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This paper aims to propose a functional methodology to produce cranial prostheses in polymeric sheet. Within the scope of rapid prototyping technologies, the single-point incremental forming (SPIF) process is used to demonstrate its capabilities to perform customized medical parts.

The methodology starts processing a patient’s computerized axial tomography (CAT) and follows with a computer-aided design and manufacture (CAD/CAM) procedure, which finally permits the successful manufacturing of a customized prosthesis for a specific cranial area.

The formability of a series of polymeric sheets is determined and the most restrictive material among them is selected for the fabrication of a specific partial cranial prosthesis following the required geometry. The final strain state at the outer surface of the prosthesis is analysed, showing the high potential of SPIF in manufacturing individualized cranial prostheses from polymeric sheet.

This paper proposes a complete methodology to design and manufacture polymer customized cranial prostheses from patients’ CATs using the novel SPIF technology. This is an application of a new class of materials to the manufacturing of medical prostheses by SPIF, which to this purpose has been mainly making use of metallic materials so far. Despite the use of polymers to this application is still to be validated from a medical point of view, transparent prostheses can already be of great interest in medical or engineering schools for teaching and research purposes.

The purpose of this paper is to demonstrate the feasibility of incremental sheet forming (ISF), using the most common variants, single-point incremental forming (SPIF) and two-point incremental forming (TPIF), to produce prototypes of customized cranial implants using a biocompatible polymer (ultrahigh molecular weight polyethylene, UHMWPE), ensuring an appropriate geometric accuracy and cost.

The cranial implant is designed based on computerized tomographies (CT) of the patient, converting them into a 3D model using the software InVesalius. To generate the toolpath for the forming operation computer-aided manufacturing (CAM) software is used. Once the cranial implant is manufactured, a 3D scanning system is used to determine the geometric deviation between the real part and the initial design.

The results corroborate that it is possible to successfully manufacture a customized cranial implant using ISF, being able to improve the geometric accuracy using the TPIF variant with a negative die.

This paper is one of the first research works in which a customized cranial implant is successfully manufactured using a flexible technology, ISF and a biocompatible polymer. The use of polymeric implants in cranioplasty is advantageous because of their lightweight, low heat conductivity and mechanical properties similar to bone. Furthermore, the cost of the implant has been calculated considering not only the raw materials and manufacturing time but also the environmental impact, revealing that it is a cheap process with a low lead-time.