Formus Labs.

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Summary: 3D printed custom acetabular prosthesis offer superior outcomes with improved fit, lower risk of failure and revision, and cost savings through shorter clinical stays. However, the lengthy and expensive custom design process is a major hurdle in the uptake of custom prosthesis. Current custom design processes require days of manual input from radiologists, engineers and surgeons plus a host of expensive software for image processing, design and mechanical/functional analysis. The process is highly expensive, hard to scale and results in prolonged wait times.   The solution: ACID (automatic custom implant design) from Formus Labs is an intelligent custom design platform presented as a webservice that allows engineers and surgeons to collaboratively view and modify prosthesis designs in real time. ACID-Acetabular is our first platform aimed at custom revision acetabular implants. Hip CT scans are uploaded to the webservice where the patient anatomy and optimised prosthesis design is calculated and presented as a 3D, fully adjustable model. This workflow uses novel algorithms to determine optimal prosthesis shape, position, and fixation given the existing bone stock, surgical approach, and guided by extensive population data from a database of real patient anatomies and function. The automatically generated design is fully customisable by both surgeon and engineer anywhere at anytime on a shared web application. ACID-Acetabular can be tailored to offer the desired balance of automation and fidelity to ensure critical time savings and quality.   Competitive advantages: Reduced design time from 35 hours to 5 hours Release time to care for surgeons and engineers Scalability without additional engineers, >8 fold increase in cases/year Share and modify designs between engineers and surgeons in real time No need for many expensive design products Key aspects Substantial cost savings on individual designs Streamline engineer-surgeon collaboration Attractive solution for hospitals and surgeons due to a valuable decrease in design and wait time Diversification into other segments through economics of scalability