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Cases

From a Surgeon's Gap to a Training Model: Our Cases

Updated September 2026 · by David Ortner, CEO and Founder, eyecre.at GmbH

Surgical Standard works the same way in every specialty. A surgeon names what cannot be practised well today. We develop and print the model, produce and distribute it, and organise the course around it. The surgeon stays clinical lead and course director. Here is where that path stands today: one case completed end to end, one in development, one in conversation.

The short version

Surgical Standard is the partnership model of eyecre.at GmbH in Innsbruck, together with the Institute of Clinical and Functional Anatomy of the Medical University of Innsbruck and Addion GmbH. Case one, oculoplastic surgery, produced the M.A.R.K.O. LID eyelid model and the accredited LidSUMMIT course. Case two, vascular surgery, is the VascuTrain carotid simulator, in development since November 2025. Case three, gynaecology and obstetrics, is in the concept phase. Every case follows the same five steps: the gap, the clinicians, the model, the course, the recognition.

Case 1 · Done end to end

Oculoplastic surgery: M.A.R.K.O. LID and LidSUMMIT

From a clinical complaint to an accredited European course, and still being revised.

Eye model with eyelid, KANTHO LID display cube and M.A.R.K.O. LID training head side by side. Training models, no patient. AI-staged from the original photo.
Three generations of the eyelid model. Training models, no patient. AI-staged from our own photo.
  1. The gapEyelid surgery can hardly be practised before the first patient. Donor tissue is scarce and animal tissue does not match the anatomy.
  2. The cliniciansUniv.-Prof. Dr. Marko Konschake and the Institute of Clinical and Functional Anatomy in Innsbruck, later the whole LidSUMMIT faculty of 13 surgeons and anatomists.
  3. The modelM.A.R.K.O. LID, a multi-layer 3D printed eyelid model with more than 50 volumes and 7 base materials, now in revision L3-B1.
  4. The courseLidSUMMIT Tirol, an EACCME accredited hands-on course. Three editions, 80 places, all taken.
  5. The recognitionFunded by the State of Tyrol, reported by Stratasys as Europe's first 3D printed eyelid surgery training models, and refined with the feedback of every participant.

This is the case that taught us the method, including the detours. It took years, about 245,000 euros until the funded project ended and an estimated 400,000 euros to date, and more than 20 named partners. We have written all of it down, with the timeline, the costs, the people and the six lessons we would pass on to the next specialty.

Read the full case study LidSUMMIT Tirol

Case 2 · In development

Vascular surgery: VascuTrain

A modular simulator for open vascular surgery, starting with the carotid artery.

Gloved hands working with forceps and scissors on the exposed carotid vessels of the VascuTrain Carotis Training Head, carry case in the background. Training model, no patient. AI-staged product image.
VascuTrain Carotis Training Head with exchangeable tissue block. Training model, no patient. AI-staged product image.
  1. The gapEndarterectomy, patch plasty, anastomoses, vessel exposure and bleeding control have to be learned by hand. Realistic, repeatable and affordable practice is rare.
  2. The cliniciansFlorian Enzmann, MD, PhD, FEBVS, and Dr. David Wippel, vascular surgeons at the Medical University of Innsbruck. They built and tested the proof of concept themselves.
  3. The modelOn their commission, eyecre.at and Addion are turning it into a cost-efficient product: a training head, an exchangeable tissue block, single arteries with multi-layer vessel walls, all in one carry case.
  4. The courseNext: first courses on the models, with standardised assessment (OSATS, DOPS) and an evaluation form from day one.
  5. The recognitionNext: validation study with the two surgeons as authors.
VascuTrain Carotis Training Head in fog grey with the opened neck region showing vessels and fatty tissue. Training model. AI-staged product image. Open black hard-shell carry case with the VascuTrain Carotis Training Head in its foam inlay. AI-staged product image.

The project started in November 2025. Several versions of the carotid vessel bundle were printed and tested before the design settled, and the first complete prototype in its carry case was ready in September 2026. The femoral bifurcation is next, the aorta after that, and the same platform can carry dialysis shunt and crural bypass modules. It moved faster than the eyelid model did, because the material tests, the frame logic and the feedback loops were already there.

Case 3 · In conversation

Gynaecology and obstetrics: perineal repair and hysteroscopy

This is what the very first step looks like. No model exists yet, and that is the point.

