In this paper, the capacity of additive manufacturing in the medical engineering will be considered in order the fourth industrial revolution, industry 4.0. The benefits of additive manufacturing, particularly individualization and sustainability, will be discussed and the particular demands of medical engineering are mentioned in relating to the manufacturing technology. Also, the challenges and technical lacks of the technology, mechanical properties, will be analyzed due to the scientific experiments and technical reports. The solutions for the problems are considered briefly and the alternative systems or processes will be obtained regarding the medical application. This research presenting the starting steps of the new project which is planned for next years, in the Institute of Materials and Processes, IMP, at Karlsruhe University of Applied Sciences.