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3D Printing Design for Infants’ Medical Consumables
           inflatable cuff of BB infants only determines that BB can   measurements repeatedly  (Figure  3) . These  are
                                                                                                 [13]
           enter and seal the bronchus . Second, the longitudinal   indispensable parameters for the design of the inflatable
                                   [7]
           diameter (LD) of cuff may protect the right upper lobe   sealing cuff for BB infants only although it can be costly
           (RUL) opening without obstruction . Finally, the length   when more cases are measured. Furthermore,  the non-
                                         [8]
           of the catheter body (LCB) needs to suit the infant’s   transparent convex 3D printing model cannot reflect the
           airway anatomy . If it is too long, it is rather difficult   internal conditions of trachea and bronchus and the actual
                        [9]
           to control and if it is too short, it cannot  reach the   sealing effect of the sample cannot be verified. Hence, the
           bronchus. Therefore, how to obtain the above-mentioned   goal of this study is to apply 3D printing technology to
           measurement data are a crucial technological issue of this   design new BB for infants in a more accurate and efficient
           study (Figure 1).                                   manner.
               The strategy to measure infant’s airway
           parameters under two-dimensional (2D) CT scan
           airway reconstruction is to select the section with
           the  greatest  and clearest tracheobronchial view for
           measurement [10] . Nonetheless, this section may not
           be the perpendicular section of the airway. Due to
           the position of the infant, the measurement value
           may be too large.  At the same time, comparatively
           small measurement data, such as  TD and LD, and
           computer  software  point  measurement  are  relatively
           susceptible to manual measurement error (Figure 2) [11] .
           Similar measurement problem may also affect three-
           dimensional (3D) airway reconstruction [12] .
               The  common  non-transparent convex  3D printed
           model  can  measure  these  anatomical  data  with
           comparatively  high  accuracy  and facilitate  accurate
                                                               Figure 2. The strategy of measurement using airway CT scan on
           A            B                 C                    infants. Abbreviations: TD, transverse diameter; LD, longitudinal
                                                               diameter; LCB, length of the catheter body; RUL, right upper
                                                               lobe.

                                                               A                       B



















           Figure  1. Key points to designing bronchial blocker. (A)  The
           catheter  body of BB infants  only on trial-produced  sample.
           Abbreviation: LCB, length of the catheter body. (B) The inflatable
           cuff of BB infants only on trial-produced sample. Abbreviations:
           TD, transverse diameter; LD, longitudinal diameter; Cuff, inflatable
           cuff of BB). (C) Locations of important design parameters in a 3D
           printed airway model. Abbreviations: LCB, length of the catheter
           body; RUL, right upper lobe; G-C, distance from glottis to carina,
           LD. To match up with distance from upper margin of right upper   Figure 3. Common convex 3D printing models of airway of an
           lobe opening to carina; TD, to match up with the diameter of the   1-month-old  infant weighed 5 kg. (A) 3D printed  1:1; (B) 3D
           right main bronchus.                                printed 1:3.

           32                          International Journal of Bioprinting (2022)–Volume 8, Issue 3
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