  1. The gapSuturing a perineal tear after birth means closing every tissue layer correctly, including the sphincter muscles, not only the surface. Today that is mostly learned on the patient.
  2. The cliniciansThe head of a gynaecology and obstetrics department in Austria came to us with the idea in July 2026. Names follow when the project is agreed.
  3. The modelIn concept: a layered perineal repair trainer in two variants (table model and pelvis inlay), and a uterus for hysteroscopy with exchangeable polyp and myoma inserts.
  4. The courseThe interest is explicitly in a complete course, not only in models.
  5. The recognitionOpen.

What happens at this stage: we clarify who will train on the model and which layers it must show, check the anatomical data with the anatomy institute in Innsbruck, and estimate effort, print volumes and duration. Nothing is designed before that is clear. The surgeon gets an honest number and a plan, and help with the funding application if the clinic budget does not cover it.

Case 4

Your specialty

You see what cannot be practised in your field. You do not need a concept, a budget or a business plan. Tell us the gap, and we will tell you honestly whether a printed model can close it.

Describe your gap

The three cases side by side

Oculoplastic surgeryVascular surgeryGynaecology and obstetrics
StageDone end to end, in continuous revisionIn developmentIn conversation, concept phase
StartedFunded project May 2022, idea years earlierNovember 2025July 2026
Clinical leadInstitute of Clinical and Functional Anatomy, MedUni Innsbruck, and the LidSUMMIT facultyTwo vascular surgeons, MedUni InnsbruckHead of a gynaecology and obstetrics department in Austria
ModelM.A.R.K.O. LID, revision L3-B1, availableVascuTrain Carotis, first complete prototype September 2026Perineal repair trainer and hysteroscopy uterus, concept
CourseLidSUMMIT Tirol, EACCME accredited, 3 editions, 80 placesIn preparationPlanned as part of the project
Development and productioneyecre.at GmbH with Addion GmbH, Innsbruck, printed on Stratasys Digital Anatomy technology

Questions we get asked about the cases

Which specialties does Surgical Standard work in?

Today there are three: oculoplastic surgery, where the M.A.R.K.O. LID and the LidSUMMIT course have completed the whole path; vascular surgery, where the VascuTrain carotid model is in development with two vascular surgeons from the Medical University of Innsbruck; and gynaecology and obstetrics, where a perineal repair trainer and a hysteroscopy model are in the concept phase. The method is not tied to a specialty. Any region of the body that a surgeon has to learn by hand is a candidate.

How long does it take from the first conversation to a training model?

The first case took years: the idea goes back to conversations with two ophthalmologists in Halle, the funded project with the Medical University of Innsbruck and Addion ran from 2022 to 2024, and the model is still being revised. The second case is faster because the detours are known. VascuTrain started in November 2025 and the first complete carotid prototype in its carry case was ready in September 2026. A course built around a model adds further time for faculty, venue and accreditation.

What does it cost to develop a surgical training model?

It depends on the anatomy and on how far the path should go. For the M.A.R.K.O. LID about 245,000 euros had been spent when the funded project ended in April 2024, and we estimate about 400,000 euros by September 2026 including all revisions and courses since. A first round of test prototypes for a smaller model costs far less, but it does not carry a project all the way to a course. Development is usually funded jointly through a clinic budget or a research grant, and we help to prepare the applications.

Does the surgeon earn money from the model?

No. The surgeon gets a validated model in his or her field, scientific authorship and the position of having set the training standard in the specialty, but no revenue share. Because no surgeon earns from the models, the teaching stays free of commercial interest, and that is what accreditation rests on.

My specialty is not listed. Can I still bring a gap?

Yes, that is the main route. You do not need a concept, a budget or a business plan. Describe what cannot be practised well in your field today, and we will tell you honestly whether a 3D printed model can close that gap.

Recognise your own specialty in one of these?

Describe your gap How the partnership works The M.A.R.K.O. LID case study

Surgical Standard is an initiative of eyecre.at GmbH, Innsbruck, within the Anatomical Training Hub with the Medical University of Innsbruck and Addion GmbH. All images show training models, no patients and no real tissue. Product images on this page are AI-staged from our own photos and models. Projects in the concept phase are described without names until the partners have agreed to be mentioned.