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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Development of a five-axis printer for the

                                        fabrication of hybrid 3D scaffolds: From soft to
                                        hard phases and planar to curved surfaces



                                        Michael Kainz * id , Isabel Caetano da Silva , Paula Schumann , Julia Kastner ,
                                                    1
                                                                                            1
                                                                                                        1
                                                                            1
                                        Thomas Voglhuber , Lukas Hartung , Sandra Haas , Milan Rathod ,
                                                                       2
                                                        1
                                                                                                1
                                                                                   1
                                        Adrián Martínez Cendrero 3 id , Tilo Dehne , Daniel Seitz 5 id , Gunpreet Oberoi 6,7 id ,
                                                                           4
                                        Erik Kornfellner 6 id , Andrés Díaz Lantada 3 id , Francesco Moscato 6,8,9 id ,
                                                       1
                                        and Elena Guillén * id
                                        1 Functional Surfaces and Nanostructures, Profactor GmbH, Steyr-Gleink, Upper Austria, Austria
                                        2 Machine Vision, Profactor GmbH, Steyr-Gleink, Upper Austria, Austria
                                        3 Department of Mechanical Engineering, Polytechnic University of Madrid, Madrid, Spain
                                        4 Laboratory  for  Tissue  Engineering,  Department  of  Rheumatology  and Clinical  Immunology,
                                        Charité - University Medicine Berlin, Berlin, Germany
                                        5 Laboratory of Additive Manufacture and Material Science, BioMed Center Innovation gGmbH,
                                        Bayreuth, Germany
                                        6 Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna,
                                        Austria
                                        7
                                        Austrian Center for Medical Innovation and Technology (ACMIT GmbH), Wiener Neustadt, Austria
                                        8 Ludwig Boltzmann Institute for Cardiovascular Research, Vienna, Austria
                                        9 Austrian Cluster for Tissue Regeneration, Vienna, Austria
            *Corresponding authors:
            Michael Kainz
            (michael.kainz@profactor.at)
            Elena Guillén               Abstract
            (elena.guillen@profactor.at)
            Citation: Kainz M, Caetano da    Three-dimensional (3D) printing of hybrid scaffolds with material gradients,
            Silva I, Schumann P, et al.   combining soft and hard phases, is an appealing frontier in additive manufacturing.
            Development of a five-axis printer
            for the fabrication of hybrid 3D   However, most 3D printers are limited to either three-axis or mono-material
            scaffolds: From soft to hard phases   capabilities, rendering them unsuitable for fabricating hybrid scaffolds. Additionally,
            and planar to curved surfaces.    printing on curved surfaces requires advanced printing capabilities. Our work aims
            Int J Bioprint. 2024;10(3):3189.
            doi: 10.36922/ijb.3189      to  advance  additive  manufacturing  by  developing  a  hybrid  piezoelectric  inkjet-
                                        extrusion printer equipped with five-axis functionalities. The printer could be used
            Received: March 17, 2024    to fabricate customized  hybrid scaffolds,  surpassing conventional mono-material
            Accepted: April 9, 2024
            Published Online: June 14, 2024  or linear three-axis printing strategies.  The soft phase comprises a low-viscosity
                                        photocurable resin and a high-viscosity peptide hydrogel, while the hard phase
            Copyright: © 2024 Author(s).
            This is an Open Access article   comprises 3D-printed polylactic acid and hydroxyapatite parts.  To validate the
            distributed under the terms of the   system, we fabricated three hybrid scaffolding use cases, characterized by multi-
            Creative Commons Attribution   material porous structures fabricated on planar, single-curved, and free-form
            License, permitting distribution,
            and reproduction in any medium,   surfaces. The scaffolds were subsequently analyzed using digital microscopy to assess
            provided the original work is   their accuracy, particularly the feature sizes of pores and struts (i.e., 0.8–3.6 mm). In
            properly cited.             the first part of the study, we demonstrated the versatility of inkjet and extrusion
            Publisher’s Note: AccScience   printing by hybrid printing an interconnected network in the soft phase on top of a
            Publishing remains neutral with   planar ceramic hard phase. A pore width and height deviation of 6% was achieved
            regard to jurisdictional claims in
            published maps and institutional   compared to the intended design. In the second part of the study, we evaluated the
            affiliations.               3D inkjet printing of a multi-material porous scaffold on a single-curved surface for




            Volume 10 Issue 3 (2024)                       588                                doi: 10.36922/ijb.3189
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