We talk with Danielle Robins about building orthoses and prostheses for pets and why veterinary rehab often lacks the training and support needed for consistent outcomes. We dig into what dogs actually need most, how remote consulting works across states and countries, and why better education could change the standard of care.

• Danielle's path from PT shadowing to O&P and then into animal orthotics after her own dog’s injury
• Why canine stifle bracing for CCL or ACL injuries dominates veterinary orthotics
• How animal biomechanics, suspension, and compliance make pet devices a different craft than human O&P
• Why cats rarely get devices and why three-legged cats often cope better than dogs
• Orthotics as a surgery alternative for ligaments, Achilles rehab, and challenging fusions
• Prosthetic candidacy, partial limb planning, and the veterinary tendency toward full amputation
• When wheelchairs and carts beat braces and prostheses
• The Orthopets shutdown and how it reshaped the veterinary O&P supply landscape
• Virtual casting support, fiberglass techniques, and using 3D scans to reduce shipping time
• Knowledge hoarding in a tiny market and Danielle's push toward a baseline certification
• Where 3D printing may fit 

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We talk with Maurice Johnson from Floyd Brace and Limb about what it really takes to scale digital fabrication in a multi-clinic prosthetics and orthotics business without losing quality. We get candid about software friction, printer economics, adjustable socket ethics, and why turnaround time and cash flow often matter as much as the tech. 

• Floyd Brace and Limb’s growth from a one-office shop to a multi-location model 
• why centralizing fabrication matters when clinicians need to stay patient-facing 
• the industry’s fragmented scanning to CAD to print workflow and why it blocks repeatability 
• what Floyd prints today and why definitive sockets still often stay carbon fiber or outsourced 
• real-world cost targets and the volume problem with larger printers 
• AirFit-style transtibial consistency as a way to reduce heavy CAD dependence 
• Formlabs size limits, throughput questions, and hybrid print plus outsource strategies 
• adjustable sockets as both a patient benefit and an ethical billing discussion 
• material extrusion TPU flexible inners as an alternative to powder-bed fusion variability 
• early thinking on 3D printed SMOs and by-measurement versus cast-and-scan workflows 

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Guest Zoltan Karpati explains scan-to-fit, AI landmarking, and XR training while sharing a personal pet prosthetics story and a unified roadmap.

• replacing clear checks with real flexible interfaces for truer diagnostics
• extending second diagnostic wear to validate cushioning and relief
• controlling variables by avoiding returns to the old socket
• dialing fit with adjustable sockets and reduced manual labor
• scan-to-fit workflows with phone-based scanning and AI landmarks
• exporting to 3D printing or CNC with white-label options
• spatial reality training screens for classroom-friendly 3D design
• product roadmap for insoles, AFOs, and order management system
• personal story powering pet prosthetic development

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We explore how pricing, policy, and 3D printing are reshaping orthotics and prosthetics from the UK to the Gulf and across Africa. Hugh Sheridan shares hard truths about aid that bypasses clinics and a road map for sustainable, locally led care.

• roots in shoe materials evolving into O&P supply chains
• UK reimbursement pressures and the pivot to prefabs and 3D printing
• UAE as a hub versus Saudi growth and privatisation
• pediatric disability needs and cultural barriers to access
• why direct aid can starve local clinics of patients and revenue
• franchise-style partnerships as a sustainable aid model
• China and Turkey’s rising role in components and materials
• open materials, SLS/MJF economics, and avoiding lock-in
• central fabrication versus in-clinic making and clinician psychology
• direct scanning, hybrid workflows, and protecting clinical value

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We trace how affordable, reliable material extrusion is changing prosthetics and orthotics—from student labs to jungle clinics—and why toolpaths, not just materials, will drive the next gains in comfort, strength and cost. Real patient stories show the economics and ethics of access at scale.

• season launch and mission to improve patient outcomes
• shift from tinkering to reliable, prosumer 3D printers
• material extrusion vs FDM and why terminology matters
• nonplanar layers, multimaterial potential, pellet economics
• toward truly digital extrusion with better sensing and AI
• application focus over generalization in O&P innovation
• case study on low-cost pediatric prosthesis with reuse of CAD data
• orthoses workflows moving toward “toaster-like” simplicity
• education pathways as students learn on clinic-grade printers
• materials outlook: TPU, TPE, silicone prospects, polycarbonate tradeoffs
• variable density, air pockets, and hybrid fill strategies for comfort
• polar kinematics and toolpath planning as the next frontier
• print farms, software orchestration, and scaling production

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We talk with Molly McCoy about turning dense policy into practical tools, writing notes that get covered, and why advocating coverage can improve outcomes. The focus stays on patient stories, shared decisions, and using the whole medical record to support care.

• how clinician notes function as medical records and drive coverage
• writing people-first justifications that explain medical necessity
• using therapists’ and nurses’ notes to support decisions
• drafting notes in real time to capture shared decision-making
• where AI helps as a writing partner and where it harms
• working with payers while advocating for policy change
• why two devices enable both ADLs and true physical activity
• reducing burnout through smarter workflows and legislation
• telehealth access gains and state-level advocacy
• flexible roles, job sharing, and retaining clinicians in O&P

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Is this the lost episode? No, but there is some "old news".

We dig into how O&P is changing fast: major acquisitions, new L codes, and a fresh vision for education that blends clinical reality with digital tools. Adrienne Hill shares a grounded path for students and clinicians to build skills without burning out.

• Hanger’s acquisition of Point Designs and upper limb strategy
• Medicare L codes momentum for partial hand coverage
• Three education models and how to choose
• Why residencies still define clinical growth
• Embedding scanning, CAD, and 3D printing in coursework
• Practical literacy vs making the "sausage" in-house
• Shifts from plaster to digital and what’s realistic
• Workflows that prevent burnout and improve retention
• Ownership dreams, debt realities, and timing
• The modified seven-year rule for career moves
• How to pick residencies that fit your EQ and IQ
• Going rural or high volume to accelerate learning
• Broadening applicant pipelines and faculty needs

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We break down how L code pricing is set, why crosswalk and gap-fill can fail innovators, and how appeals drain time and cash. Two case studies—Point Designs’ digits and Ethnocare’s volume system—expose how “divide by five” logic and invoice anchoring distort value, while 3D printing and hybrid workflows offer a path forward.

• crosswalk vs gap-fill pricing methods and trade-offs
• pitfalls of 99 miscellaneous codes and ALJ appeals
• point designs digits priced against a mechanical hand
• Ethnocare’s volume management tied to sock costs
• framing comfort as adherence, safety and savings
• click medical as a data-backed reimbursement win
• Medicare recognizing 3D printing as manufacturing
• desktop tpu print farms and reliability advances
• hybrid workflows using load-bearing capture and automation
• fragmentation in O&P advocacy and need for alignment

Thank you for listening. We’re in 118 countries and nearing 35,000 listeners—keep learning with us and share the show.

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We explore how foaming TPU, belt printers, and clinician-led automation can bring custom foot orthoses in-house, cut costs, and reduce lead times from weeks to hours. Fredrik from CADmed shares what actually works, what doesn’t, and how remote design plus per-pair pricing changes the game.

• why automation increases clinician control rather than removes it
• carving versus printing tradeoffs on speed, finish, and cost
• foaming TPU benefits including smoother surfaces and less waste
• belt printers for continuous TPU production and better surface feel
• FDM advantages over powder bed fusion for insoles
• practical lattices and gradients without overengineering
• decentralizing production to clinics for faster delivery
• remote design, slicing, and printer control with per-pair pricing
• scaling systems for reliability, repeatability, and low friction

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We trade trade-show gloss for real-world tactics, then lay out a three-step plan to bring 3D printing into O&P without risking patient care or cash flow. From Bambu-level starters to automated check sockets, we show how to start lean, learn fast, and scale what works.

• Formnext’s shift from machines to applications
• Materialise Bricks for modular workflows and costing
• Multi-material metal, gradient parts, and smarter tooling
• Affordable LPBF and the desktop print farm surge
• Start with a low-cost printer and print clinic tools
• Outsource complex adjustable sockets to free capacity
• Automate transtibial check sockets for speed and margin
• Scanner choices from budget to pro with trade-offs
• A three-tier roadmap to adopt and scale digital O&P

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We record on the road to the mothership to fit a 3D-printed adjustable suction socket using AirFit casting and compare loaded scans to raw scans. David shares his crash-to-career journey, why adjustability matters for neuromas and daily volume, and what makes the Americus foot feel lighter and livelier than it looks.

• AirFit casting under load versus direct scanning 
• Four-scan workflow and remote 3D fabrication 
• Suction plus adjustability for volume and hotspots 
• Flexible inner swaps for quick tuning 
• David’s neuroma history and fit lessons 
• Merecus foot layup, split keel, and energy return 
• Social media as connector, career builder, and patient support 
• Choosing a prosthetist who listens and offers trials 
• Safety, waste, and smarter ovens in the lab 
• Why 3D printing speeds care and improves revenue cycle

Find David: YouTube The Adventurous Amputee • LinkedIn David Slider • Instagram Pirate Peg Leg and The Adventurous Amputee

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We sit down in the Guatemalan jungle with filmmaker Todd Biss to explore how craft, ethics, and faith shape stories that fund care and protect dignity. From ad-agency polish to nonprofit trust, we trace how small crews, better audio, and sharp editing turn hope into motion.

• origins in photography and ad-agency production
• defining success through beauty, trust and client outcomes
• on-location logistics, tech scouting and studio control
• nonprofit storytelling with trauma-aware practices
• lighter gear, better mics and sensor gains
• editing as a puzzle with multi-length deliverables
• hooks that respect attention without hype
• tripod versus handheld choices for tone
• audio upgrades that elevate any video
• clinic systems from forming to fitting
• Adonis’s first steps and renewed hope
• faith-driven work and why it matters
• pricing, discounts and sustainable impact
• where to find Todd Biss online

Find Todd at “Todd Biss Productions” on Google, LinkedIn, and Instagram

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Two sentences from PDAC can potentially change the course of manufacturing history for O & P: additive manufacturing is now explicitly acceptable for coding prosthetic devices that meet existing HCPCS descriptions. We unpack what that clarity means for clinicians, patients, vendors, and payers, and how to adopt 3D printing.

• Why PDAC’s language ends the gray area for 3D‑printed prosthetics
• What PDAC and DME MAC do and how they shape coding
• How to match additive devices to existing L code descriptions
• Documentation discipline to avoid denials and audits
• FDA’s proactive stance and signals to industry
• Medicare vs Medicare Advantage realities for reimbursement
• When new codes help vs when they stall at zero pay
• Scaling care amid workforce shortages using digital workflows
• Using additive to improve fit, speed, and repeatability
• Practical steps to start: scanning, CAD, materials, records

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We share a personal update and then dive into how injuries, curiosity, and tough feedback shaped a modular myoelectric hand that is lighter, repairable in minutes, and priced for wider access. Ryan Saavedra of Alt-Bionics walks through additive manufacturing choices, PDAC approval, and a roadmap linking prosthetics with humanoid robotics.

• user and clinician pain points shaping design choices 
• modular finger architecture for fast field repairs 
• nylon 12 and MJF for strength, weight, and cost 
• tolerancing to reduce lash and improve reliability 
• pricing philosophy, PDAC approval, and reimbursement nuance 
• EMG control foundations, firmware over AI for stability 
• balancing service bureaus vs in-house manufacturing 
• funding from bootstrap to mission-aligned investors 
• product roadmap focused on hands and higher DoF 
• cross-pollination between prosthetics and robotics

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What if everything we think we know about human walking is oversimplified?

In this episode, we sit down with Dr. Steven Gard a biomedical engineer and leading gait researcher.  We unpack the real biomechanics behind prosthetic design. From artificial heart labs to O&P innovation, Dr. Gard shares surprising insights on:

• Why shock absorption and “energy return” don’t always behave the way prosthetic marketing suggests
• How soft tissue acts as a natural spring, changing everything about how force is transmitted through a limb
• The ongoing debate between ischial containment, subischial, and elevated vacuum sockets — and why no design is one-size-fits-all
• Where microprocessor knees and 3D printing fit into the future of mobility
• The missing link between engineering theory and clinical practice

Whether you’re a clinician, researcher, or just prosthetics-curious — this episode reframes gait in a way you’ve never heard before.

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Credit card rewards expert Colin Stroud reveals how O&P practice owners can transform regular business expenses into valuable rewards through strategic credit card usage. He explains the mechanics behind credit card rewards systems and how business owners can maximize returns on spending they would do anyway.

• Single practitioner O&P clinics typically spend $15,000-$20,000 monthly on components
• Larger clinics can spend $100,000-$200,000 monthly, generating substantial reward potential
• Credit cards offer both cash flow advantages and rewards generation simultaneously
• Cash back options typically max out at 2-2.5% return on spending
• Points-based flexible currencies can yield 5%+ returns when redeemed strategically for travel
• Rewards are considered rebates rather than taxable income
• Multi-owner practices can divide points proportionally among partners
• LinkedIn content marketing has driven Colin's entire business growth without paid advertising
• The "arbitrage opportunity" of points redemption delivers significantly higher value than cash back

Visit Colin on LinkedIn (Colin Stroud - with one L) or at gosomewhereworld.com to access his free newsletter and guides on maximizing credit card rewards.

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Brent Wright shares his experiences from the American Orthotic and Prosthetic Association (AOPA) conference, highlighting innovations in 3D printing, data-driven technologies, and revealing his groundbreaking polar printer project for prosthetic sockets.

• AOPA attendance exceeded 2,000 people with 165 exhibitors including 30 new vendors
• Digital Showcase featured case studies for prostheses and orthoses using scanning technology
• Blasingtech impressed with 3D printing capabilities, producing foot orthoses in 30 minutes
• AI-designed scoliosis braces are outperforming experienced clinicians with better correction angles
• Radii's socket design algorithms now match skilled clinicians in patient comfort and feedback
• Tennr software helps clinicians identify missing documentation needed for insurance approval
• Brent reveals the "Vortex" - a polar printer with non-planar toolpaths creating sockets in under 2 hours
• Non-planar polar printing produces significantly stronger sockets than traditional layer printing
• Vortex printers are already in production with three units being prepared for clinical testing

Special thanks to Advanced 3D for sponsoring this episode!

If you are interested in the Vortex DS1 please follow this link: Vortex DS1 3D Printer - Advanced 3D

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We catch up with Niles from Leonard Industries, our first-ever returning guest, as he reveals game-changing innovations in prosthetic and orthotic fabrication technology. This episode explores how new manufacturing tools are making fabrication faster, safer, and more consistent while helping address the industry's technical workforce challenges.

• Leonard Industries has expanded by acquiring a machine shop with enhanced capabilities
• Their revolutionary Wave Oven cuts heating time from 20 to 7 minutes using targeted infrared technology
• The oven creates consistent results with wider work windows, eliminating the need to flip materials
• Safety innovations include emergency stops, magnetic starters, and controlled heating
• Multiple oven models accommodate different fabrication needs, from standard to large KFO applications
• The "toast test" demonstrates heating consistency by showing how evenly bread slices brown
• Leonard Industries will showcase their technology at the upcoming AOPA conference
• The company has helped establish safer educational environments at O&P schools
• Niles emphasizes making fabrication more accessible to new technicians through consistency and automation
• Their aluminum construction ovens use less energy while providing more precise heating control

Visit the Leonard Industries booth at AOPA to see live demonstrations of their new fabrication technology, including the Wave Oven, dust collection systems, and fume extractors.

