A method for manufacturing a medical implant, the method comprising: providing a first material for printing the medical implant; providing a printing device comprising: a printing device comprising: a housing forming an enclosed space; a print head comprising a heated nozzle for extruding the first material; a planar heated build plate having a top surface for receiving the first material thereon wherein the heated build plate comprises a top build layer comprising the top surface, a top frame layer beneath the top build layer, a heating layer comprising a resistant heater, said heating layer beneath the top frame layer, an insulating layer beneath the heating layer, and a bottom frame layer; and a reflective plate comprising an active heating element, said reflective plate located adjacent the heated nozzle, said reflective plate having a bottom surface configured to reflect heat towards the build plate; wherein the reflective plate, the build plate, and the nozzle are all configured to maintain the first material at a predetermined temperature while forming the medical device; moving the print head and the reflective plate vertically in a Z-plane; and moving the build plate horizontally in a X-plane and in a Y-plane. providing a first material for printing the medical implant; providing a printing device comprising: a printing device comprising: a housing forming an enclosed space; a print head comprising a heated nozzle for extruding the first material; a planar heated build plate having a top surface for receiving the first material thereon wherein the heated build plate comprises a top build layer comprising the top surface, a top frame layer beneath the top build layer, a heating layer comprising a resistant heater, said heating layer beneath the top frame layer, an insulating layer beneath the heating layer, and a bottom frame layer; and a reflective plate comprising an active heating element, said reflective plate located adjacent the heated nozzle, said reflective plate having a bottom surface configured to reflect heat towards the build plate; wherein the reflective plate, the build plate, and the nozzle are all configured to maintain the first material at a predetermined temperature while forming the medical device; a housing forming an enclosed space; a print head comprising a heated nozzle for extruding the first material; a planar heated build plate having a top surface for receiving the first material thereon wherein the heated build plate comprises a top build layer comprising the top surface, a top frame layer beneath the top build layer, a heating layer comprising a resistant heater, said heating layer beneath the top frame layer, an insulating layer beneath the heating layer, and a bottom frame layer; and a top build layer comprising the top surface, a top frame layer beneath the top build layer, a heating layer comprising a resistant heater, said heating layer beneath the top frame layer, an insulating layer beneath the heating layer, and a bottom frame layer; and a reflective plate comprising an active heating element, said reflective plate located adjacent the heated nozzle, said reflective plate having a bottom surface configured to reflect heat towards the build plate; wherein the reflective plate, the build plate, and the nozzle are all configured to maintain the first material at a predetermined temperature while forming the medical device; moving the print head and the reflective plate vertically in a Z-plane; and moving the build plate horizontally in a X-plane and in a Y-plane. <EOS>