Professor Mia Woodruff, Queensland University of Technology, was at Expo 2020 Dubai to show visitors to the Australian Pavilion how 3D printers can be used to create limb and tissue replacement for patients. Photo: Queensland University of Technology
Professor Mia Woodruff, Queensland University of Technology, was at Expo 2020 Dubai to show visitors to the Australian Pavilion how 3D printers can be used to create limb and tissue replacement for patients. Photo: Queensland University of Technology
Professor Mia Woodruff, Queensland University of Technology, was at Expo 2020 Dubai to show visitors to the Australian Pavilion how 3D printers can be used to create limb and tissue replacement for patients. Photo: Queensland University of Technology
Professor Mia Woodruff, Queensland University of Technology, was at Expo 2020 Dubai to show visitors to the Australian Pavilion how 3D printers can be used to create limb and tissue replacement for pa

Using 3D printing to replace body parts can revolutionise patient care


Patrick Ryan
  • English
  • Arabic

Visitors to Expo 2020 Dubai are being offered a glimpse into a future where replacement limbs and tissue are routinely created on 3D printers in hospitals.

The Australian Pavilion is showcasing technology that has already been used on hundreds of patients who have lost limbs and experienced tissue loss due to cancer, trauma and congenital defects.

Guests are greeted by a video display of Australia’s latest innovations, during which Prof Mia Woodruff, from Queensland University of Technology, talks about the pioneering technology she believes could become a mainstay of hospitals around the world in years to come.

The professor was at the pavilion in person on Wednesday afternoon to explain why people should be excited about what the medical innovation means for the global health sector.

“Usually if you had broken your leg and had to go for treatment in hospital you would have had to have bone taken from your pelvis, for example, to help repair it and you would end up limping on both legs as you left the hospital,” she said.

“Now we can do an imaging scan of your leg and create a 3D model and then print out an implant that can go into your leg without needing to take tissue from any other part of your body.

“Effectively everyone can be treated a lot more rapidly and a lot more cheaply.”

Professor Mia Woodruff talks about how biofabrication technology could play a major role in healthcare at the Australian Pavilion at Expo 2020 Dubai on Wednesday. Photo: Khushnum Bhandari/ The National
Professor Mia Woodruff talks about how biofabrication technology could play a major role in healthcare at the Australian Pavilion at Expo 2020 Dubai on Wednesday. Photo: Khushnum Bhandari/ The National

She said the technology, known as biofabrication, means patients could have their conditions diagnosed long before they reach the hospital for treatment.

“If a patient has an accident on the side of the road, the emergency team could use a scanner to scan the missing tissue and send it ahead to the hospital,” said Professor Woodruff.

“The hospital can then go ahead and print the implant so it’s ready for when they arrive.”

The replacement tissue that is created consists of polymers that slowly break down over “many, many” years, the professor said.

She said there had been several success stories over the years in hospitals in Brisbane, in particular, with a patient’s leg being saved from amputation in one case in 2018, using the technology.

“Over the last 10 years, 3D printing has revolutionised almost every industry in the world,” said Prof Woodruff.

‘That’s especially the case with hospital healthcare because we’re able to print out materials that are compatible with the human body.

“Previously if you needed a hip replacement the doctor was only able to choose from small, medium or large sizes but now we are able to create more exact sized replacements that are personalised for patients.”

The technology also has the capacity to help hospitals worldwide to save money as they will be able set up manufacturing sites within their premises, she added.

She said, while the technology is still in its infancy, it has already been used to help patients suffering from a litany of conditions.

“There have been recent cases of entire sternums being replaced and people who have had rib injuries and have received polymer implants,” said Prof Woodruff.

“There have even been people who had 3D printed skull replacements and others who have needed their skull drilled, to release pressure on their brain, have had re-absorbable polymers used to plug that gap.”

3d printed polymer limbs are becoming more widely used in hospital care. Photo: Getty Images
3d printed polymer limbs are becoming more widely used in hospital care. Photo: Getty Images

One by-product of the technology is the new job opportunities it will create in the hospital industry, she added.

“We’re creating jobs for people in hospitals who don’t need to be clinicians,” she said.

“There will need to be people working in the hospitals who are able to code and run 3D printers.

“3D printing technicians will be vital members of the team in the hospitals of the future.”

The technology also represents the opportunity for hospitals to vastly reduce costs, with more precise diagnoses meaning patient care can become more efficient, the professor added.

“Most people have been affected by a cancer excision or traumatic accident, or know someone who's had a birth defect,” she said.

“They can all understand what it's like to be faced with excessive hospital visits, or expensive imaging or bills to pay for it.

“So what we're trying to show with the hospital of the future is that technology is going to make that more accessible, treatments will be better, faster, and cheaper.”

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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Ten tax points to be aware of in 2026

1. Domestic VAT refund amendments: request your refund within five years

If a business does not apply for the refund on time, they lose their credit.

2. E-invoicing in the UAE

Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption. 

3. More tax audits

Tax authorities are increasingly using data already available across multiple filings to identify audit risks. 

4. More beneficial VAT and excise tax penalty regime

Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.

5. Greater emphasis on statutory audit

There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.

6. Further transfer pricing enforcement

Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes. 

7. Limited time periods for audits

Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion. 

8. Pillar 2 implementation 

Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.

9. Reduced compliance obligations for imported goods and services

Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations. 

10. Substance and CbC reporting focus

Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity. 

Contributed by Thomas Vanhee and Hend Rashwan, Aurifer

Updated: October 27, 2021, 9:25 AM