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We preview the upcoming AOPA National Assembly in Orlando, discussing what makes this prosthetics and orthotics trade show valuable for professionals across the industry.

• AOPA (American Orthotic and Prosthetic Association) National Assembly happening September 3-6 in Orlando, Florida
• 165+ exhibitors representing various aspects of the O&P industry 
• Educational tracks covering clinical, technical, business, and pedorthic topics
• Up to 34 continuing education credits available in person, with 100+ hours of online content afterward
• Hands-on technical laboratory for fabrication techniques and safety equipment demonstrations
• Digital Showcase featuring case studies and workflow solutions from different vendors
• Administrative Law Judge mock trial simulating insurance appeal processes
• Strong 3D printing presence with 33+ companies showcasing additive manufacturing solutions
• Notable exhibitors including long-established companies and first-time participants
• Importance of consistency at trade shows for building relationships and trust in the industry
• Networking opportunities that facilitate business connections and partnerships

Join us at the Prosthetics and Orthotics Podcast booth where we'll be broadcasting live throughout the event!

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Brad Matear, who oversees central fabrication for Shriners Children's hospitals, shares insights on the technical side of O&P, highlighting the critical shortage of trained technicians and pathways for advancing the profession.

• Shriners Children's central fabrication serves approximately 19 facilities nationwide, dealing with complex pediatric cases that require exceptional technical skill
• The field faces a serious technical talent shortage with 15-16 clinical schools but only 4 technical schools producing graduates
• Technician compensation and recognition are crucial factors in retention, with approximately 30% attrition rate compared to clinicians
• Digital fabrication including CAD/CAM and 3D printing represents the future for technicians, requiring new educational approaches
• The Assistant Credential offers a promising middle path between technical and clinical roles, similar to the PT/PTA model
• Technical education must evolve to include both traditional hand skills and advanced digital techniques
• AOPA 2025 in Orlando will feature hands-on technical education including custom fabrication and alignment techniques
• Proper disposal and recycling of materials remains a challenge, particularly for foam products used in fabrication

Please recycle your plastics as best you can and if you're an engineer with ideas for recycling carving foam, the industry needs your solutions to reduce landfill waste.

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Rich Dubin, CEO of LER Expo, shares his journey creating digital educational platforms that foster cross-disciplinary learning for healthcare professionals in the lower extremity market. We discuss how bringing together specialists from different fields—from podiatry to orthotics and prosthetics—leads to better patient outcomes and more innovative approaches to care.

• Founded LER Expo in 2019, perfectly timed before COVID shut down in-person educational events
• Created an engaging digital conference platform that recreates the in-person experience with lobbies, exhibit halls, and networking spaces
• Uses innovative approaches like tournament-style presentations to keep audience engagement high
• Emphasizes the importance of cross-disciplinary education across healthcare specialties
• Discusses concerns about the rising cost of O&P education with master's programs approaching $200,000 in total costs
• Highlights the critical value of mentorship and hands-on experience versus academic credentials alone
• Shares practical advice for clinicians wanting to present at virtual conferences
• Believes collaborative care across disciplines leads to better outcomes for patients
• Encourages professionals to look beyond their specialty silos to find new connections and innovations

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We explore the exciting intersection of engineering, biomechanics, and 3D printing in prosthetics with our guest Ashton Stoop, who shares his journey from mechanical engineering student to designing 3D-printed prosthetic limbs in Mexico.

• Ashton's background in mechanical engineering and his path to O&P through biomechanics research
• The importance of both functionality and emotional integration in prosthetic design
• How custom prosthetic covers serve as tools for patient acceptance and identity
• Using Rhino and Grasshopper software to create automated workflows for socket design
• The balance between maintaining clinical control and leveraging AI automation
• The potential for 3D printing to democratize the prosthetics industry
• How small clinics can compete with larger corporations through innovative technology
• The critical importance of clinical evaluation and fitting despite technological advances
• Challenges in biomechanical understanding of complex structures like feet and ankles
• Community initiatives like the Digital Limb Collective that share knowledge and best practices

The field of prosthetics needs professionals from all backgrounds – you don't have to be a clinician to make a difference in people's lives. If you have design skills and a passion to help others, there is room for you to contribute to this meaningful work.

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Dhruv Agrawal, founder of Aether Biomedical, shares how a birthday gift 3D printer led him from medical school to developing the Zeus hand, the strongest bionic prosthetic hand on the market with revolutionary cloud-based tracking capabilities.

• Journey from medical student to prosthetics innovator began with a 3D printer birthday gift
• Uses additive manufacturing not just for prototyping but for actual production components
• Zeus hand features industry-leading grip strength and 30-minute repair capability
• Cloud-based platform tracks usage data, showing super users complete 700-800 grip cycles daily
• Data collected helps optimize device settings and provides evidence for insurance authorization
• Most users rely on 4-6 standard grips plus 2-3 customized grips for specific activities
• Currently working on multiple versions of the Zeus hand at different price points
• Long-term vision is to become "the operating system for assistive devices" across prosthetics, orthotics, and exoskeletons
• Company of 60 people with half dedicated to research and development
• Future developments include VR training tools for phantom limb pain management

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Jochen Weigel from Stuttgart, Germany joins us to discuss his innovative contributions to prosthetics, including post-processing for Niagara feet and the development of the AirFit casting system.

• Jochen's journey from clinical specialist to R&D manager to starting his own business 13 years ago
• The AirFit system uses air pressure instead of water to create comfortable prosthetic sockets
• Air pressure uniquely compresses only soft tissue while preserving bony structures
• Testing in Kenya combined the AirFit system with low-temperature thermoplastic sockets for immediate fitting
• The Niagara foot provides exceptional durability compared to SACH feet commonly used in developing regions
• Made with special DuPont material (Hydrel) through a complex molding process few can replicate
• The foot works across weight ranges from 70-190 pounds when properly tuned
• High initial cost compared to $20 Chinese alternatives creates adoption challenges despite long-term savings
• Ways to help include volunteering with NGOs, making targeted donations, or collaborating with small companies

If you have ideas for prosthetic products that could help in developing regions, reach out to smaller companies who are more likely to be interested in humanitarian solutions.

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The mobile prosthetic clinic model is gaining traction as Hanger acquires Colorado-based Agile Orthopedics, potentially changing how prosthetic care is delivered nationwide. Raise3D's new RMS-220 SLS printer enters the market with open material capabilities, challenging the economics of small-scale prosthetic production.

• Mobile clinics solve transportation challenges for patients with mobility limitations
• Bringing care directly to patients is especially valuable in rural areas with weather challenges
• Centralized fabrication pairs perfectly with mobile clinical services
• Hanger could dramatically expand market reach by adding mobile clinics to existing locations
• Open-material 3D printers may help control costs when material prices increase but reimbursement doesn't
• Entry-level SLS systems face challenges with powder handling and economic viability
• Lattice structures should be used thoughtfully based on function, not just aesthetics
• Using others' designs without permission demonstrates disrespect for intellectual property

Join us next time as we continue exploring innovations in prosthetics and orthotics. Remember to subscribe to the podcast and share with colleagues who might benefit from these discussions.

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David Pierick, a retired Applications Engineer, shares the journey of bringing powder bed fusion technology to prosthetics and orthotics, revolutionizing patient comfort and outcomes through advanced materials.

• The initial challenge: proving 3D printed prosthetic components were as good or better than traditional methods
• Testing showed printed sockets were remarkably strong—in one test bending the aluminum testing rod before deforming the socket
• Patient feedback consistently reported greater comfort with PA-12 sockets, especially when paired with flexible interliners
• PA-11 offers superior fatigue properties and better strength-to-stiffness ratio than PA-12, though at higher cost
• PK5000 combines nylon stiffness with TPU softness, enabling thinner socket designs with excellent impact resistance
• Proper design principles are critical: avoid sharp edges, ensure proper radii on all features, and properly transition corrugations
• Future innovation requires thinking beyond traditional manufacturing constraints and adopting true 3D design approaches
• Collaborative teams of polymer experts, design specialists, and clinicians are essential for solving complex challenges
• New applications could include integrated functionality with shock absorption zones and varying flexibility in a single component

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Dr. Nate Crider joins us to discuss his approach to prosthetic care through telemedicine, where he bridges the gap between prosthetists, patients, and insurance requirements. As a PM&R specialist, he has expanded to 14 states in just three years, improving outcomes by bringing medical expertise directly to prosthetic clinics.

• Telemedicine solves mobility challenges for amputees while improving communication between medical and prosthetic providers
• Insurance documentation requires specific medical necessity language that many primary care providers don't understand
• Collaborative appointments with patients and prosthetists ensure accurate assessment of functional needs and appropriate technology selection
• Technology advancements including osseointegration, pattern recognition for upper extremities, and K2 microprocessor knees are changing patient options
• Proper socket fit, liner replacement, and supply management significantly impact patient comfort and functional outcomes
• Interdisciplinary approaches with surgeons, PM&R specialists, and prosthetists lead to better amputee care from surgery through rehabilitation
• Small and large prosthetic practices benefit from specialized medical documentation support that reduces denial risks

For more information about Dr. Crider’s telemedicine services, connect with him on LinkedIn or contact Madrina company, which operates in 46 states.

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Bill Wright shares his global healthcare and engineering journey spanning 36 countries over 50 years. His uniques experiences reveal how important it is to create lasting impact through sustainable solutions with good engineering.

•On one of his jourey's Bill was introduced to prosthetics  in Bangladesh where he encountered the Jaipur foot made from sandals and rubber tire parts
• The design uniquely suited patients who walked barefoot and needed to squat for daily activities
• Working across 36 countries required addressing universal needs: water, wastewater management, electricity, and material supply chains
• Haiti stands among the most challenging locations due to extreme poverty and lack of infrastructure
• Solar power has revolutionized healthcare delivery, from small charging panels to systems powering entire hospitals
• 3D printing offers potential for on-site manufacturing but requires finding and retaining technically skilled personnel
• Success can be measured in individual lives changed – like Jose Manuel who now drives and studies law despite missing all four limbs
• Sustainable development requires training locals rather than relying on expatriate presence
• The most effective organizations focus on teaching

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Bryan Costello shares his incredible journey from nuclear power plant worker to prosthetic innovator after losing his leg an accident. Drawing on his mechanical expertise, he developed heating and cooling systems for prosthetic sockets that address temperature regulation problems that have plagued amputees for decades.

• Developing heating elements that integrate between carbon fiber laminations in prosthetic sockets
• Creating cooling systems with circulating water that prevent overheating and excessive sweating
• Designing moisture-wicking distal end pads that absorb sweat and protect sensitive residual limb tissue
• Working with Special Forces members who successfully climbed Mount Everest using his heated sockets
• Expanding his technology to orthotics and medical emergency cooling boards for trauma patients
• Pursuing L-codes to make his innovations more accessible through insurance coverage
• Finding success through direct marketing on LinkedIn and social media

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Matt Doering shares how Cypress Adaptive came to fruition.

• Entering the prosthetic industry through an unexpected path from Coast Guard service to selling cars
• Building Cypress Adaptive with a focus on superior valve technology using spring and diaphragm systems that work even with debris present
• Designing components with replaceable parts that prioritize patient convenience over planned obsolescence
• Introducing the Symphony Aqua system that captures limb shape under weight-bearing conditions
• Creating a repeatable "recipe" for successful socket fabrication that bridges the experience gap between senior and junior practitioners
• Addressing industry challenges of consistency and knowledge transfer as new master's-level practitioners enter the field
• Enabling practice owners to maintain quality standards across all clinicians through systematized approaches
• Fostering collaboration between traditional fabrication methods and new technologies like 3D printing
• Emphasizing patient-centric care while maintaining business sustainability

To learn more about Cypress Adaptive's products and the Symphony Aqua system, visit cypressadaptive.com or reach out directly through their website.

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Diana Hall shares her journey from chemical engineer to founder of ActivArmor, a company revolutionizing fracture care through 3D printed waterproof and breathable casts that allow patients to maintain normal hygiene and activities while healing.

• Started after seeing children with wet, dirty casts who couldn't practice basic hygiene
• Worked directly with FDA to develop test protocols for 3D printed medical wearables
• Created a turnkey point-of-care fabrication system that clinics can operate with minimal training
• Uses iPhone scanning technology for easy, accessible shape capture in under a minute
• Allows custom design while maintaining standardized mechanical properties
• Enables targeted immobilization that restricts only necessary joints
• Popular with pro athletes, pediatric patients, and workers who need hand washing
• 93% of patients choose Active Armor over traditional casts when given the option
• Now used internationally by top orthopedic surgeons in 15 countries

If you're considering innovating in the medical device space, surround yourself with experienced advisors who understand the regulatory environment—it's challenging but rewarding when you can improve patients' quality of life.

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The prosthetics and orthotics industry is witnessing significant consolidation and technological advancement, with Hanger's recent acquisition of Coapt being a prime example of this evolution.

• Coapt's pattern recognition technology transforms how upper extremity amputees control prosthetic devices
• Traditional myoelectric systems use only two sensors while Coapt's system employs an array of 18 sensors
• Machine learning algorithms decode neurological intent, making prosthetic control more intuitive
• Upper extremity amputations represent only about 20% of all amputations, creating a niche market
• Blair Lock, Coapt's CEO, built the company over 13 years without outside investment
• The "slow burn" approach to business growth can be necessary and beneficial in specialized medical technology
• Additive manufacturing plays multiple roles in prosthetics: from prototyping to clinical fabrication
• Regulatory requirements significantly impact the economics of prosthetic technology
• Myoelectric technology has potential applications beyond prosthetics: exoskeletons, industrial robotics, and other human-machine interfaces

Subscribe to the Prosthetics and Orthotics Podcast for more insights into the technological advancements shaping patient care.

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Ruud Rouleaux, founder of ColorFabb, shares the evolution of 3D printing materials from early PLA filaments to revolutionary foaming technology that's changing prosthetic and orthotic care. His journey from plastics engineer to materials innovator reveals how focusing on functional materials rather than competing on price has positioned ColorFabb as a leader in the field.

• Origins of ColorFabb in 2010 when the 3D printing market was just emerging
• Development of wood-filled PLA that sparked interest in composite materials
• Introduction of VarioShore foaming technology in 2016 for lightweight, comfortable devices
• Creating skin-tone matched materials that can be fine-tuned by adjusting printing temperature
• Obtaining compliance certifications for direct skin contact applications
• Integration with advanced software like implicit modeling for better textures and geometries
• Future developments including induction nozzles and better flow control
• How FDM printing with the right materials sometimes outperforms more complex technologies
• The shift toward data-driven approaches in orthotics while maintaining clinical expertise

Special Thanks to Structure for sponsoring this episode.

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Discover the transformative world of prosthetics and 3D printing alongside Josh Pelz, co-founder of Limber Prosthetics. We delve into the intricacies of designing lightweight, integrated prosthetic devices, exploring how simplification leads to enhanced user experiences.

• Introduction to additive manufacturing in prosthetics 
• The concept behind a single-unit prosthesis design 
• Importance of material testing and selection 
• Engineer-clinician collaboration in product development 
• Discussion of challenges in alignment and fitting processes 
• Future outlook for innovation in prosthetic technology 

Special thanks to Structure for sponsoring this episode.

