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The standard method of design and manufacturing customised orthoses is still very time-consuming due to their often very complex shape. Different authors have tried to solve this problem but, unfortunately, the proposed approaches cannot be easily used in clinical practice because they require substantial interaction among medical staff and engineers or technicians. The aim of this work is to present the framework of a new design approach that could allow clinicians to easily model a customised orthosis, without a skilled technician develops the entire procedure. In particular, an automatic process based on Generative Design has been implemented. The obtained results have demonstrated that the implemented algorithm is simple to use and could allow also not-skilled users to design customised orthoses.

Today it is more and more mandatory for all commercial companies to comply with the principles and methodologies of Industry 4.0 and to achieve the related capabilities protecting their competitiveness and taking a leading-edge position on market as regards technologies. Specifically, the whole production and sale system must achieve the fundamental characteristics of Industry 4.0 approach, but specially the manufacturing companies must also change and update their management procedures, internal organization, resource training, assets and all production process to keep safe their current business capacities. This evolution process is even more critical for Small and Medium Enterprises (SME), that traditionally tend to be conservative and to protect their way of operation, usually characterized by a low level of automation. The work presented focuses on the design and integration of a semi-automatic welding cell of train bolster in a SME which is currently realizing a project aimed to the acquisition of Industry 4.0 capabilities, with special focus on manufacturing processes. Among them, one of the most important is the production of welded-steel critical structures, that the Company supplies to prime manufacturer of railway rolling stock systems. The experience gained during the activity, the criticalities due to the integration processes and the adopted design methodologies are here described. The work has been carried out consistently with the Systems Engineering principles, starting from the requirements elicitation and analysis to the systematic approach for the design and integration activities.

Purpose The purpose of this paper is to implement a new process aimed at the design and production of orthopaedic devices fully manufacturable by additive manufacturing (AM). In this context, the use of generative algorithms for parametric modelling of additively manufactured textiles (AMTs) also has been investigated, and new modelling solutions have been proposed. Design/methodology/approach A new method for the design of customised elbow orthoses has been implemented. In particular, to better customise the elbow orthosis, a generative algorithm for parametric modelling and creation of a flexible structure, typical of an AMT, has been developed. Findings To test the developed modelling algorithm, a case study based on the design and production of an elbow orthosis made by selective laser sintering was investigated. The obtained results have demonstrated that the implemented algorithm overcomes many drawbacks typical of the traditional computer aided design (CAD) modelling approaches. The parametric CAD model of the orthosis obtained through the new approach is characterised by a flexible structure with no deformations or mismatches and has been effectively used to produce the prototype through AM technologies. Originality/value The obtained results present innovative elements of originality in the CAD modelling sector, which can contribute to solving problems related to modelling for AM in different application fields.

The aim of this work is the design of a new customised elbow orthosis completely realized by Additive Manufacturing and the development of generative algorithms for parametric modelling and creation of 3D patterns to be adapted to the CAD model. This work describes a method to perfect the design of a custom elbow orthosis. A reverse engineering approach has been used to digitalize the patient’s arm and the subsequent CAD modelling of the structure of the custom elbow orthosis has been performed. In particular, two algorithms have been implemented for the creation of 3D patterns and Voronoi tessellations. Subsequently, FEM analyses have been carried out to validate the design. Finally, a prototype of the elbow orthosis with Voronoi tessellation has been realized by means of the SLS technology. The results obtained have demonstrated that the implemented algorithm solved the problems found during CAD modelling with conventional software. Furthermore, the results of FEM analyses have validated the design choices. All this allowed realizing the prototype by AM technologies without problems. Moreover, the new proposed modelling approaches allows creating, in an interactive way, patterns on complex surfaces. The results of this research activity present innovative elements of originality in the CAD modelling sector, which can contribute to solving problems related to the modelling for Additive Manufacturing. Furthermore, another innovative characteristic of the device is the use of torsion springs that simulate the action of physiotherapists during exercises for patient rehabilitation.

