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Post-printing surface modification and functionalization of 3D-printed biomedical device

            substrate is often unheeded, despite the fact that they   transformed  post-printing.  At  macroscopic  level,
            are  in  constant  interactions  with  biological  entities.   shape  memory  materials  are  incorporated  in  the
            Even for 3D-printed tissue engineering scaffold which   3D-printed  components [23–25] .  Under  the  designed
            is  designed  to  promote  cell  attachment  and  growth,   transition conditions (e.g., temperature or solvent), the
            its  biological  functions  largely  rely  on  the  intrinsic   shape  memory  materials  deform  and  transform  the
            property  of  the  bulk  materials,  which  imposes  fur-  3D-printed  components  into  desired  configuration.
            ther constraints on the already limited selection of 3D-   This  concept,  which  is  also  known  as  4D  print-
            printable materials.                               ing [26,27] ,  creates  a  dynamic  component  that  allows
               For 3D-printed components to achieve full potential   users to reconfigure the shape of 3D-printed compo-
            in  biomedical  applications,  a  multiprocess  3D  print-   nents  on  demand. We consider  the  reconfiguration a
            ing [22]  that combines 3D printing and post-3D printing   post-3D printing modification method. The 4D print-
            modification is highly coveted. The 3D-printed com-  ing  technique  has  been  demonstrated  for  soft  robot-
            ponents could benefit substantially from the post-3D   ics [28] .  But  we  could  expect  more  sophisticated  bio-
            printing modification for improved biofunctionality. In   medical  applications  using  4D  printing  technology.
            this  paper,  we  first  summarize  current  approaches   For  example,  4D  printing  is  well-suited  for  custo-
            used  for  post-3D  printing  modification.  Meanwhile,   mized  vascular  stent.  Once  the  pre-configured  stent
            we identify the limitations of 3D-printed components   reaches the stricture, it could be induced to expand and
            for biomedical applications, and provide a perspective   open the stenotic vessel to restore blood flow.
            on how to close the gap using post-3D printing modi-  The  post-3D  printing  architectural  reconfigura-
            fication techniques.                               tion could also enhance the performance of 3D-printed
                                                               microfluidic  devices.  Microfluidic  devices  printed
            2. Post-3D Printing Modification
                                                               using  conventional  3D-printing  techniques  such  as
            Post-printing modification has two major effects. It is   stereolithography (SLA) or fused deposition modeling
            able to reconfigure the 3D architecture and/or chemi-  (FDM) have fairly poor lateral resolution. A more ad-
            cally functionalize the surface of 3D-printed compo-  vanced technique, such as two-photon polymerization
                                                                                                       [29]
            nents, as shown in Figure 1.                       (2PP), is able to achieve sub-micro resolution  , but
                                                               it  suffers  from  low  throughput.  So  far,  there  is  no
                                                               3D-printing  technology  that  fabricates  microfluidic
                                                               devices with both high throughput and high resolution.
                                                               Post-3D printing reconfiguration provides a potential
                                                               solution. Earlier work by Khine et al. demonstrated a
                                                               method to achieve high resolution lithography by cre-
                                                               ating  large  patterns  and  subsequently  shrinking  the
                                                               device  to  reduce  the  pattern  size  (Figure  2) [30] .  The
                                                               same concept can be adopted in 3D printing. By print-
                                                               ing a 3D microfluidic device with pre-stressed materi-
                                                               al and subsequently subjecting it to controlled shrink-
                                                               ing, the reconfigured device could achieve high reso-
                                                               lution  despite  the  fact  that  the  original  device  may
                                                               have large features with a poor resolution.



            Figure 1. Post 3D-printing modification, which includes archi-
            tectural  reconfiguration  and  surface  functionalization,  impro-
            ves  biofunctionality  of  3D-printed  components.  Inset  figures
            reproduced [9,15,17]   with permission from Wiley or  under Crea-
            tive Commons Attribution License.

                                                               Figure 2. Reducing pattern size by shrinking for the fabrication
            2.1 Architectural Reconfiguration                  of  microfluidic  devices.  (A)  Unshrunken  pattern  with  laser
                                                               printed  master  pattern.  (B)  The  same  master  after  being
            2.1.1 Macroscopic                                  shrunken.  Reproduced [30]   with  the  permission  from  Royal
            The  architecture  of  3D-printed  components  can  be   Chemistry Society.
            94                          International Journal of Bioprinting (2017)–Volume 3, Issue 2
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