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This episode explores the transformative shifts in additive manufacturing within prosthetics and orthotics, highlighting key insights from the AMS conference. A focus on open manufacturing options and investor relationships underscores the challenges and opportunities for enhancing patient care in this evolving landscape. 
• Discussion on reflections and takeaways from AMS 
• Emphasis on the importance of open manufacturing systems 
• Insights from industry leaders about consumer demand for flexibility 
• Analysis of the investor's role in driving innovation 
• Examination of Proteor's acquisition of Filament Innovations 
• Exploration of the potential for global consumer markets 
• Reflections on the future of 3D printing in O&P 

Special thanks to Structure for sponsoring this episode.

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This episode reveals how Structure Sensors are reshaping healthcare technology, emphasizing their role in improving patient care through accurate 3D scanning. Ravi Shah shares insights into the importance of collaboration and data sharing in the medical field, discussing the intricacies of their hardware, software, and the journey toward providing better solutions for clinicians.

• Exploring Ravi's journey from tech to healthcare 
• The critical role of 3D scanning in patient outcomes 
• Importance of open platforms and data sharing 
• How Structure Sensors ensure accuracy and consistency 
• Practical advice for clinicians integrating 3D technology 
• The promise of technology in narrowing healthcare gaps 
• Insights into user-friendly developments for practitioners 
• Future aspirations for quality care

Special thanks to Advanced 3D for sponsoring this episode.

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Innovative adjustable sockets stand to revolutionize prosthetics, promoting comfort and user satisfaction for amputees. Sydney Robinson shares her journey in creating Vessl Prosthetics, emphasizing design iterations, user feedback, and strategic positioning within the market that enable transformative solutions in limb care.

• Introduction to Vessl and its mission to revolutionize prosthetic sockets
• Sydney Robinson's engineering background and entry into prosthetics
• The key problems with traditional prosthetics and the need for adjustability
• Mechanical solution for adaptive sockets without electronics
• Feedback loops from users and prosthetists for iterative design improvement
• The roadmap for product launch and future plans in the market
• Discussion on market consolidation versus independent practices
• Importance of collaboration between engineers and clinicians in prosthetic design

Special thanks to Advanced 3D for sponsoring this episode.

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Luke Rodgers dives into an innovative material  that offers superior resilience, affordability, and functionality compared to traditional materials. This episode highlights its unique properties, applications, and the excitement surrounding its potential impact on the industry.

• Discussion of the material 
• Comparison with traditional materials 
• Benefits of focusing on resilience and fatigue resistance 
• Applications in various industries beyond prosthetics 
• How PK5000 was developed and its future commercialization plans

Special thanks to Advanced 3D for sponsoring this episode.

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In this episode with Elizabeth Mansfield, we explore the evolution of prosthetics and orthotics, emphasizing the influence of education, technology, and personal stories on patient care. She shares her experience and perspective, addressing current challenges and discussing the importance of engaging the next generation of professionals.

• Personal stories shaping careers in O&P
• Shifting educational standards from certificates to master’s programs
• Importance of marketing and continuous education in O&P
• Challenges in reimbursement impacting independent practices
• Attracting and retaining talent in the O&P field
• Integration of technology and robotics in patient care
• Collaborative efforts leading to better outcomes and solutions

Special thanks to Advanced 3D for sponsoring this episode.

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In this episode, we explore the transformative impact of 3D printing and CAD software in orthotics and prosthetics through the insights of guest Christiaan du Toit. Chris discusses his journey, the challenges faced in South Africa, and how effective collaboration between clinicians and designers leads to better patient outcomes.

• The significance of CAD and digital tools in modern O&P
• Chris's educational and professional background in orthotics
• The evolution and skepticism towards 3D printing in the field
• Challenges of sourcing materials and devices in South Africa
• The importance of FDM and multi-jet fusion techniques
• The necessity of communication for successful collaboration
• Exploring future advancements in additive manufacturing

Special thanks to Advanced 3D for sponsoring this episode.

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Dr. Janell Wright discusses her extensive journey in public health, highlighting the impact of community engagement and the importance of addressing social determinants of health. She reflects on her international experiences, the stigma surrounding diseases like HIV, and the need for a more supportive healthcare system.

• Janell shares her journey to public health
• Emphasis on understanding root causes of health issues
• Importance of community engagement in healthcare initiatives
• Challenges faced by patients due to stigma
• Transitioning back to the U.S. and her work at the CDC
• Encouragement for young professionals, especially women in the field
• Networking and mentorship as vital components of professional growth
• Personal anecdotes revealing the importance of humane perspectives in healthcare
• Reflections on family influences and experiences growing up abroad

-special thanks to Advanced 3D for sponsoring this episode.

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Can rapid prototyping truly save the day in critical situations? Discover how a simple 3D-printed component prevented a costly machine breakdown, and learn why this story exemplifies the incredible potential of additive manufacturing. We also welcome Josh Steer from Radiide Devices, who shares his insights on the challenges of adopting CAD technology in the prosthetics and orthotics field. Josh provides valuable perspectives on improving clinician's efficiency without overshadowing their expertise, offering a glimpse into the future of prosthetic design.

Our exploration continues with the intricate world of prosthetic socket design, highlighting the evolution from academic research to practical implementation. We delve into the artistry and skill required for precise socket fitting, and the supportive role of data from systems like TracerCAD and Omega. Through Josh's insights and our discussion, you'll gain a deeper understanding of how artificial intelligence is reshaping the industry, while still emphasizing the irreplaceable human touch necessary for addressing unique patient needs.

Finally, we examine the collaborative journey in creating advanced prosthetic solutions. With a focus on the intersection of technology and human ingenuity, we explore how scanning and digital tools are empowering prosthetists. Josh Steer shares his team's dedication to enhancing patient outcomes through innovative software solutions, highlighting how automation and customization can work hand-in-hand. This episode dives into the promising future of prosthetics, where technological advancements enable clinicians to maintain their pivotal role in patient care.

Special thanks to Advanced 3D for sponsoring this episode of the podcast.

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Discover the transformative power of 3D printing in the world of prosthetics and orthotics as we sit down with Eleftherios Samiotis, an innovator from Greece, whose passion for the field was sparked during high school summers. From his educational journey at the University of Salford to launching OrthoLife, Eleftherios reveals the challenges of navigating diverse healthcare landscapes and fierce market competition. Learn how his commitment to innovation is elevating the standards of orthopedic devices in Greece, Cyprus, and potentially beyond.

Experience the cutting-edge advancements in technology as Eleftherios shares his transition from traditional methods to revolutionary 3D printing, especially for children with cerebral palsy. Discover the incredible benefits of custom, breathable, and functional orthopedic solutions that are reshaping patient care. With insights into material advancements and ambitious expansion plans, Eleftherios offers a glimpse into the future of orthopedics and the opportunities that lie in international markets.

Explore the strategic investment decisions behind adopting 3D printing technology and the evolving landscape of additive manufacturing. Understand the importance of partnerships, ethical practices, and the role of accelerator programs in guiding businesses towards sustainable growth. As Eleftherios highlights the intersection of trust, innovation, and real-world applications, this episode provides invaluable insights for anyone interested in the dynamic convergence of healthcare technology and entrepreneurship.

Then join Joris and I talking about Formnext 2024.

Special thanks to Advanced 3D for making this episode possible.

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In this episode, we dive into the world of 3D printing and industrial design with Adam Hecht of Dive Design. Adam shares his inspiring journey from a college project sparked by a TED Talk to revolutionizing prosthetics for both humans and animals. Starting with a humble desktop printer, Adam scaled his ambitions to incorporate advanced technologies like the Caracol robot, proving that creativity and resilience can transform lives and capture mainstream attention.

Discover how 3D printing is breaking boundaries beyond prototyping, from creating affordable pet prosthetics to reshaping industries like furniture design. Adam offers practical advice on starting small, mastering entry-level tools, and balancing risk with opportunity to achieve groundbreaking results. Learn how his team is tackling sustainability and waste in furniture production through circular design, making innovation accessible and impactful.

Whether you're an aspiring entrepreneur, a design enthusiast, or simply curious about the intersection of technology and creativity, this episode is packed with insights on leveraging 3D printing to make a meaningful difference. Tune in for a compelling conversation about pushing boundaries while staying true to your mission.

Special thanks to Advanced 3D for sponsoring this episode.

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This episode examines the evolving role of 3D printing in prosthetics and orthotics, focusing on advancements in additive manufacturing. Joris Peels and Brent Wright discuss Formnext and hop into the weeds about some other things.  

The conversation highlights collaborative robots (cobots) as tools for creating body-specific parts like scoliosis braces, offering safer and more cost-effective solutions across industries such as aerospace and specialty vehicles. Bambu Labs' developments in material extrusion are also explored for their potential to set new industry standards for personalized manufacturing.

The episode concludes with a discussion of the intersection of technology, design, and market trends, focusing on companies like Zellerfeld and Nike. Topics include custom foot orthoses and footwear innovations, as well as the potential for luxury applications in prosthetics and orthotics, signaling a shift in industry possibilities.

Special thanks to Advanced 3D for sponsoring this episode.

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In this episode, we’re joined by Shiden Yohannes, whose journey from industrial engineering to a leadership role at Formlabs highlights the impact of technology in healthcare. Shiden discusses the rapid evolution of 3D printing, especially during the pandemic, where it played a key role in addressing healthcare shortages. He explains the advantages of an open ecosystem in 3D printing, focusing on orthotics and prosthetics, and highlights the impact of materials like Nylon 12 Tough and polypropylene, which are making medical devices more efficient and cost-effective to produce.

Shiden’s insights show how 3D printing can streamline manufacturing processes and reduce costs, making advanced medical solutions more accessible. The conversation also highlights the spirit of global collaboration in the orthotics and prosthetics field. Shiden shares a story of professionals uniting across borders to help a patient named Sydney, showing how creativity and teamwork can overcome barriers in healthcare.

As the episode concludes, we thank Shiden for his contributions and invite listeners to join us on LinkedIn to continue the discussion. Don’t miss this kickoff to our 10th season, and if the episode resonates with you, please leave us a review.

Special thanks to Advanced 3D for sponsoring this episode.

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In this episode, Michael Leach joins us, a certified prosthetist and orthotist who began his career as a high school volunteer in 1975. Michael shares his journey, highlighting key mentorships and the evolution of education in the field, from certificate programs to degree-based training. He emphasizes the significance of hands-on learning in developing skilled professionals.

We also explore the impact of climate and financial factors on prosthetic fitting and accessibility. Michael discusses how issues like sweat in humid environments and the need for waterproof systems affect prosthetic design and usage. Additionally, we examine the financial dynamics of the industry, comparing reimbursement practices across countries like Germany and Scandinavia, and how these practices influence innovation.

The episode covers the latest advancements in prosthetic technology, including microprocessor knees and 3D printing, which are redefining the possibilities for amputees. We hear the inspiring story of Robert, an amputee athlete who motivates others with his determination. Through engaging stories, the conversation emphasizes the importance of personalized care, professional support, and the role of clinicians in advancing patient care and inspiring the next generation of prosthetic specialists.

Special thanks to Advanced 3D for sponsoring this episode.

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Luc Boronat, head of the digital division at the Eqwal Group and CEO of Qwadra, discusses his journey and insights on the meticulous balance between clinician responsibility and design automation in the prosthetic and orthotic industry.

Join us as we explore the story of a visionary who has reshaped the Orthotics and Prosthetics industry through innovative CAD/CAM solutions. From humble beginnings with a ZX80 computer to creating digital tools that replaced outdated plaster models, this journey showcases the power of blending engineering with clinical expertise. Discover how these tools evolved from internal innovations to marketable solutions, addressing real-world clinician challenges and ultimately shaping a company that supports Certified Prosthetist-Orthotists globally.

In the realm of advanced 3D printing in orthotics, we delve into the use of foaming TPU material for custom insoles. Learn about the clever solutions developed to maintain printer functionality in continuous operations and the strategic positioning of soft insoles in the European market versus global preferences.

Special thanks to Advanced 3D for sponsoring this episode.

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Join us as we embark on an exhilarating journey into the world of prosthetics and orthotics with a live recording from AOPA 2024. With over 1,800 attendees and 20 new vendors setting the stage, Joris Peels and Brent Wright capture the dynamic atmosphere of the event. This episode spotlights the spirit of innovation driving the industry forward, from the latest in 3D printing technology to pioneering products such as an orthosis for tremor patients and silicone printing techniques. Experience the collaborative energy that is pushing the boundaries of what's possible in prosthetics and orthotics.

We are honored to feature Paul Gudonis, CEO of Myomo, who takes us through his extraordinary journey of technological innovation aimed at helping individuals with upper extremity impairments. Paul shares invaluable insights from his background in engineering and business, his transition to Myomo, and the company's major milestones. Listen as he recounts the inspiring moment when paralyzed individuals using MyoPro rang the closing bell at the New York Stock Exchange. Paul's stories about the profound impact their work has had on patients' lives are sure to leave you motivated and inspired.

Explore the global ambitions and entrepreneurial spirit shaping the future of orthotic prosthetics. In this episode, we delve into a company's commitment to advancing arm and hand functionality, securing reimbursement from major insurers, and expanding internationally, including a joint venture in China. Paul Gudonis offers a fresh perspective on how an entrepreneurial mindset can transform the prosthetics and orthotics industry. Reflecting on the balance between doing good and achieving personal success, this episode critically examines the dynamic intersection of innovation, entrepreneurship, and impactful patient care.

This episode is brought to you by Advanced 3D.

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Have you ever wondered how cutting-edge technology is transforming the world of prosthetics and orthotics? Join us as we kick off the Prosthetics and Orthotics Podcast with a thrilling behind-the-scenes look at our experiences recording live at industry trade shows. From tackling technical hurdles with Plantronics headsets to enjoying the comfort of Dive Designs' 3D printed chairs, we share our excitement about the American Orthotic & Prosthetic Association (AOPA) show. You'll hear firsthand accounts of innovative products, successful interviews with industry experts, and the seamless effort that went into coordinating multiple live recordings.

Expect to be captivated as we highlight standout presentations and memorable interviews. Katie from Advanced 3D delivered an enthralling talk on the applications of additive manufacturing, while Psyonic's live demo of a prosthetic hand reacting to muscle signals left us in awe. We also bring you insights from dynamic leaders like Anika from Psyonic and Louis-Philippe from Spentys, whose genuine and approachable nature made our conversations truly memorable. From low-tech solutions for tremor sufferers to the high-tech marvels presented by MyOMO and Spentys, this episode is packed with diverse perspectives and groundbreaking innovations.

Explore the future of prosthetics and orthotics as we introduce pioneering companies like Coyote and Radii, discuss the educational approaches of Dr. Adrian Hill, and reflect on Paul Gudonis' leadership at Myomo. Learn about the transformative impact of new technologies, such as Rocky Tech's cooling solutions for prosthetic sockets and the potential for Formlabs' additive manufacturing advancements. We also touch on the importance of making prosthetic technology more accessible and highlight the global market trends showcased at OT World. This season promises to be an exciting journey full of advancements and compelling stories from the ever-evolving field of prosthetics and orthotics.

Special thanks to Advanced 3D for sponsoring this episode.

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What if you could witness the unyielding spirit of the world's most exceptional athletes in action? Join us as we sit down with Katie Richmond, reporting live from the Paris Paralympics, to uncover the stories of resilience and triumph that make this event truly unforgettable. From her touching visit to the historic beaches of Normandy to experiencing the vibrancy of the Paralympics' opening ceremony, Katie takes us through every exhilarating moment, shedding light on the diverse and sold-out medal events that have captivated audiences worldwide.

