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News Article | May 4, 2017
Site: www.theguardian.com

Most people know tuberculosis as a disease of the lungs, but that’s not always the case. For a 32-year-old woman in India, the disease manifested in her spine – in 10 different vertebrae, thanks to a lowered immune system caused by drugs she was taking for infertility. Her condition deteriorated quickly; the disease caused such extensive damage to her first, second and third cervical vertebrae that she no longer had any support between her skull and lower spine. As a result, the woman’s head was sliding forward and her posture curved in a way that obstructed her spinal cord, resulting in progressive weakness in her limbs. She was also at risk of quadriplegia and even death, if her respiratory nerves were to become compressed. But this young woman is going to be just fine, as impossible as that sounds. Surgeons at Medanta – the Medicity in Gurgaon, India, replaced the woman’s damaged first, second and third vertebrae with a 3D printed titanium implant in a 10-hour surgery, closing the gap between her skull and spine and allowing her to stand and walk normally again. It was the first time such a procedure had been performed in India, and among the first in the world, following similar operations in China that first took place in 2014 and a surgery that was performed a year ago in Australia. “Given the complexity of this case, the use of 3D printing technology has helped us in bringing a successful outcome,” Dr V Anand Naik, senior consultant (spine surgery) at Medanta’s Bone & Joint Institute, told the Indo-Asian News Service. Dr Naik led the surgical team that operated on the woman. “The patient today on 12 post-operative days is now walking with minimal support, all her pain has gone, her voice and dysphasia has recovered completely and, most importantly, her life was saved by this technique.” Sanjay Kumar Pathak of Global Health Care in New Delhi told 3DPrint.com that the titanium implant, customised to perfectly fit the patient’s spine, was designed at his company. CT and MRI scans helped create a replica of the woman’s spine so that the gaps between her vertebrae could be measured to ensure that the final printed vertebra would fit perfectly. The patient, a teacher, is recovering quickly, which is incredible considering the severity of her condition before the surgery. Just a few years ago, there would have been very little hope for her, but 3D printing is changing the prognosis of many severely ill and injured patients. “These techniques have opened a new avenue wherein any type of complex reconstruction can be done in the spine with less collateral damage,” said Dr Naik. The advancements that 3D printing has brought to the medical field are nothing short of astonishing. We may not yet be at the point where we can 3D print full human organs and transplant them into patients, but the fact that we can even talk about such a thing as a feasible possibility shows just how quickly and dramatically this technology is changing the industry. Although 3D printed organs are often talked about as the ultimate goal in medical 3D printing, and companies such as Organovo have already made an impact on pharmaceutical research with their 3D printed liver and kidney tissue, many of the biggest, most life-altering changes so far have been thanks to 3D printing’s ability to create customised implants and organ models. The young woman in India isn’t the only person to have been saved from paralysis by 3D printing; it would have seemed laughable a short time ago, but stopping or even reversing paralysis is now possible thanks to the advanced spinal surgeries and implants 3D printing allows. When dealing with the spine, there’s no room for error or imperfect fit, and the fact that no two bodies are exactly the same has rendered the “one size fits all” implants of the past ineffective or even harmful for many patients. Today’s advanced 3D technology allows for a perfect copy of an individual patient’s anatomy to be printed in plastic, meaning that surgeons can study the affected area or even practice procedures before operating. In addition, the design freedom that 3D printing allows means that implants can be produced that perfectly match that patient’s anatomy. We may not have 3D printed organs yet, but customised 3D printed implants are already synthetically reproducing – and replacing - parts of the human body.


Barreto S.G.,Medicity | Windsor J.A.,Auckland City Hospital
The Lancet Oncology | Year: 2016

Interest in radical surgery to achieve complete resection and improve long-term survival in patients undergoing pancreatoduodenectomy for ductal adenocarcinoma has been renewed. This surgery includes extended lymphadenectomy, multivisceral resections, and synchronous arterial and venous resections. The evidence that these surgeries improve long-term survival is poor, except perhaps for synchronous venous resection, which can be justified if a margin negative (R0) resection is achieved without increased morbidity and mortality, and if there is no invasion of the vein wall. The recognition of patients with borderline resectable pancreatic cancer and the increasing use of neoadjuvant treatment makes it more difficult to know if the vein is invaded, increases reliance on trial dissection to establish resectability, and might increase the number of synchronous venous resections done. This Personal View seeks to review the justification for pancreatoduodenectomy with synchronous venous resection to promote debate and draw attention to the gaps in knowledge for further research. © 2016 Elsevier Ltd.


