{"id":42,"date":"2017-04-28T12:32:55","date_gmt":"2017-04-28T12:32:55","guid":{"rendered":"http:\/\/balticimplants.eu\/fr\/?page_id=42"},"modified":"2017-05-15T07:05:38","modified_gmt":"2017-05-15T05:05:38","slug":"procede-de-fabrication","status":"publish","type":"page","link":"https:\/\/balticimplants.eu\/fr\/dispositifs-medicaux\/procede-de-fabrication\/","title":{"rendered":"Proc\u00e9d\u00e9s de fabrication"},"content":{"rendered":"<style type=\"text\/css\">.wonderplugintabs-panel-inner {     text-align: justify; }<\/style><style type=\"text\/css\">#wonderplugintabs-1 > .wonderplugintabs-header-wrap { \tbox-sizing: border-box; \tdisplay: block; \tposition: relative; \tz-index: 1; \tfloat: left; }  #wonderplugintabs-1 > .wonderplugintabs-header-wrap .wonderplugintabs-header-inner-wrap { \tbox-sizing: border-box; \tdisplay: block; \theight: 100%; \toverflow: hidden;\t }  #wonderplugintabs-1 > .wonderplugintabs-header-wrap .wonderplugintabs-header-inner-wrap-arrows { \tpadding-top: 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.wonderplugintabs-header-caption:after { \tposition:absolute; \tcolor:#333; \ttop: 12px; \tright:8px; \tcontent: \"\\f107\"; \tfont-family: FontAwesome; \tfont-size: 16px; \tfont-weight:400; }  #wonderplugintabs-1 > .wonderplugintabs-header-wrap .wonderplugintabs-header-li-fullwidth.wonderplugintabs-header-li-active .wonderplugintabs-header-caption:after { \tcontent: \"\\f106\"; }<\/style><div id=\"wonderplugintabs-container-1\" style=\"max-width:100%;margin:0 auto;\"><div style=\"display:none;\" class=\"wonderplugintabs\" id=\"wonderplugintabs-1\" data-tabsid=\"1\" data-width=\"\" data-height=\"400\" data-skin=\"verticallefttabs\" data-enabletabindex=\"false\" data-keyaccess=\"false\" data-fullwidthtabs=\"false\" data-accordion=\"false\" data-accordionmultiple=\"true\" data-accordioncloseall=\"false\" data-savestatusincookie=\"false\" data-extendedheight=\"true\" data-responsive=\"true\" data-fullwidth=\"true\" data-applydisplaynonetohiddenpanel=\"true\" data-triggerresize=\"true\" 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data-skinsfoldername=\"skins\" ><div class=\"wonderplugintabs-header-wrap\"><div class=\"wonderplugintabs-header-inner-wrap\"><ul class=\"wonderplugintabs-header-ul\"><li class=\"wonderplugintabs-header-li wonderplugintabs-header-li-first\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"R\u00e9ception des donn\u00e9es\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/1-obtaining-patients-data.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">R\u00e9ception des donn\u00e9es<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Segmentation anatomique\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/2-anatomical-segmentation.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Segmentation anatomique<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Planning Pr\u00e9-chirurgical\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3-presurgical-planning.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Planning Pr\u00e9-chirurgical<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Validation par le chirurgien\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/4-surgeon-approval.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Validation par le chirurgien<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Test final par Analyse des \u00e9l\u00e9ments finis\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/5-final-fea-testing.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Test final par Analyse des \u00e9l\u00e9ments finis<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Impression 3D \/ Fraisage 5+1 axes\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/6-3d-printing.