In the last two decades, osseointegrated prostheses have been shown to be a good alternative for lower limb amputees experiencing complications in using a traditional socket-type prosthesis, however, restraining biomechanical issues, such as peri-prosthetic bone fractures or loosening, are present. To better understand and overcome these limiting issues, and thus reduce the number of implant failures, many studies have investigated the stress distribution on bone and implant during normal daily activities. The aim of this study was a biomechanical analysis of two different osseointegrated implants, a screw-type (OPRA) and a press fit system (OPL, Osseointegrated Prosthetic Limb), to evaluate the stresses generated in bone and prosthesis during a fall. In particular, four scenarios have been experimentally reproduced to determine the loads on the limb during different kinds of fall. For this purpose, a motion capture system and a force plate have been used. Numerical FEM (Finite Element Method) simulations have been performed to compare the behaviour of the OPRA and OPL systems in different fall scenarios. The obtained results showed that a fall backwards due to balance loss is the most stressful scenario among the ones analysed. As regards the comparison between OPRA and OPL devices, it emerged they have similar behaviours in terms of peak values of the stress, but the OPL implant generates larger high-stress areas in the distal femur as compared with the OPRA system.

Despite the widespread use of reverse total shoulder arthroplasty, the fundamental effects of implant configuration on certain biomechanical outcomes have not been completely elucidated especially for the most innovative prostheses. Aim of this work is to investigate the behaviour of a new reverse shoulder prosthesis, characterized by a humeral tray with a variable offset, designed to increase the range of motion and to reduce the impingement. The purposes of this study were to evaluate the effect of reverse shoulder implant design parameters on the deltoid muscle forces, required to produce abduction, and on the shoulder range of motion, in order to provide a more systematic understanding of the fundamental effects of humeral component positioning on the implant performances. The study has been implemented using virtual prototypes of the shoulder-prosthesis assembly. The shape of the prosthesis has been digitally acquired via a 3D scanner and the CAD models of all the components have been created. Through CT images, 3-dimensional models of the shoulder bones have been reconstructed and assembled with the prosthesis components. Numerical FEM models have been set up in order to evaluate how the abduction force changes depending on the humeral tray offset. Using the virtual prototypes of the shoulder-prosthesis assembly, a range of motion analysis has been carried out by setting up a collision detection analysis in a 3D parametric modeling environment. Different humeral tray positions were investigated and four different motions of the arm were simulated. Obtained results have demonstrated that a suitable positioning of the humeral tray can offer significant biomechanical advantages in terms of range of motion and abduction force.

Tibial fractures are common injuries in people. The proper treatment of these fractures is important in order to recover complete mobility. The aim of this work was to investigate if screw positioning in plates for proximal tibial fractures can affect the stability of the system, and if it can consequently influence the patient healing time. In fact, a more stable construct could allow the reduction of the non-weight-bearing period and consequently speed up the healing process. For that purpose, virtual models of fractured bone/plate assemblies were created, and numerical simulations were performed to evaluate the reaction forces and the maximum value of the contact pressure at the screw/bone interface. A Schatzker type I tibial fracture was considered, and four different screw configurations were investigated. The obtained results demonstrated that, for this specific case study, screw orientation affected the pressure distribution at the screw/bone interface. The proposed approach could be used effectively to investigate different fracture types in order to give orthopaedists useful guidelines for the treatment of proximal tibial fractures.

In this work, a multidisciplinary experience, aimed to study the permanent deformations of the hull of a regatta sailing yacht is described. In particular, a procedure to compare two different surfaces of the hull of a small sailing yacht, designed and manufactured at the University of Palermo, has been developed. The first one represents the original CAD model while the second one has been obtained by means of a reverse engineering approach. The reverse engineering process was performed through an automatic close-range photogrammetry survey, that has allowed to obtain very accurate measures of the hull, and a 3D modelling step by the well-known 3D computer graphics software Rhinoceros. The reverse engineering model was checked through two different procedures implemented by the graphical algorithm editor Grasshopper. The first procedure has allowed to compare the photogrammetric measurements with the rebuilt surface, in order to verify if the reverse engineering process has led to reliable results. The second has been implement to measure the deviations between the original CAD model and the rebuilt surface of the hull. This procedure has given the possibility to highlight any permanent deformation of the hull due to errors during the production phase or to excessive loads during its use. The obtained results have demonstrated that the developed procedure is very efficient and able to give detailed information on the deviation values of the two compared surfaces.