Patent
Medicity | Date: 2012-02-16

A health information services provider (HISP) application includes a controller, a transaction engine, a data encryption engine, an authentication engine, a user interface engine and a registration engine. The controller manages the core functions and transmission to the different components of the HISP application. The transaction engine routes messages and requests for joining a grid. The data encryption engine encrypts or decrypts messages. The authentication engine verifies messages. The user interface engine generates a user interface for exchanging healthcare information between providers. The registration engine registers providers to exchange healthcare information with other providers.


Patent
Medicity | Date: 2011-10-24

A system and method for managing healthcare information is disclosed. The data servers each include a data manager that comprises a controller, a scrubber module and a user interface engine. The controller manages the core functions and the transmission of data between data manager components. The scrubber module manages the pseudoanonymization of data and the collection of data for clinical trials. The user interface engine generates user interfaces for displaying the applications and collecting clinical trial data.


Patent
Medicity | Date: 2011-10-24

A system and method for managing healthcare information is disclosed. The data servers each include a data manager that comprises a controller, applications, an application manager, a virtual care team module, and a user interface engine. The controller manages the core functions and the transmission of data between data manager components. The applications are applications that are created by the user or downloaded as third-party applications. The application manager manages the creation and communication between applications. The virtual care team module manages the transmission of patient data between data servers. The user interface engine generates user interfaces for displaying the applications and collecting clinical trial data.


Patent
Medicity | Date: 2011-10-24

A system and method for managing healthcare information is disclosed. The data servers each include a data manager that comprises a controller, a grid engine, applications, an application manager and a user interface engine. The controller manages the core functions and the transmission of data between data manager components. The grid engine manages information sent between data servers. The applications are applications that are created by the user or downloaded as third-party applications. The application manager manages the creation and communication between applications. The user interface engine generates user interfaces for displaying the applications and collecting clinical trial data.


Patent
Medicity | Date: 2013-12-16

A system and method for managing patient consent. A Master Matching Index (MMI) includes a collection of patient information and identifiers. An MMI adapter is coupled to the MMI for sending queries to the MMI for a health related entity. The MMI adapter comprises a data access manager that includes a lookup module, an authorization engine, an auditing module, a report module and a user interface engine. The user profile engine generates and updates user profile information. The lookup module enables a user to query patient information. The authorization engine determines whether the user has authorization to access patient information. The auditing module logs and monitors user activity. The report module generates reports related to user activity. The user interface engine generates user interfaces for displaying the user profiles, patient profiles and patient data.


Patent
Medicity | Date: 2012-01-09

A system and method for managing patient consent. A data access manager includes a controller, a lookup module, a clinical authorization engine, a logging/auditing unit, a user profile engine, a report module and a user interface engine. The controller manages the core functions and the transmission of data between the data access manager components. The lookup module enables a user to query patient data. The clinical authorization engine authorizes access to patient data. The logging/auditing unit logs and monitors user activity. The user profile engine accesses and updates user profile information. The patient profile engine accesses and updates patient profile information. The report module generates reports related to the user activity. The user interface engine generates user interfaces for displaying the user profiles and patient information data.


Patent
Medicity | Date: 2014-11-14

A system and method for managing patient consent. A data access manager includes a controller, a lookup module, a clinical authorization engine, a logging/auditing unit, a user profile engine, a report module and a user interface engine. The controller manages the core functions and the transmission of data between the data access manager components. The lookup module enables a user to query patient data. The clinical authorization engine authorizes access to patient data. The logging/auditing unit logs and monitors user activity. The user profile engine accesses and updates user profile information. The patient profile engine accesses and updates patient profile information. The report module generates reports related to the user activity. The user interface engine generates user interfaces for displaying the user profiles and patient information data.


Patent
Medicity | Date: 2014-02-03

A system and method for managing healthcare information is disclosed. The data servers each include a data manager that comprises a controller, a grid engine, applications, an application manager and a user interface engine. The controller manages the core functions and the transmission of data between data manager components. The grid engine manages information sent between data servers. The applications are applications that are created by the user or downloaded as third-party applications. The application manager manages the creation and communication between applications. The user interface engine generates user interfaces for displaying the applications and collecting clinical trial data.

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