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Impression 3D \/ Fraisage 5+1 axes<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"Contr\u00f4le de la qualit\u00e9\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/7-quality-control.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">Contr\u00f4le de la qualit\u00e9<\/div><\/div><\/li><li class=\"wonderplugintabs-header-li wonderplugintabs-header-li-last\"><div class=\"wonderplugintabs-header-caption\"><img decoding=\"async\" class=\"wonderplugintabs-header-icon-image\" alt=\"St\u00e9rilisation et conditionnement\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/8-sterilization-packaging.png\" style=\"width:48px;height:48px;\" \/><div class=\"wonderplugintabs-header-title\">St\u00e9rilisation et conditionnement<\/div><\/div><\/li><\/ul><\/div><\/div><div class=\"wonderplugintabs-panel-wrap\" style=\"min-height:620px;\"><div class=\"wonderplugintabs-panel wonderplugintabs-panel-first\"><div class=\"wonderplugintabs-panel-inner\"><h2>R\u00e9ception des donn\u00e9es et requis pour un implant sur-mesure <\/h2>\n\nLe processus commence avec <strong>le d\u00e9p\u00f4t des donn\u00e9es m\u00e9dicales du patient et des sp\u00e9cifications pour le design<\/strong> de l\u2019implant sur-mesure \u00e0 Ortho Baltic. Le chirurgien fournit les donn\u00e9es provenant de l\u2019examen radiologique du patient. Une tomographie par ordinateur (CT-Scan) est g\u00e9n\u00e9ralement suffisante ; cependant, si le chirurgien demande \u00e0 ne pas \u00eatre limit\u00e9 qu\u2019\u00e0 la personnalisation de la topologie de l\u2019implant et de sa fixation primaire, et souhaite que la proth\u00e8se soit ajust\u00e9e d\u2019un point de vue biom\u00e9canique aux articulations adjacentes (qui se sont d\u00e9j\u00e0 adapt\u00e9 aux changements morphologiques du patient), alors d\u2019autres examens radiologiques sont n\u00e9cessaires (par exemple, radiologie compl\u00e8te des membres inf\u00e9rieurs selon deux profils qui montrerait la position des axes articulaires du membre inf\u00e9rieur par rapport aux autres articulations). \nLes donn\u00e9es de l\u2019examen radiologique du patient sont accept\u00e9es seulement sous le format DICOM. <strong>Les diff\u00e9rents moyens de d\u00e9p\u00f4t de donn\u00e9es sont les suivants:<\/strong> \n<ul>\n<li>Transfert en utilisant <strong>un serveur PACS;<\/strong><\/li>\n<li>Envoi par d\u2019autres moyens de <strong>stockage virtuel\/serveurs de transfert;<\/strong><\/li>\n<li>Donn\u00e9es enregistr\u00e9es sur un <strong>moyen de stockage digital (CD, DVD, Cl\u00e9 USB)<\/strong> envoy\u00e9 par courrier.<\/li>\n<\/ul>\nEn compl\u00e9ment des donn\u00e9es de l\u2019examen radiologique du patient, le chirurgien doit remplir un formulaire d\u00e9crivant les demandes sp\u00e9cifiques pour la commande de l\u2019implant sur-mesure. Dans ce formulaire, le chirurgien fournit des informations sur le patient, son\/sa pathologie, ainsi que les donn\u00e9es de base n\u00e9cessaires pour le design et la production de l\u2019implant: fonctionnalit\u00e9s de l\u2019implant, structure, fixations, compatibilit\u00e9 avec les instruments chirurgicaux, etc. Si une r\u00e9section osseuse est pr\u00e9vue lors de l\u2019intervention, les lignes d\u2019incision doivent \u00e9galement \u00eatre indiqu\u00e9es. Les donn\u00e9es \u00e9tant fournies dans le formulaire de commande, et la liste des \u00e9l\u00e9ments accompagnants l\u2019implant d\u00e9finie (incluant guides chirurgicaux \u00e0 usage unique con\u00e7us et fabriqu\u00e9s de pair avec l\u2019implant