CN107214943A - A kind of 3D printing finger-separating plate preparation method - Google Patents

A kind of 3D printing finger-separating plate preparation method Download PDF

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Publication number
CN107214943A
CN107214943A CN201710428494.7A CN201710428494A CN107214943A CN 107214943 A CN107214943 A CN 107214943A CN 201710428494 A CN201710428494 A CN 201710428494A CN 107214943 A CN107214943 A CN 107214943A
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finger
hand
separating plate
printing
processing
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CN107214943B (en
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王凯
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Shanghai Oumu Health Management Consulting Co Ltd
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Shanghai Oumu Health Management Consulting Co Ltd
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00Processes of additive manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224Measuring muscular strength
    • A61B5/225Measuring muscular strength of the fingers, e.g. by monitoring hand-grip force
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4528Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/10Devices for correcting deformities of the fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • A61H1/0285Hand
    • A61H1/0288Fingers
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials Engineering (AREA)
  • Vascular Medicine (AREA)
  • Nursing (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Physiology (AREA)
  • Rheumatology (AREA)

Abstract

The invention discloses a kind of 3D printing finger-separating plate preparation method, it is characterised in that comprises the steps of:A, assessment and prescription;B, scanning;C, finger-separating plate modeling;File after processing is imported into the 3D such as 3D Max processing softwares, is modified by clinical treatment demand, generates 3D finger-separating plate model files;D, printed material and method selection;Fining-off after E, brace finished product.The 3D printing finger-separating plate that the present invention is produced has personalized and precision feature, 1)Can be fitted hand-type, 3 points of compressings, play good biomethanics therapeutic effect, 2)Comfortable, fashion attractive in appearance is worn, patient is ready persistently to use, 3)Wear for a long time, the flexion contracture of finger can be prevented, help to recover the hand function of patient.

