Jakarta as a very populated urban city has various problems related to the traffics. Epidemiological data show that craniomaxillofacial fractures occur in 82% of motorcycle traffic accident victims in Indonesia. In terms of medical rehabilitation, the high number of cases of traffic accidents requires the handling of maxillofacial fractures. Miniplates and screw in general already consist of various types and dimension. Moreover, there are two main types of materials that existed, namely polymers and metals. In this case, a production system that has an agile production capability shall be needed to meet this requirement. The previous study showed that an implant industry must have a versatile skill in designing those various implant systems as well. Therefore, this study aims to realize a complete set of implant system that delivered the expectations of users in terms of quality as required. Not only the research-based product that must be realized but also followed by a a production system that complied to ISO 13485:2016 Medical Device-Quality Management System standards. Our experience also showed that there was unique validation method that need to be assured when a custom product was designed. Here, we reported a study case that realizing a degradable implant system for craniomaxillofacial fixation to be used specifically for pediatric patient. We introduced our teaching industry, TiBio, that focused on design, prototyping and validate the product to meet the predetermined specification. The validation covers the geometrical, physiochemical, mechanical characterization, and toxicity of the prototyped products. Briefly, TiBio served as a proof of design platform of a customized medical device before the upscaling phase. The TiBio resumed previous knowledge-based research in a systematic way to realize new product design in a faster, functional and safe as complied to ISO 13485:2016 Medical Device-Quality Management System.

1.
Badan Pusat
Statistik
.
2018
. Statistik Transportasi Darat 2017. November.
BPS RI.
Jakarta
.
2.
Ghosh
,
R. dan
Gopalkrishnan
,
K.
Facial Fractures
,”
Journal of Craniofacial Surgery
, pp.
e334
e340
,
2018
.
3.
Ehrenfeld
,
M.
,
Manson
,
P. N. dan
Prein
, J. Principles of Internal Fixation of the Craniomaxillofacial Skeleton Trauma and Orthognathic Surgery,
New York
:
Thieme Medical Publishers
,
2012
.
4.
Marcus
,
J.R.
,
Erdmann
,
D. dan
Rodriguez
,
E.D.
Essentials of Craniomaxillofacial Trauma, St.
Louis
:
Quality Medical Publishing, Inc
.,
2012
.
5.
Pan
,
C.Y.
,
Liu
,
P.H.
,
Tseng
,
Y.C.
,
Chou
,
S.T.
,
Wu
,
C.Y. dan
Chang
,
H.P.
Effects of cortical bone thickness and trabecular bone density on primary stability of orthodontic mini-implants
,”
Journal of Dental Sciences
, vol.
14
, no.
4
, pp.
383
388
,
2019
.
6.
Vroman
,
I.
and
Tighzert
,
L.
, “
Biodegradable polymers
,”
Materials (Basel)
., vol.
2
, no.
2
, pp.
307
344
,
2009
.
7.
Menon
,
S.
and
Choudhury
,
C. S. R.
Resorbable Implants in Maxillofacial Surgery: A Reality Check
,”
J. Maxillofac. Oral Surg.
, vol.
11
, no.
2
, pp.
132
137
,
2012
.
8.
Kaur
,
P.
a Review on Bioresorbable Materials : Application in Oral and Maxillofacial a Review on Bioresorbable Materials : Application in Oral and Maxillofacial
“,
Int J Dent Heal. Sci
, vol.
3
, no.
6
, pp.
1138
1156
,
2017
.
9.
Mehle
,
Eckert
,
Gentzsch
,
Schwan
,
Christopher
, and
Knoll
, “
Evaluation of a New PEEK Mandibular Reconstruction Plate Design for Continuity Defect Therapy by Finite Element Analysis
,”
Int. J. New Technol. Res.
, vol.
2
, no.
7
, pp.
65
71
,
2016
.
10.
Sahoo
,
N.
,
Anand
,
S.
,
Bhardwaj
,
J.
,
Sachdeva
,
V.
