The art and science of orthosis manufacturing has improved progressively in the last decades within small cycles. However, correct handling of the most demanding cases such as Scoliosis and Kyphosis is either overpriced, substandard or even non-existent depending on your location.

In Kimedix, we provide our partners components of an entire turn-key manufacturing system, know-how, and training to enable on site manufacturing of gold standard spinal braces for a fraction of the time and cost.

Kimedix's turn-key manufacturing systems include 3D brace libraries, 3D design software with artificial intelligence decision support systems and 3D printing solutions to provide the most reliable and efficient trunk brace manufacturing.


Clinical Workflow

Diagnosis

The diagnosis of scoliosis and Kyphosis should be made by an Orthopedic or physical therapy and rehabilitation doctor, who is an expert in the field of conservative treatment. This is done by the doctor evaluating the x-ray of the spine looking at the clinical picture of the patient and using a Scoliometer to measure the rotation of the trunk. If the bone development (risser scale), Cobb Angle and rotation of the spine is suitable for conservative treatment the patient is then referred it to a Orthopedic Workshop specializing in Scoliosis, by the doctor. The orthotist who is an expert in his field, then classifies the curvature in accordance with the Cheneau classification and continues with the selection of the appropriate base model from our KiMedix software.

3D Scanning

With the iPad, 3D scanning apparatus and 3D scanning software developed by our company, the patient's body is transferred to the 3D software environment in the most practical and fastest way possible, without touching the patient's body. Photographs of the patient are taken at various angles and positions to receive an optimal clinical picture of the patients rotation.

C.A.D.

The CPO enters the patients body scan and measuremts into the KImedix 3d software during which a 3d base model is chosen in accordance with the patients data. The 3d brace model is designed to be the most suitable for each unique patient, with the CPO being able to perfect the standard model by adjusting pressure points, gravity line, rotation, and pelvic tilt.

3D Manufacturing

After the design of the personalized brace is completed the data will then be transferred to the KImedix 3d printer that was specially developed for fast and easy manufacturing. This process is completed in an average of 7-10 hours with an extruder designed and developed by KImedix in order to make the brace suitable for the patient to wear. When the 3d printer is finished printing the personalized brace, the CPO removes and prepares the brace for fitting on the patient.

Treatment

During the fitting the CPO (trained by one of KImedix experts) adapts the brace to the patients body for a perfect fit all the while, taking into account the biomechanics of the brace and patients spinal deformity by using pads to increase pressure or give a more wider flatter surface pressure. After a period of about 2 hours the CPO cuts ad smooths the Thermoplastic material (KImedix PE) for a better and more comfortable fit for each individual patient. After a period of approximately 10 weeks the doctor will prescribe an in-brace x-ray, which will show the doctor and CPO where and to which affect the 3d pressure is having on the spinal deformity. With a before and after picture to see any change on the patients clinical picture the doctors and CPO will then take this information together with the in brace x-ray and make any necessary adjustments to the brace if needed.

Brace Library

Due to the decades of experience invested into standardized brace models, we make sure that each specific curve pattern is treated with the same biomechanical principles.

The basic library is coherent with the Schroth method and consists of 5 Chêneau type scoliosis braces, 2 Kyphosis braces, and one symmetrical post op-brace.

We also enable our partners to parameterize their own designs and ideas by developing custom software solutions.


Artificial Intelligence


The KI (künstlich Intelligenz) in Kimedix is the German word for Artificial Intelligence and was developed with the aim of enhancing and supporting the decision making capabilities of the user. This results in the systematic improvement of non-surgical treatment outcomes and speeds up the time used in formulating a treatment plan for professionals.

Brace Classification AI

This state of the art model is trained with patient trunk 3d scans which are processed with 3d geometry algorithms and deep learning to make sure that correct brace models are selected for each individual patient.

Risser AI

The Risser scale is a grading system used to assess skeletal maturity. In scoliosis, the Risser scale is used to determine the potential for further progression of the spinal curvature. The Risser scale is often used in conjunction with other measurements and assessments to determine the appropriate treatment plan for scoliosis patients. Risser Ai is a deep neural network trained for assessing the skeletal maturity of the patient.

Cobb Measurement AI

The Cobb angle is a crucial measurement used in the diagnosis and treatment of scoliosis, providing valuable information to doctors and specialists in determining the severity of the curvature and making treatment decisions; however intraobserver variability may cause misdiagnosis and misevaluation of the effectiveness of the treatment. Cobb Ai is a deep neural network trained for detecting vertebra corners or centroids with ease and precision.







Personalization

Digitised brace libraries combined with parametric software is the backbone of Kimedix solutions. Easily customize the standardized brace models with the 3D modeling parametric interface.

Kimedix software gives you the opportunity to determine patient-specific parameters such as, de-rotation and amount of compression while showing the effects on the patient during a virtual fitting in a digital environment.


 

3D Printer
 

The Kimedix’s 3D printing solutions are designed to minimize man hours as well as multiple processes of conventional manufacturing associated with carving, thermoforming, and waste management saving valuable assets to be used elsewhere. The Kimedix industrial 3D printer is equipped with proprietary pellet extruder and a custom thermoplastic material that is easy to cut, grind, and polish with conventional routing machines.

Specifications
MethodPellet Extrusion
SlicerKimedix
MaterialKimedix PP
Brace Print Time6 to 9 hours
Printer Volume120 x 90 x 170 cm
Print Volume55 x 55 x 75 cm
Weight195 kg
Temperature Control3 zone
Nozzle Diameter3.0 / 3.5 / 4.0 mm
Extruder Temperature0 - 280 °C

CONTACT

KImedix GmbH

Adress: Binger Landstrasse 5  55569 Monzingen
Germany

E-mail : info@kimedix.de

Phone : +49 170 5734431

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