sur-mesure) le prix de l\u2019implant sur-mesure peut alors \u00eatre calcul\u00e9<\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>Segmentation anatomique du mod\u00e8le sur-mesure<\/h2>\n\n\u00c0 partir des images en 3D provenant de l\u2019examen radiologique du patient, l\u2019ing\u00e9nieur en reconstruction 3D, travaillant en collaboration avec un radiologiste (si n\u00e9cessaire) et utilisant le logiciel certifi\u00e9 <strong><em>Mimics\u00ae Medical<\/em><\/strong>, r\u00e9alise la <strong>reconstruction 3D<\/strong>; il reconstruit un mod\u00e8le anatomique virtuel sur-mesure qui sera utilis\u00e9 afin de concevoir l\u2019implant\n\n<br><br>\n<div id=\"wondergridgallerylightbox_options\" data-skinsfoldername=\"skins\/default\/\"  data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" style=\"display:none;\"><\/div>\r\n<style type=\"text\/css\">@import url(https:\/\/fonts.googleapis.com\/css?family=Open+Sans); 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font-size:16px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left;\" data-lightboxdescriptioninsidecss=\"color:#fff; font-size:12px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left; margin:4px 0px 0px; padding: 0px;\" data-lightboxsmallscreenheight=\"415\" data-lightboxbarheightonsmallheight=\"64\" data-lazyloadmode=\"none\" data-itemsperpage=\"12\" data-loadmorecaption=\"Load More\" data-loadmorecssstyle=\"wpp-loadmore-greybutton\" data-paginationcssstyle=\"wpp-pagination-greybutton\" data-paginationpos=\"bottom\" data-lightboxslideinterval=\"5000\" data-lightboxtimerposition=\"bottom\" data-lightboxtimercolor=\"#dc572e\" data-lightboxtimeropacity=\"1\" data-lightboxbordersize=\"8\" data-lightboxborderradius=\"0\" data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" data-skinsfoldername=\"skins\/default\/\" style=\"display:none;position:relative;margin:0 auto;width:100%;max-width:300px;\" ><div class=\"wonderplugin-gridgallery-list\" style=\"display:block;position:relative;max-width:100%;margin:0 auto;\"><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-5\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3dr-1.png\" data-group=\"wpgridgallery-5\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3dr-1.png\" title=\"3D anatomical reconstruction\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"3D anatomical reconstruction\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3dr-1.png\" \/><\/a><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div class=\"wonderplugin-gridgallery-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-gridgallery\/\" title=\"WordPress Portfolio\">WordPress Portfolio<\/a><\/div><\/div><\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>Design pr\u00e9liminaire de l\u2019implant sur-mesure et des guides chirurgicaux<\/h2>\n\nSelon le mod\u00e8le anatomique sur-mesure du patient et des requis d\u00e9cris dans le formulaire de commande, les designs pr\u00e9liminaires de l\u2019implant sur-mesure et des guides chirurgicaux \u00e0 usage unique sont r\u00e9alis\u00e9s. Un test <strong>non-destructif de l\u2019implant est<\/strong> \u00e9galement conduit \u00e0 l'aide du logiciel d\u2019analyse des \u00e9l\u00e9ments finis <strong><em>ANSYS\u00ae<\/em><\/strong> (analyses des caract\u00e9ristiques de la structure de l\u2019implant). Si besoin, le design pr\u00e9liminaire peut \u00eatre perfectionn\u00e9, modifi\u00e9 par interactions avec le chirurgien. <br><br>\n      \n<h2>Planning Pr\u00e9-chirurgical \/ description des requis pour l\u2019implant sur-mesure et les guides chirurgicaux<\/h2> \n\nLes mod\u00e8les anatomiques sur-mesure r\u00e9sultant des \u00e9tapes