Description

A kind of 3D printing finger-separating plate preparation method
Technical field
The present invention relates to a kind of finger-separating plate, specifically a kind of 3D printing finger-separating plate preparation method.
Background technology
3D printing be one kind based on mathematical model file, first pass through microcomputer modelling software modeling, then will build up Threedimensional model " subregion " into section successively, instruct printer with powdery metal or plastics etc. can jointing material, by by The mode of layer printing carrys out the technology of constructed object.Common used material has the materials such as plastic nylon, gypsum, titanium alloy, rubber.Often at present The selective laser sintering technology of Method of printing, fusion sediment Modeling Technology, multiinjector forming technique and stereosopic printing art Deng.
1986, Charles Hull developed First business 3D printing machines, and this technology has undergone the development of nearly 30 years [1].Start to be used for modeling in industrial design field, apply afterwards in building, automobile, Aero-Space, medical industries etc. Carry out rapidly in field.11 the end of month in 2014,3D printing technique quilt《Epoch》Weekly is 25 annual best inventions in 2014.3D is beaten The advantage of print is can faster, more inexpensive production product.But have the disadvantage maturation printed material it is less, printing objects it is clear Degree is difficult to ensure that.And due to the limitation of print speed, it is impossible to applied to a large amount of productions.
In terms of medical science, in November, 2012, Scotland scientist prints people with 3D printer first using human body cell Make liver organization.In August, 2014,3D printing cranium, vertebra implantation human body.3D printing in October, 2014 heart is brought back to life 2 weeks big Congenital heart disease baby.Existing scholar applies 3D printing technique, production and research and development foot orthotic in artificial limb orthopedic arts, makes youngster Child does evil through another person, ectoskeleton KAFO, justice refer to.Domestic 3D printing auxiliary brace also has development, scanning, 3D moldings, Method of printing, In terms of the selection of printed material, indication, constantly there is new development.
Existing finger-separating plate is prefabricated, point big, medium and small 3 class.1)Can not be fitted hand-type, it is impossible to play good biomethanics Therapeutic effect, 2)Wear uncomfortable, or even pain, the continuing of influence patient uses.
The content of the invention
It is an object of the invention to provide a kind of 3D printing finger-separating plate preparation method, to solve to propose in above-mentioned background technology The problem of.
To achieve the above object, the present invention provides following technical scheme:
A kind of 3D printing finger-separating plate preparation method, it is characterised in that comprise the steps of:
A, assessment and prescription;
B, scanning;
C, finger-separating plate modeling;File after processing is imported into the 3D such as 3D Max processing softwares, modified by clinical treatment demand, Generate 3D finger-separating plate model files.
D, printed material and method selection;
Fining-off after E, brace finished product.
It is used as the further scheme of the present invention:The step A is specifically included:1st, Muscle tensility is assessed:Palm is suffered from evaluation respectively Articulations digitorum manus, the Muscle tensility of five interphalangeal joint musculus flexors, 2, range of motion assess:Metacarpophalangeal joints are evaluated, five, finger is closed between referring to Save active and passive range of motion, 3, right-hand man determines and assess:To the distance of ligamentum carpi transversum at the top of right-hand man's thumb, middle finger, judge Whether both hands are symmetrical, and 4, strong palm articulations digitorum manus, interphalangeal joint song angle in the wrong when determining modulus, 5, determine the position of pressure bandage.
It is used as the further scheme of the present invention:The step B includes:1. hand print making:With soft husky mud(It is similar to Plasticine)A smooth mould is made, the strong hand of patient is placed on above, by the requirement of the 4th step in step A, one is squeezed into The stamp of individual hand, is then scanned with hand-held optics 3D scanners, generation STL or obj file;2., either scans:Use optics 3D scanners are directly scanned to strong hand, and strong hand puts posture, generation STL or obj file, watch face by prescription A requirement The complexity of shape from multiple Different Planes, it is necessary to be acquired, it is therefore desirable to which individual keeps limbs and hand stable at 1-2 points Kind.3., CT scan hand held scanner light weight, can be operated around limbs,:Directly strong hand is scanned with CT, hand is good for by step Posture is put in the requirement of the 4th step in rapid A, generates stl file.
It is used as the further scheme of the present invention:The step C is specifically included:Ith, profile is handled:A mirror image processings:Such as left and right Hand is symmetrical, the stamp obtained from strong hand, is changed into suffering from the stamp of hand after mirror image processing.It is such as asymmetric, according to measurement after mirror image processing As a result modify, b, profile are revised:Determine the profile of finger-separating plate, II, bar hole makes:C, the fixed bar hole needed:For wearing Cross fixing band, fixed wrist joint(1), metacarpophalangeal joints;D, orthopedic needs bar hole:By the requirement of the 5th step in step A, output Bar hole, enable through fixing band by 3 points compressing principles, correct flexion contracture interphalangeal joint and metacarpophalangeal joints;IIIth, it is overall Replicate:The above-mentioned stamp made is copied as 2 parts, a pending, portion is stand-by;IVth, muscle line is handled:By pending print Mould facies palmaris does the processing of muscle line according to mechanics principle, increases the bent compression capability of the palm;Vth, extrude, welding:After the processing of muscle line Stamp is overleaf extruded 3mm and welded with stand-by model, the leak after repairing welding, 3D finger-separating plate model basic formings, VIth, hole is handled:3D finger-separating plates palmar hand, finger section are punched, patient was both breathed freely when wearing, but it is light, improve patient and wear Comfort level when wearing, hole can reduce the time for using and printing of material;VIIth, the 3D finger-separating plates model file being finally molded with STL, OBJ form are exported to 3D printer section.
It is used as the further scheme of the present invention:The step D is specifically:Printed, beaten using FDM or SLA or SLS technologies The material of print can be the materials such as ABS, PLA, photosensitive resin, nylon, polycarbonate powder, be entered with the subsidiary software of printer Row section and Method of printing are set.
It is used as the further scheme of the present invention:The step E is specifically:The finger-separating plate surface for removing backing material is thicker It is rough, with quartzy sand paper manual polishing.
Compared with prior art, the beneficial effects of the invention are as follows:1st, patient's scope is applicable to expand:Original is applied to cerebral apoplexy and suffered from Person, at present suitable for rehabilitation department, orthopaedics, hand surgery needs opponent to fix or orthopedic patient.
2nd, more there is science;Functional assessment is carried out to patient, then by biomechanical principle and neuro-physiology principle, opened Go out prescription.
