to the novelty of RGB-D technologies, there was a lack of tools to measure and compare performances of this type of sensor from a metrological perspective. The recent ISO 10360-13:2021 represents the most advanced international standard regulating metrological characterization of coordinate measuring systems. Part 13, specifically, considers 3D optical sensors. This paper applies the methodology of ISO 10360-13 for the characterization and comparison of three RGB-D cameras produced by Intel® RealSense™ (D415, D455, L515) in the close range (100–1500 mm). ISO 10360-13 procedures, which focus on metrological performances, are integrated with additional tests to evaluate systematic errors (acquisition of flat objects, 3D reconstruction of objects). The present paper proposes an off-the-shelf comparison which considers the performance of the sensors throughout their acquisition volume. Results have exposed the strengths and weaknesses of each device. The D415 device showed better reconstruction quality on tests strictly related to the short range. The L515 device performed better on systematic depth errors; finally, the D455 device achieved better results on tests related to the standard.

In recent years, breakthroughs in the fields of reverse engineering and additive manufacturing techniques have led to the development of innovative solutions for personalized medicine. 3D technologies are quickly becoming a new treatment concept that hinges on the ability to shape patient-specific devices. Among the wide spectrum of medical applications, the orthopaedic sector is experiencing the most benefits. Several studies proposed modelling procedures for patient-specific 3D-printed casts for wrist orthoses, for example. Unfortunately, the proposed approaches are not ready to be used directly in clinical practice since the design of these devices requires significant interaction among medical staff, reverse engineering experts, additive manufacturing specialists and CAD designers. This paper proposes a new practical methodology to produce 3D printable casts for wrist immobilization with the aim of overcoming these drawbacks. In particular, the idea is to realize an exhaustive system that can be used within a paediatric environment. It should provide both a fast and accurate dedicated scanning of the hand-wrist-arm district, along with a series of easy-to-use semi-automatic tools for the modelling of the medical device. The system was designed to be used directly by the clinical staff after a brief training. It was tested on a set of five case studies with the aim of proving its general reliability and identifying possible major flaws. Casts obtained using the proposed system were manufactured using a commercial 3D printer, and the device’s compliance with medical requirements was tested. Results showed that the designed casts were correctly generated by the medical staff without the need of involving engineers. Moreover, positive feedback was provided by the users involved in the experiment.

Background: The correction of craniofacial deformities is an ongoing challenge in maxillofacial surgery. However, conventional measurement methods for treatment planning are not appropriate for craniofacial surgery. Computer-assisted approaches can improve surgical outcomes. A new, non-invasive, patient-specific automatic method, proposed here, has been tested for assisting the surgeon in preoperative planning. Case Presentation: In the case reported, the described method allows effective surgery planning that led to a significant decrease in asymmetries in the orbital region. Conclusion: The multidisciplinary collaborative approach is a central element for the construction of effective personalized procedures and for the conception of new surgical approaches. The here proposed technology offers a good level of feasibility and has an achievable potential for breakthroughs in the improvement of facial deformities surgical treatment, thus representing an overwhelmingly useful tool in a clinical setting.

The article discusses the design of an acquisition system for the 3D surface of human arms. The system is composed by a 3D optical scanner implementing stereoscopic depth sensors and by an acquisition software responsible for the processing of the raw data. The 3D data acquired by the scanner is used as starting point for the manufacturing of custom-made 3D printed casts. Specifically, the article discusses the choices made in the development of an improved version of an existing system presented in [1] and presents the results achieved by the devised system.

Robotics for Medicine and Healthcare is undoubtedly an important emerging sector of the newborn third millennium. There are many aspects in which this branch of robotics already operates; in this article, the focus will be on the so-called “Robotic assistive technology”. In particular, a novel electromechanical design for an assistive Hand Exoskeleton System is presented here. Since freedom of movement plays a crucial role in making actually usable an assistive device, the main point of innovation of the proposed solution lies in the complete wearability of the resulting system: including mechanics, control electronics, and power supply. From the combination of the authors’ previous experience with the improvements presented in this article comes a fully standalone tailor-made assistive device, https://youtu.be/MiF5Hn1Q3fA https://www.youtube.com/watch?v=KfjOP6QuUnk

The availability of advanced tools able to model complex geometries along with the relaxing of the constraints related to the manufacturing technologies are heavily transforming the design approach in many fields, including healthcare. The focus of this paper is on the optimization of porous lightweight cellular geometries in the orthopedic implants design: lattice structures have proven to fulfill the biological, mechanical, and technological constraints required in designing load bearing devices. The aim is to collect the information provided by the related literature to describe the effects induced by the selection of parameters designing lattice gyroid structures for orthopedic implants.

