Orthotic Fabrication Time-and-Motion Study 2025

Independent multi-site measurements of throughput, cycle-time, cost-per-pair, and rework for orthotic printers, CNC mills, and CAD workflows.

How to Cite This Study

APA Format:

Vertex Orthopedic Group. (2025). Orthotic fabrication time-and-motion study (n=24 clinics, 2,847 pairs). https://doi.org/10.5281/zenodo.8293847

BibTeX:

@dataset{vertex_ttm_2025,
  author = {Vertex Orthopedic Group},
  title = {Orthotic Fabrication Time-and-Motion Study},
  year = {2025},
  doi = {10.5281/zenodo.8293847},
  url = {https://doi.org/10.5281/zenodo.8293847}
}

Last updated: August 14, 2025 | Sources: Independent time-and-motion study across 24 clinical sites

Study Scope

Participating Clinics

  • n = 24 clinics across 8 states
  • 12 podiatry practices (5-50 patients/day)
  • 8 orthopedic clinics (10-80 patients/day)
  • 4 prosthetic/orthotic facilities (20-100+ devices/day)

Equipment Categories

  • 3D Printers: Belt, FDM, SLA systems
  • CNC Mills: 3-axis, 4-axis precision mills
  • CAD Software: OrthoCAD, competitive solutions
  • Scanning: Structured light, laser scanners

Time Window

  • Study Period: January - June 2025
  • Observation Days: 120 total clinic-days
  • Sample Size: 2,847 orthotic pairs
  • Follow-up: 30-day post-delivery outcomes

Operating Environments

  • In-office production: 18 clinics
  • Hybrid workflows: 6 clinics
  • Volume ranges: 5-120 pairs/week
  • Staff experience: 6 months - 8+ years

Primary Measures

Cycle Time Metrics

Scan to CAD

Patient scan acquisition through CAD file export, including corrections and clinical modifications.

CAD to Production

File preparation, machine setup, and active fabrication time (unattended + attended).

Post-Processing

Support removal, finishing, quality inspection, and clinical fitting preparation.

Throughput Analysis

Daily Production Capacity

  • • Peak pairs per 8-hour shift
  • • Sustained daily averages
  • • Batch size optimization effects
  • • Multi-material workflow impacts

Resource Utilization

  • • Machine uptime percentages
  • • Operator attention requirements
  • • Material waste ratios
  • • Queue management efficiency

Cost Per Pair Analysis

Material Costs

Filament, blocks, consumables

Labor Costs

Direct + indirect time allocation

Equipment Costs

Depreciation, maintenance, utilities

Quality Costs

Rework, waste, returns

Study Procedure

Observer Training & Standardization

All observers completed 16-hour certification program covering timing protocols, data capture software, and inter-rater reliability testing. Agreement threshold maintained at >95% across all measurement categories.

  • • Standardized timing start/stop criteria
  • • Digital stopwatch + video backup validation
  • • Blinded equipment identification protocols
  • • Weekly calibration checks throughout study

Instrumentation & Data Capture

Custom time-tracking application synchronized across all observer devices, with automatic data validation and cloud backup. All timing events logged to nearest 0.1 seconds with mandatory categorization.

Primary Tools:

  • • VertexTimer Pro (custom timing software)
  • • Digital calipers for dimensional verification
  • • Material weight scales (±0.1g accuracy)
  • • Patient outcome tracking forms

Sampling & Randomization

Stratified random sampling by clinic size, equipment type, and operator experience. Each clinic observed for 5 non-consecutive days across 6-month period to capture seasonal and learning curve variations.

Inclusion Criteria:

  • • Standard orthotic prescriptions
  • • Normal clinic workflow conditions
  • • Experienced operators (>3 months)
  • • Equipment in standard maintenance cycle

Exclusion Criteria:

  • • Emergency/rush orders
  • • Prototype/experimental materials
  • • Equipment malfunction days
  • • Training or demonstration sessions

Calculation Methods

Total Cycle Time Formula

Total_Cycle_Time = Scan_Time + CAD_Time + Prep_Time + Fabrication_Time + Finishing_Time

Example Calculation:

Scan Time:8.5 min
CAD Time:12.3 min
Prep Time:4.2 min
Fabrication:45.0 min
Finishing:6.8 min
Total:76.8 min

Attended vs Unattended:

Attended Time:31.8 min
Unattended Time:45.0 min
Efficiency Ratio:1:1.41

Cost Per Pair Calculation

Cost_Per_Pair = (Material_Cost + Labor_Cost + Equipment_Cost + Overhead_Cost) / Quality_Factor

Material Costs:

  • • Filament: $2.80/pair
  • • Support material: $0.45/pair
  • • Consumables: $0.25/pair
  • Subtotal: $3.50

Labor Allocation:

  • • Direct time: 32 min @ $35/hr
  • • Indirect time: 8 min @ $35/hr
  • • Labor cost: $23.33/pair
  • Subtotal: $23.33

Equipment & Overhead:

  • • Equipment depreciation: $2.15
  • • Utilities & space: $1.80
  • • Maintenance: $0.90
  • Subtotal: $4.85

Total Cost Per Pair: $31.68 (before quality factor adjustment)

Study Limitations

Scope Limitations

  • Geographic Bias: Primarily US-based clinics; international workflows may vary
  • Equipment Selection: Limited to commercially available systems as of 2025
  • Volume Constraints: Small-volume clinics (<5 pairs/week) underrepresented
  • Prescription Types: Standard orthotics only; excludes AFOs, complex modifications

Methodological Considerations

  • Observer Effect: Presence of observers may alter normal workflow patterns
  • Learning Curves: Operators improving throughout study period
  • Seasonal Variation: Patient volume fluctuations not fully captured
  • Technology Evolution: Rapid equipment improvements during study window

What This Study Does NOT Prove

  • • Long-term clinical outcomes beyond 30-day follow-up
  • • Patient satisfaction or comfort differences between methods
  • • Optimal equipment selection for specific clinic profiles
  • • Return on investment timelines or financial projections

External Validity

  • • Results applicable to similar clinic sizes and patient volumes
  • • Equipment performance may vary with different maintenance schedules
  • • Operator experience significantly impacts all measured outcomes
  • • Local labor costs and material pricing affect cost calculations

Access Study Data

Complete dataset and methodology documentation available for download under Creative Commons license.

Questions About This Study?

Contact our research team for replication support, additional analysis, or custom studies for your organization.

Contact Research Team