3rd, scan method expands;Except hand print making, man-hour manually hand-held directly scanning and CT scan are also extend at present.
4th, scan method is innovated:To strong hand scanning, then mirror image reversal is suffers from hand, is conducive to putting for position on demand(Suffer from Hand is more difficult to be coordinated)
5th, finger-separating plate modeling innovation:
(1)Figure mirror image processing:The stamp obtained from strong hand, is changed into suffering from the stamp of hand after reverse mirror image processing.
(2)Bar hole makes:It is divided into the bar hole that A fixes needs:The bar hole of the orthopedic needs of B
(3)The processing of muscle line:It is made in palmar and does the processing of muscle line, increases the bent compression capability of the palm.
6th, the scope of printed material and method expands:Use FDM(Melted extrusion modeling), SLA (stereolithograghy), Or SLS(Laser sintered formula)Technology is printed, and the material of printing is ABS, PLA, photosensitive resin, nylon, polycarbonate powder Deng.
7th, the fining-off after brace finished product:Using the fixing band that one side is smooth, by prescription requirements, to patient's finger and hand The palm, wrist be fixed with it is orthopedic.
Embodiment
The technical scheme in the embodiment of the present invention will be clearly and completely described below, it is clear that described implementation Example only a part of embodiment of the invention, rather than whole embodiments.Based on the embodiment in the present invention, this area is common The every other embodiment that technical staff is obtained under the premise of creative work is not made, belongs to the model that the present invention is protected Enclose.
A kind of 3D printing finger-separating plate preparation method, is comprised the steps of:
A, assessment and prescription:Assess:
1st, Muscle tensility is assessed:Palm articulations digitorum manus, the Muscle tensility of five interphalangeal joint musculus flexors are suffered from evaluation respectively.
2nd, range of motion is assessed:Evaluate metacarpophalangeal joints, five active and passive range of motion of interphalangeal joint of finger.
3rd, right-hand man, which determines, assesses:To the distance of ligamentum carpi transversum at the top of right-hand man's thumb, middle finger, judge whether both hands are right Claim.
Prescription:
4th, strong palm articulations digitorum manus during modulus, interphalangeal joint song angle in the wrong are determined(According to passive joint mobility).
5th, the position of pressure bandage is determined(Three point force principle, orthotic joint song contracture in the wrong)
B, scanning:
1. hand print making:With soft husky mud(Similar to plasticine)A smooth mould is made, the strong hand of patient is put Above, by the requirement of the 4th step in step A, the stamp of a hand is squeezed into, then with hand-held optics 3D scanners (Sense) It is scanned, generates(STL or obj file).
2. either scans:Directly strong hand is scanned with optics 3D scanners (Sense), hand is good for and presses the 4th step in step A Requirement put posture, generate(STL or obj file).The complexity of watch face shape from multiple Different Planes, it is necessary to carry out Collection, it is therefore desirable to which individual keeps limbs and hand stable at 1-2 points kinds.Hand held scanner light weight, can be operated around limbs.
3. CT scan:Directly strong hand is scanned with CT, strong hand puts posture by the requirement of the 4th step in step A.Generation (Stl file).
C, finger-separating plate modeling:
File after processing is imported into the 3D such as 3D Max processing softwares, is modified by clinical treatment demand, generates 3D finger-separating plates Model file, is comprised the following steps that.
The processing of I profile:
A mirror image processings:Such as right-hand man symmetrically, it is changed into suffering from the stamp of hand from strong hand after the stamp obtained, mirror image processing.If not right Claim, modified after mirror image processing according to measurement result.
B profiles are revised:Determine the profile of finger-separating plate.
II hole makes:
The effect in bar hole is ligation band to be allowed to pass through, and hand is fixed on above finger-separating plate.In view of the heavy burden of ligation band, Yi Jichang Abrasion of the phase to bar hole, each ligation band passes through 2 bar holes.
C fixes the bar hole needed:For through fixing band, fixing wrist joint(1), metacarpophalangeal joints(1).
The bar hole of the orthopedic needs of d:By the requirement of the 5th step in step A, output bar hole, enable through fixing band pressed by 3 Urgent principle, corrects the interphalangeal joint and metacarpophalangeal joints of flexion contracture.
III overall duplication:The above-mentioned stamp made is copied as 2 parts, a pending, portion is stand-by.
The processing of IV muscle line:By pending stamp facies palmaris according to mechanics principle, do the processing of muscle line, increase the palm it is bent by pressure energy Power(Finger-separating plate thickness can accordingly mitigate),
V extrusion, welding:Stamp after the processing of muscle line is overleaf extruded into 3mm to be welded with stand-by model, repairing welding Leak afterwards, 3D finger-separating plate model basic formings.
The processing of VI hole:3D finger-separating plates palmar hand, finger section are punched, patient was both breathed freely when wearing, but it is light, improve Comfort level when patient wears.Hole can reduce the time for using and printing of material.
The VII 3D finger-separating plates model file being finally molded is with STL, and OBJ forms are exported to 3D printer Slice Software.
D, printed material and method selection
Use FDM(Melted extrusion modeling), SLA (stereolithograghy) or SLS(Laser sintered formula)Technology is printed, printing Material can be ABS, PLA, photosensitive resin material, nylon, polycarbonate powder etc..Carried out with the subsidiary software of printer Section and Method of printing are set.
Fining-off after E, brace finished product:
The finger-separating plate surface for removing backing material is relatively rough, with quartzy sand paper manual polishing.In the portion contacted with hand skin Position is important to skid, in order to avoid frictionally damage skin during patient activity.
Bar hole boudary portion beats circle, to ensure that ligation band, when being dressed to patient, can be moved glossily.
Using the fixing band that one side is smooth, through bar hole, by prescription requirements, patient's finger and palm, wrist are fixed With it is orthopedic, brace is worn on hand.
It is obvious to a person skilled in the art that the invention is not restricted to the details of above-mentioned one exemplary embodiment, Er Qie In the case of without departing substantially from spirit or essential attributes of the invention, the present invention can be realized in other specific forms.Therefore, no matter From the point of view of which point, embodiment all should be regarded as exemplary, and be nonrestrictive, the scope of the present invention is by appended power Profit is required rather than described above is limited, it is intended that all in the implication and scope of the equivalency of claim by falling Change is included in the present invention.
Moreover, it will be appreciated that although the present specification is described in terms of embodiments, not each embodiment only includes one Individual independent technical scheme, this narrating mode of specification is only that for clarity, those skilled in the art will should say Bright book is as an entirety, and the technical solutions in the various embodiments may also be suitably combined, and forming those skilled in the art can be with The other embodiment of understanding.

