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El sastre médico y la tecnolgía 3D | Santiago Birkner De Miguel | TEDxBariloche


[Music]

once they had already bought clothes and

I tell them that a little boy and a

carve a little big to finish maybe

taking you the one that better or not

taking you none good

nowadays medicine is handled a

little resemblance will be asked in what

it may come to look like medicine with

clothing workshop that when it comes to

do an implant let’s say a replacement

of the hip on the implant that gets

generic in surgery puts you in the

what’s better for you

this is a matter of medicine

and health is really disturbing

I imagine that you can live the

rest of his life with the shirt a little

tight a little loose but imagine

have something tight or loose that is going to

be in yours in for the rest

of your life

veneers to have another level of importance

then there is some kind of disaster

implants or there is a type of technology

that can lower this reality two years ago

years more or less with my partners and

friends

matías and lucas we got into the world

3d printing

the idea came to us right here in the

bariloche vacations up to

hill and at the time we were the three

students of biomedical engineering and

We decided to be the tailors and

to be able to give the patient a

customized solution in all

stages of surgery to start

we had to see what the steps will be

by which a tailor passes at the time of

make a garment melilla

the first step is to take the

body measurements the client that is with

what is going to be based to do the rest

From his job

the second step with him the help of

special tools cuts the fabrics

and finally after a test and

of a couple of tweaks

we have for example a sack that is not going to

to be perfect

naturally our project started

by steps and the first thing we develop

It was an instrument analogous to

measuring a tailor

we call them biomodels the good thing that

they have the models is that they are not going to

do any kind of additional study

the patient with a tomography

Computed an MRI

which is general in any kind of

surgery today is selected the

the organ in question becomes a

3d reconstruction on the computer and

Finally it is printed in 3d for

to be able to have it in hand what is

this lifeguard they weed

Vanessa is 38 years old and has a daughter

last year he was diagnosed

malignant tumor in the first

ratification of what I want with the

help of an old model

the doctor alejandro bertotti could not

just take out the tumor successfully

but it can also reconstruct the

airway and save the lung use or

no use united model marked the clear

difference between a young person

with a whole life ahead

live what’s left of it with a lung

or with two lungs

this case besides being a case of great

success because he got the

lung of the patient

it marked me and also my partners

a turning point in what

we did three months later the

surgery was lying on my bed at

twelve at night and I got an email

when the mail

leo vanessa barreiro sounded to me it seems

known the name and I remembered that it was the

name that appeared the tomography

when I have done the reconstruction

between the for Serbian model the

wallet la vega

the truth that I was very excited

but I was recorded a phrase in

the head that said

you are sorry for you

I will be the first in many cases of

success that they will have throughout

their careers but you for me are going to

do until I am too old the

people who gave me the health

here you can size the real effect

what can this piece of plastic have

at the time of performing surgery but

as I mentioned before

the idea is not to stay here and just use

this technology to help in the

planning of surgeries but that

the idea as I told him to offer a

customized solution to the patient in

each and every stage

then what are the steps to follow

nowadays when cutting the

fabrics are being developed

tools that do it more and more

and more precise are called guides

surgical procedures when a surgeon enters

surgery and have to cut for example

a bone not to the electric saw and

cuts and bone to the coarse where you

it seems but uses this instrument that

is mounted on the bone to guide the

saw and that the cut is as

accurate possible but this makes us

go back a bit to the problem of

surgical fall principle is

designed for each surgery and each

patient

not in any way the guide

Surgical today are generic

and most of the time for

mount them you have to cut part of bones

patient rooms

this makes the printing technology

3d and digital design is great

help when it comes to designing and being able to

make a second already surgical

personalized for each patient

well I do not know about you but me

they promised a tailor implants and the

true that the only study talking is

of god planning models

surgical already surgical but

imagine taking these concepts of

digital design 3d printing and now

yes make an implant for example

printed in titanium

now if you close the circle and you

can provide a solution

personalized to the patient in all

stages of surgery can be done a

wink model a surgical guide and a

implant for each patient in each

surgery and getting a little thread

tailor can test the

implant and the surgical area on the

river model so that the surgeon does not

bring any kind of surprise before

when he went into surgery he not only

can play with the design also with

the materials

the truth is that 3d printers today

in day they offer more and more materials

available for printing can be

flexible that to your bow in the design of

Surgery simulators can be god

biocompatible just the implants

they are implantable and can be inside

of the body one person during the rest

of ascents and even biodegradable that

while the person is recovering the

implant is doing reabsorbed by the

body until in a moment

disappears

in short a bit to a high athlete

performance for example if you have a

tumor in a bone

the implant that is put on it is not going to

be designed in the same way or with

the same materials that is designed by

example to me that the only thing I do is

play football weekend with my

friends

as I said before the possibilities that

provides the 3d printing are very broad

in argentina

to date the waiting list of

organ transplant is 7 thousand 558

people

imagine that in this room there are around

of 750 this room ten can be filled

times with the number of people to the

wait for an organ only the year

past you can make 10 percent

of the transplants that is 750 people

imagine in the not so distant future in

that there is no more surreal waiting in

that when the person needs a

transplant of an organ go to a

company or an institution and they print

body between g

I do not talk about material and animated because

can be a bone company in titanium

but a whole organ a kidney

printed in 3d with live cells is not

crazy to think that this can happen

today talking about raw science and

skipping the discussion a little

ethical or moral that can be had about

the topic

there are live rats with impress with

kidney impressions in 13

going a little farther there are two

people in america who are

live with mejías companies in 3d that

they were put because it was the only

way they had to stay alive and

have a full life

I know that these technologies seem taken out

star wars or that are only thought for

first world countries like europe or

united states but I come to tell you that

it’s something that is really around the corner

from the corner you can see how it

peeks cases like Vanessa

use of biomass – NATO well with cases of

they are made to measure

implants that are also made here

same in Argentina what I want them

say

In summary is that this technology in

the next 20 years to be something that

everyone will have lived and will be

very involved in

world of modern medicine and that this

will generate a great improvement in the

quality of life worldwide

thank you very much

[Applause]

[Music]

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