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 xray of the spine looking at the clinical picture of the patient and using a Scoliometer to measure the rotation of the vertebrae. If the bone development (risser scale), Cobb Angle and rotation of the spine is suitable for for conservative treatment the patient is then referred ti 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 Osteoid 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. At the same time, in addition to 3D scanning, 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 accunt 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 (KImmedix 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 xray and make any necessary adjustments to the brace if needed.

Brace Library

Chêneau brace library, 5 models

Kyphosis brace, 2 models

Symmetrical post-op brace, 1 model

Developing a library and parameterized adaption of any orthosis model to software.

Artificial Intelligence

Scoliosis Scanning

Get advice from the artificial intelligence support system for X-ray / radiation-free risk analysis, analysis of scoliosis, if any, and selection of the appropriate brace with the help of models trained with deep neural networks of 3D scan data.

Cobb Angle Measurement

Cobb angle measurement using deep learning models based on X-ray images.


Brace Selection

Detailed symmetrical analysis of the patient's body is performed by processing the 3D scan data with appropriate algorithms. Make sure that you choose the right brace with the help of the artificial intelligence module, where detailed analyzes are trained together with the relevant corset models.

Personalization

Easily customize the standardized corset models with the corset modeling interface.
Get the opportunity to determine patient-specific parameters such as de-rotation, gravity line and amount of compression, by seeing the effects on the patient while the corset is on the patient in digital environment.

RESULTS

CONTACT

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