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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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    What if the future of upper limb prosthetics is being shaped right now by a wave of strategic acquisitions and groundbreaking innovations? Join us as we navigate the intricate dynamics of the prosthetics industry, dissecting recent high-profile acquisitions by companies like Fillauer, College Park, Ossur, and Eqwal’s notable acquisition of Steeper and Taska. Explore how these moves signal a consolidation trend driven by a rising demand for advanced prosthetic solutions and the crucial role of collaboration between prosthetists and surgeons in enhancing patient care. We also spotlight Linda Calabria's invaluable graphics that beautifully map these industry shifts.

    Ever wondered how venture capital and private equity influence niche markets like the Orthotics and Prosthetics (O&P) industry? This episode takes a closer look at the high-stakes world of VC and PE funding, unpacking the pressures for rapid growth and the delicate balance between quick returns and long-term innovation. We delve into the complexities of large-scale investments in the O&P sector, drawing comparisons with significant deals like the $1.3 billion acquisition of Hanger. Our discussion reveals the unique challenges posed by smaller consumer bases and the potential for socially responsible funding models that prioritize measurable outcomes.

    Finally, we tackle ethical considerations in social enterprises and the global consequences of aid and integration. We dive into the exciting realm of patient-invented prosthetic solutions, examining the impact of 3D printing technologies and the ongoing innovations driven by patient needs. From the strategic maneuvers of companies to the remarkable advancements in prosthetics, this episode is packed with thought-provoking insights and essential updates.

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


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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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    We are joined by Mike Jenks, a Certified Prosthetist and Prthotist with Integrum, who discusses a bone-anchored implant system called the OPRA(TM). Mike shares his journey into the field, starting from an unexpected encounter during his physical therapy training that led him to the world of prosthetics and orthotics. His extensive career, spanning 27 years, includes training many young professionals and adapting to the evolving landscape of the industry.

    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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    We spoke with Jan Rosicky, co-founder and chief business development officer at Invent Medical, about how 3D printing is revolutionising orthotics and prosthetics (O&P). Rosicky discusses his story of coming into the world of medical devices after running a graphic design and marketing company for a decade and a half, and his father, a well-known mechanical engineer and lifelong CPO, who started the family business the year Rosicki was born.

    Jan describes how Invent Medical began as a ‘traditional’ fabrication business in the Czech Republic following the break-up of communism in the late 1980s. The organization slowly adopted technologies such as 3D printing, then introduced a series of digital technologies. ‘We gradually started to replace some of the old tools we had with digital technologies, and this enabled us to create more sophisticated designs and more advanced manufacturing processes… It allowed us to move to smarter and more efficient approaches,’ explains Jan. The company created more breathable, custom-fit cranial orthoses for babies, which allowed for more comfort for the patients, improving compliance. For Jan, this wasn’t possible without 3D printing.

    Interestingly, the discussion also touches on Invent Medical’s global business operations, and how their markets differ in terms of challenges as well as opportunities, especially in the US and Europe. Jan also shares his experience about how 3D printing has revolutionized the O & P industry by making it possible to create prototypes rapidly and on-demand, as well as customized devices that are not only effective medically, but also more visually appealing than before. He emphasizes how Invent’s product development process is collaborative, with input from clinicians around the world, to tweak, refine, improve and test their product designs before they are marketed. The last part of the interview is a forward-looking view about the future of the O & P industry, with a strong advocacy for 3D printing technologies to revolutionize patient outcomes across the globe.

    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

    Special thanks to Advanced 3D for sponsoring this episode.

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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.

    Brought to you by Advanced 3D.

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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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    We are excited to talk with Sean McKale from Becker Orthopedic about making orthotic devices. Our chat will explore how these devices are designed and their impact on people's lives. Sean will share his journey from athletic training to orthotics, discussing the challenges and successes in creating customized devices to improve mobility.

    We'll look at the clinician's role in creating orthotics, focusing on achieving alignment and comfort. Our discussion with Sean will cover the importance of communication in the orthotic creation process, tackling issues like pressure points, and the value of patient feedback. We'll also discuss how new technologies, such as 3D scanning and printing, are advancing the field, offering more precise and tailored care.

    To conclude, I'll share insights from our conversation with Sean, expressing gratitude for the exchange of ideas. We'll examine how research, innovation, and a balance of support and freedom are vital for better patient outcomes. Listeners will gain an understanding of the detailed process behind orthotic design, its function, and the personal touch that guides patients' recovery.

    Special thanks to Advanced 3D for sponsoring this episode.











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    Explore Mike Astilla's journey from clinician to innovator in the prosthetics and orthotics (O&P) field with his invention, Limbguard. Learn how this innovation is changing amputee limb care during the healing phase. This episode delves into Mike's transition from clinician to entrepreneur, transforming an O&P practice into a business focused on products.

    We'll discuss business growth, emphasizing the importance of strong relationships and partnerships. Hear stories about building connections and how they influence a business's story. Learn about prototyping's role in turning ideas into tangible products and clarifying complex concepts.

    We'll also touch on improving clinic efficiency and the emotional side of selling an O&P business. Find out how Kaizen and lean methods can improve your practice and the feelings involved in selling a business you care about. This episode offers personal insights and forward-looking discussions in the O&P field, aiming to inform and inspire the next generation of entrepreneurs.

    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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