Explore the intricate world of Paralympic sports with us, where we spotlight categories such as T35 for runners with moderate impairments and the T11 to T13 categories for blind runners. Katie shares her firsthand account witnessing thrilling victories like the US women’s triumph over Italy in sitting volleyball. We also marvel at the audacity and skill of visually impaired long jumpers and an eight-foot-tall Iranian athlete who redefines the boundaries of possibility.

Delve into the technical side of the Paralympics as we discuss the origins, strategies, and intense training behind wheelchair rugby. Katie provides insights into the evolving technologies in prosthetics, highlighting the preferences and challenges faced by athletes. We round off this enlightening episode by looking ahead to the future innovations in 3D printing and prosthetic technology that promise to revolutionize the field. Don’t miss this episode packed with inspiring stories and cutting-edge advancements that showcase the remarkable world of the Paralympics.

This episode is brought to you by Advanced 3D.

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We’re delighted to introduce Diego Suarez from Bionic Prosthetics and Orthotics, whose extraordinary journey from a sports injury to an inspiring career helping those with physical challenges will leave you motivated and full of appreciation for the impact of resilience.

Ever wondered how cutting-edge 3D printing technology is revolutionizing prosthetic fabrication? Discover the detailed workflow of a central lab that serves multiple clinics, utilizing tools like Omega Willowood, MeshMixer, and a variety of slicers such as Simplify 3D, PrusaSlicer, and SuperSlicer. We discuss the strengths and limitations of each software and provide insights into optimizing material usage with different printing modes. This is a treasure trove of technical knowledge for anyone passionate about the future of prosthetics.

Innovation doesn’t stop at technology; it extends to materials too. Explore the advancements in prosthetic materials with us, featuring polycarbonate, TPU, and varioshore. Diego Suarez shares his excitement about MJF printing technology and its potential for creating complex structures. For those new to 3D printing, Diego offers invaluable advice on starting with affordable direct extruder printers and mastering design tools like MeshMixer and Fusion 360. This episode is full of expert tips, personal experiences, and practical guidance to push your prosthetic and orthotic skills to the next level.

Brought to you by Advanced 3D and Comb.

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Ever wondered how recording a podcast live at a bustling conference feels? We don't know either! But you can join Brent in Charlotte as we broadcast directly from the AOPA conference for the first time ever.

In this episode we dive into the world of orthotics and prosthetics as we unpack the ongoing excitement and occasional weariness surrounding 3D printing technologies. We also shed light on the fluctuating funding climate in the sector, discussing why impactful, application-focused companies continue to capture investor interest despite a slowdown in startups.

Could large corporations be losing their grip on emerging technologies? We explore the precarious balance big players like HP, Stratasys, and 3D Systems must maintain when investing in 3D printing. We discuss the brutal reality of corporate decision-making and the potential risks of shifting focus to new trends. This discussion offers a crucial lens into the strategic movements of industry giants and the ripple effects on innovation.

Then we meet Ben Wright, a passionate prosthetist and orthotist who takes us on his inspiring journey from manufacturing engineering to opening his own practice. Learn about his strategic decisions and the challenges he faced, from choosing a clinic location to securing funding and building strong local relationships. Discover the advantages of integrating digital scanning technology into clinical practice and the value of maintaining small, personalized clinics in an industry increasingly leaning towards consolidation. This episode is a treasure trove of insights, packed with real-life stories and practical advice for anyone interested in the evolving world of orthotics and prosthetics.

Special thanks to Comb and Advanced 3D for sponsoring this episode.

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Join us as we celebrate 100 Episodes with Dale Perkins of Coyote Designs sharing his insights on how he has left a legacy through socket design and product development. His dual expertise as a prosthetist and an amputee brings a unique perspective to the conversation. We'll explore his personal story of overcoming his amputation through groundbreaking medical interventions and the life-changing impact of innovative prosthetic design.

Discover how prosthetic technology has transformed over the past five decades, from rudimentary wooden legs to today’s advanced 3D printed solutions. We'll discuss the resistance to change among seasoned practitioners, the importance of personalized patient care, and the essential role of new technologies in improving patient outcomes. Dale shares invaluable lessons from his career, emphasizing the need for continual learning and adaptation in this rapidly evolving field.

Looking to the future, we critique the current state of prosthetic education and industry practices, advocating for a more patient-centered approach. We explore the crucial influence of surgical outcomes on prosthetic success and call for younger orthopedic surgeons to engage more deeply in amputation surgeries. This episode is a celebration of our podcast’s global reach and the profound impact of shared knowledge and innovation in the prosthetics and orthotics community. Join us as we commemorate this milestone and envision the future!

This episode is brought to you by Comb and Advanced 3D.

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Have we missed something?  In this episode we go back to the basics.  Actually we go before the basics and that is surgery.  Does the quality of surgery affect outcomes?  What makes a good amputation? What makes a good outcome?  Are prosthetists asked to do miracles? What is the role of the IT band in normal gait?

We cover this and more with Tom Cutler.  If you listen to this episode and have not been challenged to think and consider what we have learned well....I did not do my job. 

This episode is brought to you by Advanced 3D.

Resources:

Here's the video clip of femur vs IT band hip action: Link. 

Here's the animation showing how large the horizontal force is at the hip vs at the ground: Link. 

Here's the theory about the IT band being 30% of hip power:  Link.

Here's the article about TF amputees missing 30% of hip power. Link. 

This has amputees at up to 40% deficient. Link. 

Here's Gottschalk's article about amputation surgery:  Link. Page 19 shows the sharp edge, open bone marrow, and the text about moving the tensor fasciae latae. 

Here's Gottschalk's article (Link) about TFL being the most important hip muscle in gait (page 184) and the gluteus medius being inactive during stance while TFL shows intense activity (pg 182). 

Here's Pohl 2015 about a gluteus medius nerve block followed by... NOTHING! Link. There's no trendelenburg gait... no changes...  

What about increased cardiovascular morbidity after amputation? 

Here's an article about a 10 year old dying of fat embolism syndrome after TF amputation. Link. 

Here's a spike in cardiovascular mortality in traumatic amputees (amazing data, very sound). Link.

What about the validity of the "adductor myodesis" technique? Link. According to this article surveying surgeons, "it is not possible to stitch the muscles to the bone due to the lack of fasciae structures." and a very telling statement "I have been a surgeon for 40 years and have learned by bitter experience. The information provided in the literature is miserable and I often
disagree with the arguments." 

To all of the above, consider this:  there's no skeletal support. End of discussion, right? Until we provide amputees with skeletal support, everything else is moot.

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Maybe the solution to your knee pain is a high-tech 3D-printed brace inspired by an injury from the football field. Today, we’re talking to Dave Johnson, the CEO and founder of the startup Icarus Medical, about his unusual path from a childhood on a dairy farm to inventing innovative knee braces. Dave describes how his life journey and a successful career in chemical engineering for the Department of Defense provided the inspiration for developing a high-performance, metal-free knee brace for fighting patellofemoral osteoarthritis.

 And 3D printing how? Dave provides an ingenious step-by-step, from the first heavy, bulky prototypes to their eventual lightweight, contour-fit, form-fitting incarnation. His descriptions of the iterative development, including his incorporation of an elastomeric band to improve fit and tolerance, as well as the employment of a biomedical engineering intern, are both fascinating and informative. Moreover, he recounts how his team realised that the heaviest components came from the support material used in the printing process and, thus, shifted to Multi-Jet Fusion technology, which is cheaper and can be produced in much shorter runs. By the time we had finished, we wondered whether perhaps the biggest takeaway was that these state-of-the-art, individualised, contour-fit, 3D-printed, durable, adjustable, lightweight knee braces for leverage-control osteoarthritis became economically viable in greater number because of the strategic application of HP’s Multi-Jet Fusion technology.

 But as much as it’s about the tech and engineering, it’s also about the people who are running the ship. In this episode, we spotlight the empathetic, patient-centric culture at Icarus Medical, where no two braces are ever the same, and every person is accommodated for, because – simply put – they can be. Dave takes us through the extensive process of getting a custom brace, from scanning to finishing to quality control to shipping, and into the nitty‑gritty of maintaining good relationships with outsourced contractors. And along the way, Dave shares some of his hard-won lessons on cost management, market research, and the power of staying true to your vision and having conviction in your product. If you’re at all interested in technology, medicine and innovation, you do not want to miss this episode.

This episode is brought to you by Advanced 3D.

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What if the future of prosthetics could be completely transformed by a single machine? This episode of the Prosthetics and Orthotics Podcast kicks off Season 9 with an in-depth recap of the Rapid conference, highlighting the revolutionary Impossible Objects machine. Discover how continuous carbon fiber technology is set to change the landscape of 3D printing for prosthetics. We also shine a spotlight on an innovative elastomer from the Loctite Henkel Group, designed to mimic the comfort and durability of memory foam, opening up exciting new possibilities for patient care.

We then explore the intersection of technology and fashion with HP's MultiJet Fusion 580 printer, revolutionizing the eyewear industry. Learn how custom-fit, stylish glasses with wood grain finishes can be produced on-demand, reducing waste and meeting consumer demands more efficiently. Plus, we delve into the realm of metal 3D printing, discussing the accessibility and safety of newer, more affordable machines like the One Click Metal system and how they are democratizing advanced manufacturing.

Finally, we take you on Katie's journey through the evolving field of O&P. Hear about the shift towards 3D printing and CAD design, with practical tips for newcomers. We also examine the benefits and challenges of using lattice structures in orthotics and prosthetics, emphasizing the importance of design precision and material selection. Tune in to discover how small, in-house 3D printers are becoming indispensable tools for prototyping custom solutions, and the growing need for clinicians to embrace these technologies for better patient outcomes.

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Ever wondered how prosthetists can significantly influence the lives of amputees? Jim Reichmann shares his extensive knowledge in evidence-based medicine and the transformative role of removable rigid dressings. Through his numerous contributions to clinical guidelines and published articles, Jim unveils the innovative practices that are setting new standards in O&P.

In our conversation, we explore the critical role prosthetists can play in healthcare teams and how they can improve clinical outcomes for amputees. By drawing parallels between prosthetists and other healthcare professionals, we highlight the potential for more integrated, multidisciplinary approaches to patient care. We delve into postoperative dressing choices and the groundbreaking advantages of removable rigid dressings. Experimental approaches and studies reveal how compliant use of these dressings can lead to more successful prosthetic fittings, emphasizing the importance of innovation in the field.

We also tackle the challenges and opportunities in surgical amputation and prosthetic care, sharing personal anecdotes from residencies and discussing the complexities surgeons face. The episode underscores the importance of considering long-term patient outcomes, such as mobility and quality of life, rather than just immediate surgical success. We conclude with a call to action for better communication and education to maximize prosthetic outcomes, showcasing the benefits of removable rigid dressings in reducing hospital-acquired conditions and fall-related injuries. Tune in for an insightful discussion that promises to change the way you view prosthetic care.

This episode is brought to you by Advanced 3D and Limbguard.

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In this conversation, Joris Peels and Brent Wright interview Duann Scott, the head of the 3MF Consortium, about 3D printing, software, and the future of file formats. They discuss the benefits of the 3MF file format, its security features, and the implications for the 3D printing industry. The conversation also covers lattice structures, implicit files, and the importance of data communication in 3D printing. The conversation delves into the use of implicit modeling and lattice structures in 3D printing, the benefits of bypassing the meshing process, and the potential for streaming slicing. It also explores the concept of systems-level approach in design, the role of computational workflows, and the importance of seeking expert advice. The conversation concludes with a discussion on the speed of iteration and the liberating nature of additive manufacturing.

Special Thanks to Our Sponsors: Advanced 3D and LimbGuard

Keywords
3D printing, 3MF file format, software, lattice structures, implicit files, data communication, security features, 3D printing industry, 3D printing, implicit modeling, ladder structures, meshing process, computational workflows, additive manufacturing, expert advice, systems-level approach, speed of iteration

Takeaways

• The 3MF file format offers significant advantages over the traditional STL format, including smaller file sizes, color and texture preservation, and the ability to carry metadata and manufacturing information.
• The 3MF Consortium is an open-source initiative that aims to standardize 3D printing file formats and ensure interoperability between different software and hardware systems.
• Security features in the 3MF file format allow for restrictions on file access, printing permissions, and machine-specific usage, providing greater control and protection for 3D printing files.
• Lattice structures and implicit files offer efficient ways to describe complex geometries in 3D printing, enabling smaller file sizes and more elegant data communication.
• The conversation highlights the need for the 3D printing industry to mature in terms of data communication and file format standards, emphasizing the importance of proper data flow and scalability. Implicit modeling and ladder structures offer an efficient and powerful way to create complex geometry in 3D printing.
• Bypassing the meshing process and streaming slices can improve the speed and efficiency of the 3D printing process.
• A systems-level approach to design, along with computational workflows, can lead to more robust and flexible solutions.
• Seeking expert advice and surrounding oneself with knowledgeable individuals is crucial when navigating the complexities of additive manufacturing.
• The speed of iteration and the liberating nature of additive manufacturing offer new possibilities for design and production.

Chapters

00:00
The Future of 3D Printing: Exploring the 3MF File Format

06:09
Security and Interoperability: The Role of the 3MF Consortium

25:10
Optimizing 3D Printing Workflows with Computational Approaches

28:55
Expert Advice and Systems-Level Design in Additive Manufacturing

32:09
The Speed of Iteration and the Liberating Nature of Additive Manufacturing

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Navigating a world not designed for you can be a daunting challenge, but imagine turning that challenge into a beacon of innovation and hope. That's precisely what Jacob Ayers from Wurth Additive Group has done with his inspiring journey through legal blindness and into the heart of 3D printing. As a guest on our show, Jacob offers not only a window into his world shaped by rod-cone dystrophy but also how he's leveraging additive manufacturing to push the boundaries of accessibility in everything from tactile education tools to museum exhibits.

With each story and discussion, the power of an inclusive approach to technology and design becomes undeniable. Join us as we uncover how Jacob's commitment to 3D printing is catalyzing social change, from transforming employment prospects for those with visual impairments to the careful orchestration of museum spaces that invite all visitors to engage with history. His insights provide a roadmap for those looking to merge art with practical application, whether it's in the delicate intricacies of prosthetic development or the robust world of CAD modeling. This season's narrative is a testament to the impact that a single individual's vision can have on a community and industry at large.

However, with great power comes great responsibility, and in the world of 3D printing, that means addressing the elephant in the room—safety and sustainability. We round off the season with a crucial conversation on the environmental implications of photopolymers and the industry's duty to protect both consumers and our planet. Jacob's expertise shines as we tackle the importance of regulations and the collective effort required to ensure a future where technology continues to serve humanity without compromising our well-being. Tune in for a journey where every chapter weaves together the threads of empathy, innovation, and responsibility, crafting a narrative that not only informs but inspires action.

This episode is brought to you by Advanced 3D.

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Mike recounts his personal connection to osseointegration through his wife, who became an above-knee amputee due to cancer. Her desire for a more comfortable and functional prosthetic solution led them to explore osseointegration, a procedure that integrates the prosthesis directly with the bone, eliminating the need for a traditional socket. This experience highlighted the limitations of conventional sockets and the potential benefits of osseointegration, particularly for active individuals who struggle with the static nature of traditional prosthetic devices. Mike emphasizes the importance of understanding the patient's perspective and the psychological impact of limb loss.