pr\u00e9c\u00e9dentes sont fournis pour le planning pr\u00e9-chirurgical (PP): mod\u00e8le anatomique, mod\u00e8les de l\u2019implant et des guides chirurgicaux. Les mod\u00e8les du PP peuvent \u00eatre fournis sous deux formes: \n<ul>\n<li>Virtuelle (PDF 3D) ou<\/li>\n<li>Mat\u00e9rielle, \u00e0 partir de mat\u00e9riau biocompatible, le PA 2200 (Nylon-12) et utilisant l\u2019impression 3D par technologie SLS<\/li>\n<\/ul>\n\n<div id=\"wondergridgallerylightbox_options\" data-skinsfoldername=\"skins\/default\/\"  data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" style=\"display:none;\"><\/div>\r\n<style type=\"text\/css\">@import url(https:\/\/fonts.googleapis.com\/css?family=Open+Sans);  #wonderplugingridgallery-6 .wonderplugin-gridgallery-item-text {     background-color: rgba(51, 51, 51, 0.5);     color: #fff;     text-align: center;     font: 14px \"open sans\", Arial, Helvetica, sans-serif;     padding: 8px 0px;     position: absolute;     left: 0px;     bottom: 0px;     width: 100%;     box-sizing: border-box;     -webkit-box-sizing: border-box;     -moz-box-sizing: border-box; }  #wonderplugingridgallery-6 .wonderplugin-gridgallery-item-title {     font-size: 14px; }  #wonderplugingridgallery-6 .wonderplugin-gridgallery-item-description {     font-size: 12px; }  #wonderplugingridgallery-6 .wonderplugin-gridgallery-item-button { }<\/style><style type=\"text\/css\">#wonderplugingridgallery-6 .wpp-category-greybutton .wonderplugin-gridgallery-tag { \tborder: none; \tbackground: #666; \tcolor: #fff;   \tpadding: 6px 12px; \tfont-size: 12px; \tfont-weight: normal; \t   \tfont-family: \"Lucida Sans Unicode\",\"Lucida Grande\",sans-serif,Arial;   \tbox-sizing: border-box;    \tcursor: pointer;   \ttext-align: center;   \ttext-decoration: none;   \ttext-shadow: none;   \ttext-transform: none;   \twhite-space: nowrap;   \t-webkit-font-smoothing: antialiased;   \tborder-radius: 2px;   \ttransition: background-color 0.3s ease; }  #wonderplugingridgallery-6 .wpp-category-greybutton .wonderplugin-gridgallery-tag:hover { \tborder: none; \tbackground: #999; \tcolor: #fff; }  #wonderplugingridgallery-6 .wpp-category-greybutton .wonderplugin-gridgallery-tag-selected, #wonderplugingridgallery-6 .wpp-category-greybutton .wonderplugin-gridgallery-tag-selected:hover { \tborder: none; \tbackground: #f3b200; \tcolor: #fff; }<\/style><div class=\"wonderplugingridgallery\" id=\"wonderplugingridgallery-6\" data-gridgalleryid=\"6\" data-width=\"200\" data-height=\"150\" data-skin=\"tiles\" data-categorylist=\"[{&quot;slug&quot;:&quot;all&quot;,&quot;caption&quot;:&quot;Show All&quot;}]\" data-masonrymode=\"false\" data-random=\"false\" data-shownavigation=\"true\" data-nohoverontouchscreen=\"false\" data-hoverzoomin=\"true\" data-hoverzoominimageonly=\"true\" data-hoverzoominimagecenter=\"false\" data-hoverfade=\"true\" data-responsive=\"true\" data-mediumscreen=\"true\" data-smallscreen=\"true\" data-showtitle=\"true\" data-showtexttitle=\"true\" data-showtextdescription=\"false\" data-showtextbutton=\"false\" data-overlaylink=\"false\" data-donotaddtext=\"false\" data-lightboxnogroup=\"false\" data-lightboxcategorygroup=\"false\" data-lightboxshowallcategories=\"false\" data-lightboxshowtitle=\"true\" data-lightboxshowdescription=\"false\" data-lightboxresponsive=\"true\" data-centerimage=\"true\" data-circularimage=\"false\" data-firstimage=\"false\" data-textinsidespace=\"false\" data-donotinit=\"false\" data-addinitscript=\"false\" data-lightboxshowsocial=\"false\" data-lightboxshowfacebook=\"true\" data-lightboxshowtwitter=\"true\" data-lightboxshowpinterest=\"true\" data-lightboxsocialrotateeffect=\"true\" data