, and
Sapru
,
B.
Bone Response To Stainless Steel and Titanium Bone Plates
,”
Med. J. Armed Forces India
, vol.
50
, no.
1
, pp.
10
14
,
1994
.
11.
Rosenberg
,
A.
,
Grätz
,
K. W.
, and
Sailer
,
H. F.
, “
Should titanium miniplates be removed after bone healing is complete?
,”
Int. J. Oral Maxillofac. Surg.
, vol.
22
, no.
3
, pp.
185
188
,
1993
.
12.
Kennady
,
M. C.
,
Tucker
,
M. R.
,
Lester
,
G. E.
and
Buckley
,
M. J.
Stress shielding effect of rigid internal fixation plates on mandibular bone grafts. A photon absorption densitometry and quantitative computerized tomographic evaluation
,”
Int. J. Oral Maxillofac. Surg.
, vol.
18
, no.
5
, pp.
307
310
,
1989
.
13.
Engineering economics of cranio-maxillofacial (CMF) degradable implant production in Indonesia
, Vol.
2227
,p.
020038
,
2020
, doi
14.
Nurcahyo
,
R.
and
Habiburrahman
,
M.
,
2021
.
Relationship between ISO 9001: 2015 and operational and business performance of manufacturing industries in a developing country (Indonesia
).
Heliyon
,
7
(
1
), p.
e05537
.
15.
Budiono
,
H.D.S.
,
Nurcahyo
,
R.
and
Habiburrahman
,
M.
,
2021
.
Relationship between manufacturing complexity, strategy, and performance of manufacturing industries in Indonesia
.
Heliyon
, p.
e07225
.
16.
Rahyussalim
,
A.J.
,
Marsetio
,
A.F.
,
Saleh
,
I.
,
Kurniawati
,
T.
and
Whulanza
,
Y.
,
2016
.
The needs of current implant technology in orthopaedic prosthesis biomaterials application to reduce prosthesis failure rate
.
Journal of Nanomaterials, 2016.
17.
Maladzi
,
R.
,
Supriadi
,
S.
,
Rahyussalim
,
A.J.
and
Whulanza
,
Y.
,
2019
, April. Concept design and possibility study interpedicular locking screw implant fixation for osteoporosis spine bone.
In AIP Conference Proceedings
(Vol.
2092
, No.
1
, p.
020025
).
AIP Publishing
LLC
.
18.
Supriadi
,
S.
,
Ardianov
,
M.F.
,
Rahyussalim
,
A.J.
,
Whulanza
,
Y.
,
Prabowo
,
Y.
and
Saragih
,
A.S.
,
2019
, December. Evaluating internal forces of new design modular MegaProsthesis distal femur.
In AIP Conference Proceedings
(Vol.
2193
, No.
1
, p.
050025
).
AIP Publishing
LLC
.
19.
Hasan
,
A.A.A.F.
,
Supriadi
,
S.
,
Kreshanti
,
P.
,
Umas
,
R.A.
and
Whulanza
,
Y.
,
2021
, March. Concept design and stress evaluation on modular mini plate for complex fracture maxillofacial trauma.
In AIP Conference Proceedings
(Vol.
2344
, No.
1
, p.
050016
).
AIP Publishing
LLC
.
20.
Malau
,
D.P.
,
Whulanza
,
Y.
,
Annur
,
D.
,
Prabowo
,
Y.
,
Utomo
,
M.S.
and
Amal
,
M.I.
,
2019
, March. Proximal femur prosthesis remodeling and stress evaluation for Indonesian patient.
In AIP Conference Proceedings
(Vol.
2088
, No.
1
, p.
040004
).
AIP Publishing
LLC
.
21.
Alief
,
N.A.
,
Supriadi
,
S.
and
Whulanza
,
Y.
,
2019
, April. Modelling the shape memory properties of 4D printed polylactic acid (PLA) for application of disk spacer in minimally invasive spinal fusion.
In AIP Conference Proceedings
(Vol.
