O&P CAD Software: From 3D Scan to Orthotic and Prosthetic Design

HomeO&P CAD Software

Clonify is desktop CAD software and a web panel that let orthotic and prosthetic clinics work from a 3D scan instead of a plaster cast. Routine work such as measurement and alignment is automated, while clinical decisions such as the trimline and regional shaping stay with the clinician.

CAD/CAM for orthotics and prosthetics

What is O&P CAD software?

O&P CAD software is a computer-aided design tool that turns a patient's 3D scan into a digital model and lets a custom medical device be designed on that model. Typical devices are a cranial helmet, a prosthetic socket, a hand splint or an orthosis, and the output is a production file for 3D printing or CNC.

In the O&P workshop its counterpart is the plaster workflow. A plaster negative is taken, a positive is cast and then corrected by hand. How much material came off where is the technician's call, and that call is rarely written down. In a digital workflow the geometry is scanned once, every intervention stays on the model as a recorded parameter, and the next device is produced against that recorded geometry.

Clonify builds this workflow for orthotics and prosthetics. The desktop app handles design, and the web panel manages patient records, reports and orders. The software does not diagnose. It standardises measurement, proposes a design and never exports a production file without clinician approval.

The digital workflow from scan to production

Every module follows the same four-step spine. Below you can see, step by step, what is automatic and which decision stays with the clinician.

  1. 1. Scan and import

    The patient is captured with a contactless 3D scanner, and the PLY, STL, OBJ, CPX or VTP file goes into the patient record. Scan quality is judged on the spot, and the capture is repeated in the same session if needed.

    The clinician decides whether the scan is adequate.

  2. 2. Alignment and measurement

    The software seats the scan on anatomical reference planes and computes module-specific measurements automatically. For cranial cases these are CVAI, cephalic index, circumference and volume; for sockets, residual-limb length and level-by-level circumference and volume.

    Automatic. The algorithms are deterministic, so the same scan always gives the same measurement.

  3. 3. Guided design

    The device form is derived from the scan itself. Regional load and relief zones, growth relief, edges and the trimline are edited on screen, and every edit is saved as a version.

    Trimline, regional shaping and growth relief are clinical decisions.

  4. 4. Approval and production file

    The clinician approves the design. The STL production file goes to the clinic's 3D printer or a partner production centre, and a CNC positive mould can be produced for a thermoforming line.

    No design becomes a production file without approval.

Clinical applications

The same platform runs separate modules for different parts of the body. The current status of each module is stated plainly.

Active

Cranial helmet and digital rectification

In plagiocephaly, brachycephaly and scaphocephaly the infant head is scanned without contact, and CVAI and cephalic index are computed automatically. A quadrant asymmetry map and overlaid follow-up scans put treatment monitoring on measurement.

Active

Prosthetic socket modification

Socket geometry from transtibial, transfemoral, transradial and transhumeral residual-limb scans. Regional load-bearing and relief zones, flanges and the brim line are edited, and the same digital model carries through from check socket to definitive.

Active

Hand and wrist splint

Volar splint design from a hand and wrist scan, with a pressure map, clinician approval and an STL production file.

In validation with pilot clinics

AFO and custom insoles

A line from leg and foot scans to the AFO shell, the insole form and a CNC mould. It is in field validation with pilot clinics and is not yet for sale.

In development

Scoliosis brace 3D modelling

A design specification is written for torso scanning, torso asymmetry analysis, pressure and relief zones and the brace form. The code is in development, and the module will not be sold before clinical validation is complete.

Free clinical calculators:CVAI calculatorCobb angle calculatorResidual limb volume calculator

Traditional plaster casting vs. the digital CAD workflow

The comparison below describes how the two methods work. It makes no claim about measured differences in time, cost or accuracy, because those figures vary by clinic, scanner and production method.