Robotics for Medicine and Healthcare is undoubtedly an important emerging sector of the newborn third millennium. There are many aspects in which this branch of robotics already operates; in this article, the focus will be on the so-called “Robotic assistive technology”. In particular, a novel electromechanical design for an assistive Hand Exoskeleton System is presented here. Since freedom of movement plays a crucial role in making actually usable an assistive device, the main point of innovation of the proposed solution lies in the complete wearability of the resulting system: including mechanics, control electronics, and power supply. From the combination of the authors’ previous experience with the improvements presented in this article comes a fully standalone tailor-made assistive device.

Pectus Arcuatum (PA) is a congenital chest wall deformity which produces a superior manubrial and sternal protrusion, particularly at the sternal angle. PA surgical correction to reduce the angle of the sternum always includes the removal of bone portion by means of horizontal sternal osteotomies, resection of deformed rib cartilage and finally stabilization of the anterior thoracic wall. Within this process an incorrect assessment of the sternotomy angle during the procedure may lead to the need for bone or cartilage grafts to fill the left voids. This problem has been addressed with a patient-specific cutting template, realized with Reverse Engineering and Additive Manufacturing techniques, which proved to be a key element to simplify the procedure and avoid the occurrence of this type of complications. In this work is presented and validated a procedure that, through common CAD operations, realizes in a completely automatic way the CAD model of the custom cutting template, so as to make non-expert users independent in the realization of the medical device.

Several models of FDM machines, characterized by different architecture and hardware components, have flooded the market in the last 5 years. As a result, given the high sensitivity of FDM to the specific machine characteristics, the search for optimal printing parameters is a renown problem. This two-parts paper proposes an easy-to-follow and low-cost procedure for the characterization of any given FDM machine. The method allows the evaluation of the effects of a wide selection of FDM process parameters on the quality of 3D printed parts. The first part focuses on the definition of a series of metrics to be measured on a series of test prints to evaluate the quality of the produced parts. Specifically, several effects are considered: dimensional accuracy, small details, overhang surfaces, ability of printing small holes/thin extrusions and overall quality of the prints. The evaluation of seven quality parameters on a single print is made possible thanks to: i) a specifically designed specimen that is made available to the user and ii) a rigorous and repeatable measurement procedure, which are both discussed in the first part of the paper. The second part presents the characterization procedure, the statistical tools used in the experimentation and provides guidelines to be used for the characterization of any FDM machine. The whole procedure is tested on a desktop FDM machine to demonstrate obtainable results.

Reverse Engineering (RE) is a long-term goal of engineering and computer science; it aims at the reconstruction of CAD models from measured data by means of 3D mathematical surfaces and geometrical features representing the geometry of a physical part. In the last two decades, reviews and surveys have occasionally covered this topic, but a systematic dissertation of modeling methods from a mechanical engineering point of view is still missing. The purpose of this paper is to fill this gap; starting from a general description of the overall RE framework (acquisition, segmentation, classification, fitting), both an up-to-date survey and a categorization of available modeling techniques and tools working on 3D data are provided. The main aspects of various strategies are discussed as well, in order to highlight strengths and weaknesses characterizing different approaches. Moreover, an overview of commercial software for RE is presented, considering both dedicated solutions and packages supplied as add-on with 'traditional' CAD systems. Finally, possible improvements to be addressed by the research in the RE field are discussed, outlining potential future trends that are still to be investigated.

Template-Based reverse engineering approaches represent a relatively poorly explored strategy in the field of CAD reconstruction from polygonal models. Inspired by recent works suggesting the possibility/opportunity of exploiting a parametric description (i.e. CAD template) of the object to be reconstructed in order to retrieve a meaningful digital representation, a novel reverse engineering approach for the reconstruction of CAD models starting from 3D mesh data is proposed. The reconstruction process is performed relying on a CAD template, whose feature tree and geometric constraints are defined according to the a priori information on the physical object. The CAD template is fitted upon the mesh data, optimizing its dimensional parameters and positioning/orientation by means of a particle swarm optimization algorithm. As a result, a parametric CAD model that perfectly fulfils the imposed geometric relations is produced and a feature tree, defining an associative modelling history, is available to the reverse engineer. The proposed implementation exploits a cooperation between a CAD software package (Siemens NX) and a numerical software environment (MATLAB). Five reconstruction tests, covering both synthetic and real-scanned mesh data, are presented and discussed in the manuscript; the results are finally compared with models generated by state of the art reverse engineering software and key aspects to be addressed in future work are hinted at. Highlights A novel CAD reconstruction method fitting a CAD template model to mesh data. A feature-based parametric-associative modelling history is retrieved. Fitting process is controlled by a Particle Swarm Optimization algorithm. Accuracy of reconstructed models is comparable/better than state of the art results. Computational costs and required time are at the moment considerable.