The discussion shifts to the broader implications of osseointegration in the prosthetics field. Mike explains how this technology can significantly enhance the quality of life for amputees by providing a more natural and responsive connection between the prosthesis and the body. He addresses common misconceptions about the procedure, such as the risk of additional bone loss in case of infection, and highlights the thorough evaluation and patient selection process that ensures successful outcomes. Mike also touches on the role of insurance in covering osseointegration, noting that most major payers now approve the procedure.

We conclude with insights into the future of osseointegration and its potential to transform prosthetic care. Mike underscores the importance of a multidisciplinary approach, involving surgeons, prosthetists, physical therapists, and other specialists to provide comprehensive care. He also encourages prosthetists to consider osseointegration as a valuable option for their patients, emphasizing the need for continuous education and collaboration within the medical community. The episode provides a comprehensive overview of the advancements in prosthetic technology and the profound impact these innovations can have on the lives of amputees.

This episode is brought to you by Advanced 3D.

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In the latest episode of their podcast-hosts Brent and Joris dig into recent developments and strategic moves of Embla Medical. The company’s communications and social media activities were among the topics discussed. Embla Medical has grown into a company with a very large role in the rehabilitation landscape. In fact, Embla has acquired several companies under its umbrella over the past few years and we discuss the implications for our industry and Embla’s role in the market.

They also discuss how Embla Medical changed its name from Ossur to better reflect the company’s expanded focus on novel technologies for mobility impairments, and how all of this can impact the company’s position in the market and how it relates to its customers.

The podcast ends with an analysis of Embla Medical’s path ahead, with potential new markets and technologies being discussed. The panel speculates upon the tactics that the company could employ to secure a competitive advantage, such as expanding into emerging markets and enhancing its product portfolio using the latest technologies, such as additive manufacturing.

Embla Medical 2023 Annual Report

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Join us on an additive journey, exploring the present and the future of 3D printing through the eyes of Grant Michael of Worth Additive Group as he builds his way from a MakerBot Thing-O-Matic to a broad knowledge-base of 3D scanners. He guides a path through our industry into the promising future for additive technologies, especially as it pertains to the orthotic and prosthetic profession. Be prepared, the future may not be what you think!

But more than a glimpse of things to come, this episode is a lesson in the nuts and bolts of 3D.  From the appropriateness of starting small with 3D projects, to the learning that happens on the way from idea to object, we go there. We then move and groove with the motion capture of 3D scanning, taking you through the marker dance that results in the reverse engineering that can make the production of a figurine as literal as that of a Hugme pillow. This is your after-school elective shot that will lead you to the sweet zone of 3D production.

We wrap up with a discussion about how to maximise the technology’s huge potential. Learn about the surprisingly little-used world of metal printers, find out how to choose the right contract manufacturing partner with expertise in quality control and understanding materials, and discover how networking is your secret weapon. Towards the end of the episode, we help you understand more about the intricacies of FDM metal printing, as well as the importance of working with service providers.

Special thanks to Advanced 3D for sponsoring this episode.

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In this episode of the Prosthetics and Orthotics Podcast, hosts Brent and Joris engage with guest Jeff Denune to explore his extensive background and developments in the prosthetics and orthotics field. Denune shares his journey from his initial involvement in the field, influenced by post-WWII prosthetics professionals, to his adoption of cutting-edge technologies like CAD for socket design. The discussion covers the progression from traditional methods to advanced digital fabrication techniques, emphasizing the impact of 3D printing and CAD in creating more effective and personalized prosthetic devices.

The conversation transitions to the nuances of patient care within the field, highlighting the importance of customizing treatment plans and prosthetics to individual needs. Denune discusses various socket designs, including ischial containment and sub-ischial techniques, illustrating the critical role of personalization in enhancing patient comfort and mobility. The hosts and guest also delve into the evolving landscape of prosthetics, discussing potential advancements and the integration of new technologies like powered exoskeletons and myoelectric devices.

Lastly, the podcast touches on the future of prosthetics and orthotics, contemplating the balance between large-scale manufacturing and boutique-style patient care. Denune advocates for a patient-centered approach, stressing that successful outcomes hinge on understanding and addressing each patient's unique situation. The episode concludes with reflections on the importance of innovation and adaptability in the field, encouraging professionals to embrace new technologies while maintaining a strong focus on individualized patient care.

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In this engaging episode of the Prosthetics and Orthotics Podcast, we engage in a deep dive into the dynamic world of prosthetics and orthotics. We kick off the discussion with a look at the industry's trend towards consolidation, examining how major players are expanding their reach through strategic acquisitions and vertical integration. This conversation sheds light on the operational strategies that are reshaping the industry, particularly in the context of insurance reimbursement and cost management.

The episode then shifts focus as Linda Calabria, a seasoned expert with a rich background in marketing, joins the conversation. Linda shares her intriguing journey into the prosthetics and orthotics field, revealing how her passion for marketing and storytelling led her to this specialized sector. Her insights provide listeners with a fresh perspective on how marketing and product management can drive innovation and improve patient outcomes in this niche market.

Throughout the discussion, Linda emphasizes the importance of understanding the unique needs of various stakeholders in the industry, from clinicians and insurance providers to the end-users themselves. She delves into her experiences with multiple companies, discussing the challenges of launching new products and the critical role of regulatory compliance and quality management.

Listeners will also benefit from Linda's practical advice for startups and small businesses in the industry. She highlights the power of digital platforms like LinkedIn and Instagram for building brand presence and establishing thought leadership. Moreover, Linda stresses the necessity of having a clear strategy and understanding the intricacies of market entry, especially for companies looking to break into the U.S. market.

This episode is not just a discussion; it's a masterclass in navigating the complexities of the prosthetics and orthotics industry, offering valuable lessons on innovation, marketing, and strategic planning. Whether you're a seasoned professional, a newcomer to the field, or simply curious about the intersection of healthcare and technology, this episode provides a comprehensive look into the challenges and opportunities that define the prosthetics and orthotics landscape.

This episode is brought to you by Advanced 3D.

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 As the trade show season approaches, we reflect on the balance of professional enthusiasm and personal moments, like cheering from the stands at a child's baseball game. Brent and Joris also peek into the future of prosthetic manufacturing, highlighting Coyote's groundbreaking vase mode printing components that could reshape our industry.

Embarking on a transformative journey, we trace one individual's path from graphic design to touching lives in the O&P field. Drawing from the creative wells of East Carolina University's art and design program to a personal studio, the narrative weaves through the inspiration found in family disability experiences, leading to a career where design principles meet patient care. The conversation delves into the extra education required for this impactful profession and the role problem-solving plays in the heart of human-centered healthcare.

Then, we dissect the decision-making behind educational paths in the O&P industry, including the merits of specialization within this fascinating field. We share the story of Dale Schneider, whose foray into 3D printing began in a home studio and helped him with an internship. Dale's experience underscores the importance of precision, networking, and a willingness to embrace new technologies, like the shift from bulky 3D scanners to sleek iPhone apps. Join us for a heartfelt discussion that not only sheds light on professional choices but celebrates the spirit of innovation and personal dedication that define the O&P community.

This episode is brought to you by Coyote.

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Embark on an emotional journey with Brent as he recounts the heartwarming impact of providing prosthetic care in Guatemala, transforming lives in ways most of us can only imagine. Feel the ripple effects of hope and independence that these vital devices bring to individuals, and understand the critical role of advancements in 3D printing, such as the Bambu printer, in building local medical capacities. This episode is more than just a story; it's an invitation to witness the profound difference compassion and innovation can make in the healthcare sphere.

As we weave through the complexities of the 3D printing industry, we recognize the tenacity of businesses navigating economic turbulence. Join us as we dissect market reactions, talent redistribution, and the strategic shifts that ensure survival and growth in an ever-changing landscape.  Joris's expertise is a fascinating exploration of the industry's future, where resilience defines the pathway to success despite dwindling capital and rising challenges.

Lastly, we cast a spotlight on recent Medicare developments and their implications for 3D printed orthotics, setting the stage for a potential revolution in patient care and independent practice. We're talking about a future where mobility meets customization at the doorstep, paving the way for healthcare services that prioritize patient convenience and well-being above all. Discover how these innovations could reshape the prosthetics and orthotics sector, making patient-centered care not just a philosophy, but a practical reality.

Special thanks to Coyote for sponsoring this episode!

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Unlock the transformative potential of additive manufacturing in healthcare with a journey through the intricacies of 3D printing materials and their implications for the prosthetics and orthotics industry. Joined by Ben Demuth, we delve into the evolution of 3D printing materials and the challenges faced when matching them to their applications. Imagine a world where the defense and O&P sectors are not just surviving but thriving, thanks to a keen focus on value propositions that resonate with market needs.

As we navigate the industry's current landscape, we highlight how companies are adapting their strategies to stay buoyant in a tightening market. The emerging narrative isn't just about cutting-edge tech; it's about the seamless integration of 3D printing into clinical workflows, enhancing patient care and the clinician experience. Embrace the paradigm shift as we explore the marriage of customization with broad applicability—crafting devices that solve problems reliably and efficiently.

But it's not all smooth sailing; the adoption of new technologies like 3D printing in clinical settings comes with its own set of hesitations and learning curves. We discuss the mindset shift required in clinicians' values, where time and connection triumph over manual creation of medical devices. Through personal anecdotes and expert insight, we address the importance of education, the role of testing and standards, and the clinician's pivotal role in the digital fabrication of test sockets. From the clinic floor to the patient's home, this episode promises to reveal how innovation, when embraced, can shape the future of healthcare and patient outcomes.

Special thanks to Coyote for bringing us this episode!

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Many ask, how can I help in Ukraine? 

Turning the spotlight to the resilience of a war-torn nation, Antonina Kumka from Protez joins us to discuss the challenging yet uplifting strides in building sustainable prosthetic solutions amidst Ukraine's ongoing crisis. From meeting a double amputee soldier, which ignited a transformation in prosthetic care, to collaborating with international partners for local capacity building, Antonina's journey is nothing short of remarkable. The episode touches on Ukraine's storied history in tech innovation, the hurdles in device certification, and the paramount importance of psychological support for amputees. It's a stirring reminder of the indomitable human spirit and the profound difference one person's resolve can make in the lives of many.

Special thanks to our sponsor, Coyote, for bringing us this episode.

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This episode with Brent Ewald peels back the layers of 3D printing, revealing the intricate dance of design and machine.  Listeners will gain an appreciation for the system-based problem-solving that is essential when dealing with the nuanced interplay of a printer's various subsystems and might find themselves inspired by the continuous learning that defines a career in this field.

We open the doors to the nuanced world of CAD and automation, illuminating the potential for prosthetists to streamline their craft with these powerful tools. The chapter sheds light on the precision needed when designing for confined spaces and introduces the concept of auxetic structures, an innovative solution that could eclipse traditional lattices in specific applications. This episode is not just a discussion—it's an invitation for designers to embrace community, share knowledge, and seek guidance in navigating the intricate and fulfilling world of prosthetics and orthotics.

Special thanks to our sponsor: Coyote

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Imagine stepping into a world where innovation meets the human spirit, crafting prosthetics and orthotics that adapt as seamlessly as the body itself. That's the journey we embark upon in our latest episode, with the incredible Antonius Kuster joining us to unravel the revolution in patient care brought by digital workflow.  Antonius, a seasoned trailblazer in the field, shares tales from the early days of shaping free-form surfaces and the seismic shift to today's computer-assisted marvels. Through his eyes, we witness the cultural and generational tides shifting within the industry, culminating in a heartfelt story of launching a 3D design company and the pioneering acquisition of a 3D printer that forever changed the manufacturing landscape.

We talk about software and hardware and the dance that occurs while looking for the perfect combination. Don't miss this episode there are a lot of nugget in it!

Special thanks to Coyote for sponsoring this episode.

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Cosi Belloso, a physical therapist who fell into the world of orthotics and prosthetics by chance, shares her insights, it's clear that the journey of amputation recovery is a tapestry woven of many threads. She stresses the significance of early physical therapy, debunking myths about mobility predictions and shining a light on the comprehensive care that goes beyond the limb itself. Cosi's accidental path led to profound realizations about patient empowerment and education, which she now advocates through her show "Cosi Talks."

The road to rehabilitation may be paved with challenges, but it's the human spirit that lays the bricks. We uncover how motivation, paired with an orchestra of interdisciplinary communication, can lead to remarkable recoveries that defy expectations. Through anecdotes and experiences, we learn that every amputee's journey starts with a challenge, but it's the tailored coping strategies and unwavering support from healthcare professionals that can lead to extraordinary achievements. Cosi reveals the profound impact of empathy, patient education, and the art of choosing the right prosthetist on an amputee's path to reclaiming life.

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Embark on a journey with us as we traverse the evolving landscape of prosthetics and orthotics, illuminated by the  insights of our guest, Jeff Soelberg, founder of Jeff's Giving a Hand and Point Designs Ambassador. This episode is a testament to the power of technology and human resilience, painting a vivid picture of the latest strides in additive manufacturing and how they're revolutionizing accessibility in the field. We're peeling back the layers of innovation, from the intricacies of powder bed fusion in 3D printing to the personal victories of those who have embraced prosthetic limbs as extensions of their own bodies.

Delve into the heart of the matter with stories of personal transformation and a candid exploration of the mental challenges accompanying life post-amputation. We highlight the therapeutic importance of mental health support and staying active, revealing how these are crucial to rehabilitation. Discover the meticulous process behind acquiring the right prosthesis – a balance of patience, research, and communication – and recognize the profound impact of empathy and self-compassion on the journey back into the workforce after an accident.

We wrap up with a reflection on how 3D printing is not just changing the game in prosthetics customization but also redefining comfort and user interaction. As we venture into the future, we're committed to keeping you, our listeners, at the forefront of these breathtaking advancements. Join us as we celebrate the achievements within prosthetics and orthotics, and stay inspired by the boundless possibilities that await.

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Get ready to embark on an audio journey that promises to leave you informed and inspired about one of the names that has been around digital workflow since nearly the beginning. We're joined by Chris Handford, Chief Product Officer at Vorum, who shares his fascinating transition from the telecommunications industry to the front lines of O&P innovation, giving us a personal glimpse into the power of technology to revolutionize patient care.

As temperatures drop and the holiday season approaches, we unwrap the narrative of Vorum's impressive 30-year history, detailing how they've navigated the fluid medical tech landscape. We'll tackle the tangible benefits of dedicated CAD/CAM solutions, the reasons carving still dominates  in our field, and the must-know factors for clinics considering in-house manufacturing versus collaboration with central fabricators. This episode isn't just about the cold hard facts—it's a testament to the warmth and dedication found within the O&P community.

Finally, we take you through the ins and outs of the Luma 3D scanner,  which is a tool that is redefining how we capture the human form for custom devices. We'll explore the cost-effective strategies for integrating digital tools into your practice, even for the smallest clinics aiming to punch above their weight. And for those new to the digital dance, we stress the importance of education in making the transition as smooth as the glide of a well-fitted prosthesis or orthosis. So, whether you're prepping for a feast of knowledge or just curious about the future of O&P, this episode serves up a hearty helping of insight.

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Our latest episode is with special guest Justin Hopkins from HP, we delve into the pioneering realm of 3D printing in the prosthetic field, highlighting his leap from engineer to industry-shaping manager during the pandemic.