2092
, No.
1
, p.
020005
).
AIP Publishing
LLC
.
22.
Utomo
,
M.S.
,
Whulanza
,
Y.
,
Lestari
,
F.P.
,
Erryani
,
A.
and
Kartika
,
I.
,
2020
, April. Computational mechanics of porous magnesium alloy as Herbert compression screw for hallux valgus osteotomy.
In AIP Conference Proceedings
(Vol.
2232
, No.
1
, p.
070004
).
AIP Publishing
LLC
.
23.
Supriadi
,
S.
,
Rachman
,
P.
,
Saragih
,
A.S.
,
Whulanza
,
Y.
,
Rahyussalim
,
A.J.
and
Triwidodo
,
A.
,
2021
, March. Design, development, and finite element study on the novel biomimetic lumbosacroiliac prosthesis.
In AIP Conference Proceedings
(Vol.
2344
, No.
1
, p.
050021
).
AIP Publishing
LLC
.
24.
Supriadi
,
S.
,
Kristianto
,
H.
,
Whulanza
,
Y.
,
Saragih
,
A.S.
,
Dhelika
,
R.
and
Latief
,
B.S.
,
2018
, November.
Fabrication of magnesium ecap based maxillary miniplate-typed implant through the method of micro forming
.
In IOP Conference Series: Materials Science and Engineering
(Vol.
432
, No.
1
, p.
012037
).
IOP Publishing
.
25.
Qosim
,
N.
,
Supriadi
,
S.
,
Shamsuddin-Saragih
,
A.
and
Whulanza
,
Y.
,
2018
.
Surface treatments of ti-alloy based bone implant manufactured by electrical discharge machining
.
Ingeniería y Universidad
,
22
(
2
), pp.
59
70
.
26.
Qosim
,
N.
,
Supriadi
,
S.
,
Whulanza
,
Y.
and
Saragih
,
A.S.
,
2018
.
Development of ti-6al-4v based-miniplate manufactured by electrical discharge machining as maxillofacial implant
.
Journal of Fundamental and Applied Sciences
,
10
(
3S
), pp.
765
775
.
27.
Whulanza
,
Y.
,
Hidayaturrahmi
,
P.
,
Kurniawati
,
T.
and
Aj
,
R.
,
2017
, February. Realization and testing of multi-material 3D printer for bone scaffold fabrication.
In AIP Conference Proceedings
(Vol.
1817
, No.
1
, p.
040001
).
AIP Publishing
LLC
.
28.
Alief
,
N.A.
,
Utomo
,
M.S.
,
Kartika
,
I.
and
Whulanza
,
Y.
,
2019
, June.
Geometrical and mechanical performance of multi-material fused deposition modelling. In IOP Conference Series: Materials Science and Engineering
(Vol.
557
, No.
1
, p.
012022
).
IOP Publishing
.
29.
Nadhif
,
M.H.
,
Irsyad
,
M.
,
Rahyussalim
,
A.J.
and
Utomo
,
M.S.
,
2021
, August. Geometrical evaluation of CAM-configured thermoplastic polyurethane lattices for intervertebral disc replacements.
In AIP Conference Proceedings
(Vol.
2382
, No.
1
, p.
030006
).
AIP Publishing
LLC
.
30.
Albab
,
M.F.
,
Giovani
,
N.
,
Yuwono
,
A.H.
,
Sofyan
,
N.
,
Ramahdita
,
G.
and
Whulanza
,
Y.
,
2018
, February. The influence of phosphorylation and freezing temperature on the mechanical properties of hydroxyapatite/chitosan composite as bone scaffold biomaterial.
In AIP Conference Proceedings
(Vol.
1933
, No.
1
, p.
020010
).
AIP Publishing
LLC
.
31.
Syuhada
,
G.
,
Ramahdita
,
G.
,
Rahyussalim
,
A.J.
and
Whulanza
,
Y.
,
2018
, February. Multi-material poly (lactic acid) scaffold fabricated via fused deposition modeling and direct hydroxyapatite injection as spacers in laminoplasty.
