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There are over 40 million amputees globally with more than 185,000 Americans losing their limbs every year. For most of the world, prosthetic devices remain too expensive and uncomfortable. This paper aims to outline advancements made by a multidisciplinary research group, interested in advancing the restoration of human motion through accessible lower limb prostheses.

Customization, comfort and functionality are the most important metrics reported by prosthetists and patients. The work of this paper presents the design and manufacturing of a custom made, cost-effective and functional three-dimensional (3D) printed transtibial prosthesis monocoque design. The design of the prosthesis integrates 3D imaging, modelling and optimization techniques coupled with additive manufacturing.

The successful fabrication of a functional monocoque prosthesis through 3D printing indicates the workflow may be a solution to the worldwide accessibility crisis. The digital workflow developed in this work offers great potential for providing prosthetic devices to rural communities, which lack access to skilled prosthetic physicians. The authors found that using the workflow together with 3D printing, this study can create custom monocoque prostheses (Figure 16). These prostheses are comfortable, functional and properly aligned. In comparison with traditional prosthetic devices, the authors slowered the average cost, weight and time of production by 95%, 55% and 95%, respectively.

This novel digital design and manufacturing workflow has the potential to democratize and globally proliferate access to prosthetic devices, which restore the patient’s mobility, quality of life and health. LIMBER’s toolbox can reach places where proper prosthetic and orthotic care is not available. The digital workflow reduces the cost of making custom devices by an order of magnitude, enabling broader reach, faster access and improved comfort. This is particularly important for children who grow quickly and need new devices every few months or years, timely access is both physically and psychologically important.

In this manuscript, the authors show the application of digital design techniques for fabricating prosthetic devices. The proposed workflow implements several advantageous changes and, most importantly, digitally blends the three components of a transtibial prosthesis into a single, 3D printable monocoque device. The development of a novel unibody transtibial device that is properly aligned and adjusted digitally, greatly reduces the number of visits an amputee must make to a clinic to have a certified prosthetist adjust and modify their prosthesis. The authors believe this novel workflow has the potential to ease the worldwide accessibility crisis for prostheses.

Most support surfaces in comfort applications and sporting equipment are made from pressure-relieving foam such as viscoelastic polyurethane. However, for some users, foam is not the best material as it acts as a thermal insulator and it may not offer adequate postural support. The additive manufacturing of such surfaces and equipment may alleviate these issues, but material and design investigation is needed to optimize the printing parameters for use in pressure relief applications. This study aims to assess the ability of an additive manufactured flexible polymer to perform similarly to a viscoelastic foam for use in comfort applications.

Three-dimensional (3D) printed samples of thermoplastic polyurethane (TPU) are tested in uniaxial compression with four different infill patterns and varying infill percentage. The behaviours of the samples are compared to a viscoelastic polyurethane foam used in various comfort applications.

Results indicate that TPU experiences an increase in strength with an increasing infill percentage. Findings from the study suggest that infill pattern impacts the compressive response of 3D printed material, with two-dimensional patterns inducing an elasto-plastic buckling of the cell walls in TPU depending on infill percentage. Such buckling may not be a beneficial property for comfort applications. Based on the results, the authors suggest printing from TPU with a low-density 3D infill, such as 5% gyroid.

Several common infill patterns are characterised in compression in this work, suggesting the importance of infill choices when 3D printing end-use products and design for manufacturing.

This papers aims to study lattice structures in terms of geometric variables, manufacturing variables and material-based variants and their correlation with compressive behaviour for their application in a methodology for the design and development of personalized elastic therapeutic products.

Lattice samples were designed and manufactured using extrusion-based additive manufacturing technologies. Mechanical tests were carried out on lattice samples for elasticity characterization purposes. The relationships between sample stiffness and key geometric and manufacturing variables were subsequently used in the case study on the design of a pressure cushion model for validation purposes. Differentiated areas were established according to patient’s pressure map to subsequently make a correlation between the patient’s pressure needs and lattice samples stiffness.

A substantial and wide variation in lattice compressive behaviour was found depending on the key study variables. The proposed methodology made it possible to efficiently identify and adjust the pressure of the different areas of the product to adapt them to the elastic needs of the patient. In this sense, the characterization lattice samples turned out to provide an effective and flexible response to the pressure requirements.

This study provides a generalized foundation of lattice structural design and adjustable stiffness in application of pressure cushions, which can be equally applied to other designs with similar purposes. The relevance and contribution of this work lie in the proposed methodology for the design of personalized therapeutic products based on the use of individual lattice structures that function as independent customizable cells.

The purpose of this paper is to prepare stabile emulsions with 0–15% of colloidal silica and high monomer/water ratio and to investigate the influence of silica addition and surface modification on the polyacrylate properties.

Improving the properties of the composite can be achieved by optimizing the compatibility between the phases of the composite system with improving the interactions at the matrix/filler interface. Therefore, the silica surface was modified with nonionic emulsifier octylphenol ethoxylate, cationic initiator 2,2'-azobis-(amidinopropane dihydrochloride) and 3-methacryloxypropyltrimethoxysilane and polyacrylate/silica nanocomposites were prepared via in situ emulsion polymerization. Particle size distribution, rheological properties of the emulsions and morphology, thermal properties and mechanical properties of the film prepared from the emulsions were investigated.

Polyacrylate/silica systems with unmodified silica, silica modified with nonionic emulsifier and cationic initiator have micrometer, while pure PA matrix and systems with silica modified with silane have nanometer particle sizes. Addition and surface modification of the filler increased emulsion viscosity. Agglomeration of silica particles in composites was reduced with silica surface modification. Silica filler improves thermal stability and tensile strength of polyacrylate.

This paper provides broad spectrum of information depending on filler surface modification and latex preparation via in situ emulsion polymerization and properties with high amount of filler and monomer/water ratio with the aim that prepared latex is suitable for film formation and final application.