This paper investigates the impact of several factors related to manufacturing, design, and post-processing on the dimensional accuracy of holes built in the additively manufactured parts obtained by material extrusion process (MEX). Directly fabricated holes in the 3D prints are commonly used for joining with other parts by means of mechanical fasteners, thus producing assemblies or larger parts, or have other functional purposes such as guiding the drill in the case of patient-personalized surgical guides. However, despite their spread use and importance, the relationship between the 3D-printed holes’ accuracy and printing settings is not well documented in the literature. Therefore, in this research, test parts were manufactured by varying the number of shells, printing speed, layer thickness, and axis orientation angles for evaluating their effect on the dimensional accuracy of holes of different diameters. In the same context of limited existing information, the influence of material, 3D printer, and slicing software is also investigated for determining the dimensional accuracy of hole-type features across different manufacturing sites, a highly relevant aspect when using MEX to produce spare or end-use parts in a delocalized production paradigm. The results of this study indicated that the layer thickness is the most relevant influence factor for the diameter accuracy, followed by the number of shells around the holes. Considering the tested values, the optimal set of values found as optimizing the accuracy and printing time was 0.2 mm layer thickness, two shells, and 50 mm/s printing speed for the straight holes. Data on the prints manufactured on different MEX equipment and slicers indicated no statistically significant difference between the diameters of the holes. The evaluation of 3D-printed polylactic acid test parts mimicking a surgical template device with inclined holes showed that the medical decontamination process had more impact on the holes’ dimensional variability than on their dimensional accuracy.
In this research, the mechanical properties of 3D-printed polycaprolactone (PCL), a biocompatible and biodegradable semi-crystalline polyester, available as feedstock for additive manufacturing technology based on the material extrusion process, were determined. The influence of the infill pattern (zig-zag vs. gyroid) and ultraviolet (UV-B) exposure over the specimens’ mechanical performances were also investigated to gather relevant data on the process parameter settings for different applications. Specimens and samples of 3D-printed PCL were analyzed through tensile and flexural tests. The experimental data showed the good repeatability of the manufacturing process, as well as a mechanical behavior independent of the specimens’ infill pattern at full density. No differences between the failure patterns of the tensile specimens were recorded. UV-B exposure proved to have a significant negative impact on the specimens’ tensile strength. The 3D printing of PCL and PCL blends is reported mainly for use in scaffold manufacturing or drug delivery applications. As another novelty, the suitability of commercial PCL filaments for producing patient-customized wrist–hand orthoses was also assessed in this study. Semi-cylindrical PCL samples mimicking the forearm part of a wrist–hand orthosis with hexagonal open pockets were 3D-printed and mechanically tested. The results were discussed in comparison to samples with a similar design, made of polylactic acid. The experiments revealed the need to carefully calibrate the manufacturing parameters to generate defect-free, good quality prints. Once settings were established, promising results were obtained when producing orthoses in a ready-to-use form. On the other hand, the attempts to thermoform flat 3D-printed PCL orthoses proved unsuccessful.
This research examines the flexural fatigue response of 3D-printed foot orthoses produced from various thermoplastic polyurethane (TPU) filaments, including Filaflex 60A, Filaflex 70A, Filaflex 82A, PolyFlex 90A, and varioShore. To subject the insoles to repeated flexion in the metatarsophalangeal area, specialized equipment was developed. A real-world testing scenario was applied to the Filaflex 82A insole, demonstrating that it can sustain over 1,400,000 steps over several months of normal walking (a cadence of approximately 120 steps per minute). Consequently, the experimental conditions were adjusted to double this pace to obtain pertinent results within a shorter testing timeframe. The insoles were subjected to 250 cycles per minute at constant clamping pressures of 176 kPa in the forefoot region. The objective of the evaluation was to determine if 700,000 testing cycles, equivalent to more than two and a half months of daily walking, would induce any damages in the internal structure (infill failure) or external condition (delamination, cracks) of the insoles. Except for compression marks, particularly notable on the foamed material (varioShore TPU) within the clamping zones of the testing device, none of the tested insoles exhibited any signs of external damage after 700,000 cycles. Moreover, the deformations observed in the insoles were non-permanent and nearly entirely disappeared within a few days of rest. The only insole that displayed deterioration of the infill structure was a TPU 82A insole that had been previously worn and then left on a shelf for approximately one year in uncontrolled conditions before being tested at repeated flexion on the apparatus. Additionally, a fifteen-minute walking test was carried out to assess the comfort of each insole, and it was found that the varioShore model, which had a 20% infill density and was 3D-printed at a temperature of 220 °C, stood out as the most comfortable among the tested insoles.
This article proposes the integration of two novel aspects into the production of 3D-printed customized wrist-hand orthoses. One aspect involves the material, particularly Colorfabb varioShore thermoplastic polyurethane (TPU) filament with an active foaming agent, which allows adjusting the 3D-printed orthoses’ mechanical properties via process parameters such as printing temperature. Consequently, within the same printing process, by using a single extrusion nozzle, orthoses with varying stiffness levels can be produced, aiming at both immobilization rigidity and skin-comfortable softness. This capability is harnessed by 3D-printing the orthosis in a flat shape via material extrusion-based additive manufacturing, which represents the other novel aspect. Subsequently, the orthosis conforms to the user’s upper limb shape after secure attachment, or by thermoforming in the case of a bi-material solution. A dedicated design web app, which relies on key patient hand measurement input, is also proposed, differing from the 3D scanning and modeling approach that requires engineering expertise and 3D scan data processing. The evaluation of varioShore TPU orthoses with diverse designs was conducted considering printing time, cost, maximum flexion angle, comfort, and perceived wrist stability as criteria. As some of the produced TPU orthoses lacked the necessary stiffness around the wrist or did not properly fit the palm shape, bi-material orthoses including polylactic acid (PLA) inserts of varying sizes were 3D-printed and assessed, showing an improved stiffness around the wrist and a better hand shape conformity. The findings demonstrated the potential of this innovative approach in creating bi-material upper limb orthoses, capitalizing on various characteristics such as varioShore properties, PLA thermoforming capabilities, and the design flexibility provided by additive manufacturing technology.