In AIP Conference Proceedings
(Vol.
1933
, No.
1
, p.
020008
).
AIP Publishing
LLC
.
32.
Ramahdita
,
G.
,
Puspita
,
D.M.
,
Albab
,
M.F.
,
Alfata
,
R.
,
Sofyan
,
N.
and
Yuwono
,
A.H.
,
2018
, February. The effect of hydroxyapatite addition on the mechanical properties of polyvinyl alcohol/chitosan biomaterials for bone scaffolds application.
In AIP Conference Proceedings
(Vol.
1933
, No.
1
, p.
020006
).
AIP Publishing
LLC
.
33.
Supriadi
,
S.
,
Kreshanti
,
P.
,
Ramadhan
,
I.R.
,
Whulanza
,
Y.
and
Saragih
,
A.S.
,
2019
, April. Performance measurement and analysis of implant screw for maxillofacial bone fixation application through pullout and torque testing.
In AIP Conference Proceedings
(Vol.
2092
, No.
1
, p.
020033
).
AIP Publishing
LLC
.
34.
Rahyussalim
A
, J.,
Kurniawati
,
T.
,
Aprilya
,
D.
,
Anggraini
,
R.
,
Ramahdita
,
G.
and
Whulanza
,
Y.
,
2017
, February. Toxicity and biocompatibility profile of 3D bone scaffold developed by Universitas Indonesia: A preliminary study.
In First International Symposium of Biomedical Engineering
(
ISBE
2016) (Vol.
1817
, No.
1
, p.
020004
).
35.
Sahputra
,
R.
,
Yanwirasti
,
Y.
,
Jabir
,
R.
and
Whulanza
,
Y.
,
2018
.
The Effect of Mesenchymal Punca Cell in Scaffold Primo to Fusion of Vertebral Column After Laminoplasty. In Proceedings of the 1st EAI International Conference on Medical And Health Research, ICoMHER
.
European Alliance for Innovation (EAI)
.
36.
Rahyussalim
,
A.J.
,
Sahputra
,
R.E.
,
Yanwirasti
,
M.M.
,
Whulanza
,
Y.
,
Kurniawati
,
T.
,
Aprilya
,
D.
and
Zufar
,
M.L.L.
,
2021
.
The Effect of Mesenchymal Stem Cell-Enriched Scaffolds on MMP-8 and TGF-β Levels of Vertebrae Postlaminoplasty in Rabbit Model
.
Stem Cells and Cloning: Advances and Applications
,
14
, p.
27
.
37.
Kreshanti
,
P.
,
Tunjung
,
N.
,
Dionisius
,
A.
,
Supriadi
,
S.
and
Whulanza
,
Y.
,
2019
, April. The usability of locally-made miniplate and screw compared to the existing imported miniplate and screw.
In AIP Conference Proceedings
(Vol.
2092
, No.
1
, p.
020032
).
AIP Publishing
LLC
.
38.
Tunjung
,
N.
,
Kreshanti
,
P.
,
Saharman
,
Y.R.
,
Whulanza
,
Y.
,
Supriadi
,
S.
,
Chalid
,
M.
,
Anggraeni
,
M.I.
,
Hamid
,
A.R.A.
and
Sukasah
,
C.L.
,
2020
.
Clinical Evaluation of Locally Made Flocked Swabs in Response to the COVID-19 Pandemic in a Developing Country.
International Journal of Technology
,
11
(
5
), pp.
878
887
.
39.
Umas
,
R.A.
,
Supriadi
,
S.
,
Whulanza
,
Y.
,
Ahmad
Fauzi
Hasan
,
A.A.
and
Kreshanti
,
P.
,
2021
.
Evaluating the gear stress of novel reverse rotation bit manual screwdriver design for mini screw implants
.
Journal of Mechanical Engineering (JMechE)
,
8
(
1
), pp.
175
192
.
This content is only available via PDF.
You do not currently have access to this content.