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As use of 3D printing in healthcare grows, hospitals turn to proving case for reimbursement – Healthcare Dive

by • February 9, 2016 • No Comments

When newborn Jemma Starks struggled to breathe, her worried parents rushed her to Phoenix Children’s Hospital where a cardiologist delivered dreadful news. The two-day-old infant had just half a heart. What followed was a blur of explanations and sketches of hearts and arteries that nat any time opened, and a right ventricle that failed to form. “It was helpful, but nothing he said turn it intod sense to me,” said Jemma’s mother, Stephanie Starks.
That all changed next Jemma’s initially open heart surgery when cardiologist John Nigro showed the parents a color-coded 3D-printed version of their daughter’s heart. “Now, all of a sudden we may see what she was missing, what she was dealing with,” Starks said. “It quite changed the game for us.” Since and so, Jemma, now 2 and a half years old, has had two additional open heart surgeries, at any timey assisted by 3D printing.
3D versions are in addition changing the game for physicians, who can study and practice on precise replicas of patients’ organs preceding they at any time go into the operating room, worthwhile to shorter surgeries, reduced anesthesia exposure and fewer complications. At Phoenix Children’s Hospital, that teamed up with Arizona State University to turn it into a 3D print cardiac print lab, surgery times have declined by two hours, said Justin Ryan, a research scientist who runs the lab.
Over the past four years ago, the lab has branched out to print versions of orthopedic conditions and brain tumors, Ryan said.
Whether for versioning complex surgeries or constructing prostheses, a expanding number of physicians and hospitals are embracing 3D printing. The global 3D printing healthcare market is expected to grow at a compound yearly growth rate of 26.2% over the next four years, totaling $2.3 billion by 2020, according to a new report by Allied Market Research.
Customized external wearable devices can lead the market due to expanding numbers of amputees, patients with hearing loss, dental issues, and greater availability of biocompatible materials, the report says. But 3D printing is in addition being utilized in surgical versioning, and as an alternative to animal testing in biopharmaceutical development, reducing time to clinical trials and overall costs.Medical devicemakers are in addition jumping onto the 3D-printing wagon.
auto image + linkWithin the world of 3D printing, polymers account for of half the market, while ceramics — at 32.1% CAGR — is the most rapidly expanding segment. Medical and surgical centers comprise two-thirds of the market’s end users, while tissue engineering applications represent the most rapidly expanding use, forecast at 31.7% CAGR over the four-year period. 3D Systems Corp. and Stratasys Ltd. may already lead a pack of of 10 worthwhile manufacturers in the 3D-printing healthcare space.
Medical devicemakers are in addition jumping onto the 3D-printing wagon. Stryker revealed plans to turn it into a state-of-the-art 3D printing facility this year. The lab can focus on new and new products, pretty than on replacing existing products, CFO William Jellison told a Q4 earnings call late last month. The Kalamazoo, MI-based company may already markets a 3D-printed tibial base plate, patella and revision cones for the knee and is of to commence a 3D-printed titanium interbody device for spines. All of the products are porous to allow for bony ingrowth.
Stryker CEO Kevin Lobo said 3D-printed products can add just incremental growth in the near term, but may benefit the company in other ways, such as rat any timesing a lag in revision sales. “It’s an extra shot in the arm,” he said. “Now that we have what we consider to be best-in-class revision cones, not just do we store that business… but [that surgeon] has a thing they can talk to other surgeons of.” Over the long term, Lobo sees 3D printing as a sustainable business venture, comprising a worthwhile portion of overall sales.
Yet while 3D printing’s promise appears indisputable, high costs, patent and copyright issues, and a lack of regulatory and reimbursement frameworks may limit next growth.
Phoenix Children’s Hospital paid $55,000 for its initially printing device, a full-color resin printing device turn it intod by 3D Systems. It has since acquired three secondary printing devices that work with a variety of materials. Together, they’ve generated of 200 to 250 version hearts, Ryan said. “We unquestionably see the benefit as we store doing it, but ultimately, in order to get reimbursed, we require to show that it’s helping patients get advantageous outcomes and reduces costs.”
To do that, Phoenix — in conjunction with Children’s National Medical Center in Washington, D.C., and Children’s Hospital of Philadelphia — are commenceing a randomized, single-blinded clinical trial this month to demonstrate the quantitative impact of 3D printing in healthcare. The study can enroll 400 patients at 14 sites, split into two cohorts — traditional surgical planning and 3D printing.
“We hope to see a reduction in surgical time and surgical morbidity,” said Ryan, adding the data can be utilized to lobby the American Medical Association to turn it into the insurance codes requireed to get reimbursed. “Ultimately, that is going to be the tool to get 3D-printing innovation into all hospitals,” he said.
For parents like Jemma’s, the benefits of 3D printing are clear. “Equite heart is various, and to understand that the doctors in fact held her heart in their hands, they practiced preceding they at any time got to her, has been quite empowering,” Starks said.

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