KNEEMO project kick-off Amsterdam, April 28th 2014

1. KNEEMO project kick-off Amsterdam, April 28th 2014 Dr Jari Pallari, Research and Development Manager, Peacocks Medical Group Ltd

2. Peacocks Medical Group Additive manufacturing Why additive manufacturing Peacocks role in the project Contents

3. Peacocks Medical Group Established in 1903, Peacocks Medical Group has been supplying medical equipment and services for over 100 years A family-run group based in the North East of England with clinics across the UK Peacocks delivers both services and orthotic equipment to the NHS and the private sector www.peacocks.net

4. Additive manufacturing

5. Additive manufacturing Austin American Newspaper article dating from 1987 

6. Functional integration Imitating the functionality of separate parts/ materials in a single part through “clever” design Making complex parts is not an issue… …designing complex parts is

7. Main advantages of Additive Manufacturing over traditional methods Easy to manufacture bespoke parts Good fit and comfort easy to achieve – good design still needed Automatic manufacturing Digital design environment Engineering not craft • Functional integration Rogers B, Bosker GW, Crawford RH, Faustini MC, Neptune RR, Walden G, Gitter AJ, "Advanced trans-tibial socket fabrication using selective laser sintering", ProsthetOrthot Int. 2007 Mar;31(1):88-100.

8. Why is functional integration important? The orthotic design takes place in a digital environment: It can be controlled very precisely It can be modeled and optimised It can be automated Huge possibilities for personalisation Precise placement of external components. Reinforcements, hinges, sensors, activity monitors… All of this adds value and differentiates products

9. Engineering principles can also be applied to orthotics design Dynamic modelling Quantify the behaviour of the muscoskeletal system Finite Element Analysis Topology optimisation for specific loading conditions (pathologies) Optimised topology can be directly manufactured Quality and process control Most processes very complex Material recycling further complicates operation Quality systems must be developed to control the output

10. Peacocks - Role in the project Our main role is in making and developing the actual braces taking in all the scientific/clinical and analytical work done in the consortium: Prototype knee brace and foot orthotics designs and devices in WP6 (Deliverable 7.7) An intervention study will be carried out by ER 4 (PCK) to establish if the new devices are working as expected. • 1 ER for 24MO, starts at month 12 Also work in WP’s 1, 4, 6, 7, 8

11. Peacocks - Role in the project - training Transferable skills training (B.3.1.2): Entrepreneurship Innovation, Intellectual property issues and Product development from initial idea to market placement. Training events & individual secondments: Secondments -> S3: CAD-CAM knee brace and foot orthotic design and manufacture Technical training -> TT7: Training in orthotics/knee brace CAD and additive manufacturing Research training at an individual level -> RT15: New generation tailored knee braces for KOA (ER4) Milestone M13 Successful completion of the network training events (associated with deliverables D7.122– D7.27) PCK 12, 24, 36, 45 Dissemination management Event organisation (outreach events) British Orthopaedics Association Conference Chartered Society of Physiotherapy Conference

12. Contact information jari.pallari@peacocks.net Paul.charlton@peacocks.net