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TissueDB/Materials/PLA

From Appropedia
A green and a white spool of PLA 3D-printer filament on a holder
Two spools of PLA filament for 3D printing.
License: CC0-1.0 by Richardspa

Polylactic acid (PLA) is a thermoplastic made from plant-derived feedstocks such as corn starch and sugarcane. Its biodegradation requires specialised composting conditions; do not assume a printed PLA part is suitable for home or garden compost.[1] In medical simulation, PLA filament is used for rigid anatomical models, including 3D-printed bone models for fracture-fixation and drilling practice. Anatomical accuracy depends on the model, scale and printed result. Infill density can adjust rigidity, weight and drill resistance. PLA is available in multiple colours; use the colour specified by the simulator's build instructions. PLA can deform with heat. Follow the filament and printer manufacturers' handling, ventilation and operating guidance.

Tissues

Tissue Visual Tactile Simulator Notes
Bone — fracture and deformity models Pediatric Forearm Fracture Simulator, Humeral Fracture Fixation Simulator, Lower Limb Deformity Correction Simulator, Tibial Shaft Transverse Fracture Simulator PLA filament; print settings vary by simulator. Rigid 3D-printed bone substitute for fracture fixation and deformity correction training.
Bone — ribs Chest Tube Simulator (Brannan) PLA filament The Brannan rib framework is printed in ivory PLA and provides rigid landmarks for chest tube insertion in a multifunctional thorax model. See the simulator's build instructions for its reported printing requirements and costs.
Bone — infant tibia Infant Intraosseous Infusion Simulator (Micallef) Ecotough PLA filament (0% infill; Table 1 lists a 1.2 mm wall, while the Methods text gives 2.0 mm; unexplained source discrepancy)[2] Hollow 3D-printed infant proximal tibial bone fragments for intraosseous needle insertion training. Consumable — replaced after each use.
Trachea Kei REAL CRIC Trainer 3D-printed rigid tracheal scaffold providing anatomical form for cricothyrotomy incision site; does not simulate tracheal tissue compliance.
Skull STA-MCA Bypass Trainer Rigid 3D-printed cranial model providing the anatomical working corridor through which microsurgical extracranial-to-intracranial bypass is performed.
Bladder Urinary Catheterization Simulator (Gillis) PLA filament printed on Ultimaker 3 (20 per cent infill, 0.2 mm layer height) 3D-printed PLA bladder body and base houses the threaded insert and screw-in valve body of the one-way bladder valve; the acrylic front window seated with silicone caulking is non-PLA.[3]
Bone — replaceable proximal tibial cartridge Adult Proximal Tibia Intraosseous Access Simulator (maxSIMIO) PLA insert representing the proximal tibia for intraosseous-access practice. Both the straight-leg and bent-knee models include a replaceable tibial cartridge.[4]
Bone — tibia and fibula (version two) Adult Proximal Tibia Intraosseous Access Simulator (maxSIMIO) Printed PLA lower-leg bones in the second, bent-knee version. This component forms part of the modular assembly and is enclosed in cast silicone.
Bone — femur (version two) Adult Proximal Tibia Intraosseous Access Simulator (maxSIMIO) Printed PLA upper-leg bone in the second, bent-knee version. This component forms a separate section of the modular assembly and is enclosed in cast silicone.

Working with PLA and STL files

An STL file describes a model's three-dimensional surface. A slicer prepares layers and printer instructions from that geometry and the chosen settings.[5]

For a build that specifies PLA, follow the PLA filament printing guide for download, setup, preview and printed-part checks, including the handoff to a printing service. If the required material or process is unclear, start with 3D printing guides.

The tibial fracture simulator uses two fragments: download Model 1 (STL) and download Model 2 (STL). Its material and settings are specific to these models, not a recipe for every PLA component.[6] Match the model revision, filament and settings to the simulator and actual printer; a successful print alone does not establish the required training properties.

Troubleshooting

  • Soft tissue simulation — PLA is rigid and brittle and is not a general substitute for compliant soft tissue. Follow the material requirements in the relevant simulator's build instructions; do not automatically substitute silicone or gelatin.
  • Procedures requiring biological feedback — cannot simulate bleeding, tissue perfusion, or temperature changes.
  • Infill and print settings — infill and wall thickness are set per simulator, from hollow 0%-infill shells (e.g. the Micallef infant tibia) to denser fills for load-bearing drilling; too thin or sparse a print can crack under drilling, so match the print settings to the procedure.

Alternatives

Alternative Best For Trade-offs
Animal Bone Named as a bone-drilling analog in the ETALO Bone Drilling Module, offered in varying sizes for a more human-like bone feel; untested comparison.[7] Requires sourcing and cleaning; variable quality; single-use biological waste.
PVC Standardised resistance, uniform properties No anatomical accuracy, lacks cortical-cancellous transition
Bamboo Named as a bone-drilling analog in the ETALO Bone Drilling Module and used as the Variant A bone analog in the Long Bone Drilling Simulator; low-cost and locally available; untested comparison. Variable diameter and wall thickness; no anatomical shaping.

References

  1. ↑ Prusa Research. PLA.
  2. ↑ Micallef J, Arutiunian A, Hiley J, Benson A, Dubrowski A. The Development of a Cost-Effective Infant Intraosseous Infusion Simulator for Neonatal Resuscitation Program Training. Cureus 2021;13(10):e18824. DOI: 10.7759/cureus.18824. PMID: 34804681.
  3. ↑ Gillis CJ, Bishop N, Walsh G, Harvey D 2020, Cureus 12(5):e8377. DOI 10.7759/cureus.8377. PMID 32626621. PMC PMC7328704.
  4. ↑ Sivanathan M, Micallef J, Clarke KM, et al. The Development and Initial End-Point User Feedback of a 3D-Printed Adult Proximal Tibia IO Simulator. Cureus 2022;14(5):e25481. DOI: 10.7759/cureus.25481. See the design-process text and Figures 1 and 2.
  5. ↑ UltiMaker. The UltiMaker Cura workflow explained.
  6. ↑ Medical Makers. Prepare 3D Print Files.
  7. ↑ ETALO Bone Drilling Module (Education To Advance Limb-saving Options), Global Surgical Training Challenge 2020. Its Simulator Layer Options list PVC/PPR pipe, bamboo and animal bone (cow, goat, pig, lamb) as interchangeable bone-drilling analogs; the overview describes progressing from locally-sourced options to 3-D-printed models, and the bamboo and PVC-pipe prototypes were field-tested in Mbale, Uganda. Appropedia, CC BY-SA 4.0.
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Authors Ian-laurel, Arturo Pelayo
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Created January 30, 2026 by Arturo Pelayo
Last edit November 12, 2026 by Arturo Pelayo
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