The conversation takes a deep technical dive as we shed light on the critical role of application engineers in additive manufacturing. These unsung heroes bridge the gap between customer dreams and the tangible products that can change lives. They're the translators of complex tech to practical solutions, ensuring that each intricate lattice structure in a prosthetic device not only meets but exceeds a patient's need. And if you've ever wondered about the fine line an engineer walks between guiding startups and managing client expectations in the digital manufacturing landscape, we've got stories that will grip you.

Wrapping up, we peer into the future where software experts and O&P professionals join forces to craft personalized, cutting-edge solutions. The episode doesn't just talk tech; it's about the human aspect of 3D printing, where every decision and innovation has the potential to touch lives profoundly. Whether you're a clinician, engineer, or simply fascinated by the nexus of technology and healthcare, our chat with Justin Hopkins offers a behind-the-scenes look at the victories and challenges of making 3D-printed prosthetics a global reality.

Special thanks to our sponsor: Vorum

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This may be one of the most important episodes we have done.  We discuss the myriad of options when it comes to providing access to prostheses worldwide. This episode doesn't stop at global access, we dive headfirst into the challenges and unique opportunities in bringing prosthetics to developing countries. We explore how technology is shaping the future of prosthesis, discussing the innovative use of online information exchange, 3D printing, and even thrilling stories of successful remote fittings with a doctor from India and a prosthetist in the US.

As we charge into the future of prosthetics and orthotics, we get real about the idea of a "library" of prosthetics, repurposing old prosthetics for new users, and the potential for DIY prosthetics through 3D scanning technology. We also address the crucial need for collaboration and communication within the industry, balancing commercial and humanitarian efforts, and the potential solutions in providing prosthetic devices in developing countries. This episode is not just about information, it's about inspiration, advancements, and the betterment of lives through access of prosthetic care.

Special thanks to our sponsor: Vorum

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Fasten your virtual seatbelts as we zoom with our guest, Lee Dockstader.  Lee navigates us through the transformative landscape of 3D printing, from its revolutionary impact on Formula 1 racing to its impressive scale in producing Invisalign parts. We'll also tackle the intriguing subject of 3D printing in the hearing aid industry, and the powerful role of automation in manufacturing medical products like foot orthoses, helmets, AFOs, and prosthetics.

The road gets a bit bumpier as we examine the challenges and opportunities in the orthotics and prosthetics market. From the success of trailblazers like UNYQ and Prosfit, to the potential for premium products serving our aging population - it's evident that ingenuity and innovation are the fuels driving this industry. But don't just take our word for it, Lee shares his invaluable insights on scaling 3D printing and the crucial role of 3D geometry in successful manufacturing.

 We'll get a sneak peek into the future of 3D printing in the medical field. Is there potential for prescription orthoses in your local Walgreens? Will custom earbuds and prescription glasses join the ranks of 3D printed items?. Trust us, you don't want to miss this ride!

Special thanks to our sponsor: Vorum

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Join our conversation with Mike Bolland, host of the We're Not Stumped Amputee podcast, you'll hear a journey of resilience, self-confidence, and determination. Mike, who has been living without a prosthesis for 40 years, shares candidly about his daily encounters, the activities he engages in, and the unique ways he thinks about and navigates life.

As a child, Mike was raised to be independent and to bear an unshakeable self-confidence by his parents. This foundation has been the bedrock of his life - propelling him to break barriers and achieve milestones, such as being the first one-handed amputee on the Professional Bowling Tour. Mike also gives us a glimpse into some of the obstacles he's faced, such as job discrimination, and how he surmounted these challenges through sheer determination and grit. 

Our  chat with Mike also brings to light his insightful perspectives on the subject of prosthetics and the importance of establishing a trust-filled relationship with prosthetic clinicians. He emphasizes the value of open dialogue in achieving the best outcomes and shares his journey from professional bowling to stand-up comedy.This episode is filled with inspiration, insights, and innovation. It's a blend you don't want to miss!

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Bo Helmrich, the owner of Digitize Designs stopped by the show today.  We talk about the fun stuff we missed not being at Formnext and then we dove into the weeds with 3D scanning.  We talk about the differences of scanners and the fundamental principles of choosing a scanner according to need and budget.

Bo's vast knowledge and ability to communicate make this very easy to understand.  You will have a good sense of a direction you can go after listening to this episode.

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What if losing a limb didn't mean losing a life? That's the question we tackle in this riveting episode featuring the brave and inspiring Ben Srulevich. Join us as Ben recounts his life-altering accident and shares his 20-year journey with prostheses. His courageous story paints a hopeful picture that goes beyond mere survival; it's about thriving in spite of challenges. From his work as a police officer to his passion for disc golf, Ben demonstrates how prostheses have not only replaced his lost limbs but have profoundly enhanced his capabilities.

Ben reminds us, it's not just about the devices; it's also about the relationships fostered with prosthetists. Hear how his bond with prosthetist Chris Baughman extends beyond prosthetics, turning a professional relationship into a personal one.

Finally, we delve into Ben's role in the remarkable development of active prostheses with NC State and UNC Chapel Hill. The power of this technology, which is driven by muscle signals, is truly groundbreaking. Ben shares how this innovative device has opened up possibilities he never imagined, and his hopes that it could do the same for others. This episode takes us on a remarkable journey through the evolution of prosthetics, and showcases how they're not just aiding those who wear them; they're empowering them. Tune in for an episode filled with heart, hope, and groundbreaking innovation.

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Kristen Carnahan's unique path to becoming a clinician will inspire you as she shares her journey of moving from clinical practice to academia and back into private practice. We talk through the critical principles of lower limb prosthetic alignment.  Kristen also touches on her specialty, active vacuum suspension systems, which have evolved significantly over the last two decades.  Bringing this episode to a close, we look to the future exploring the potential of 3D printing, scanning in practice, and their promise. 

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We promise a fascinating exploration of various metal printing processes each with its unique benefits and drawbacks. We’ll probe the implications of cost, environmental safety, and complexity, and evaluate how this innovative technology could transform the production of spare parts.

Envision a world where 3D printing creates optimized parts with unique properties such as shock absorption and dampening capabilities. We discuss the potential of on-demand  production, its impact on reducing time-to-market, and how it could quickly become a game-changer in the industry. The need for specialized tools, resources, and an understanding of the design for additive manufacturing adds an extra layer to this compelling narrative.

Finally, we'll offer an in-depth look at how 3D printing can be used to create parts with threads, and the potential risks involved with different machines. Learn about the advantages of using 3D printing to create tooling, jigs, and fixtures to reduce assembly time and cost. We'll wrap up the conversation by comparing the cost-effectiveness of 3D printing to traditional machining. This episode is bound to leave you with a deeper understanding of the vast potential of 3D printing metal in prosthetics.

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When it comes to navigating the complex world of Orthotics and Prosthetics (O&P), our latest episode offers an enlightening and deeply personal perspective. Join our guest, Seth O'Brien, Vice President of Wheeler Orthotics and Prosthetics, as he takes us through his transformative journey from dealing with cancer and amputation to becoming an impassioned advocate and practitioner in the O&P industry. Seth's story is not just a testament to resilience, but also a call to challenge norms and push boundaries in the pursuit of optimal patient outcomes.

Wrapping up, we discuss critical aspects of patient care in the O&P industry. Seth steers the conversation beyond the limiting mindset of "you just have to get used to it" to focus on creating optimal outcomes for patients. We touch on the principles of socket stabilization, suspension, and interface, and emphasize the role of empathy in improving patient experiences. We also spotlight the invaluable work of the American Academy of Orthotists and Prosthetists in advancing the industry and patient care. So, tune in for a healthy dose of inspiration, personal storytelling, and key industry insights.

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Have you ever wondered about the journey taken by those who work in the field of prosthetics and orthotics? Claire Kilpatrick, a prosthetist and orthotist with a background in engineering, takes us on an inspiring trip of her career. From her pivot away from product management to finding her calling in prosthetics and orthotics, Claire's narrative is a testament to the power of unexpected discoveries and life-changing decisions. She also opens up about her innovative approach of combining traditional fabrication with additive manufacturing to provide the best possible care for her patients.

Claire doesn't stop at technical expertise. Her practice thrives on an essential ingredient – compassion. As she interacts with her patients, Claire uses empathy as her compass, guiding her to understand their distinct needs. In the second chapter of our discussion, we delve into the importance of physical and emotional wellness in patient care, as well as the benefits of a rotation-based residency program. Claire offers unique insights and valuable advice from her personal experience, making this a must-listen for any healthcare professional or aspiring clinician.

As we wrap up, Claire takes us to the front lines of medical technology. She highlights her experiences with additive manufacturing and its transformative impact on patient care. Not only has it allowed her to produce better products, but it's also paved the way for her to create custom solutions for her clients. The future of prosthetic design, as Claire sees it, is boundless. From the utilization of CAD design to the advent of direct fit systems, this episode provides a compelling glimpse into the future of prosthetics and orthotics. Dive in and get inspired by Claire's journey and vision.

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We have an industry insider, Henrik Lundell from Prototal, enlightening us on the nuances of Design for Additive Manufacturing (DFAM) and contract manufacturing. We navigate the maze of various materials used, each with its unique advantages in terms of size, tolerances, surfaces, and air tightness.  We delve into a detailed analysis of PA11 and PA12 materials, discussing their uniqueness, the challenges, and opportunities they offer in additive manufacturing.

Brought to you by The Indiana Institute for Prosthetics and One Source.

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Unveil the ingenuity that powers Point Designs as we sit down with the mastermind behind it all, Levin Sliker. Expect a profound journey that interweaves technology and humanity, as we explore how Point Designs is creating a significant impact in the lives of partial hand amputees. Levin sheds light on the process, challenges, and victories of using metal 3D printing, thermoplastic 3D printing, digital design, and automation to breathe life into his product.

We dive into the world of prosthetics and orthotics innovation, taking a closer look at the complexities involved in developing full finger prostheses and thumb devices. Feel the passion driving the team, as Levin shares the motivation behind their relentless focus on this underserved community. 

Lastly, we dissect the financial aspect of this venture. Levin provides valuable insights into the nuances of metal additive manufacturing, including cost considerations and the intricacies of working with metal. He also shares the challenges he faced and how he overcame them. This conversation is a testament to the transformative power of technology on personal growth and the broader society. 

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Ever stop and think about the power of children's literature? How it can help shape the attitudes and perceptions of little minds, fostering a more inclusive world? Well, that's exactly what our guest for this episode, Hillary Sussman, a physical therapist and accomplished children's book author, has successfully done. Through the endearing tales of Roxy, a lovable pup with a prosthetic leg, Hillary has made incredible strides in educating kids about differences, disability inclusion, and the importance of being an upstander.

For everyone who's ever had a story to tell and considered self-publishing, this episode is a must-listen. Hillary generously shares her author journey, the challenges and joy of self-publishing, and the gratifying impact her books have had. Her stories of interactive reading sessions in schools, the conversations centered on differences that her books have sparked amongst children of varying ages, are both enlightening and heartwarming. She also discusses her work with hospitals and clinics, making her books and activities accessible in waiting rooms and offering comfort to little patients through her adorable stuffed Roxy toy.

The latter part of our chat revolves around the role of empathy in the fields of physical therapy and prosthetics. Hillary provides valuable insights on how clinicians can offer the best care by simply taking the time to listen and ask the right questions.  So, plug in your headphones, get comfy and join us in this enriching conversation with Hillary Sussman, as we navigate through the fascinating crossroads of physical therapy, children's literature, and disability advocacy.

This episode was brought to you by:

Indiana Institue for Prosthetics
One Source

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Ready to meet Tony Gutierrez, National Clincal Specialist at Bionic Prosthetic and Orthotic Group, and embark on a fascinating journey through the world of prosthetics and orthotics? Good, because we've got a seat saved just for you! Tony navigates us through his unique journey and introduces us to Bionic's platform - One Source. This innovative platform is the cornerstone of Bionic's approach to streamlining electronic medical records, fabrication, and billing insurance for prosthetic devices.

But it's not all smooth sailing in this industry. Ever heard of Medicare RAC Audits? These audits have thrown a curveball into the world of medical documentation, and the impact on the industry has been significant. Tony peels back the layers of this challenge, putting into perspective the financial implications for small practices. Plus, he shares how Bionic One Source has been instrumental in keeping these practices afloat.

Now, let's talk revolution. Bionic's One Source platform is doing just that, revolutionizing patient care efficiency and profitability. Imagine being able to see more patients in a day, drastically reduce time spent on medical documentation, and streamline authorization processes for complex prostheses. Well, you don't have to imagine because this is the reality for practitioners using One Source. Hear how this platform is changing the game, enhancing workflow, and even improving the work-life balance for practitioners.

Check out One Source.

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What if you could glimpse into the fascinating intersection of technology and healthcare? That's exactly what we're offering in our conversation with Tara Nicoll, the Head of Business Development and IP manager for Mecuris. Tara's unique journey taking her skills with intellectual property to the O&P industry is a testament to how diverse skills can be woven together to create innovative solutions. With her expertise, Mecuris has developed a web-based software for the Prosthetics and Orthotics field.

Understanding the protection of intellectual property is a crucial part of modern entrepreneurship. Tara shares her insights on the significance of patents, the role of attorneys, and the art of documenting ideas to safeguard inventor rights. We navigate through the complexities of patent protection and highlight the importance of clear communication in this process. Tara brings her experience to the fore to break down the topic into comprehensible nuggets for listeners.

In the final part of our discussion, we delve into the digital revolution within the field of Prosthetics and Orthotics. Tara offers a view of regional differences in the adoption of digital solutions, revealing the varying attitudes towards O&P across Europe. She also shares her experiences on the international stage, from showcasing at AOPA to witnessing the rapid development of digital solutions at OT World 2022.

This is a great episode and is brought to you by Matt Habecker and The Indiana Institute for Prosthetics.

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Brian Emling, a prosthetist and orthotist at Children's Healthcare of Atlanta guides us through his journey into the O & P field.

Harnessing the power of 3D printing, Brian shares how using these technologies to improve the care of children in hospitals. We delve into the world of handheld optical scanners and discuss the nuances of 3D scanning and device design, along with the importance of considering the patient's future needs. Replete with insights on how to design 3D printed devices for children, Brian's expertise is invaluable, and you will find a takeaway in this episode.

Also enjoy the "Hot Take" from Joris as well.

This season is brought to you by Advanced 3D and Gespodo.

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Imagine a future where orthotists and prosthetists are needed for the world of wearables, bikes, adaptive equipment, golf equipment, vehicle modifications, and anything else that increases any human comfort or independence. This is the world we’re stepping into on today’s episode. We’ll be discussing the theoretical opportunities in this field, such as automated fabrication of devices, and how prosthetists could essentially become a hub for mass customization, providing unique solutions for literally anyone that needs a personalized solution. 

We’ll also be having an in-depth conversation on the potential of custom assistive devices. From PlayStation controllers to custom bicycles, we'll discuss how these innovations can drastically improve the quality of life for those needing something fit to the body in a unique way.

And lastly, we’re going to take a look at the large-scale impact of integrated healthcare and how it can tackle societal issues such as obesity. We're excited to explore the potential of custom-made devices to enhance the mobility of the disabled and the elderly, and how we can use mass customization to develop ergonomic solutions for homes. Stay tuned as we also discuss the benefits of implementing a more unconventional business approach, like creating repair labs, and the myriad of new business opportunities that could arise from this. 