Claims (6)

1. a kind of 3D printing finger-separating plate preparation method, it is characterised in that comprise the steps of:
Assess and prescription;
Scanning;
Finger-separating plate is modeled;File after processing is imported into the 3D such as 3D Max processing softwares, modified by clinical treatment demand, it is raw Into 3D finger-separating plate model files,
The selection of printed material and method;
Fining-off after brace finished product.
2. 3D printing finger-separating plate according to claim 1, it is characterised in that the step A is specifically included:1st, Muscle tensility is commented Estimate:Palm articulations digitorum manus is suffered from evaluation respectively, the Muscle tensility of five interphalangeal joint musculus flexors, and 2, range of motion assesses:Metacarpophalangeal is evaluated to close Section, five active and passive range of motion of interphalangeal joint of finger, 3, right-hand man determine assess:To wrist at the top of right-hand man's thumb, middle finger The distance of transverse ligament, judges whether both hands are symmetrical, 4, strong palm articulations digitorum manus, interphalangeal joint song angle in the wrong when determining modulus, 5, really The position of constant-pressure bandage.
3. 3D printing finger-separating plate according to claim 1, it is characterised in that the step B includes:1. hand print making: With soft husky mud(Similar to plasticine)A smooth mould is made, the strong hand of patient is placed on above, by step A The requirement of 4 steps, is squeezed into the stamp of a hand, is then scanned with hand-held optics 3D scanners, generation STL or obj file; 2., either scans:Directly strong hand is scanned with optics 3D scanners, strong hand puts appearance by the requirement of the 4th step in step A Gesture, generation STL or obj file, the complexity of watch face shape from multiple Different Planes, it is necessary to be acquired, it is therefore desirable to 3., CT scan individual keeps limbs and hand stable at 1-2 points kinds, and hand held scanner light weight can be operated around limbs,:Use CT Directly strong hand is scanned, strong hand puts posture by prescription A requirement, generates stl file.
4. 3D printing finger-separating plate according to claim 1, it is characterised in that the step C is specifically included:Ith, at profile Reason:A mirror image processings:Such as right-hand man symmetrically, it is changed into suffering from the stamp of hand from strong hand after the stamp obtained, mirror image processing, it is such as asymmetric, Modified after mirror image processing according to measurement result, b, profile are revised:Determine the profile of finger-separating plate, II, bar hole makes:C, fixation The bar hole needed:For through fixing band, fixing wrist joint(1), metacarpophalangeal joints;D, orthopedic needs bar hole:By in step A The requirement of 5th step, outputs bar hole, enable through fixing band by 3 points compressing principles, correct flexion contracture interphalangeal joint and Metacarpophalangeal joints;IIIth, it is overall to replicate:The above-mentioned stamp made is copied as 2 parts, a pending, portion is stand-by;IVth, muscle line Processing:By pending stamp facies palmaris according to mechanics principle, the processing of muscle line is done, the bent compression capability of the palm is increased;Vth, extrude, weldering Connect:Stamp after the processing of muscle line is overleaf extruded into 3mm to be welded with stand-by model, the leak after repairing welding, 3D points Fingerboard model basic forming, VI, hole processing:3D finger-separating plates palmar hand, finger section are punched, patient was both breathed freely when wearing, It is again light, comfort level when patient wears is improved, hole can reduce the time for using and printing of material;VIIth, finally it is molded 3D finger-separating plates model file is with STL, and OBJ forms are exported to 3D printer section.
5. 3D printing finger-separating plate according to claim 1, it is characterised in that the step D is specifically:Using FDM or SLA, SLS technology are printed, and the material of printing can be in ABS, PLA, photosensitive resin, nylon, ABS, polycarbonate powder One kind, section is carried out with the subsidiary software of printer and Method of printing is set.
6. 3D printing finger-separating plate according to claim 1, it is characterised in that the step E is specifically:Remove backing material Finger-separating plate surface it is relatively rough, with quartzy sand paper manual polishing.
CN201710428494.7A 2017-06-08 2017-06-08 A kind of 3D printing finger-separating plate production method Expired - Fee Related CN107214943B (en)

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