-lightboxenablehtml5poster=\"false\" data-categoryshow=\"false\" data-categoryhideall=\"false\" data-categorymulticat=\"false\" data-categoryatleastone=\"false\" data-addvideoplaybutton=\"true\" data-lightboxfullscreenmode=\"false\" data-lightboxcloseonoverlay=\"true\" data-lightboxvideohidecontrols=\"false\" data-lightboxresponsivebarheight=\"false\" data-lightboxnotkeepratioonsmallheight=\"false\" data-lazyloadimages=\"true\" data-triggerresize=\"false\" data-lightboxautoslide=\"false\" data-lightboxshowtimer=\"true\" data-lightboxshowplaybutton=\"true\" data-lightboxalwaysshownavarrows=\"false\" data-lightboxshowtitleprefix=\"true\" data-thumbwidth=\"90\" data-thumbheight=\"60\" data-thumbtopmargin=\"12\" data-thumbbottommargin=\"4\" data-barheight=\"64\" data-titlebottomcss=\"color:#333; font-size:14px; font-family:Armata,sans-serif,Arial; overflow:hidden; text-align:left;\" data-descriptionbottomcss=\"color:#333; font-size:12px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left; margin:4px 0px 0px; padding: 0px;\" data-googleanalyticsaccount=\"\" data-gap=\"4\" data-margin=\"0\" data-borderradius=\"0\" data-hoverzoominvalue=\"24\" data-hoverzoominduration=\"180\" data-hoverzoominimagescale=\"1.1\" data-hoverzoominimageduration=\"360\" data-hoverfadeopacity=\"0.8\" data-hoverfadeduration=\"300\" data-videoplaybutton=\"playvideo-64-64-0.png\" data-column=\"2\" data-mediumcolumn=\"2\" data-mediumscreensize=\"800\" data-smallcolumn=\"1\" data-smallscreensize=\"600\" data-titlemode=\"mouseover\" data-titleeffect=\"slide\" data-titleeffectduration=\"300\" data-titleheight=\"0\" data-scalemode=\"fit\" data-lightboxbgcolor=\"#fff\" data-lightboxoverlaybgcolor=\"#000\" data-lightboxoverlayopacity=\"0.9\" data-categoryposition=\"topleft\" data-categorystyle=\"wpp-category-greybutton\" data-categorydefault=\"all\" data-verticalcategorysmallscreenwidth=\"480\" data-triggerresizedelay=\"100\" data-lightboxsocialposition=\"position:absolute;top:100%;right:0;\" data-lightboxsocialpositionsmallscreen=\"position:absolute;top:100%;right:0;left:0;\" data-lightboxsocialdirection=\"horizontal\" data-lightboxsocialbuttonsize=\"32\" data-lightboxsocialbuttonfontsize=\"18\" data-lightboxtitlestyle=\"bottom\" data-lightboximagepercentage=\"75\" data-lightboxdefaultvideovolume=\"1\" data-lightboxtitleprefix=\"%NUM \/ %TOTAL\" data-lightboxtitleinsidecss=\"color:#fff; font-size:16px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left;\" data-lightboxdescriptioninsidecss=\"color:#fff; font-size:12px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left; margin:4px 0px 0px; padding: 0px;\" data-lightboxsmallscreenheight=\"415\" data-lightboxbarheightonsmallheight=\"64\" data-lazyloadmode=\"none\" data-itemsperpage=\"12\" data-loadmorecaption=\"Load More\" data-loadmorecssstyle=\"wpp-loadmore-greybutton\" data-paginationcssstyle=\"wpp-pagination-greybutton\" data-paginationpos=\"bottom\" data-lightboxslideinterval=\"5000\" data-lightboxtimerposition=\"bottom\" data-lightboxtimercolor=\"#dc572e\" data-lightboxtimeropacity=\"1\" data-lightboxbordersize=\"8\" data-lightboxborderradius=\"0\" data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" data-skinsfoldername=\"skins\/default\/\" style=\"display:none;position:relative;margin:0 auto;width:100%;max-width:404px;\" ><div class=\"wonderplugin-gridgallery-list\" style=\"display:block;position:relative;max-width:100%;margin:0 auto;\"><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-6\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3Dpdf_hip-small.png\" data-group=\"wpgridgallery-6\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3Dpdf_hip-small.png\" title=\"Screenshot