CriterionPlaster workflowDigital CAD workflow
CaptureNegative cast in plaster bandage. It needs patient contact and consumables every session.Contactless 3D scan. A poor capture is repeated in the same session.
Model correctionPlaster is added and removed by hand on the positive. Changes are not recorded.Parametric editing on the digital model. Every change is saved as a version.
MeasurementTape and calliper, with possible inter-observer variation.Automatic measurement from the same anatomical reference planes (CVAI, cephalic index, residual-limb volume).
Dimensional accuracyDepends on plaster setting, casting of the positive and hand correction.Depends on scanner accuracy and production method. Every software intervention is recorded numerically.
RepeatabilityThe result depends largely on the technician's hand skill.Deterministic algorithms: the same input gives the same output. Clinical decisions remain with the clinician.
RevisionNeeds a new cast or a stored physical model.Parameters are changed on the recorded geometry and a new file is exported.
Archive and follow-upPhysical models take shelf space, and comparison is visual.A time-stamped digital file. Follow-up scans are overlaid.
ProductionThermoforming over the plaster positive.3D printing from STL, or thermoforming over a CNC positive mould.

To run the numbers with your own case volume and costs, use the plaster-to-digital calculator. Results measured in pilot clinics will be published on the evidence page together with the measurement protocol.

File formats, scanners and platform

Clonify is not tied to a closed hardware ecosystem. It works with any scanner that can export an open mesh format.

Input formats
PLYSTLOBJCPXVTP
Output
STL production file; CNC positive mould for sockets and AFOs
Platform
Desktop app for Windows and macOS, plus a browser-based web panel
Download the app
Scanner
Handheld and fixed 3D scanners that export an open format
Compatible hardware classes

Regulation, quality and data security

In medical software, trust starts with writing down who decides what.

Custom-made device regulation

Under the EU Medical Device Regulation (MDR 2017/745) and Turkey's medical device regulation, manufacturer responsibility for a custom-made device lies with the clinic or workshop that makes it. Clonify does not take over that responsibility. It strengthens the clinic's technical file by recording every design step.

Quality management

Work to align our quality management system with the ISO 13485 framework is ongoing. When certification is obtained it will be published here and on the trust page.

Patient data

Patient records and scan data are stored encrypted. Only users the clinic authorises can open them, and data is never sold to third parties.

Decision authority

The software does not diagnose or decide treatment. It measures, proposes and waits for clinician approval, and critical steps do not advance without it.

Frequently asked questions

What does CAD software do in orthotics and prosthetics?

It turns a patient's 3D scan into a digital model, the custom device (helmet, socket, splint) is designed on that model, and a production file is exported for 3D printing or CNC. It replaces plaster casting, pouring the positive and hand correction, and every change stays on record.

Which scanners and file formats does Clonify support?

Scans are imported as PLY, STL, OBJ, CPX or VTP, so it works with handheld or fixed 3D scanners that export one of these formats. The production output is STL; socket and AFO lines can also produce a CNC positive mould.

Do I need CAD experience to use it?

No. Alignment and measurement are automatic, and design steps run through a module-specific wizard. The clinician does not do free-form modelling; clinical decisions such as trimline, regional shaping and growth relief are made on screen.

How much time and cost does it save compared with plaster?

We do not publish a general figure, because the result depends on case volume, scanner and production method. You can run your own numbers in the plaster-to-digital calculator. Results measured in pilot clinics will be published on the evidence page.

Does the software diagnose or approve designs by itself?

No. Clonify is clinician-approved guided automation built on deterministic geometry algorithms. Diagnosis, treatment decisions and design approval stay with the clinician, and an unapproved design never becomes a production file.

Can it design scoliosis braces?

Not yet. The scoliosis module's design specification is written and the code is in development; it will not be sold before clinical validation is complete. Today the production-ready modules are cranial helmet, prosthetic socket and hand splint.

See it with your own case

In a free 30-minute demo call we will walk through the modules and workflow that fit your clinic.

Sits on the scanner and printer you already have

A clinician approves every step

Built for custom-made device regulation