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Chapter 7 Pragmatic customization in medical device design for sustainable healthcare

  • Karupppasamy Subburaj
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CAD/CAM
This chapter is in the book CAD/CAM

Abstract

The increasing demand for personalized medicalmedical devices has placed pressure on healthcarehealthcare systems to deliver solutions that are simultaneously tailored to individual patients, cost-effective, and eco-friendly. In response, this chapter introduces pragmatic customizationcustomization as a novel strategy that merges the scalability of mass customization with the clinical specificity of personalizationpersonalization. Rather than fully customizing every component, this approach targets only the device elements directly interacting with the patient’s unique anatomy or surgical requirements, enabling the rest of the system to remain standardized and reusable. A case study of a high tibial osteotomy surgical guide demonstrates how combining parametric modeling with hybrid manufacturing, additive for patient-specific parts and subtractive for standardized modules, can reduce material waste while meeting regulatory and clinical benchmarks. Reusable steel attachments and single-use 3D-printed interfaces together minimize both production cost and environmental impact. The chapter concludes with a structured framework for adopting pragmatic customization, underscoring its potential to enhance sustainability without compromising patient care.

Abstract

The increasing demand for personalized medicalmedical devices has placed pressure on healthcarehealthcare systems to deliver solutions that are simultaneously tailored to individual patients, cost-effective, and eco-friendly. In response, this chapter introduces pragmatic customizationcustomization as a novel strategy that merges the scalability of mass customization with the clinical specificity of personalizationpersonalization. Rather than fully customizing every component, this approach targets only the device elements directly interacting with the patient’s unique anatomy or surgical requirements, enabling the rest of the system to remain standardized and reusable. A case study of a high tibial osteotomy surgical guide demonstrates how combining parametric modeling with hybrid manufacturing, additive for patient-specific parts and subtractive for standardized modules, can reduce material waste while meeting regulatory and clinical benchmarks. Reusable steel attachments and single-use 3D-printed interfaces together minimize both production cost and environmental impact. The chapter concludes with a structured framework for adopting pragmatic customization, underscoring its potential to enhance sustainability without compromising patient care.

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