NHS Wales Leading International Excellence

A project between CARTIS partners, PDR and Swansea Bay Health Board is championing international excellence in design technologies for healthcare through the Collaborative Medical Device Design Initiative - Co-Meddi. 

Working with partners in India, Peter Evans, Dominic Eggbeer, Katie Beverly and a wider team set up a design challenge. The topics address three priority areas that will help build a sustainable infrastructure and supply chain for the provision of advanced technology in head and neck reconstruction. 

The challenge attracted entries from across India. Successful applicants have been invited to a multi-disciplinary workshop, which will be hosted at King George's Medical University in Lucknow in Jan. 2020. Further details can be found here

Research undertaken as part of the project have also been presented at international conferences. This includes a recent poster presentation at the 29th Scientific Congress of the Institute of Maxillofacial Prosthetists and Technologists. The poster presented on the Double Diamond and Design Research Methodology. Adoption of the design research method has allowed the development of a reference model and ensures a shared understanding of the existing situation across a diverse group of researchers and practitioners. Further details and the poster can be found in the resources page

CARTIS are committed to publishing research and undertaking projects that improve access to state-of-the-art methods in healthcare. The Co-Meddi project is one example of this commitment. 


ADT Tokyo

CARTIS had a strong presence at the ADT Tokyo conference in June, delivering multiple presentations and a poster:


  • Peter Evans - Immediate Temporary Prosthetic Rehabilitation using Pre-Operative CT Data
  • Dr. Alba Gonzalez Alvarez - Customised Foot for Single Vector Mandibular Distractor
  • Lawrence Dovgalski-  Comparison of Commercially Available Surgical Planning Softwares
  • Prof. Dominic Eggbeer - Developing Resilience and Local Supply Chains for Advanced Digital Technology in Resource Constrained Environments
  • Prof. Dominic Eggbeer – ADT Outcome Measures
  • Prof. Dominic Eggbeer - Creating a Platform for In-Hospital Quality Management Systems (poster)
  • Mr Adrian Sugar - New Technologies and Planning Strategies for Treatment of Acute Complex Facial Fractures


Peter, Adrian and Dominic were also responsible for chairing sessions and assisting with conference duties associated with their roles in the ADT Foundation.

The Tokyo conference promised to showcase the latest technological advances whilst covering important wider topics on outcome measures and education. It didn’t disappoint. Perhaps some of the most exciting advances have been made in virtual reality/surgical planning and haptic technologies applied to training and practice. The opening keynote by Prof. Liam Grover also highlighted significant advances in the application of tissue engineering and additive manufacturing to enhance mechanical performance. Developments in microsurgery were also evident, as showcased by prof. Takahiro Nozaki and others.

As advanced digital technologies become more widely adopted into routine care, the ADT conference has evolved to embrace an ever-wider range of disciplines. In the early days around 2002-2005, the conference programme focussed heavily on rapid prototyping. As this has now evolved into additive manufacture, the focus seems to have shifted towards efficiency improvements enabled by virtual reality and higher fidelity training. It is also clear that the shift towards in-hospital design and manufacturing capability is well and truly in progress. Whilst the evolving regulatory situations and need for enhanced training bring about challenges, this trend is likely to continue.

Tokyo had many fantastic highlights. CARTIS is extremely grateful to the lead organiser, Prof. Masayuki Takano, the local organising committee, Gress and the ADT Foundation Administrators, RES Seminars.

The 2021 conference will be hosted in Amsterdam. Further details will be announced soon.

For further details on the ADT Foundation and conference programmes, click here.


UK India: Co-Meddi

Dr Vikram Khanna and Dr Sumit Kumar from King George's Medical University are visiting PDR at Cardiff Metropolitan University and Morriston Hospital at Swansea Bay University Health Board this week. This is the third exchange visit as part of the Co-Meddi project, which is building collaborations that will help to improve research, clinical and service excellence in India.

Led by Prof. Divya Mehrotra, King George's Medical University are implementing 3d surgical planning, computer aided design and 3d printing capabilities to support the largest number of patients possible. Part of the the Co-Meddi project is to exchange knowledge essential to make technology use as efficient and sustainable as possible.

Dr Alba Gonzalez, Lawrence Dovgalski and Steve Hollisey-McLean from Morriston's Maxillofacial Lab have also been supporting the development of advanced osteotomy and orthognathic planning. Specialist software will be implemented into King George's to support this service.

Both PDR and Morriston Hospital use the technologies now being implemented at King George's. This makes it easier to develop collaborative, multi-centre studies.

Further themes of sustainability and resource efficiency are being developed in collaboration with Dr Katie Beverley, who visited Lucknow with Prof Eggbeer and Peter Evans in the first project trip. Long-term sustainability, resource efficiency and material supply chain are crucial considerations to ensure appropriate clinical services are developed.

For further details, visit the blog post on the project website here.



Dr Hanna Burton at STEM for Britain

Dr Hanna Burton, Design Research Engineer in Surgical & Prosthetic Design, was shortlisted from hundreds of applicants to present her work as part of STEM for Britain. This annual competition encourages, supports and promotes Britain's early-stage and early-career research scientists, engineers, technologists and mathematicians who are an essential part of continuing progress in and development of UK research.

Hanna’s poster presentation showed how complex design can be used to shorten surgery time, improve surgical accuracy and simplify the treatment of complex cases. Surgical intervention has associated complications, which increase with procedure complexity. For nearly two decades, 3D physical models of patient anatomy produced from medical scan data have been used to assist in the crude process of shaping metal by hand to create an implant to fill a defect. However, the process of bending metal to create an implant is restrictive, and complex cases are often left untreated.

The solution lays in advanced design engineering technologies, such as metal additive manufacture (commonly known as 3d printing), which offer greater precision and design freedom. When used as part of an optimised and controlled process, intricate computer-aided plans can be translated into patient specific implants and guides. These physically guide the surgeon, ensuring maximum precision and reduced risk.

The relative infancy of these techniques and vast range of new design possibilities mean that there is still significant amounts of research required. Hanna is using her mechanical engineering knowledge to develop design controls that further increase safety whilst harnessing the creative potential of these new technologies. This is essential to meet rigorous quality management and regulatory standards.

The Surgical & Prosthetic Design team are based in PDR at Cardiff Metropolitan University in Wales. The team works closely with NHS Wales and with leading precision engineering partners to deliver services to the UK NHS and beyond. Through rigorous research and development, the team are committed to improving patient outcomes and healthcare efficiency.




For further details on STEM for Britain, visit

For further details on the Surgical & Prosthetic Design team, visit


UK-India Collaboration

A 2018-2020 project, developed by Dr Dominic Eggbeer and Prof. Divya Mehrotra in collaboration with Peter Evans, Dr Katie Beverley and other colleagues, will address the need for better community resilience, and local supply chains in healthcare. This will be illustrated by collaboratively developing new design methods for devices used to correct facial deformity.

The project is funded by the UK India Education Research Initiative. It will bring together expertise in PDR, Morriston Hospital and King George's Medical University. It builds on existing relationships and will develop research necessary for long-term collaborations between researchers, industry partners and community actors in the UK and India.

The objectives are to:

  • Collaboratively-develop regionally-appropriate methods that will enable the provision of custom made devices used to correct facial deformity to a greater number of people in India, and to test the feasibility of the new approach.

  • Identify and prioritise new collaborative research projects to overcome the challenges identified.

  • Develop community, training and industry partnerships that will help to implement the research.

We will achieve these objectives through a series of exchange visits, outreach programmes and project challenges during 2018 and 2019. 

Further details on the project and the first two visits can be found at