Case Submission – How it Works

There are four key stages –

1. Upload CT DICOM data via link at the top of the screen.

• Ideally review guidelines for optimisation of CT data before scanning.
• In most orthopaedic / neurosurgical cases only the bone algorithm is needed.
• You will be asked for basic information regarding patient signalment, what models or guides you require etc.
• If your case is urgent please phone us as well.

2. Initial CAD review and surgical planning

• The DICOM data is downloaded and checked, and a brief initial CAD assessment made.
• We will then contact you to verify receipt of the study and to plan progression of the case as required -
• Preliminary assessment - if your submission is to assess possibilities for guided surgery and / or other 3D-print applications, options can be reviewed via phone or e-mail, and an estimate of cost given. Generally there is no charge for this.
• Routine cases - e.g. 3D-bone print or a transcondylar screw guide, or when surgeon requirements are unchanged from prior cases, further detailed discussion and review may not be necessary. We will e-mail to confirm your specifications, and if satisfactory you can commission design/print.
• Complex cases - e.g. limb deformity corrections and vertebral guides where surgeon input is required. Surgical planning is usually done either by live CAD screen-share, or e-mailed review of CAD images of various specified surgical options - combined with discussion on the phone or via e-mail. When an appropriate plan is finalised you can commission design/print.

3. CAD design and printing

• For 3D bone prints the models are prepared in the CAD and printed; guided systems require more extensive CAD design before printing.
• Dependent on the complexity of the CAD design process, and the size of the printed bones / models, this stage may take a few days to a week or more for routine cases. Clinically urgent cases (i.e. fracture guide systems) can usually be processed overnight.

4. Guide delivery

• Due to the value of the printed items, postage in the UK will be by Special Delivery unless specified otherwise.
• Postage costs outside the UK are highly variable depending on urgency / level of insurance cover required etc. Your preferred option can be specified when design/print are commissioned. 
• Please check your items carefully on delivery and contact us immediately if there is any damage or you have any technical queries. SOPs are available on the website and will be e-mailed and/or posted for every case, and we are happy to help via phone or e-mail.