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Add5 Kaituo Road, Suite A101 Haidian District Tel010-62977955 Fax010-62976827 北京阿迈特医疗器械有限公司 Beijing Advanced Medical Technologies Co., Ltd Qing Liu, PhD Beijing Advanced Medical Technologies Co., Ltd Adjunct professor, Institute of advanced material and nanomedicine, Tongji University Tallinn And Helsinki Feb. 05-11, 2018. 北京阿迈特医疗器械有限公司 Beijing Advanced Medical Technologies Co., Ltd 3D Printed Totally Bioresorbable Stents

3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

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Page 1: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

北京阿迈特医疗器械有限公司

Beijing Advanced Medical Technologies Co., Ltd

Qing Liu, PhDBeijing Advanced Medical Technologies Co., Ltd

Adjunct professor, Institute of advanced material and nanomedicine, Tongji University

Tallinn And Helsinki Feb. 05-11, 2018.

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Beijing Advanced Medical Technologies Co., Ltd

3D Printed Totally Bioresorbable Stents

Page 2: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 3: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 4: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

• A leading company specialized in commercialization of 3D

printed bioresorbable stents

• Found in 2011 in Beijing, China

• 3800m2 of Class 10K GMP Manufacturing facility and lab space

• With 43 employees

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 5: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Stent Printing Stent Crimping

Radial Force Testing Analytical Lab In-process Stent Inspection

Drug Eluting Coating

GMP Complained Manufacture facility

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 6: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

• Technology originally developed in 3D Biotek, NJ ,

US, and transferred to AMT in Beijing, China

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 7: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

2015 Cardiovascular Disease Report of China

# of Cardiovascular patients is expected to grow in the next 10 years

Cardiovascular Disease is the #1 Cause of Death in ChinaRural Region Metropolitan Region

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 8: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Coronary Stent Market and PCI Procedures

Annual PCI Procedure Growth Rate

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Cardiovascular Disease is the #1 Cause of Death in China

Annual # of PCI Procedures

Page 9: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Target Market II: Peripheral Artery Disease (PAD)

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Diabetic Patients in China:~ 113 millionPAD patients:~22 millionAmputation:> 1 million

Diabetic patients are often having PAD

Stenting is an effective way of treating PAD

Page 10: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 11: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

激光切割

• 多步成型,加工繁琐

• 每步成品率低,成本高

• 材料利用率低(﹤10%)

• 关键技术被大量专利覆盖

Polymer Tubing Extrusion Laser Cutting

Laser Cut Technology

• Multi-step process• 80-90% material wasted• Patent protected, no freedom to

operate (FTO)

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 12: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Horizontal type

Vertical type

BVS

Reference standard

Abbott’s Absorb BVS

feasibility:traditional 3D printing

Vascular Bioresorbable Scaffold Using 3D Printing?

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 13: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 14: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

˂5 min

1 step process

• Multi-step process

• Lower yields, high cost

• Most material wasted(>90%)

• No FTO

• One step process (﹤5 min)

• Highly efficient in using materials

• Capable producing complicated structure

• Proprietary Technology, FTO

Laser Cut Technology3D Printing Technology

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 15: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

BRS using 3D printing

Traditional 3DP

Novel 3DP

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 16: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

A. Polyglycolide (PGA) stents; B. Poly(lactide –co –glycolide) 50/50 stents; C. Polyurethane stents.

PCL stents

Stents With Various Materials

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 17: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

PLLA stents: (A) helical; (B) closed-cell; (C) zig-zag; (D) complex。

PCL stents

Stent with various structures

Stents with Various Designs

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 18: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 19: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

AMSorb

AMSorbTM, 3D Printed Coronary Stents With An Innovative Design

Ability To Adapt To Anatomic Shape Of The Vessels

Sirolimus Drug Eluting PLLA Stents from AMT

Strut Thickness: ~0.14 mmStrut Cross-Section: Round (~0.015 mm2)

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 20: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

支架 生产商 材料

AMT 北京阿迈特 聚乳酸

BVS 美国雅培 聚乳酸

Manufacture Abbott AMT

BRS Design

Structure Open Cell, Multi-Link Closed Cell

Material PLLA PLLA

Processing Laser Tube Cutting 3D Multi-Axial Fabrication

Strut

Thickness0.15~0.17 mm 0.13~0.15 mm

AMSorbBVS

Comparison Between BRS and Metallic Stent (Coronary)

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 21: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Cross section reduced 41%.

Advantages:

1. Less blood flow disturbance 2. Fast endothelization3. Reduced total resorption time.

Comparison of cross sections of struts of the two types of stents

0.03 mm2

0.0154 mm2

0.00 0.01 0.02 0.03 0.04

激光切割BVS

矩形横截面

3D打印BRS

圆形横截面

支架杆横截面积比较

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 22: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

PerisorbTM, 3D Printed Peripheral Stents With An Innovative Design

Paclitaxol Drug Eluting PLA based Stents

Modified PLLA polymer with better fatigue resistant propertiesAsymmetric Drug Eluting Coating for Targeted Drug DeliverySuper Flexible Structure design

Add:5 Kaituo Road, Suite A101 Haidian District Tel:010-62977955 Fax:010-62976827

Page 23: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 24: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Peripheral BRS System (6.0x36mm) Coronary BRS System (3.0x15mm)

AMT BRS Delivery Systems

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 25: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

AMT Stent Delivery Systems

-Atraumatic tip- Sturdy, pushable proximal shaft- Soft distal shaft- Low crossing profile- High pressure rating- Durable, rugged balloon material- Optimal compliance-Three balloon winging-Small tip entry profile

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Page 26: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

CONTENTS

Introduction to AMT

Novel 3D Printing Technology

Totally Bioresorbable Stents

Stent Delivery System

Proposals

北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Page 27: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

北京阿迈特医疗器械有限公司Beijing Advanced Medical Technologies Co., Ltd北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Beijing Advanced Medical Technologies Co., Ltd

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827

Proposals:

1. Marketing and Sales of AMT Products

2. Collaboration in New Product Development

3. OEM of Balloon Catheters

Page 28: 3D Printed Totally Bioresorbable Stents · 2018-01-12 · 3D Printing Technology Laser Cut Technology ... Structure Open Cell, Multi-Link Closed Cell Material PLLA PLLA Processing

Thank you!

北京阿迈特医疗器械有限公司Beijing Advanced Medical Technologies Co., Ltd北 京 阿 迈 特 医 疗 器 械 有 限 公 司

Beijing Advanced Medical Technologies Co., Ltd

北 京 阿 迈 特 医 疗 器 械 有 限 公 司北 京 阿 迈 特 医 疗 器 械 有 限 公 司Add:5 Kaituo Road, Suite A101, Haidian District Tel:010-62977955 Fax:010-62976827