+TUO project: low cost 3D printers as helpful tool for small communities with rheumatic diseases

Purpose – This paper aims to present a pilot study’s aims to identify opportunities and limits deriving from the use of low-cost 3D printing (3DP), fused deposition modelling (FDM), open-source technologies in co-design and co-production processes involving persons with rheumatic diseases (RDs). Design/methodology/approach – In the paper, the authors outline why the use of low-cost, entry-level FDM can be meaningful for this scenario, implying a complete sharing of the design and the production phases of small assistive devices. The +TUO process is composed of several stages, among which the generative session represents the core. Findings – This study highlights as the introduction of this low-cost technology in co-generative processes with people with RDs is a real challenge that can lead to new products and solutions, and that can sustain a social and local manufacturing approach for people facing a specific disablement. Research limitations/implications – This research is a first step of a broader res...

[1]  J. G. Tanenbaum,et al.  Democratizing technology: pleasure, utility and expressiveness in DIY and maker practice , 2013, CHI.

[2]  Massimiliano Ruffo,et al.  Rapid manufacturing facilitated customization , 2008, Int. J. Comput. Integr. Manuf..

[3]  Marguerite Schneider,et al.  Health and Quality of Life Outcomes , 2008 .

[4]  Mark Evans,et al.  A comparative evaluation of industrial design models produced using rapid prototyping and workshop‐based fabrication techniques , 2003 .

[5]  Guido Hermans,et al.  Investigating the unexplored possibilities of digital-physical toolkits in lay design , 2014 .

[6]  Larissa Hjorth,et al.  Understanding physical activity through 3D printed material artifacts , 2014, CHI.

[7]  L. Farnworth,et al.  An investigation into the role and meaning of occupation for people living with on-going health conditions. , 2013, Australian occupational therapy journal.

[8]  Gideon Levy,et al.  RAPID MANUFACTURING AND RAPID TOOLING WITH LAYER MANUFACTURING (LM) TECHNOLOGIES, STATE OF THE ART AND FUTURE PERSPECTIVES , 2003 .

[9]  Lieven De Couvreur,et al.  The role of subjective well-being in co-designing open-design assistive devices , 2013 .

[10]  F. Melchels,et al.  A review on stereolithography and its applications in biomedical engineering. , 2010, Biomaterials.

[11]  Catarina Mota,et al.  The rise of personal fabrication , 2011, C&C '11.

[12]  G. Gelderblom,et al.  Non-use of provided assistive technology devices, a literature overview , 2004 .

[13]  Ronald Noel Beyers,et al.  Nurturing Creativity and Innovation Through FabKids: A Case Study , 2010 .

[14]  C. Håkansson,et al.  The importance for daily occupations of perceiving good health: Perceptions among women with rheumatic diseases , 2013, Scandinavian journal of occupational therapy.

[15]  Neil Gershenfeld,et al.  FAB: The Coming Revolution on Your Desktop--from Personal Computers to Personal Fabrication , 2005 .

[16]  W A Kalender,et al.  Rapid protyping technology in medicine--basics and applications. , 1999, Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society.

[17]  Ruth Mugge,et al.  Emotional bonding with personalised products , 2009 .

[18]  Andreas Gebhardt,et al.  Understanding Additive Manufacturing: Rapid Prototyping, Rapid Tooling, Rapid Manufacturing , 2011 .

[19]  Ron Wakkary,et al.  From DIY tutorials to DIY recipes , 2014, CHI Extended Abstracts.

[20]  Yanki Lee,et al.  Empathy @ design research: a phenomenological study on young people experiencing participatory design for social inclusion , 2011 .

[21]  Paul K. Wright,et al.  The role of rapid prototyping in the product development process: A case study on the ergonomic factors of handheld video games , 2002 .

[22]  A. Wilcock Reflections on doing, being and becoming* , 2002 .

[23]  M. Bury Chronic illness as biographical disruption. , 1982, Sociology of health & illness.

[24]  Andrea Botero,et al.  Ageing together: Steps towards evolutionary co-design in everyday practices , 2013 .

[25]  T. V. Vliet Vlieland,et al.  Assistive devices: usage in patients with rheumatoid arthritis , 2009, Clinical Rheumatology.

[26]  Ian Campbell,et al.  Additive manufacturing: rapid prototyping comes of age , 2012 .

[27]  P. Hekkert,et al.  Meanings of materials through sensorial properties and manufacturing processes , 2009 .

[28]  P. Bártolo,et al.  Additive manufacturing of tissues and organs , 2012 .

[29]  Steven A Lavender,et al.  Preference of lid design characteristics by older adults with limited hand function. , 2013, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[30]  J. Giannatsis,et al.  Additive fabrication technologies applied to medicine and health care: a review , 2009 .

[31]  Pieter Jan Stappers,et al.  Co-creation and the new landscapes of design , 2008 .

[32]  Apoorva Mandavilli,et al.  Appropriate technology: Make anything, anywhere , 2006, Nature.

[33]  Joost Dekker,et al.  Occupational therapy for rheumatoid arthritis: a systematic review. , 2002, Arthritis and rheumatism.

[34]  Trajectory of assistive device usage and user and non-user characteristics: long-handled bath sponge. , 2002, Arthritis and rheumatism.

[35]  Lieven De Couvreur,et al.  Design for (every)one: co-creation as a bridge between universal design and rehabilitation engineering , 2011 .

[36]  Sangeeta N Bhatia,et al.  Three-dimensional tissue fabrication. , 2004, Advanced drug delivery reviews.

[37]  P. Hjortdahl,et al.  Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality. , 1999, Social science & medicine.