of 3D pdf file\" data-description=\"Presurgical planning models - 3D pdf file\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"Screenshot of 3D pdf file\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3Dpdf_hip-small.png\" \/><\/a><\/div><\/div><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-6\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/PP-models_small.png\" data-group=\"wpgridgallery-6\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/PP-models_small.png\" title=\"Presurgical planning models: hip bone, implant, surgical guide\" data-description=\"Presurgical planning models: hip bone, implant, surgical guide\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"Presurgical planning models: hip bone, implant, surgical guide\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/PP-models_small.png\" \/><\/a><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div class=\"wonderplugin-gridgallery-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-gridgallery\/\" title=\"WordPress Portfolio\">WordPress Portfolio<\/a><\/div><\/div>\n\nLe chirurgien, en utilisant les mod\u00e8le du PP, \u00e9value le design de l\u2019implant et des guides chirurgicaux, contr\u00f4le si les requis indiqu\u00e9s dans le formulaire de commande ont \u00e9t\u00e9 respect\u00e9s ou non, et planifie les \u00e9tapes de la chirurgie. Si des \u00e9v\u00e9nements impr\u00e9vus ont lieu durant le planning chirurgical, le chirurgien peut apporter des ajustements et des modifications concernant la structure de l\u2019implant et\/ou des guides chirurgicaux. \nSi le chirurgien demande des ajustements, le design de l\u2019implant (et\/ou des guides chirurgicaux l\u2019accompagnant) est corrig\u00e9, et un test non destructif est alors r\u00e9alis\u00e9 une nouvelle fois. Le proc\u00e9d\u00e9 se r\u00e9p\u00e8te jusqu\u2019\u00e0 ce que l\u2019implant sur-mesure, les guides chirurgicaux ainsi que le set de fixation r\u00e9pondent aux exigences du chirurgien.<\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>Confirmation du chirurgien que le design de l\u2019implant sur-mesure et des dispositifs associ\u00e9s sont appropri\u00e9s<\/h2>\n\nSi les r\u00e9sultats du planning pr\u00e9-chirurgical (PP) sont concluants, le chirurgien remplit le protocole du planning pr\u00e9-chirurgical (PPP) et confirme par signature que le planning de l\u2019intervention chirurgicale, le design de l\u2019implant sur-mesure et de ses accessoires sont appropri\u00e9s pour un patient particulier (pour sa condition clinique sp\u00e9cifique).<\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>Tests finaux du design de l\u2019implant sur-mesure<\/h2>\n\nD\u00e8s que le chirurgien signe le PPP, un dernier test non destructif est r\u00e9alis\u00e9 sur le design virtuel de l\u2019implant en utilisant le logiciel d\u2019analyse des \u00e9l\u00e9ments finis <strong><em>ANSYS\u00ae<\/em><\/strong>.<\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>Technologies de production et mat\u00e9riaux utilis\u00e9s<\/h2>\n\nLes mat\u00e9riaux et technologies de production suivants sont utilis\u00e9s pour la fabrication des implants sur-mesure:\n<ul>\n<li>Pour fabriquer les implants sur-mesure, nous utilisons la technologie de fabrication additive DMLS (<strong>Direct Metal Laser Sintering<\/strong>) et une poudre d\u2019alliage de Titane de grade 5 (m\u00e9dical) <strong>Ti6Al4V<\/strong>, dispens\u00e9e par couche de 30-\u00b5 et fritt\u00e9e par un laser optique;<\/li>\n<li>Certains composants d\u2019implants sur-mesure (par exemple la fosse articulaire de l\u2019articulation temporo mandibulaire proth\u00e9tique) sont fabriqu\u00e9s \u00e0 partir de poly\u00e9thyl\u00e8ne \u00e0 tr\u00e8s haute masse molaire <strong>UHMWPE<\/strong> gr\u00e2ce \u00e0 une technologie de fraisage <strong>5+1 axes<\/strong>;<\/li>\n<li>Les guides chirurgicaux \u00e0 usage unique sont imprim\u00e9s \u00e0 partir d\u2019un polym\u00e8re biocompatible (PA 2200, ou Nylon-12) et utilisant la technologie de fabrication additive <strong>SLS (Selective Laser Sintering)<\/strong>.