Additive manufacturing is a rapidly expanding technology. It allows the creation of very complex 3D objects by adding layers of material, in spite of the traditional production systems based on the removal of material. The development of additive technology has produced initially a generation of additive manufacturing techniques restricted to industrial applications, but their extraordinary degree of innovation has allowed the spreading of household systems. Nowadays, the most common domestic systems produce 3D parts through a fused deposition modeling process. Such systems have low productivity and make, usually, objects with no high accuracy and with unreliable mechanical properties. These side effects can depend on the process parameters. Aim of this work is to study the influence of some typical parameters of the additive manufacturing process on the prototypes characteristics. In particular, it has been studied the influence of the layer thickness on the shape and dimensional accuracy. Cylindrical specimens have been created with a 3D printer, the Da Vinci 1.0A by XYZprinting, using ABS filaments. Dimensional and shape inspection of the printed components has been performed following a typical reverse engineering approach. In particular, the point clouds of the surfaces of the different specimens have been acquired through a 3D laser scanner. After, the acquired point clouds have been post-processed, converted into 3D models and analysed to detect any shape or dimensional difference from the initial CAD models. The obtained results may constitute a useful guideline to choose the best set of the process parameters to obtain printed components of good quality in a reasonable time and minimizing the waste of material.

Aim of this paper is to setup a novel procedure able to analyze performances of a reverse shoulder prosthesis when different geometrical configurations are assumed. Nowadays, such a prosthesis is widely used but, because of its novelty, data in literature give poor information about performances and limits to its applicability. The activity has been divided into the following steps. At the beginning the shape of the prosthesis has been digitally acquired via a 3D scanner. Then, CAD models of all prosthetic components have been geometrically optimized in a way to obtain final entities suitable for numerical simulations. After that, CAD assemblies have been created between prosthetic components and bones (humerus and scapula) involved in the shoulder joint. Following step has been the setup of numerical finite element method models to simulate use conditions. To this scope, analyses have been performed in accordance with experimental conditions found in literature. Stability conditions have been verified under the action of horizontal and vertical instability loads with different version angles between humerus and the humeral implant. In particular, the stability ratios of the prosthesis have been calculated for the analysed loading conditions. Obtained results show how the positioning has a great influence on the shoulder stability and allow the definition of guidelines for the application of this prosthesis.

Aim of this work is to compare two different total knee prostheses that differ mainly in the shape of the polyethylene (PE) component inserted between the femoral and tibial plates. The best solution between them has been originally reshaped in order to reduce stress peaks. The study procedure has been divided into the following steps. First step is the digitalisation of the shape of the prostheses by means of a 3D laser scanner. The morphology of two prototypes of the prostheses has been acquired by elaborating multiple Moire fringe patterns projected on their surfaces. Second step consisted on the manipulation of these data in a CAD module, that is the interpolation of raw data into NURBS surfaces, reducing singularities due to the typical scattering of the acquiring system. Third step has been the setting up of FEM simulations to evaluate the prostheses behaviour under benchmark loading conditions given in literature. The CAD model of the prostheses has been meshed into solid finite elements. Different flexion angles configurations have been analysed, the load being applied along the femoral axis. FEM analyses have returned stress fields in the PE insert and, in particular, in the stabilizing cam which function is to avoid dislocation. Last step has been the integrated use of CAD and FEM to modify the shape of the stabilizing cam of the best prosthesis, in order to reduce the stress peaks in the original prosthesis without affecting kinematics of the joint. Good results have been obtained both in terms of stress and contact pressure peaks reduction.