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Join us as we venture into the awe-inspiring realm of prosthetics with our guest Jason Bender. As a certified prosthetist and designer, Jason has been a pioneer in integrating 3D printing into the design and production of prosthetic devices. His initiatives l are making high-level prostheses more accessible and affordable.

Jason's unique journey includes teaching local prosthetists to provide prostheses for landmine victims. His encounters with varying cultures and environments have offered him unparalleled challenges and opportunities, shaping his approach to how to effectively fabricate and fit prostheses while staying clinically relevant.

Special thanks to Advanced 3D and Gespodo for sponsoring this season.

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Ever think about the complexities of creating a robotic hand? How about the balance between speed, weight, and durability? Well, you're about to. We sit down with our guest, Bartosz Rajewski, who introduces us to his creation, the V Bionic and the Tolka Hand. This hand isn't just a marvel of technology, it's a testament to the creativity and determination needed when navigating the intricate world of prosthetics and orthotics.

From the development of 3D printed prosthetic gloves to the exploration of remote delivery of prosthetic products, we cast a wide net over the vast potential of this industry. Bart's journey is not just about the creation of a device; it's about the adaptation of technology to meet the unique needs of each individual user. It's about the empowerment that comes with accessibility and the impact that can have on a person's life.

Yet, every rose has its thorn. We take a hard look at the challenges facing this industry. The struggle of sharing hard-earned knowledge, the uphill battle to educate others in the field, and the difficulties of being a pioneer in a rapidly evolving landscape. But as we discuss these obstacles, we also celebrate the incredible opportunities they present for growth, discovery, and innovation in the field of prosthetics and orthotics. So, pull up a chair, tune in, and prepare to be amazed at the intersection of technology and healthcare.Bartosz Rajewski is here, and he's pulling back the curtain on the future of prosthetics and orthotics. Buckle up.

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Welcome to a groundbreaking exploration of the world of prosthetics and orthotics. What if you could witness the future of personalized healthcare and 3D printing, causing a seismic shift in the industry? That's exactly what this episode is about: a revolution in the design, production, and delivery of prosthetic and orthotic devices. Our guest for this transformative journey is Katie Leatherwood, an ABC certified prosthetist and orthotist making waves in Latvia. Katie's involvement with O & P and her experience with the impact of prosthetics on lives will inspire and move you.

In the second half of our episode, we underscore the paramount importance of follow-up care in the realm of prosthetics and orthotics. By dissecting various nonprofit models for humanitarian aid, we stress on the crucial need for sustainability and comprehensive long-term care. As we delve further into the advantages of 3D printing, the concluding segment promises a peek into the future. 

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Ever wondered how 3D printing and personalized healthcare are turning the world of prosthetics and orthotics on its head? Brace yourself as we embark on an exciting journey into the world of 3D printing in healthcare, dissecting its impact on the prosthetics and orthotics industry. From understanding the clinician's perspective to the nitty-gritty of 3D scanning for prosthetics and orthotics, we crack it all open.

This episode takes a deep dive into how 3D printing is becoming an essential tool for clinicians. We address the challenges they face and how mentors, coaches, and digital workflows can streamline their work. We'll explore the benefits of starting small, gradually gaining experience, and the importance of having a mentor or coach to guide you. As we navigate through this complex technology, we dissect different types of scanners available, their limitations, and the role of free and paid tools to aid in the process. 

Finally, we take a hard look at the investment side of 3D printing in prosthetics. We discuss the intriguing world of 3D printing machines, from the modest $200 ones to the high-end machines costing $30-50,000. We talk about the market opportunity for sub $10,000 machines and the viability of a $500 machine in the world of prosthetics and orthotics. Throughout the episode, we emphasize the importance of gaining experience, starting small, and the invaluable guidance a mentor or coach can provide before taking that leap of faith into a larger machine. Strap in for a thrilling ride into the future of healthcare!

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What if advancements in personalized healthcare and 3D printing could revolutionize the prosthetics and orthotics industry? Join us as we sit down with our Faizal Hamdoon, who shares his incredible journey of overcoming 14 surgeries and two amputations, while maintaining an active lifestyle and motivating those around him. With the help of our very own Brent Wright and Advanced 3D, Faizal has been able to find the perfect prosthesis, making his life just a little bit easier.

Throughout the episode, we explore the emotional and mental obstacles Faizal faced during his journey, highlighting the crucial role of family and friends in providing support. We also delve into the challenges Faizal encountered when looking for a job, and how he's become an advocate for a more cosmetic prosthesis. Discover how Brent and new design technologies have allowed Faizal to strike a balance between function and fashion, ensuring he can lead an active life while looking great.

Navigating insurance companies and the healthcare system can be a daunting task for anyone, but it's especially challenging for those seeking an active leg prosthesis. Listen in as Faizal shares his personal experience of involving his employer to advocate for him when dealing with insurance companies. We also discuss the importance of legislation in providing access to active prostheses, as well as the current state of lobbying for prosthetics and orthotics. Don't miss this opportunity to learn from Faizal's incredible story and gain insight into the world of prosthetics and orthotics!

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Join us on this  episode as we sit down with Jimmy Capra,  CEO of Click Medical. In this conversation, we delve into the world of adjustable prosthetic sockets and how they are revolutionizing the lives of amputees around the globe.

Jimmy Capra sheds light on the challenges faced by amputees when it comes to traditional prosthetic sockets. He explains how these sockets often require multiple fittings and adjustments, leading to discomfort, restricted mobility, and a lack of customization to meet individual needs. 

Discover the advancements Click Medical has made in designing the mechanisms for adjustable sockets that provide a perfect fit, exceptional comfort, and enhanced mobility. Jimmy shares how these adjustable reels allow for precise adjustments, catering to the unique needs and anatomical changes of each patient. With their user-friendly mechanisms, adjustable sockets are transforming the prosthetic industry and empowering amputees to live more fulfilling lives.

Whether you're a healthcare professional, a prosthetic user, or simply curious about the latest advancements in the field, this episode offers valuable insights into the reality of adjustable prosthetic sockets.

This episode is brought to you by Advanced 3D and Gespodo.

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Today, we have a special guest joining us on the podcast. Please join me in welcoming Alan Finnieston, an engineer,  clinician and pioneer in the field of orthotics and prosthetics.

Throughout his career Alan has been at the forefront of incorporating digital scanning, computer-aided design (CAD), and 3D printing techniques into the creation of orthotic and prosthetic devices. By harnessing the power of these cutting-edge tools, he has been able to enhance precision, customization, and overall patient satisfaction.

During our podcast episode, Alan will share his journey of embracing digital technology and the transformative impact it has had on his practice. Listeners will have the opportunity to learn about the various digital tools he employs, such as advanced 3D scanners that capture detailed measurements of patient anatomy. He will explain how these digital scans are seamlessly integrated into CAD software, allowing for precise and personalized orthotic and prosthetic designs.

We also dive heavily into socket design and alignment.

Special Thanks to our sponsors Advanced 3D and Gespodo.

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Join us in this episode of "as we delve into the  world of upper extremity prosthetics with our guest, Matthew Mikosz . As a leading expert in the field, Matt has dedicated his career to pushing the boundaries of innovation and transforming lives through creating solutions for partial hand amputees.

W explore the intricacies of upper extremity prosthetics, examining the remarkable advancements that have been made to enhance the quality of life for individuals with limb loss.  Matt shares his insights into the latest breakthroughs in prosthetic design, functionality, and the impact these advancements have on the physical and emotional well-being of amputees.

We discuss the importance of personalized prosthetic solutions, as Matt reveals the secret to understanding each individual's unique needs, abilities, and aspirations. From the restoration of grip strength and dexterity to the restoration of proprioception and tactile sensation, Matt highlights the multidimensional aspects of upper extremity prosthetics and how they strive to create devices that seamlessly integrate with the user's body and lifestyle.

Whether you're a healthcare professional, a prosthetics enthusiast, or simply intrigued by the power of technology to change lives, this episode will provide insight into the world of upper extremity prosthetics and of course additive manufacturing.

Special thanks to our sponsors Advanced 3D and Gespodo.

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Welcome to the 50th episode of the Orthotics and Prosthetics Podcast! In this milestone episode, we have a very special guest joining us: Dr. David Boone, a true pioneer in the field of digitization  for prosthetics and orthotics.

Dr. Boone is renowned as one of the original experts in digitization specifically for O & P, and what sets him apart is his unique background and the fact that he also holds a PhD in prosthetics and orthotics as well as biomechanics from the prestigious Hong Kong Polytechnic University.

With over 40 journal articles to his name and 13 different issued patents, Dr. Boone's expertise and contributions to the field are truly remarkable. One of his achievements includes his involvement in the commercialization of CAD/CAM for O&P through a company called ShapeMaker.

What truly distinguishes Dr. Boone is his collaborative spirit and his dedication to elevating the entire field of O&P.  Despite his extensive achievements, he remains focused on encouraging and empowering others in the industry to reach new heights. It's not just about his impressive resume; it's about his commitment to helping everyone improve.

Tune in to this episode as we learn from Dr. David Boone and uncover his insights, experiences, and valuable advice for professionals in the orthotics and prosthetics community. Don't miss out on this opportunity to be inspired and uplifted by one of the field's most influential clinicians!

This season is brought to you by Advanced 3D and Gespodo.

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Welcome to Season 5 of The Prosthetics and Orthotics Podcast, where we explore the latest advancements and trends in the world O &P.  In the first episode of season 5,  we are joined by a remarkable guest, Ahmad Najwa, a Digital Specialist  from Kenney Orthopedics. Ahmad takes us on an incredible journey, sharing his move from traditional fabrication techniques to becoming a digital specialist who harnesses the power of 3D printing on a daily basis.

During this episode, Ahmad provides insights into the impact of 3D printing in the field of orthotics and prosthetics. Drawing from his experience, he discusses how this  technology has transformed the way custom devices are designed, fabricated, and fitted for individuals with limb differences.

Ahmad reveals the advantages and possibilities that 3D printing brings to the table, from enhanced customization and rapid prototyping to improved patient outcomes and increased accessibility. 

Furthermore, our guest explores the challenges and opportunities that arise when integrating 3D printing into orthotics and prosthetics practices. He discusses the training and skillsets required for practitioners to effectively leverage this technology, as well as the evolving role of digital specialists in the field.

Whether you're a healthcare professional, a prosthetics and orthotics enthusiast, or simply curious about the potential of 3D printing in the industry, this episode is a must-listen. Ahmad Najwa's expertise and personal journey offer a unique perspective on the intersection of innovation, technology, and compassionate patient care.

Make sure to subscribe to our podcast on your preferred platform, and don't miss out on this season 5 opener of The Prosthetics and Orthotics Podcast!

Two new sponsors for this season include Advanced 3D and Gespodo.

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Welcome to this  episode of our podcast, where we're thrilled to introduce Jenn Rosati, the clinical operations and research manager at Kenney Orthopedics. Jenn's journey in the field of orthotics and prosthetics is an inspiring one, and what sets her apart is her early adoption of digital technology. Jenn's vision for the future of digital technology in the field of prosthetics and orthotics is remarkable.

Jenn's role at Kenny Orthopedics involves managing 19 clinics and she has the task of integrating digital technology with different personalities, clinicians, and individuals on different paths, all while managing many other aspects of the business.

You do not want to miss this episode.  There is something for everyone in it and it should inspire you to get off the fence if you have been considering digital technology.

This episode is brought to you by Filament Innovations.

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We had the pleasure of hosting Stefan Purington, Global Head of Sales and Marketing at Comb O&P, a company that specializes in 3D Scanning for Orthotics and Prosthetics.

Stefan shares his fascinating journey into the world of orthotics and prosthetics, and how his passion for helping people with physical disabilities led him to the forefront of the field. He explains how Comb O&P's cutting-edge 3D scanning technology is revolutionizing the way orthotics and prosthetics are created and fitted, and how this technology is changing the lives of people globally.

Stefan also talks about how Comb O&P's algorithms and development sets them apart from other scanning companies in the industry and on the app store. He shares insights into the company's unique approach to customer service and how they strive to exceed expectations at every turn.

If you're interested in learning more about the latest developments in 3D scanning for orthotics and prosthetics, and how Comb O&P is leading the way in this field, then you won't want to miss this episode.

This episode is sponsored by Filament Innovations, makers of high flow printers for the O & P market.

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In this episode, we are joined by Rick Noel from PVA Med, a company that specializes in creating innovative solutions for the orthotic and prosthetic industry. Rick shares his journey into the field and how PVA Med is working to make the transition to digital manufacturing easier for prosthetists.

PVA Med offers a range of products, including carvers, 3D printers, and software, all designed to enhance the manufacturing process and improve patient outcomes. Rick discusses the benefits of using digital manufacturing in the prosthetics and orthotics industry, including increased precision, faster turnaround times, and improved patient satisfaction.

Throughout the episode, Rick shares insights into the challenges facing prosthetists and the importance of innovation in the industry. He also discusses PVA Med's commitment to supporting prosthetists in adopting digital manufacturing and how their products can help improve efficiency and reduce costs.

Whether you're a seasoned clinician or just starting in the field, this episode is a must-listen for anyone interested in the latest advancements in prosthetics and orthotics manufacturing.

This episode is brought to you by Filament Innovations.

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This episode features John McGuigan, a technician and Certified Fitter for Coyote Prosthetics and Orthotics, he shares his journey into the field and his expertise as the "3D guy" for Coyote. McGuigan discusses the process of getting started in printing and shares his experience with various printing mediums. He also touches on the benefits of 3D printing in prosthetics and orthotics, including the ability to customize devices for individual patients. McGuigan's insights provide valuable information for those interested in the field and those looking to incorporate 3D printing into their practice.

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In this podcast, we have Tres Wright, from Xtremity, who shares his journey into the field of prosthetics and orthotics. He talks about his experience of working with patients and observing the limitations of traditional prosthetic sockets, which inspired him to develop a new solution.

Tres introduces Xtremity Thermoformable Sockets, a technology that enables clinicians to create custom prosthetic sockets in just one day. He explains how this technology works and the benefits it offers to both patients and clinicians.

Tres discusses the challenges he faced while developing this technology, including the need to create a material that was both strong and flexible. He also talks about the importance of collaboration with other professionals in the field in order to create a truly effective solution.

Finally, Tres shares his vision for the future of prosthetics and how Xtremity Sockets can make a difference in the lives of people who need prosthetic limbs. He believes that this technology has the potential to transform the industry and enable more people to regain their mobility and independence.

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In today's episode, we are honored to have Bradley Veatch, a Professional Engineer and the owner of Toughware Prosthetics, as our guest. Toughware Prosthetics is a company that specializes in designing relevant functional components for upper extremity amputees.

Key Points:

1. Bradley Veatch's Background: We kick off the episode by delving into Bradley's journey in the prosthetics industry, his passion for engineering, and what inspired him to start Toughware Prosthetics.
2. Toughware Prosthetics' Mission: Bradley discusses the core mission of his company, which is to improve the lives of amputees by creating innovative, durable, and user-friendly prosthetic components.
3. Advances in Upper Extremity Prosthetics: Bradley shares the latest advancements in upper extremity prosthetics, touching on the integration of robotics, and improved materials to provide better functionality and comfort to users.
4. Challenges and Limitations: We discuss some of the challenges and limitations that still exist in the field of upper extremity prosthetics as well as in the developing world and how Toughware Prosthetics is working to overcome them.
5. Personal Stories and Impact: We hear about the real-life impact of                  Toughware  Prosthetics' designs on amputees' lives. Bradley shares heartwarming stories of regained independence and resilience, showcasing the power of innovative prosthetic technology.

www.toughwareprx.com

Todays Episode is Sponsored by Filament Innovations.