The introduction of the vacuum bell (VB) for the conservative treatment of Pectus Excavatum (PE) has led to a new non-invasive alternative to thoracic surgery. The VB works by elevating the chest as long as a negative differential pressure is internally assured. In recent years studies have been conducted to validate this type of treatment and to outline its correct use; results show a short-term PE improvement when the device is worn for a minimum of 30 min (twice a day) up to a maximum of several hours a day for 12–15 months. Although the worldwide diffusion of VB devices increases year after year, its ability to lift the chest during treatment with respect to the applied pressure has begun to be evaluated only recently. In this paper, a new instrument for measuring chest elevation during treatment is presented and validated. The proposed system consists of two measurement devices: a commercial instrument for the detection of the negative pressure inside the VB, and a specifically developed optical system for the detection of chest movement. The effectiveness of the proposed system, tested on five paediatric patients, paves the way to the objective definition of an optimised patient specific VB scheme of use.

Bone tumor resections have to be carefully planned in order to avoid intralesional cuts and thus lower the recurrence rate. Until the present-day bone resections have been performed freehand, using anatomical landmarks as reference points to retrieve planned resection planes over the very patient. Such method is highly prone to failure to the detriment of the patient’s health, in fact survival rate for osteosarcomas is very low, ranging between 20% and 47%. The clinical outcome is highly dependent on the resections’ accuracy; several emerging techniques proved to dramatically increase cutting accuracy, as well as survival rate, in particular Patient Specific Instruments (PSIs) and custom 3D printed metal prosthesis. The main limitation to a massive spread of this method is the large manufacturing time due to a lack of communication between surgeons and engineers about the surgical approach and the design constraints. This paper aims to compare several general-purpose low-cost software and to provide surgeons with an effective and easy to use platform to visually share information in a natural manner with engineers thus providing as many design constraints as possible, speed up the design process and avoid unfeasible results. Two surgeons from Azienda Ospedaliera Universitaria Careggi tested and evaluated a series of software. From this preliminary investigation Forger, a digital sculpting and texture painting application for iOS, resulted as the most user friendly and intuitive application among the test group.

Computer Aided reconstruction of mechanical parts nowadays heavily relies on dedicated RE software systems and highly skilled users to be carried out effectively. This paper investigates this scenario in order to identify most limiting factors in the current framework. With this respect, several considerations of general validity are drawn while presenting the problem from a theoretical perspective. A significant test case reconstruction, discussed in depth in the manuscript, is used to provide a practical point of view on real applications and help the reader acquire a hands-on comprehension of the current situation.

To date, standard methods for assessing the severity of chest wall deformities are mostly linked to X-ray and CT scans. However, the use of radiations limits their use when there is a need to monitor the development of the pathology over time. This is particularly important when dealing with patients suffering from Pectus Carinatum, whose treatment mainly requires the use of corrective braces and a systematic supervision. In recent years, the assessment of severity of chest deformities by means of radiation-free devices became increasingly popular but not yet adopted as standard clinical practice. The present study aims to define an objective measure by defining a severity index (named External Pectus Carinatum Index) used to monitor the course of the disease during treatment. Computed on the optical acquisition of the patients' chest by means of an appositely devised, fast and easy-to-use, body scanner, the proposed index has been validated on a sample composed of a control group and a group of Pectus Carinatum patients. The index proved to be reliable and accurate in the characterization of the pathology, enabling the definition of a threshold that allows to distinguish the cases of patients with PC from those of healthy subjects. Graphical abstract.

The present paper proposes a methodology to design and manufacture optimized turbomachinery components by leveraging the potential of Topology Optimization (TO) and Additive Manufacturing (AM). The method envisages the use of TO to define the best configuration of the rotoric components in terms of both static and dynamic behavior with a resultant reduction of overall weight. Eventually, the topology-optimized component is manufactured by using appropriate materials that can guarantee valid mechanical performances. The proposed strategy has been applied to a 2D impeller used for centrifugal compressors to prove the effectiveness of a TO+AM-based approach. Although this approach has never been extensively used before to centrifugal compressors and expanders, its application on rotor and stator components might unlock several benefits: tuning the natural frequencies, a reduction in the stress level, and a lighter weight of the rotating part. These objectives can be reached alone or in combination, performing a single analysis or a multiple analyses optimization. Finally, the introduction of AM technologies as standard manufacturing resources could bring sensible benefits with respect to the time to production and availability of components. Such aspects are essential in the Oil and Gas context, when dealing with new projects but also for service operations.

Bamboo is one of the longest-used organic raw materials in the tropics for a large number of different purposes in the daily lives of human beings. Because of its excellent physical-mechanical properties, in many parts of the world it is widely used as a structural material, especially for the construction of scaffolding and the construction of buildings. The bamboo can be modelled as a composite material, consisting of a of a parenchyma cells matrix, similar to a foam, reinforced by bundles of fibers associated with vessels. The present work aimed to explore the possibility to design a 3D printed biomimetic composite material able of keeping advantages from the bamboo morphological structure. Samples made of PVA, ABS and PVA + ABS were manufactured using Fused Deposition Modelling and tested under compression and bending conditions. The behavior under compression has shown to depend mainly on the material used while in bending the structure has shown important effects leading the sample made of PVA + ABS to have the same performances of much expensive pure ABS.