<\/li>\n<\/ul>\nNous n\u2019utilisons que des mat\u00e9riaux biocompatibles et certifi\u00e9s. Apr\u00e8s l\u2019impression 3D ou le fraisage, les implants sont trait\u00e9s par diff\u00e9rentes technologies de finition afin de respecter les exigences d\u00e9finies par les normes de produits harmonis\u00e9es.\n\n<div id=\"wondergridgallerylightbox_options\" data-skinsfoldername=\"skins\/default\/\"  data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" style=\"display:none;\"><\/div>\r\n<style type=\"text\/css\">@import url(https:\/\/fonts.googleapis.com\/css?family=Open+Sans);  #wonderplugingridgallery-7 .wonderplugin-gridgallery-item-text {     background-color: rgba(51, 51, 51, 0.5);     color: #fff;     text-align: center;     font: 14px \"open sans\", Arial, Helvetica, sans-serif;     padding: 8px 0px;     position: absolute;     left: 0px;     bottom: 0px;     width: 100%;     box-sizing: border-box;     -webkit-box-sizing: border-box;     -moz-box-sizing: border-box; }  #wonderplugingridgallery-7 .wonderplugin-gridgallery-item-title {     font-size: 14px; 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font-size:16px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left;\" data-lightboxdescriptioninsidecss=\"color:#fff; font-size:12px; font-family:Arial,Helvetica,sans-serif; overflow:hidden; text-align:left; margin:4px 0px 0px; padding: 0px;\" data-lightboxsmallscreenheight=\"415\" data-lightboxbarheightonsmallheight=\"64\" data-lazyloadmode=\"none\" data-itemsperpage=\"12\" data-loadmorecaption=\"Load More\" data-loadmorecssstyle=\"wpp-loadmore-greybutton\" data-paginationcssstyle=\"wpp-pagination-greybutton\" data-paginationpos=\"bottom\" data-lightboxslideinterval=\"5000\" data-lightboxtimerposition=\"bottom\" data-lightboxtimercolor=\"#dc572e\" data-lightboxtimeropacity=\"1\" data-lightboxbordersize=\"8\" data-lightboxborderradius=\"0\" data-jsfolder=\"https:\/\/balticimplants.eu\/fr\/wp-content\/plugins\/wonderplugin-gridgallery\/engine\/\" data-skinsfoldername=\"skins\/default\/\" style=\"display:none;position:relative;margin:0 auto;width:100%;max-width:608px;\" ><div class=\"wonderplugin-gridgallery-list\" style=\"display:block;position:relative;max-width:100%;margin:0 auto;\"><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-7\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-DMLS.jpg\" data-group=\"wpgridgallery-7\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-DMLS.jpg\" title=\"Annealing furnace\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"Annealing furnace\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-DMLS.jpg\" \/><\/a><\/div><\/div><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-7\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/1titanas.jpg\" data-group=\"wpgridgallery-7\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/1titanas.jpg\" title=\"3D printing - DMLS\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"3D printing - DMLS\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/1titanas.jpg\" \/><\/a><\/div><\/div><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-7\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-SLS.jpg\" data-group=\"wpgridgallery-7\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-SLS.jpg\" title=\"3D