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In today's episode, we have a special guest, Douglas Young, who owns Baxter Young Orthotics, a private practice that specializes in innovative orthotic care.

Douglas is also working with Crispin Orthotics, a leading expert in 3D printing. Douglas shares his journey of how he got into the field of prosthetics and orthotics, and what drives his passion for helping people.

He also sheds light on the current landscape of the NHS and how it affects the prosthetics and orthotics industry. Additionally, he talks about the relevance of additive manufacturing in prosthetics and orthotics and how it is changing the way we approach patient care.

He also hosts a podcast call the Baxter Young Orthotics Podcast and can be found at, ‎Baxter Young Orthotics Podcast on Apple Podcasts.

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Welcome to this week's episode of the Orthotics and Prosthetics podcast! Today, we have a very special guest, Jan Nielsen, who will share his unique journey into the orthotic and prosthetic field from a completely different perspective. Jan is an experienced clinician from Denmark who has a deep understanding of patient care in his country and how the system works. With his passion for patient care, leadership, and moving forward with technology, Jan is a true visionary in the field. In this episode, Jan will go into the nuances of patient care in Denmark and share how he always chooses what is best for his patients, including the use of FES, Dynamic Strut AFOs, and hybrid manufacturing with Prepreg. He'll also discuss how additive manufacturing has changed how his company practices. So, sit back and enjoy this insightful conversation with Jan Nielsen.

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Welcome to today's episode of our podcast! We're thrilled to have Dr. Chad Duncan, the Chair and Program Director of the Orthotics and Prosthetics program at Salus University, join us. Dr. Duncan will not only share his journey into O&P but also his views on education and its role in shaping the future of the field.

In this episode, we'll delve into what makes the Salus program unique, the challenges of creating a new education model, and the importance of additive manufacturing. Whether you're just starting out in your professional journey or an experienced practitioner, Dr. Duncan's insights will provide valuable knowledge and inspiration.

So, sit back, relax, and enjoy the conversation as we explore the exciting world of O&P and the vital role of education in shaping its future.

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This episode features Matt Perkins CEO of Coyote Prosthetics and Orthotics.  Matt takes us on his journey as an accomplished athlete, entrepreneur, and amputee.  He shares how important it is to have an outlet in sports and the community around it.  He also talks about how Coyote approaches what products they design and distribute. Lastly, he talks about how he sees additive manufacturing is changing how rapid prototyping is accomplished along with potential for true manufacturing as pricing becomes more competitive.

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Welcome to this episode of our podcast featuring Riley Beenders, the Lead Electro-Mechanical Engineer and Designer for Filament Innovations. Riley's work in the 3D printing and prosthetic and orthotic industries has been groundbreaking and life-changing.

In this episode, we'll dive into the nitty-gritty of Riley's work and learn about what high flow means and why it's such a big deal. We'll also chat about the weight of extruders and hotends and how to balance that with a linear drive mechanism - it's pretty technical stuff, but we'll break it down for you.

What's really cool is that Riley is using his engineering skills to create tools that make a huge difference in the lives of patients. We'll talk about the challenges of creating medium-large format printers and the hard work that goes into finding innovative solutions.

Come along for an entertaining and educational episode as we delve into the world of 3D printing and prosthetics with one of the brightest minds in the industry!

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What a way to close out Season 3 with Chris Robinson.  This episode is full of take aways.  Chris shares his journey into the field of O & P as well as his stops along the way as a technician, clinician, software engineer, and researcher.  He is a big believer in giving back to the community and the young generation of clinicians.

If you are a student, engineer, clinician, owner, or software provider there is something for you in this episode.

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Joe shares his journey into the field of orthotics and prosthetics.  At just 12 years old he was involved in motocross accident that ended up taking his leg below the knee.  He has seen the good, bad, and ugly of prosthetic care and its evolution.  He became a clinician and now has developed  a socket system call the Quattro that is changing people's lives around the world.

He now is using additive manufacturing to realize the dream of his to create the sockets at scale.  There is something in this episode for everyone from engineers to clinicians and business owners.

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Brook Drumm is a legend in the FDM world. He is the founder and CEO of Printrbot, a company that designs and manufactures 3D printers.  He started the company in 2011 with the goal of making 3D printing more accessible and affordable for everyone.  He is a self-taught engineer and has been involved in the 3D printing community for many years.  Drumm is also a sought-after speaker, thought leader and educator in the industry, known for his passion for bringing 3D printing to the masses and promoting its potential for innovation and creativity.  He also has a soft spot for prosthetics and shares a little history with how he got involved in the field of O & P. 

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Niles Leonard is passionate about Orthotics and Prosthetics.  His journey is unique in that he chose a path to help our industry via tools and safety rather than going to school to be a clinician.

We talk about how tools result in better products and then better patient outcomes. Niles also is very passionate about keeping a safe working environment.

If you are a clinician, owner, student, engineer, or a hands on person this episode is for you.

www.leonardindustries.com

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Joris and I enjoyed talking with Aadeel Akhtar, Ph.D. about his company PSYONIC. We learned about how he values additive manufacturing as he scales up the PSYONIC production hand.  He also shares the importance of the prosthetic socket in creating the prosthetic arm. Lastly, he shares why he took the path of Start Engine for a fund-raising mechanism. 

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Dr. Gerald Stark shares his journey into orthotics and prosthetics from the Mechanical Engineering world as well as a myriad of other topics.  We talk about mental health, patient health, 3D printing and some history.

Gerry also shares a hilarious story about how 3D printing found an inconsistency in a medical device his company was making.

This episode is rich with nuggets of wisdom.

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Joris and I reflect on the key takeaways from 2022. We also look forward to continuing in 2023 with feedback from our guests and listeners. Lastly, we are grateful for those that listened, gave of their time to share insights, and those that left encouraging notes.

This is a packed episode!  We talk about software, scanning, investment, consolidation, contract manufacturers, insurance, and business development.

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Paul Macy possesses a unique skill set.  He not only is a prosthetist and orthotist but is also a mechanical engineer.  He does an amazing job combining the super detail along with the organic art that is needed in creating a prosthesis or orthosis.  He practices in such a way that there is centralized design and decentralized production and has found great success in that model.

This episode is for you if you are a clinician, owner, or engineer looking for how to get moving in the digital space.

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Jackie Bailey takes us on her journey into O & P as well as how she now incorporated 3D printing into her practice.  If you are looking at getting into 3D printing or are looking to streamline your process this episode is for you.  As an early adopter of 3D printing, Jackie shares the good, bad, and not so good pitfalls of the technology.

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Joris and I have a lively discussion around this acquisition. Sometimes we go down some rabbit trails, but it is fun.

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Should Digital Literacy be front and center in the next frontier for prosthetic and orthotic design?  Arthur Hobden shares with Joris Peels and Brent Wright his case for why it is so important.  With the heart of a teacher, Arthur implores all clinicians to at least become educated around the idea of digital design.  As an industrial designer he seeks out to teach the steps to create and make elegant functional devices with agnostic cost-effective software. If you are a clinician or an owner this episode is for you.  If you are a contract manufacturer you need to listen to this episode.  If you are a provider of software, it may be helpful information on how to serve are field in a constructive way. 

O+P Digital Workflows - Fusion 360 Beginners Course (oandpdigitaldesigner.com)

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Do not miss this episode with Jenny Chen, MD who loves to educate, connect, and discover who is using 3D technology in the healthcare innovation space.  Dr. Chen drops many nuggets of wisdom around what makes a successful investment and what she looks for in her investment vehicle Pitch 3D.  She also talks about how important the medical professional is in the main equation for true change with technology in the healthcare space

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Tyler Sugg grew up around orthotics and prosthetics; however, he did not see himself as a clinician. Working at the family shop meant having a job and making a few dollars while in high school and college. Tyler graduated from East Carolina University with a degree in Psychology and then completed his master's in Hispanic Studies shortly after. As fate would have it, he loved 3D printing and design specifically for cosplay, and Eastpoint Prosthetics and Orthotics was dipping their toes into printing. What started off as "I will give it a go" now is a full-time passion for Tyler. He is one of the most creative designers in the nation and the world. He is a wizard in Fusion 360, Meshmixer, and Oqton Freeform.

If you think you need a degree in O & P to make a difference in the field, this podcast is for you. If you are a clinician looking to get started with 3D printing, Tyler drops plenty of nuggets around scanning, machines, and software.

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Bryan Craft wakes up every day knowing that the Spentys technology makes a difference in patients' lives.  Bryan shares his journey into the orthotic and prosthetic space as well as how he got involved with Spentys.  He gives us a peek into what is on the roadmap for Spentys and also shares his enthusiasm on how the technology enables clinicians to have a digital workflow with little to no CAD background.

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If you are a prosthetist that is looking for volunteer opportunities this podcast is for you.  Joris and Brent dive into why you may want to be a volunteer but also dive into the difficulties of providing prostheses in places where you have to get creative with tools and components because you don't have a choice.

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For Richard Blalock running is a way of life and through a myriad of circumstances he was not able to run pain and blister free in his traditionally fabricated prosthesis.  Richard shares his journey on not only finding his prosthetist Shane Grubbs at Procare in Atlanta but also how he found 3D printing.  If you are a prosthetist with athletic patients you definitely want to listen to this podcast.  If you are an amputee this may be great information for you to take back to your prosthetist.

Richard shares his story on how he chose to have an elected amputation.  We dive deep into the design of the prosthesis along with materials used with MultiJet Fusion Technology.

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Paris Butterfield shares his orthotic journey as a patient with a diagnosis of CMT.  Joris and I believe his story will not only help clinicians think about indications and contraindication of 3D printing but will also help patients find an orthotist that is willing to try new things.  Paris shares the good and the bad of working with traditional manufacturing and 3D printing.  There is no sugar coating the failures as well as iterative designing that occured to get him to the place he is now.  Whether you are a clinician or a patient this episode is for you!

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This is an amazing episode.  Hear how Ben Ryan has used his creativity to help his son Sol gain independence using a prosthesis.  Ben shares with us a parent perspective of navigating "the system" to get Sol care as well as the lengths he went to creating a potentially new paradigm in pediatric upper extremity care.

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Jonathan Naft is the Founder and President of Geauga Rehabilitation Engineering , the Vice President, General Manager, at Myomo and Founder of Comb O & P. He is a graduate of The Ohio State University College Of Engineering and Northwestern University’s Prosthetic-Orthotic Center.

Jonathan takes us on journey of how the orthotic and prosthetic field found him along with how he views solving unique challenges.  He also is a big believer in collaboration, even to the point of inviting companies to showcase their offerings during his presentations or at his booth.

We talk about scanning,  contract manufacturing, skillset for clinician, digital design and more.

With over 30 years of innovative experience in the field what Jonathan has to offer is perspective.  He appreciates the past but is excited about what the future holds.  If you are on the fence about 3D printing or question how it could work for you, check out this episode.

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In this episode Joris Peels and Brent Wright share how they approach a trade show.  We touch on a myriad of topics on how to tell the players from the pretenders as well as how to get the most information possible so you can make a decision of your next steps.  Joris also talks about making friends for life and how creating relationships also helps deepen your overall network.

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Prostheses for barn animals is a niche of a niche for sure.  Josh shares his journey of getting into the field as well as how he cares for barn animals.  This episode is great because you get to hear how ideas come to life as part of a team specialists.  Joris Peels and Brent Wright explore how important good clinical care is as well as how additive manufacturing is changing how prostheses are made for animals.  If you are just getting started or have been in the field for a while this episode is a must listen.

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Derick Schmidt takes us on his journey starting up in additive manufacturing.  He has founded Limb and Lattice for helping train clinician getting started in 3D printing.  He brings a unique perspective that pushes the boundary of how cost effective it is to get started.  If you are a clinician looking to get started in 3D printing you do not want to miss this one.

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It is all over the news!  Hanger is going private and Ossur buys Naked Prosthetics.  We dive into what this could mean for O & P.  Let us know what you think!

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The details matter.  Ashlie White takes us on a journey of how she started in Orthotics and Prosthetics as well as how she advocates for the orthotic and prosthetic profession.  Ashlie know not only the business side of O & P but also the political and insurance side of the field.  Ashlie's work has created awareness around our field and also helps on a granular level make sure that patient outcomes stay in the forefront of what we do.  This podcast is a must listen!

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Joris Peels and Brent Wright talk with Jeff about some of the history of printing in orthotics and prosthetics.  Jeff shares some insight into what he is doing with Operation Namaste along with how he has helped create solutions for Paralympic athletes.  Jeff provides a great deal of context around where digital work flow has been and where it is going.  

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Joris Peels and Brent Wright interview Dennis Richards, Certified Orthotist and owner of 3D Stability.  Dennis is revolutionizing the way orthoses are made via design and 3D printing.  He takes us on his journey on how he got in the field and what made him pivot into additive manufacturing.  He has heavily invested in HP Multi Jet Fusion and vapor smoothing technology. Dennis is a one clinician office but additive manufacturing has allowed him to leverage the technology to be the most efficient he can be.

In this episode you will glean some wisdom on how to get started in 3D printing as well as get a sense of the small tribe of clinicians pushing the field to the next level.

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This was a great interview.  Not only to you get insight into Drew's journey but also you can gain insight on real life experience of a one clinician office and how to adopt additive manufacturing. Drew gives quite a few pieces of wisdom on how and where to start.

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Interested in high flow 3D printing? Joris Peels and Brent Wright interview Michael Gorski with Filament Innovations.  Michael shares his story on how he got into 3D printing and how he found orthotics and prosthetics.  You do not want to miss this episode if you are interested in 3D printing.

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Joris Peels and Brent Wright explore with Nick Rhoad about the field of Orthotics and Prosthetics from a patient perspective.  Nick Rhoad shares his journey as an amputee and how he found out about 3D printing. Nick is a very active and needs his prosthesis to be there for him no matter what.  He also is a user of HP Multijet Fusion technology and he is an advocate now for the PA12 sockets and the comfort they bring.  

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Listen in as Joris Peels and Brent Wright interview Matthew Habecker.  Matthew shares his journey of how he got into the field and what was the tipping point for him to start dipping his toes into additive manufacturing.  Hear straight from Matthew what the patient outcome was for his first definitive socket. There are a lot of nuggets tucked in this episode.

Editors note: Brent Wright did Co-found Additive America however he is no longer with the company.

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Buckle your seat belts.  In this episode Chris takes us on his journey on how he found the Orthotic and Prosthetics field and what he sees in the future.  He speaks to moving into the digital realm even as a skilled traditional fabricator.  He shares his passion not only for the field but also for positive patient outcomes, You don't want to miss this episode, it is packed with information and nuggets of wisdom

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An inspiring episode with Sagar Shetty!  Sagar takes us on his journey into O & P and also shares some of the positives and not-so-positives of incorporating 3D printing into the practice.  If you want a lot of pearls on how to get started 3D printing in O & P don't miss this episode.  Sagar was extremely generous with information.

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This was a fun podcast!  I was in the Jungle of Guatemala, Joris was in Spain, and Cissi was in New York. On this podcast we explore the option of not only 3D printing but also carving.  Cissi takes us through how her journey as well as the history of PVA Med as well as what they are doing to encourage adoption of a digital workflow.   To know more check out.

Home - PVA Med

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