AccScience Publishing / IJB / Volume 8 / Issue 3 / DOI: 10.18063/ijb.v8i3.555
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RESEARCH ARTICLE

Convex and Concave Model 3D Printing for Designing Right-side Bronchial Blocker for Infants

Xiaomin Duan1† Wei Wang1† Wenping Ma2† Zhenhui Mao3 Fangliang Xing4 Xin Zhao3*
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1 Department Radiology-Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China
2 Department of Molecular Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100070, China
3 Department Anesthesiology-Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China
4 Beijing Intelligent Entropy Science and Technology Co Ltd., Beijing 100176, China
Submitted: 4 March 2021 | Accepted: 29 March 2022 | Published: 29 April 2022
© 2022 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

It is technically challenging for pediatric anesthesiologists to use bronchial blocker (BB) to isolate the lungs of infants during thoracoscopic surgery. Further, BB currently sold in the market cannot match the anatomical characteristics of the infants, especially on the right main bronchus. It may easily cause poor exhaustion of the right upper lobe, which leads to interference with the thoracoscopic surgical field. The two dimensional reconstruction data of 124 normal infants’ airways were extracted from the medical image database of Beijing Children’s Hospital for statistical analysis. After using linear fitting and goodness-of-fit test, a good linear relationship was detected between infant age and various parameters related to aid in designing a new BB for infants (R2 =0.502). According to the growth and development rate of infants, the DICOM files of airway CT scan of 7 infants aged 30, 60, 90, 120, 180, 270, and 360 days were selected to print non-transparent convex and transparent concave 3D models. The non-transparent convex model was precisely measured to obtain the important parameters for BB design infants only, to complete the design of BB, to generate the sample, and to verify the blocking effect of produced sample in transparent concave three-dimensional (3D) model.

Keywords
Three-dimensional printing
Infant
Bronchial blocker
Airway management
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International Journal of Bioprinting, Electronic ISSN: 2424-8002 Print ISSN: 2424-7723, Published by AccScience Publishing