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Technical Data Sheet: Cranioplasty

Scan and anatomy requirements, supported cases, outputs and charges for cranioplasty cases.

This data sheet is for surgeons and clinical teams preparing cranioplasty cases. It lists the scan and anatomy requirements, supported cases, platform outputs and the case charges policy.


Case Criteria

Anatomical Requirements

  • Ensure the CT or STL scan includes the complete defect zone, the zygoma, and extends to the nasal region.

  • Clearly visible, clean-edged cranial defect


Supported Case Types & Region

  • Unilateral & Bilateral cases

  • Containing design with flange, temporal cut, holes and fixation drills

  • Defects > 30 mm in diameter

  • Defects within the highlighted (in blue) region, see image below

Left, front and right views of a skull with the supported defect region highlighted in blue

Unsupported Case Types

  • Revision surgeries with a visible existing implant in the CT scan or STL

  • Defects involving the zygoma, orbital bones, or facial skeleton

  • Very small defects < 30 mm in diameter


STL Segmentation Guidelines

Optional upload of .STL segmentation is accepted under the following conditions:

  • Defect area is fully represented

  • A defect is clearly included with clean-edges

  • The file does not depict an already repaired or reconstructed skull


CT Imaging Requirements

Parameter

Requirement

Slice Thickness

≤ 1.5 mm

Spacing Between Slices

≤ 1.5 mm

Pixel Spacing

≤ 1.0 mm

Motion Artifact

Minimize; patient must remain still

Metal Artifact

If present, upload your own segmentation as STL


Platform Outputs

After approval, the case outputs include:

  • Anatomical Model Files:

    • Cropped region focused on implant site (.STL)

    • Full anatomy model (.STL)

  • Guide Files:

    • Implant file (molds if applicable) file in .STL format (x2 for Bilateral)

    • Molds file (if applicable) in .STL format (x2 for Bilateral)

  • Case Report Document:

    • .PDF file summarizing surgical planning, measurements, and device design


Case Charges Policy

Condition

Charge Applied

Case rejected by CustoMED (technical/incomplete)

❌ No Charge

Case cancelled or rejected by user prior to approval

❌ No Charge

Case submitted for validation or training purposes

❌ No Charge

Case fully approved, with guides

✅ Charged


Compatibility Statement

This module is not a replacement for clinical decision-making. CustoMED software does not provide therapeutic recommendations. All final planning decisions - including implant design, positioning, and surgical execution - must be made and reviewed by a licensed healthcare professional. A healthcare professional must always rely on their own professional clinical judgment when deciding whether to use any product in the treatment of a specific patient.

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