printing - SLS\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"3D printing - SLS\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-SLS.jpg\" \/><\/a><\/div><\/div><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-7\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-4.jpg\" data-group=\"wpgridgallery-7\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-4.jpg\" title=\"Removing printed (SLS) parts out of the chamber\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"Removing printed (SLS) parts out of the chamber\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/3D-spausdinimas-4.jpg\" \/><\/a><\/div><\/div><div class=\"wonderplugin-gridgallery-item\" data-row=\"1\" data-col=\"1\"><div class=\"wonderplugin-gridgallery-item-container\"><a class=\"wpgridlightbox wpgridlightbox-7\" data-thumbnail=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/frezavimas.jpg\" data-group=\"wpgridgallery-7\" href=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/frezavimas.jpg\" title=\"Milling\"><img decoding=\"async\" class=\"wonderplugin-gridgallery-item-img\" alt=\"Milling\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2017\/01\/frezavimas.jpg\" \/><\/a><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div class=\"wonderplugin-gridgallery-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-gridgallery\/\" title=\"WordPress Portfolio\">WordPress Portfolio<\/a><\/div><\/div><\/div><\/div><div class=\"wonderplugintabs-panel\"><div class=\"wonderplugintabs-panel-inner\"><h2>V\u00e9rification et validation des dispositifs m\u00e9dicaux (Contr\u00f4le qualit\u00e9)<\/h2>\n\nLes implants sur-mesure et les guides chirurgicaux sont des dispositifs m\u00e9dicaux de classe IIb \u00e0 III ; Leur validation et leur v\u00e9rification sont r\u00e9alis\u00e9es \u00e0 chaque \u00e9tape de d\u00e9veloppement de produit en accord avec les exigences de la norme <strong>ISO 13485<\/strong>. Pour r\u00e9pondre \u00e0 ces exigences, pendant la derni\u00e8re \u00e9tape du contr\u00f4le de la qualit\u00e9, l\u2019implant subit une analyse de sa g\u00e9om\u00e9trie, de sa rugosit\u00e9 de surface, de d\u00e9fauts internes et de sa composition chimique<\/div><\/div><div class=\"wonderplugintabs-panel wonderplugintabs-panel-last\"><div class=\"wonderplugintabs-panel-inner\"><h2>St\u00e9rilisation et conditionnement des dispositifs m\u00e9dicaux <\/h2>\n\n<p>Le nettoyage, le lavage, la d\u00e9sinfection et le conditionnement des implants sur-mesure et des guides chirurgicaux sont r\u00e9alis\u00e9s dans une chambre blanche certifi\u00e9e <strong>ISO Class 7 cleanroom (ISO 14644)<\/strong> au sein de notre compagnie.<\/p> \n\n<p>Tous les implants poss\u00e9dant une structure en maillage sont envoy\u00e9s en Allemagne dans une entreprise sp\u00e9cialis\u00e9e certifi\u00e9e pour une st\u00e9rilisation par rayonnement gamma (<strong>ISO 11137<\/strong>). Tous les autres implants sont st\u00e9rilis\u00e9s par rayonnement gamma uniquement sur demande, les dispositifs m\u00e9dicaux sont livr\u00e9s aux \u00e9tablissements de sant\u00e9 pr\u00e9par\u00e9s pour la st\u00e9rilisation: nettoy\u00e9s, d\u00e9sinfect\u00e9s et conditionn\u00e9s.<\/p><\/div><\/div><\/div><div class=\"wonderplugin-engine\"><a href=\"http:\/\/www.wonderplugin.com\/wordpress-tabs\/\" title=\"WordPress Tabs\">WordPress Tabs<\/a><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-821\" src=\"http:\/\/balticimplants.eu\/wp-content\/uploads\/2016\/12\/Proc_chain.png\" alt=\"Proc_chain\" width=\"745\" height=\"229\" 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